BIOL 2401      A & P                         Lecture Notes Integumentary                    Dr. Weis         

INTEGUMENTARY SYSTEM

Skin and Appendages

Largest organ in body.
Functions involve thermoregulation, excretion of wastes, protection and barrier, sensation for touch, pressure, and pain.

I. Components

A. Cutaneous membrane

1. Epidermis -- Ectoderm
2. Dermis -- Mesoderm


B. Hypodermis --


C. Accessory Structure -- hair, nails, glands (exocrine)


II. Epidermis

Stratified squamous keratinized epithelium with 4 cell types and 4 (thin) - 5 (thick) layers

Layers of the Epidermis

1. Stratum germinativum (basale)

2. Stratum Spinosum (spiney layer)

3. Stratum Granulosum (grainy layer)

4. Stratum lucidum (clear layer)

 

5. Stratum Corneum (cornified layer)


The free surface of the skin has numerous ridges (as seen on the palms and soles)
and these hereditary patterns correspond to similar patterns on the dermis ( the dermal ridges). 
You will note, however, that they are absent on the forehead and ear.

Skin classified as thick ( as on the palms and soles) or thin, which only refers to the epidermis (as the dermis can be thick).


Epidermis ----- 4 Cell Types

1. Keratinocytes :
primary cell, produces a fibrous protein, keratin, that replaces the majority of cytoplasm resulting in dead superficial cells that are lost in sheets since cells are connected by desomosomes. Old cells pushed upwards as new cells are formed and replaced by cells at the basal regions. Turnover rate is ~ 1 month.

2. Melanocytes :
produces melanin with granules called melanosomes
found in stratum germinativum and spinosum
all humans have the same number of melanocytes
Granules accumulate in the engulfing keratinocytes to protect the DNA of the epithelial cells in the first layers from UV radiation (sun) damage.

3. Langerhans :
dendritic cells involved with immune protection, sometimes considered fixed macrophages
Free macrophages are also present for the body's defense and migrate to areas to alert 2nd and 3rd line body defenses.
Immune cells are widely distributed in the stratum spinosum

4. Merkel cell :
encapsulated CT structure that is associated with nerve endings for discriminatory touch sensation
found in the stratum germinativum at the epidermal dermal junction.


As a review, the epidermal layers ...

Stratum germinativum and stratum spinosum contain the cells :  Melanocytes, merkel, langerhans
along with the majority of cells that are Keratinocytes
These cells will also, under UV response, convert steroid precursors to Vitamin D.


III. Skin Color

depends on hereditary, hormonal, & enviromental factors

Three (3) other factors that are involved :

1. The color of skin is yellow due to Carotene that accumulates in the stratum corneum.

2. Blood (oxygen) showing from underlying dermis imparts a reddish hue due to hemoglobin

3. Melanin contained in granules in the cytoplasm of melanocytes, is a brown/black pigment.
The granules (melanosomes) vary in size, color, and number (genetically related).
The number of melanocytes does not differ but they can have random distributions. 
The melanocytes inject melanosomes (granules) into keratinocytes as a response to :  Hormonal and Environmental triggers such as:

1. Hormonal -- MSH stimulation and regulation from the pituitary gland
2. Environmental -- Ultraviolet light, that can increase enzymatic activity to increase production in order to protect the germ layer from damage.

III. Dermis (Corium)

Beneath the epidermis, as a supporting C.T.

Has two (2) layers or zones

1. Papillary Layer

2. Reticular Layer

Dermal cellular elements :                                                        Fibers :

1. Fibroblasts                                                                           1. collagen

2. Macrophages                                                                       2. elastic

3. Fat cells                                                                                3. reticular

4. Smooth muscle

and accessory organs ... Hair follicles, and sweat glands found in the reticular layer of the dermis


V. Hypodermis

NOT part of the skin and functions to anchor the skin to underlying organs

Also known as the Subcutaneous layer, and consists of loose connective tissue composed of superficial fascia with fat cells.

One-half of the body's fat stores are located here.  Baby's have fat all over, where as adult`s have their fat redistributed.
The fat cells are involved in temperature, cushion , and energy reserve.

The connective tissue connects hypodermis to the dermis and provides a great mobility in most skin areas, except in the palm and sole, where there is considerable interlocking.

It is also the place for injection sites.


VI. Accessory Structures :: Hair follicles with hair, glands, nails

A.1 Hair follicles

appendages of the skin, folded down from the living epithelial and dermal layers.

The base of the follicle is an area of thickened epithelium which forms a ball or bulb. The base is found in the reticular layers of dermis for support of the structure and to allow blood and nerve supply.

Two sheaths

The follicle is tubular in appearance and associated with sebaceous glands and smooth muscle (the arrector pili m.)

The follicle base that was explanded into a hairbulb is indented by Connective Tissue papilla which provided blood supply, nutrients, and hormones to the modified epidermal sheath cells that permit hair growth and control hair growth cycles.

Free nerve endings wrap around the bulb to form the root hair plexus. Bending or plucking the hair stimulates these nerve endings, resulting in a painful perception.

Smooth muscle associated with the ahir follicle inserts at an angle. When the arrector pili muscle contracts, it pulls the follicle upright. Under ANS control in response to temperature or fight/flight reactions.

A. 2 Hair

Regions: Root in follicle and a shaft
Structure contains hard keratinized cells that have elastic keratinized threads

Three (3) concentric layers :: medulla, cortex and cuticle

1. Medulla

2. Cortex

 

3. Cuticle

Growth cycle

1. Active phase -- mitosis of undifferentiated epidermal cells, growth for 2-4 years
2. Loss --- root of hair, becomes detached
3. Resting
4. Reactivated -- new germinal matrix, starts up through the follicle

Hair can be used in drug testing and follicular hair can be used in DNA testing.


VI. Accessory Glands

Two glands associated with the Integument belong to the exocrine epithelial gland classifications are :

1. Sebaceous glands
2. Sweat glands

A. Sebaceous glands


B. Sebaceous follicles


C. Sweat Glands


Apocrine and Merocrine Sweat (Sudoriferous) Glands

1. Apocrine

2. Merocrine (eccrine)


D. Ceruminous Glands

modified apocrine sweat glands that produce cerumen (ear wax) [see special sensory notes]


E. Mammary Glands

modified sweat glands that secrete milk [see female reproductive notes]


VI. Nails

Epidermal appendage that contains hard keratin

Regioins: Root, Body, Free Edge

Functions: to form a protective covering over the dorsal surface of the terminal phalanges.

Epidermal cells will form a groove and from this groove a nail plate will advance. 
A bed of epidermis from the nail matrix will create the nail bed to support the nail plate and will be continuous with the finger tip, distally.
Growth is 0.5mm/week from the nail matrix pink area due to blood flow of the capillaries in the dermis.
Cuticle area are cells from the wall that extends on the nail plate and they will continue laterally as nail folds.



VII.  Function and Response of the Integument

Function :

1. protection

2. Excretion.......waste elimination in sweat

3. Temperature regulation

4. Sensory .....cutaneous receptors

5. Metabolic

6. Blood reservoir .... extensive vascular supply & holds large volumes of blood


Response of the Integument

A. Inflamation (cardinal signs )

  1. redness
  2. pain
  3. swelling
  4. heat

 

B. Regeneration

 

C. Burn injury ---prognosis depends on the surface

area, related to the rule of 9

    Classified according to severity

1st degree burns --> only epidermis damaged
        i.e. sunburn....will have blisters, redness, pain
2nd degree burns --> epidermis and upper dermis
3rd degree burns --> entire (full thickness), non-painful, grey-white

D. Aging

thinning of the epidermis and dermis
decrease glandular secretion  --> DRY
slower repairs and replacement
 loss of hair follicles
decreased hypodermal fat
collagen fibers clump --> loss of elasticity -->wrinkles

 

VIII. Diagnosis of skin problems depends on

1. occurence of itching  ---> PRURITIS
2. Skin changes : color, nodules

 

IX.  Other

Inflammation of skin ............dermatitis

Skin cancer.........

ABCDE :

A = asymmetry
B = Border
C = Color
D = Diameter
E = Elevation

   Examples ::

benign  --->   wart

malignant -->  Basal cell carcinoma.....stratum basale

                      Squamous cell carcinomas ..s. spinosum

                      Malignant melanoma .... melanocytes