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Lecture 6 SKIN (Integumentary System) Definition: The skin or ...

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<strong>Lecture</strong> 6<br />

<strong>SKIN</strong> (<strong>Integumentary</strong> <strong>System</strong>)<br />

<strong>Definition</strong>: <strong>The</strong> <strong>skin</strong> <strong>or</strong> integument is the largest<br />

<strong>or</strong>gan in the mammalian body and is comprised of an<br />

epithelial covering, its derivatives (including hair,<br />

glands, hooves, h<strong>or</strong>ns and claws) and its associated<br />

connective tissue<br />

Epidermis<br />

Dermis<br />

Hair Follicle<br />

Hypodermis<br />

(subcutaneous fat)<br />

Sweat Glands


II. Functional Characteristics:<br />

1. Protection: <strong>The</strong> most imp<strong>or</strong>tant function of the <strong>skin</strong><br />

is its effectiveness as a barrier between the internal<br />

and external environments (guards against injury,<br />

bacterial invasion, UV damage and desiccation).<br />

2. Regulation of body temperature: m ediated by t he<br />

hair coat, cutaneous blood supply and in some<br />

animals, sweat glands.<br />

3. Secretion: from sweat, sebaceous and mammary<br />

glands<br />

4. Sens<strong>or</strong>y Organ: innervation of the <strong>skin</strong> provides<br />

pain, touch, pressure and temperature sensation.<br />

5. Communication: <strong>The</strong> <strong>skin</strong> is an imp<strong>or</strong>tant <strong>or</strong>gan in<br />

the social life of animals because it gives off od<strong>or</strong>s<br />

that govern sexual behavi<strong>or</strong> and helps animals<br />

identify each other and their territ<strong>or</strong>ies<br />

6.<br />

Reflects the physiological condition of the animal: <strong>skin</strong> and coat<br />

condition are good indicat<strong>or</strong>s of overall health and alterations may<br />

reflect a variety of external and internal disease processes (endocrine<br />

dis<strong>or</strong>ders, nutritional problems; i.e. Vitamin A deficiency is<br />

characterized by very dry, hardened <strong>skin</strong>, dry lack-luster hair and hair<br />

loss.)


III. Organization of Skin: Epidermis, Dermis and Hypodermis<br />

Epidermis<br />

Hair<br />

follicle<br />

= loose<br />

fascia


1. Epidermis: stratified squamous epithelium of ectodermal <strong>or</strong>igin<br />

Dermal<br />

Papillae<br />

Epidermal Pegs


A. Epidermal Cell Types:<br />

1) Keratinocytes: represent the maj<strong>or</strong>ity of cells<br />

2) Melanocytes: derived from Neural Crest, “octopus-like” cells<br />

that produce melanin.<br />

3) Langerhans Cells: dendritic cells<br />

located in the stratum spinosum<br />

4) Merkel Cells: ubiquitous cells in<br />

the <strong>skin</strong> that couple with axon<br />

terminals to f<strong>or</strong>m mechan<strong>or</strong>ecept<strong>or</strong>s


A. Epidermal Cell Types:<br />

1) Keratinocytes: represent the maj<strong>or</strong>ity of cells<br />

2) Melanocytes: derived from Neural Crest, “octopus-like” cells<br />

Keratinocytes<br />

Epidermal Melanocyte


1) Keratinocytes: represent the maj<strong>or</strong>ity of <strong>skin</strong> cells and are<br />

arranged in 5 layers (discussed later)<br />

keratinocyte<br />

dermis


2) Melanocytes: octopus like cells that produce the pigment, melanin<br />

<strong>The</strong>y don’t retain melanin but pass it on to neighb<strong>or</strong>ing Keratinocytes<br />

Keratinocytes<br />

Melanocyte<br />

Melanin granule


Melanin Granules in Keratinocytes<br />

Melanin Granules


Melanocytes in <strong>skin</strong><br />

Clinical Note: A Melanoma is a type of very aggressive and metastatic<br />

cancer that arises from the uncontrolled mitosis and migration<br />

of these cells. It commonly occurs in dogs with pigmented <strong>skin</strong>.<br />

Melanomas can occur in areas of haired <strong>skin</strong> (usually benign),<br />

where they usually f<strong>or</strong>m small, dark (brown to black) lumps,<br />

but can also appear as large flat wrinkled masses. <strong>The</strong>y can also occur in<br />

the mouth, toes <strong>or</strong> behind the eye (these tend to be malignant).


3) Langrhans cells: dendritic (immune) cells located in the stratum<br />

spinosum that play a pivotal role in induction of cutaneous immune<br />

responses (allergic reactions). Migrate to draining lymph node->T-cells.<br />

Cell process<br />

Langerhans cell<br />

Future Development<br />

of <strong>skin</strong> patches<br />

containing vaccines<br />

that will stimulate<br />

Langerhans cells<br />

Keratinocyte


4) Merkel cells: found throughout <strong>skin</strong>, not visible with n<strong>or</strong>mal<br />

stains; couple with axon terminals to f<strong>or</strong>m slowly adapting<br />

mechan<strong>or</strong>ecept<strong>or</strong>s. <strong>The</strong>y can f<strong>or</strong>m malignant tum<strong>or</strong>s in cats.<br />

Immunostained Merkel cells in <strong>skin</strong><br />

Microvilli on surface<br />

Merkel Cell Tum<strong>or</strong>


1. Epidermis<br />

B. Layers<br />

1) Stratum<br />

Germinativum<br />

a) Stratum Basale:<br />

b) Stratum<br />

Spinosum<br />

2) Stratum Granulosum<br />

3) Stratum Lucidum<br />

4) Stratum C<strong>or</strong>neumoutermost<br />

keratinized<br />

layer of flattened,<br />

dead cells (squames)<br />

Single layer of cells in contact with basement membrane<br />

Stratum<br />

Germinativum


1. Epidermis<br />

B. Layers<br />

1) Stratum<br />

Germinativum<br />

a) Stratum Basale<br />

b) Stratum<br />

Spinosum<br />

2) Stratum<br />

Granulosum<br />

3) Stratum Lucidum<br />

4) Stratum C<strong>or</strong>neumoutermost<br />

keratinized<br />

layer of flattened,<br />

dead, anuclear cells:<br />

(squames) have no<br />

distnict cytoplasmic<br />

boundaries


Layers of the Epidermis (thick <strong>skin</strong>)<br />

(Stratum Lucidum)<br />

(stratum basale)<br />

(Stratum c<strong>or</strong>neum)


Three Layers of the upper epidermis<br />

Duct<br />

Stratum C<strong>or</strong>neum<br />

Stratum granulosum


C.<br />

A. Keratinization: process involving the f<strong>or</strong>mation of<br />

keratin<br />

1) Keratin Proteins: Keratin is a structural<br />

protein that f<strong>or</strong>ms the cytoskeleton of all<br />

keratinocytes. Keratins are a principle part of<br />

the cells in the epidermis, hair, nails, feathers,<br />

hooves, and t he enamel of teeth. <strong>The</strong>re are<br />

several subtypes of keratin proteins, some are<br />

called "soft" keratins and others are "hard"<br />

keratins.<br />

a) Soft keratin – elastic, desquamates<br />

(example: <strong>skin</strong>)<br />

b) Hard keratin – contains m<strong>or</strong>e sulfur than<br />

soft keratin; less elastic; m<strong>or</strong>e permanent;<br />

resistant to degradation, does not<br />

desquamate (examples: nails, h<strong>or</strong>ns, hoof)


2) F<strong>or</strong>mation of Keratin:<br />

a) Synthesis of filaments begins in<br />

stratum basale (makes 2 of the 4<br />

types of keratin-other 2 in spinosum)<br />

b) Aggregation of filaments occurs in the<br />

superficial cells of the stratum spinosum<br />

c) Cells of st. spinosum also f<strong>or</strong>m “membrane<br />

coating granules”, MCG, that later release their<br />

lipid-rich contents into intracellular space--><br />

f<strong>or</strong>m water proof permeability barrier.<br />

d) Keratohyalin granules (non-membrane<br />

bound) appear in close association with the<br />

filaments in the stratum granulosum and nonkeratin<br />

proteins released by these granules<br />

cause keratin filaments to associate into<br />

thicker bundles.<br />

e) Degradation of the nucleus and loss of cell<br />

<strong>or</strong>ganelles in the most superficial layer of<br />

stratum granulosum-->completed in stratum<br />

lucidum and stratum c<strong>or</strong>neum<br />

f) F<strong>or</strong>mation of keratin filament matrix<br />

complex occurs in stratum c<strong>or</strong>neum


Melanin and keratohyalin granules


2. Dermis (c<strong>or</strong>ium):layer of <strong>skin</strong> immediately deep to the epidermis<br />

derived from mesoderm and comprised of connective tissue.<br />

embedded in the dermis<br />

(Reticular layer)<br />

Dermis<br />

Papillary layer


2. Dermis: consists of 2 layers:<br />

A. Papillary Layer: subepithelial loose connective tissue<br />

B. Reticular Layer: dense connective tissue deep to papillary layer;<br />

contains epidermally derived hair, sweat and sebaceous glands<br />

Reticular layer/dermis<br />

elastic fibers


3. Hypodermis: subcutaneous layer (superficial fascia), technically not<br />

part of the <strong>skin</strong>.<br />

A. Loose and irregular connective tissue that anch<strong>or</strong>s dermis<br />

B. In healthy animals, it has large depots of fat in it


Clinical Considerations:<br />

4. Clinical Considerations:<br />

Hyperkeratosis: hypertrophy of the stratum c<strong>or</strong>neum<br />

[nasodigital hyperkeratosis - an ailment affecting either the<br />

nose <strong>or</strong> foot pads (<strong>or</strong> both) of older dogs. In<br />

hyperkeratosis, keratin - the tough, fibrous outer covering<br />

of foot pads - grows excessively. Often, the hard, cracked<br />

pads appear to have "keratin feathers" around their<br />

edges.]<br />

Squamous Cell Carcinoma: neoplasia of cells of the<br />

stratum spinosum [Squamous cell carcinoma (SCC) is a<br />

common tum<strong>or</strong> involving the <strong>skin</strong> and a ccounts f<strong>or</strong><br />

approximately 15% of cutaneous tum<strong>or</strong>s in the cat and 5%<br />

of those in the dog. SCCs are usually found in<br />

unpigmented <strong>or</strong> lightly pigmented <strong>skin</strong>.]<br />

. Melanoma: Melanocytic tum<strong>or</strong>s represent 4 to 7% of a ll<br />

canine neoplasms and are the most common malignant<br />

tum<strong>or</strong> of the canine <strong>or</strong>al cavity and digits [Melanoma<br />

tum<strong>or</strong>s in dogs, m<strong>or</strong>e than most cancers, demand<br />

immediate attention since early recognition can lead to<br />

m<strong>or</strong>e successful attempts at removal and identification of<br />

the grade <strong>or</strong> stage of cancer. Malignant melanomas can<br />

metastasize (spread) to any area of the body especially<br />

the lymph nodes and lungs and present very challenging<br />

and dangerous prospects f<strong>or</strong> the dog. Cats seem much<br />

less susceptible to melanoma tum<strong>or</strong>s than dogs]<br />

1.


IV. Access<strong>or</strong>y Structures of the Skin: Access<strong>or</strong>y structures of the <strong>skin</strong> include<br />

hairs and two types of glands: sweat glands and sebaceous glands. Although<br />

these structures are anch<strong>or</strong>ed in the dermis <strong>or</strong> hypodermis, they are in fact<br />

derived from the epidermis.<br />

1. Hair: hair itself is dead, but it’s produced by living keratinocytes at the<br />

base of the hair (hair follicles) and the pigmentation in hair comes<br />

from melanocytes (just like <strong>skin</strong> pigmentation)<br />

A. Functions: Hair serves several functions: serves as insulation;<br />

provides camouflage; sex recognition; social purposes.<br />

B. Types of hair follicles:<br />

1) Single (simple) follicle – one hair emerges from a single opening;<br />

found in h<strong>or</strong>se, cattle, pig and sheep (face, ear, distal p<strong>or</strong>tion of<br />

limbs)<br />

2) Compound follicle - several hairs emerge from a single opening.<br />

Found in cat, dog, sheep (wool growing areas). Consists of a<br />

long principal (guard) hair and a n umber of smaller auxillary<br />

(wool) hairs.<br />

Hair follicles: <strong>Definition</strong>: Cylindrical depressions in the epidermis, lined with<br />

stratified squamous epithelium; hair fibers are located in the lumen of<br />

the follicle.


Auxillary Hairs<br />

Compound Hair Follicle - Cat<br />

Principal<br />

Hair


C. Structure of hair follicles:<br />

1. Hair shaft: part of hair above surface of the <strong>skin</strong>; 3 parts<br />

a) Outer Cuticle-single layer of flat keratinized cells<br />

b) C<strong>or</strong>tex-compact dead cell layer under the cuticle<br />

c) Medulla-central region of the shaft, cuboidal <strong>or</strong> flat cells<br />

2. Hair Root-part of the hair below the surface<br />

of the <strong>skin</strong>; similar structure to hair shaft<br />

3. Hair bulb: conical mass at the base of the<br />

hair root, covered by stratified squamous<br />

epithelium (Germinal Matrix). Epithelium is<br />

indented at the base of the bulb by dermal<br />

conn. tissue the<br />

Dermal Papilla<br />

Hair Root<br />

3.<br />

1.


Hair Follicle: <strong>The</strong> structure from which the hair grows. Parts: Internal<br />

Root Sheath, External Root sheath and at the base the Dermal Papilla and<br />

Germinal matrix<br />

Actively<br />

produces<br />

the hair<br />

Hair Follicle<br />

Root sheath<br />

Hair<br />

Follicle


Hair Follicle:<br />

a) Internal Root<br />

Sheath<br />

b) External Root<br />

Sheath


4) Hair Follicle:<br />

a) Internal Root<br />

Sheath<br />

b) External Root<br />

Sheath<br />

Inner<br />

Root sheath<br />

Longitudinal section through hair shaft<br />

C<strong>or</strong>tex


Hair with epithelial root sheaths (ORS & IRS)<br />

C<strong>or</strong>tex<br />

External (outer) Root Sheath<br />

Dermal<br />

Sheath


5) Arrect<strong>or</strong> Pili Muscle: smooth muscle with <strong>or</strong>igin at the epidermal/dermal junction<br />

it inserts outside the follicle and when it contracts it functions to erect the hair<br />

= Piloerection, in response to cold, anger <strong>or</strong> fear.


D. Cyclic activity of hair:<br />

1) Anagen (growth period): the active phase of hair production<br />

when cells of the hair bulb are mitotically active and the hair<br />

grows in length (see fig. 5).<br />

2) Catagen (period of involution): transit<strong>or</strong>y period during which<br />

cellular proliferation slowly decreases and finally ceases; hair<br />

bulb becomes a solid mass of keratinized cells resembling a<br />

club (club hair) and the hair detaches from the underlying<br />

matrix and is easily removed (that’s where the hairs embedded<br />

in the bristles of your hairbrush come from every m<strong>or</strong>ning).<br />

3) Telogen (resting phase): transitional stage of the cycle where<br />

hair bulb atrophies; chemicals released from the dermal papilla<br />

wakens the fo llicle from its d<strong>or</strong>mancy and it begins to renew<br />

itself f<strong>or</strong> activity; it then changes back to t he active anagen<br />

stage again.<br />

Clinical Note: Hair loss (alopecia) is a common side effect of radiation & Chemotherapy


2. Glands of Skin:<br />

A. Sweat (sud<strong>or</strong>iferous) glands: simple, coiled tubular glands seen as<br />

hollow m<strong>or</strong>e <strong>or</strong> less circular profiles in tissue sections with walls<br />

composed of low cuboidal epithelium. Two types:<br />

1) Eccrine Sweat Glands: small glands that are widely distributed<br />

and produce a watery secretion; they are mainly a mechanism<br />

f<strong>or</strong> cooling; restricted to f oot pads of carniv<strong>or</strong>es, frog of<br />

ungulates and nasolabial region of ruminants and swine.<br />

2) Apocrine Sweat Glands: larger glands with cuboidal epithelium<br />

that produce oily and foamy secretions; most common in the<br />

groin, axilla and scrotum of dogs and cats; most numerous and<br />

extensive in h<strong>or</strong>ses. <strong>The</strong>se are the most common type found in<br />

domestic animals.<br />

B. Sebaceous Glands: simple, (often branched) acinar glands that<br />

open into a ha ir follicle about halfway up the shaft; they secrete<br />

sebum, a sec retion consisting of lysed cells and accumulated<br />

lipids containing precurs<strong>or</strong>s of vitamin D. Sebum gives hair its<br />

“sheen”. <strong>The</strong> oily sebum also acts as a lubricant f<strong>or</strong> the <strong>skin</strong> and<br />

hair.


Apocrine<br />

Sweat<br />

glands


Compound Hair Follicle with sebaceous glands (SbG) and sweat glands (SG)<br />

Sweat Glands


B. Sebaceous Gland


Cross Section of a Hair with a Sebaceous Gland<br />

Sebaceous gland

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