Biology 231 Human Anatomy and Physiology Chapter 5 Lecture Outline Integumentary System – skin and accessory structures Dermatology – medical specialty for diagnosing and treating skin disorders Skin (cutaneous membrane) – boundary between body and external environment 2 layers of skin: epidermis – superficial layer of epithelial tissue dermis – deep layer of connective tissue subcutaneous layer (subQ or hypodermis) not part of the skin; areolar and adipose tissue layer deep to skin Epidermis – keratinized stratified squamous epithelium no blood vessels – nourished by diffusion from dermis 4 Primary Cell Types: keratinocytes – 90% of cells; arranged in layers keratin – tough, fibrous protein produced by keratinocytes; protective barrier to heat, microbes and chemicals melanocytes – 8% of cells; have slender projections running between keratinocytes; produce melanin melanin – black-brown pigment produced in melanosomes by an enzyme (tyrosinase – converts tyrosine to melanin) enzyme activity increases with exposure to UV radiation absorbs UV radiation to protect keratinocyte DNA melanoma – cancer of melanocytes Merkel cells – associated with a nerve ending in the dermis; detects touch and pressure Langerhans cells – phagocytic cells of epidermis Keratinocyte Growth and Development cells divide in basal layer and are pushed toward surface; cells become keratinized (accumulate keratin) as they approach the surface; cells undergo apotosis (programmed death); surface cells are constantly sloughed and replaced; 1 average time for process is 4-6 weeks damage to surface layers stimulates faster growth epidermal growth factor – protein which stimulates growth Keratinocyte Developmental Layers (strata) – deep to superficial Stratum germinativum (basale)– deepest layer, anchored to basement membrane basal cells (stem cells) – keratinocytes that undergo division melanocytes, Merkel cells Stratum spinosum – 8-10 layers of living cells; protein fibers connected to desmosomes give spiny appearance Langerhans cells Stratum granulosum – 3-5 layers of flattened cells undergoing apotosis keratin keratohyalin – dark-staining protein granules that dehydrate cells and cross-link keratin molecules Stratum lucidum – only apparent in thick skin of fingertips, palms and soles; 3-5 layers of clear, flat, dead cells; thick plasma membrane and lots of keratin Stratum corneum – 15-30 layers of dead, flat keratinocytes full of keratin; continuously shed and replaced; callus – thickening of stratum corneum due to constant friction Dermis – connective tissue layer supporting epidermis; contains fibroblasts, macrophages, some adipocytes, blood vessels, nerves, glands and hair follicles; provides skin with strength, extensibility and elasticity 2 regions: 1) Papillary layer – areolar connective tissue; highly vascular (blood vessels) dermal papillae – finger-like projections extending into epidermis epidermal ridges – cover large dermal papillae on thick skin provide stronger adhesion to basement membrane sweat on surface causes fingerprints sensory innervation tactile corpuscles (touch receptors) free nerve endings (detect heat & cold, pain, itching & tickling) (lamellated corpuscles – detect pressure in deeper layers) 2 2) Reticular layer – deep region of dense irregular connective tissue gives skin its strength and elasticity contains adipose cells, hair follicles, nerves, sebaceous and sweat glands stretch marks – tears in dermis Skin Types Thin skin (hairy) –most of body; thickness of sandwich bag no stratum lucidum; has hair and sebaceous glands; fewer sensory receptors and sweat glands Thick skin (hairless) – palms, palmar surfaces of digits, soles of feet; thickness of paper towel visible stratum lucidum; large epidermal ridges; no hair or sebaceous glands present; more sensory receptors and sweat glands Skin color – due to 3 pigments in normal skin 1) melanin – amount and darkness variable in individual freckles – patches of melanin 2) carotene – yellow-orange pigment; in stratum corneum and adipose tissues 3) hemoglobin – in red blood cells; red when carrying oxygen cyanosis – bluish color due to oxygen depleted hemoglobin erythema – redness due to engorged capillaries albinism –inherited inability to produce melanin; melanocytes unable to produce enzyme (tyrosinase) jaundice – yellow color due to buildup of bilirubin in blood; usually due to liver disease ACCESSORY STRUCTURES OF SKIN – modifications of epidermis 1) Hair – found on thin skin Structure – dead, keratinized cells bonded by extracellular proteins 2 regions of hair: Shaft – superficial portion; projects from skin Root – deep portion; penetrates dermis and anchors hair 3 layers of hair: medulla – innermost; has pigment & soft keratin cortex – middle; contains pigment & soft keratin cuticle – outermost; scale-like cells with hard keratin 3 Hair Follicle – produces and nourishes growing hair 3 layers of follicle: external root sheath – continuation of epidermis internal root sheath – produced by hair matrix glassy membrane – thick basement membrane hair bulb – at base of follicle matrix – stem cells that divide to form hair line inner surface of hair bulb papilla – surrounded by bulb; connective tissue with blood vessels that nourish growing hair arrector pili muscle – smooth muscle that makes hair stand up root hair plexus – nerve endings around hair root, sensitive to touch Hair Growth Cycle growth stage – matrix cells divide, differentiate, keratinize, and die; lasts 2-5 years for scalp hair resting stage – growth stops; about 3 months old hair falls out when growth stage resumes Hair Color – melanocytes in matrix dark hair – true melanin blond or red – melanin contains sulfur & iron Functions of hair – prevents heat loss and sunburn; protects from foreign particles (eyelashes, nose); senses light touches (root plexus) 2) Skin Glands – exocrine glands Sebaceous glands (oil glands) – lie in dermis; open into hair follicles coat hair and skin to moisturize and inhibit bacteria sebum – mixture of triglycerides, cholesterol, proteins and salts coats hair and skin to moisturize and inhibit bacteria acne – bacterial infection of sebaceous glands and hair follicles Sweat glands (sudoriferous glands) – produce watery secretions 2 types: Merocrine sweat glands – located widely in dermis and open at surface pores; function in evaporative cooling Apocrine sweat glands – axillae, pubic region; mainly lie in subQ and open into hair follicles stimulated by emotions and hormones secretions thicker and more odorous (sensible vs. insensible perspiration) 4 Ceruminous glands – modified sweat glands in ear canal; lie in subQ and open in ear canal or sebaceous gland ducts; cerumen (ear wax) – waxy combination of ceruminous & sebaceous secretions; traps foreign material entering ear impacted cerumen – accumulation that effects hearing 3) Nails – plates of tightly packed, highly keratinized epidermal cells protect distal digits nail anatomy: nail body – visible portion; free edge extends beyond digit nail root – portion buried in skin fold nail matrix – deep to nail root; stem cells of nail eponychium (cuticle) – stratum corneum band over nail base FUNCTIONS OF SKIN Thermoregulation – homeostatic regulation of body temperature sweat – increases with heat or exercise; evaporative cooling adjusting blood flow – blood vessels in skin dilate during moderate exercise; increases radiant heat loss; constriction of surface vessels conserves heat Protection keratinized cells with extensive cell junctions - physical barrier to microbes, abrasion, heat and chemical damage sebum – inhibits dehydration and water absorption contains bactericidal chemicals melanin – protects from UV radiation Langerhans cells – protection from microbes Cutaneous sensation – detection of tactile, thermal and pain sensations on body surface Merkel cells tactile corpuscles free nerve endings hair root plexuses lamellated corpuscles Excretion and Absorption – passage of waste materials out and other materials in through skin excretion – salts, carbon dioxide, urea and ammonia absorption – lipid-soluble materials; vitamins (A,D,E,K), drugs (hydrocortisone, estradiol, nicotine), O2, toxins (lead, mercury, dry-cleaning fluid, acetone, poison ivy or oak) 5 Synthesis of vitamin D3 – UV rays convert steroids to vitamin D3 further modified in liver and kidneys to calcitriol (necessary for absorbing dietary calcium) SKIN WOUND HEALING Epidermal wound healing – only epidermis is damaged (eg. abrasions, minor burns), no bleeding basal cells migrate across wound basal cell division replaces migrating cells epidermal growth factor (EGF) – stimulates basal cell division basal cells divide to regenerate layers Deep wound healing – injuries extending beneath epidermis (dermis and subQ) 4 phases: 1. clotting – bleeding brings platelets, which form a blood clot fills wound 2. migratory phase – clot becomes scab and epithelial cells migrate beneath scab granulation tissue – tissue filling damaged dermis blood clot fibroblasts - synthesize collagen and ground substance regenerating blood vessels phagocytic cells – remove debris 3. proliferative phase – continued growth and activity of all cells epidermal layers reestablished fibroblasts fill in hole in dermis clot shrinks 4. maturation phase – scab sloughs, new tissue organizes fibrosis –scar formation; extra collagen fibers and reduction in blood vessels causes lighter appearance; specialized structures usually much reduced – loss of some tissue function Skin Aging – increases past age 40 collagen reduced and has less strength and organization = wrinkles elastic fibers lose elasticity and less fat in subQ = sagging skin thinner skin, especially dermis = easily injured slower basal cell migration = slower healing smaller sebaceous glands = dry skin and hair reduced and altered melanocyte function = gray hair and age spots 6