Histology 12 NSU Spring 2009 Taken by: Gregory Rodocker
Skin
Largest and heaviest single organ of the body 1.2-2.3 m2 surface area Outer epidermis Lower dermis and Underlying hypodermis (which is not actually considered part of the skin)
Epidermis
Stratified squamous epithelium
Cells called keratinocytes
Also contains
Melanocytes
Produce melanin
Langerhans cells Merkel’s cells
Thin vs. thick skin
Thick skin or non-hairy
Thin skin or hairy
Palms and soles Found everywhere else
What varies is the thickness of the epidermis
Thin skin
Epidermal layers
Stratum basale
Single layer of columnar to cuboidal cells on basement membrane Desmosomes and hemidesmosomes Intense mitotic activity (every 15-30 day replacement) Produce keratin
Epidermal layers
Stratum spinosum
Cuboidal to flattened cells Spiny, studded appearance Thicker in areas of wear and tear Provides resistance to abrasion
Epidermal layers
Stratum granulosum
3-5 layer of flattened polygonal cells Cells release lipid material that seals the cell layer
Epidermal layers
Stratum lucidum
More obvious in thick skin Translucent Flattened cells Dying and dead cells
Epidermal layers
Stratum corneum
15-20 layers (in thick skin) Flattened, non-nucleated keratinized cells Cells dead Cells lost to wear and tear
Melanocytes
Produce melanin
Eumelanin – dark brown Pheomelanin – reddish Racial and individual differences in skin color result from the amount of melanin and not the number of melanocytes
Melanin
Sunscreen components
Protection by melanin
Note that the melanin granules are around the nucleus to protect it from solar radiation Skin color caused by melanin, blood vessels and blood flowing
Langerhans and Merkel’s cells
Langerhans cells are the APC’s of the skin Merkel’s cells may be sense organs for mechanoreception or serve a neuroendocrine role
Dermis
CT that supports the epidermis and connects it to the hypodermis Two layers
Papillary layer that is thickest in wear and tear areas Reticular layer
Dermis
Contains
Hair follicles Sebaceous glands Sweat glands
All of epidermal origin
Sympathetic but no parasympathetic innervation to skin structures Rich blood and lymph supply
Sensory structures
Pacinian corpuscles Meissner’s corpuscles Free nerve endings
Meisner’s Corpuscles
Hair follicles
Hair is found everywhere except
Palms Soles Lips Glans penis Clitoris Labia minora
Hair follicle
Sebaceous glands
Acinar glands 100 glands/cm2
400-900 glands/cm2 on face, forehead and shoulders
Produce sebum
Lipids including triglycerides, waxes squalene and cholesterol
Squalene (aka spinicene or supraene)
Sweat gland
Everywhere but in the glans penis Produce sweat
Water, sodium chloride, urea, ammonia ad uric acid
Ducts lined by stratified cuboidal epithelium
Skin Cancer
One third of all cancers are skin cancers Three types:
Squamous cell carcinoma Basal cell carcinoma Malignant melanoma
Squamous and basal cell Ca