Integumentary System Honors Biology Power point for copying Essential question • What are the ways skin protects the body? Integumentary system • functions: 1. protecting the body 2. helping to regulate body temperature 3. allows you to sense stimuli in your environment 4. stores blood 5. synthesis of vit. D 6. excretion & absorption of materials Structure of the skin • skin = cutaneous membrane • largest organ of body – in adults: covers ~ 2 m² & weighs ~ 4.5 – 5 kg (10 – 11 lb) • 2 parts: 1. epidermis 2. dermis 3. sub Q below dermis & not technically part of skin: contains fat (insulation), & blood vessels, nerves that supply the skin Epidermis • keratinzed stratified squamous epithelium • 4 main cell types: 1. keratinocytes 2. melanocytes 3. Langerhans cells 4. Merkel cells keratinocytes • ~ 90% of all epidermal cells • produce fibrous protein: keratin: – protects skin & underlying tissue from • heat • microbes • chemicals • also release a water-repellant sealant from lamellar granules – decreases water entry/loss – inhibits entry of foreign materials melanocytes • ~8% of epidermal cells • produce melanin keratinocytes – pigment (yellow-red to brown-black) that contributes to skin color – * absorbs UV radiation – “covers” nucleus in keratinocyte Merkel Cells • least numerous of epidermal cells (>1%) • deep in epidermis • in contact with Merkel disc (tactile disc) • together detect different aspects of touch Thin Skin • covers most of body • 4 layers: 1. stratum basale 2. stratum spinosum 3. stratum granulosum 4. stratum corneum Thick Skin • found in areas where exposure to friction is the greatest • “thick” because has 1 extra layer: – stratum lucidum (between stratgum granulosa & a thicker stratum corneum) psoriasis • common & chronic skin disorder in which keratinocytes divide & move more quickly than normal from stratum basale stratum corneum – make abnl keratin flaky, silvery scales @ skin surface – most often over knees, elbows, or scalp Dermis • 2nd, deeper layer of skin • composed mostly of CT • 2 regions: 1. papillary region 2. reticular region Papillary region of dermis • ~ 1/5th of total dermis • surface area greatly increased by finger-like structures: dermal papillae that project into epidermis – contain: • capillary loops • tactile receptors: Meissner corpuscles • free nerve endings (temp, pain, tickle, itch) Epidermal ridges • develop during 3rd month of fetal development • pattern is genetically determined & unique to individuals (x identical twins) • on finger tips ridges deeper finger prints – allow you to grasp things by increasing surface area Reticular region of dermis • attached to subcutaneous layer beneath • contains: – dense irregular CT – hair follicles – sebaceous glands – sudoriferous (sweat) glands – collagen & elastic fibers (gives skin its elasticity, strength): extreme stretching striae (stretch marks) Basis of skin color • 3 pigments contribute: 1. Melanin 2. Hemoglobin (hgb) 3. Carotene melanin • made from a.a. tyrosine using enzyme tyrosinase then stored in organelle called a melanosome • exposure to UV light increases enzymatic activity & more (& darker) melanin produced • melanin absorbs UV radiation preventing it from damaging DNA which skin cancer hemoglobin • in RBCs rosy color to lighter skinned individuals • blushing: due to increased blood flow (autonomic nervous system at work) Carotene • yellow-orange pigment • precursor of vit. A albinism • inherited inability to produce melanin • most due to cell’s inability to produce tyrosinase vitiligo • partial or complete lack of melanocytes from patches of skin produces irregular white spots • ? Immune system malfunction? Skin color as diagnostic clue • cyanotic: when blood not adequately oxygenated mucous membranes, nail beds & skin appears bluish Skin color as diagnostic clue • jaundice: due to build up of bilirubin (yellow pigment) in skin, sclera; usually indicates liver disease Skin color as diagnostic clue • erythema: redness of skin caused by engorgement of capillaries due to: injury, infection, inflammation, allergic reaction Skin color as diagnostic clue • pallor: paleness of the skin, seen in shock & anemia Accessory structures of the skin • all develop from embryonic epidermis • include: – Hair – Nails – Glands Hair (pili) • present on most skin surfaces x palmar surfaces of hands, soles & plantar surfaces of feet • genetic & hormonal influences determine the thickness & pattern of distribution of hair hair • functions: • protection – scalp, eyebrows, eyelashes: from getting foreign objects in eyes – nose, ear canals: trap foreign objects • sensitive to light touch – touch receptors in hair root plexus Hair • composed of columns of dead, keratinized cells bonded together by extracellular proteins Anatomy of a hair • shaft: portion of hair that projects from scalp • root: portion below scalp • follicle: surrounds root of hair • arector pili: smooth muscle extends from side of hair follicle superficial dermis Types of hair • lanuga: grows on fetus @ ~ 5 months fetal age; sheds b/4 birth • vellus hair: short, fine hair that grows over baby @~ 2-3 months after birth • terminal hair: coarse hair that develops after puberty Hair color • mostly due to amt & type of melanin in keratinzed cells • dark hair has eumelanin • blondes & redheads have pheomelanin • gray: loss of melanin • white: loss of melanin + air bubbles in shaft of hair Skin glands • exocrine glands ass’c with the skin: 1. sebaceous glands 2. sudoriferous glands – eccrine sweat glands – apocrine sweat glands Sebaceous glands • “oil” glands • most connected to hair follicles – rest secrete directly onto surface of skin (lips, eyelids, genitals) • secrete oily substance called sebum onto hair • keeps hair from getting brittle acne • inflammation of sebaceous glands colonized with bacteria • infection cyst which destroys epidermal cells (cystic acne) • acne is not caused by eating chocolate or fried foods Sudoriferous glands • sweat glands • sweat onto skin surface or hair follicles Ceruminous glands • modified sweat glands in external ear canal skin (subQ layer) • secrete cerumen (ear wax – provides a sticky barrier that impedes entrance of foreign bodies nails • plates of tightly packed, hard, dead, keratinized epidermal cells that form a clear, solid covering over the dorsal surfaces of the distal portions of the 20 digits • average growth ~ 0.04 in/wk – fingernails grow slightly faster than toe nails Functions of a nail • help us grasp & manipulate small objects • protect ends of digits • allows scratching Parts of exterior of a nail Parts of a nail • body: visible part • root: part buried • matrix: where cells divide to produce growth Functions of the skin (#7) 1. Thermoregulation – the homeostatic regulation of body temperature – skin achieves this in 2 ways: 1. sweating • evaporation of sweat requires nrg (body heat) so body cools down as sweat evaporates 2. adjusting flow of blood in dermis • • vessels dilate when body too warm vessels constrict when body too cold Functions of the skin 2. Blood Reservoir • skin carries ~ 8 – 10% of total blood flow in resting adult Functions of the skin 3. Protection • keratin protects underlying tissues • lipids released retard evaporation of water from skin surface • sebum moistens skin & has antibacterial properties • acidic pH of sweat bacteriostatic • melanin protects DNA in skin cells from UV damage • Langerhans cells alert immune system if microbes does attack / macrophages ingest microbes Functions of the skin 4. Cutaneous Sensations • skin contains variety of nerve endings & receptors – touch – pressure – vibration – tickle – pain – temperature Functions of the skin 5. Excretion • elimination of wastes from the body • only small amt substances excreted from skin – ~400 mL water/day – ~200 mL sweat (sedentary adult) – small amts salts, CO2, NH3, & urea Functions of the skin 6. Absorption • passage of materials from external environment body cells • absorption of water-soluble materials negligible • lipid-soluble materials do absorb: – – – – fat-soluble vitamins (A, D, E, K) certain drugs (can be administered transdermally) gases: O2 & CO2 toxins: acetone, CCl4, salts of Hg, Pb, Ar, substances in poison ivy & poison oak Functions of the skin 7. Synthesis of Vitamin D • requires activation of a precursor molecule in the skin by UV rays in sunlight modified by enzymes in liver & kidneys producing calcitriol the most active form of vit. D • calcitriol: aids in absorption of calcium in GI tract Skin wound healing • skin damage sets in motion a sequence of events that repairs the skin to as normal as it can in both structure & function • depending on depth of wound 1 of 2 processes occur – epidemal wound healing – deep wound healing Epidermal wound healing • abrasion: portion of skin has been scraped away • in response to injury: basal cells of nearby uninjured skin break contact with bm, enlarge, & migrate across the wound – migration continues across wound until meet cells advancing from other side of wound – contact inhibition: cells stop migrating when touch another cell Deep wound healing • when injury extends deeper than epidermis repair process more complex & scars form • healing occurs in 4 phases: 1. Inflammatory phase 2. Migratory phase 3. Proliferative phase 4. Scar formation Inflammatory phase • blood clot forms – loosely unites edges of wound • inflammation develops – vascular response • vasodilation & increased permeability of vessels – cellular response • phagocytic WBCs (neutrophils), macrophages • fibroblasts Migratory phase • clot scab • epithelial cells migrate beneath scab to bridge wound • fibroblasts begin secreting collagen & glycoproteins scar • *tissue filling wound called granulation tissue Proliferative phase • extensive growth of epithelial cells beneath scab & deposition of collagen in random patterns (fibroblasts) • growth of blood vessels Scar formation • • • • • • • aka maturation phase scab falls off epidermis restored collagen fibers become more organized fibroblasts disappear blood vessels restored to normal scar tissue less elastic, fewer blood vessels, +/- accessory structures of skin Scar formation • • • • • • • aka maturation phase scab falls off epidermis restored collagen fibers become more organized fibroblasts disappear blood vessels restored to normal scar tissue less elastic, fewer blood vessels, +/- accessory structures of skin burns • tissue damage caused by excessive heat, electricity, radioactivity, or corrosive chemicals that denature proteins in skin cells • destroy skin’s ability to maintain homeostasis • graded by their severity: 1st & 2nd degree = partial thickness burns; 3rd degree = full thickness 1st degree burns • only epidermis is damaged • example: sunburn • symptoms: – localized redness, swelling, & pain • tx: immediate flushing with cool water (lessens pain) • healing: 3 – 6 days +/- peeling of skin • results: normal 2nd degree burn • epidermis & upper dermis damaged, some skin function lost, ass’c structures not damaged • symptoms: – same as 1st degree + blisters (epidermis separates from dermis due to accumulation of tissue fluid) • example: any burn with blisters 2nd degree burns • tx: if 2° infection: antibiotics • lasts: 3 – 4 wks with +/- scarring • AVOID: WEAR SUNSCREEN! 3rd degree burns • destroys epidermis, dermis, & subQ • no initial edema or pain or sensations (receptors destroyed) • most skin functions lost • as healing starts marked edema • regeneration: months, + scarring • tx: +/- skin grafting Systemic effects of a burn • greater threat to life than burn itself • include: 1. large loss of water, plasma, plasma proteins 2. 3. 4. 5. • shock bacterial infection reduced circulation of blood decreased urine production diminshed immune response Major burns • used to estimate extent & severity of burns • major burn considered a 3° burn that covers > 10% of body or a 2° burn that covers > 25% of surface area of body or any 3° burn on face, hands, feet, or perineum • if burn > 70% surface area > ½ patients die Skin cancer • 3 common forms: 1. Basal cell carcinoma 2. Squamous cell carcinoma 3. Malignant melanoma • 1 & 2 50% more common in males Basal cell carcinoma • > 78% all skin cancers • arises in cells from stratum basale – Sun-exposed areas • rarely metastasizes. Squamous cell carcinoma • ~20% of all skin cancers • arise from squamous cells in epidermis • variable tendency to metastasize Malignant melanoma • arise from melanocytes • ~2% of all skin cancers • deadliest form of skin cancer – spreads rapidly, can die w/in months of dx • ~1/50 Americans will develop in their lifetimes (was 1/500 in 1930’s) – increase partly due to hole in ozone layer (more UV rads) – main reason: more people spend more time in sun &/or tanning beds Malignant melanoma key to successful tx is early detection early warning signs: ABCD A: asymetrical lesion B: borders are irregular C: color is uneven; may have multiple coloration • D:diameter: ordinary moles <0.25 in (pencil eraser) • • • • • Development of the integumentary system