The Integumentary System: The Skin Ch 4 The Basics • Skin- The body’s Cutaneous Membrane. Also known as the integument, meaning simply “covering”. • Integumentary SystemThis is the body’s organ system made up of the skin, sweat glands, oil glands, hairs, and nails. The Basic Functions of the Skin • Basically a covering for the body. • Keeps needed water and other precious molecules in and keep unneeded water and molecules out. • Mainly used as protection from the following damages: Skin Functions: Damages We are Protected From • Mechanical Damage: Protected by Physical barrier, which contains Keratin (toughens cells) and pressure sensors (alerts nervous system to possible damage). • Chemical Damage: Protected because skin has relatively impermeable keratinized cells, which contain pain receptors (alerts nervous system to possible damage). • Bacterial Damage: Protected because skin has an unbroken surface and “acid mantel” (skin secretions are acidic, thus inhibit bacteria). Phagocytes ingest foreign substances and pathogens, preventing them from penetrating into deeper body tissue. Skin Functions: Damages We are Protected From (Con) • Ultraviolet Radiation: Protects because Melanin, produced by the melanocytes, offers protection. • Thermal Damage: Protects because skin contains the heat, the cold, and the pain receptors. • Dessication: Protects because skin has waterproofing keratin. Skin Functions: Other Functions • Aids in heat loss/retention: – Loss: Activates sweat glands and allows blood to flush into skin capillary beds. – Retention: By not allowing blood to flush into skin capillary beds. • Aids in Urea and Uric Acid Excretion: Contained in perspiration produced by sweat glands. • Synthesizes Vitamin D: Modified cholesterol molecules in skin converted to vitamin D by sunlight. Skin Structure: Basics • Skin is made of two types of tissue. – Epidermis: Outer layer made of stratified squamous epithelium, capable of keratinizing, or becoming hard and tough. – Dermis: Lower layer made of dense connective tissue. Skin Structure: Basics (Con) • Subcutaneous Tissue: Deep to the dermis, essentially adipose tissue. – Anchors skin to underlying organs. – Serves as shock absorber and insulates deeper tissues from extreme temperature changes occurring outside body. Epidermis • Avascular: Has no blood supply of its own. • Deepest cell layer of Epidermis is Stratum Germinativum. – Lies closest to Dermis. – Contains the only epidermal cells that adequate nourishment. • Cells are also constantly going through cell division. • Millions of cells produced everyday. Epidermis: Epidermal Cells • Daughter cells move upward, to become part of epidermal layers close to skin surface. • Moves towards and become part of other layers: – 1. Stratum Granulosum – 2. Stratum Spinosum – 3. Stratum Lucidum • Once in Stratum Lucidum, they become flatter, increasingly full of keratin, and finally die. Epidermis (Con) • Stratum Corneum: Outer-most layer, which is 20 to 30 cell layers thick. – Accounts for three-quarters of epidermal thickness. – Has Cornified/Horny Cells, which are shingle-like dead cell remnants, completely filled with Keratin. • Keratin is exceptionally strong protein. • Abundance in the Stratum Cerneum allows it to be a very strong “overcoat” for the body. • Protects cells from hostile environments and water loss. • Layer rubs off slowly and steadily, and replaced by newly made cells through cell division in lower layers. • In reality, we get a totally new Epidermis every 35 to 45 days. Epidermis (Con) • Melanin: A skin pigment that ranges from yellow to brown to black. – Produced by special cells called Melanocytes. – Found chiefly in Stratum Germinativum. – When skin is exposed to sunlight, melanocytes are stimulated to produce more melanin pigment, which is what we call a tan. – The layer’s cells phagocytize (eat) the pigment, and as it accumulates within them, melanin forms protective pigment “umbrella” over superficial, or “sunny” side of their nuclei that shield their DNA from ultraviolet damage from sunlight. Epidermis (Con) • Freckles and moles are seen when Melanin is concentrated in one spot. Epidermis (Con) • Despite melanin’s damaging effects, too much sunlight damages skin. – Causes elastic fibers to clump, causing leathery skin. – Also depresses immune system. – Overexposure to sun can also alter skin DNA and cause Skin Cancer. – Black people rarely have skin cancer, due to their melanin’s amazing effectiveness as a sunscreen. Dermis • Body’s “Hide”. • Strong, stretchy envelope that holds the body together. • When buying leather goods, you are buying the treated dermis of animals. Dense connective tissue making dermis consists of two layers: – Papillary Layer – Reticular Layer Dermis (Con) • Collagen fibers and elastic fibers are found throughout the dermis layer. – Collagen fibers responsible for toughness of dermis. – Also attract and bind water, thus helping to keep skin hydrated. – Elastic fibers give skin its elasticity when we are young. – As we age, number of collagen and elastic fibers decrease, thus the skin wrinkles. Dermis (Con) • Dermis abundantly supplied with blood vessels, which play a role in maintaining body temperature homeostasis. – When temperature high, capillaries of dermis become engorged with heated blood and skin becomes reddened and warm. – When temperature cool, blood bypasses dermis capillaries temporarily, allowing internal body temperature to stay high. Dermis (Con) • Any restriction of normal blood supply to skin results in cells death, sometimes causing ulcers. – Decubitus ulcers occur in bedridden patients who are not turned regularly or who are dragged or pulled across a bed repeatedly. The dermis consists of two major regions the papillary layer and the reticular layer. In depth Papillary Layer The Papillary layer is the upper dermal region. The shape is very uneven, it looks like fingers coming down from the upper surface. The fingerlike projections are called the dermal papillae. Blue Arrow=Papillary Layer In depth… The lower, reticular layer, is thicker and made of thick collagen fibers that are arranged in parallel to the surface of the skin. The reticular layer is denser than the papillary dermis, and it strengthens the skin, providing structure and elasticity. Red Arrow is the Reticular Layer Reticular Layer!! Collagen and elastic fibers (These are found throughout the dermis) Collagen fibers are responsible for the toughness of the dermis. They also attract and bind water, and help to keep the skin hydrated. Elastic fibers give the skin its elasticity when we are young. As we age, the number of collagen and elastic fibers decreases, and the subcutaneous tissue loses fat. As a result the skin becomes less elastic and begins to sag and wrinkle. What do YOU produce? Do you have brown-toned skin?? -This means you produce a lot of melanin.Do you have lighter skin?? -This means that you have less melanin, the crimson color of oxygen-rich hemoglobin in the dermal blood supply flushes through the transparent cell layers above and gives the skin a rosy glow. - Redness or Erythema Reddened skin may indicate embarrassment, blushing, fever, hypertension, inflammation, or allergy. Skin Appendages… The skin appendages include glands, hair, hair follicles, and nails. Each of these appendages arises from the epidermis and plays a unique role in maintaining body homeostasis. Words To Know… A hair is produced by a hair follicle. That part of the hair enclosed in the follicle is called the root. The part projecting from the surface of the skin is called the shaft. A hair is formed by a division of the well-nourished cells in the growth zone of the hair bulb at the inferior end of the follicle. Hair Follicles… • They are actually compound structures . Their inner layer is composed of tissue and forms the hair. The outer sheath is dermal tissue. The dermal layer supplies blood vessels to the epidermal portion and reinforces it. • The erector pili is small bands of smooth muscle cells. These connect each side of the hair follicle to the dermal tissue. Nails… *scale like modification of the epidermis that corresponds to the hoof or claw of other animals. *Each nail has a free edge, a body and a root. *The borders of the nail are overlapped by skin folds, called nail folds. *Nails are transparent and nearly colorless, but they look pink because of the rich blood supply in the underlying dermis. *When the supply of blood is low, the nail bed take on a blue cast. •Occurs on skin between toes •Known as tinea pedis •Results from a fungus called Trichophyton •Hair follicles and sebaceous glands infected •Most common on the back of your neck •Occur on areas with sweat and friction •Start as tender red bumps •Become more painful and fill with pus •When boils appear in clusters, they become carbuncles •Composite boils •Caused by bacterial infection •Those with diabetes, weaker immune systems, or skin problems are more likely to get them •Fluid filled blisters •Usually appear around lips and/or in tissues that line mouth (oral mucosa) •Activated by emotional upset, fever, or UV radiation •Itch and sting •Common around mouth and nose area •Water-filled lesions •Skin is raised and pink •Forms yellowish crust and eventually ruptures • Burns are classified by severity • First degree • Second degree • Third degree • First and second degree burns are referred to as partial-thickness burns • Third degree burns are referred to as full-thickness burns First Degree Burns • Epidermis is only damaged layer • Not very serious • Red, swollen skin • Heal within 2-3 days • Temporary discomfort • Example: sunburn • Determines how much of body surface has been burned •Estimates volume of lost fluid • Skin is divided into 11 areas •Each area is equal to 9 percent of body surface Types are: • Basal Cell Carcinoma • Squamous Cell Carcinoma • Malignant Melanoma Basal Cell Carcinoma •Least malignant •Most common Sun-exposed areas of face •Slow-growing Malignant Melanoma Only 5% of skin cancers Often deadly •Can begin wherever pigment exists •Brown to black patches • Used to recognize malignant melanoma symmetry – two sides don’t match order irregularity – borders aren’t smooth olor – different colors iameter – larger than 6 millimeters across