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The integumentary system gets its name from the Latin word ‘integument’ which means ‘a covering.’ The integument, or skin, is made of multiple cells and tissues organized into two primary layers, the superficial epidermis and deep dermis. These are held to the underlying structures (i.e., bones, muscles) by a separate deeper layer called the hypodermis.
The deeper layer of skin contains multiple accessory structures such as sweat glands, oil glands, and neurons which you’ll see aid in temperature regulation, protection, and communication with the brain. The skin is also responsible for the production of hair and nails.
In this lesson, you will focus on the layers of the skin, the tissues and cells that make them up, and their functions. The accessory structures will be covered in detail in a future lesson.
The epidermis is the superficial layer of the integument (skin).
The epidermis is composed of keratinized, stratified squamous epithelium and is organized into four or five layers of epithelial cells, depending on its location in the body. Skin that has four layers of cells is referred to as “thin skin.” Most of the skin can be classified as thin skin. “Thick skin” is found only on the palms of the hands and the soles of the feet and has a unique fifth layer. From superficial to deep, the layers of the epidermis are listed below. The term ‘stratum’ is Latin for layer:
The cells in all of the layers except the stratum basale are called keratinocytes. A keratinocyte is a cell that manufactures and stores the protein keratin. Recall that keratin is a water-resistant protein found in keratinized stratified squamous epithelial tissue. This protein gives hair, nails, and skin their hardness and water-resistant properties.
The stratum basale is the deepest epidermal layer and is a single layer of cells primarily made of basal cells. A basal cell is a cuboidal-shaped stem cell that is a precursor of the keratinocytes of the epidermis. All of the keratinocytes are produced from this single layer of cells, which are constantly going through mitosis to produce new cells. As new cells are formed, the existing cells are pushed superficially away from the stratum basale and eventually shed at the superficial surface. Another cell found dispersed among the basal cells in the stratum basale is a melanocyte, a cell that produces the pigment melanin. Melanin is a yellow, brown, or black pigment that gives hair and skin their color, and is also able to block ultraviolet (UV) radiation from the sun or other sources that might damage underlying tissues.
The stratum basale attaches the epidermis to the underlying dermis. Recall that epithelial tissues connect to underlying tissues through a basement membrane.
Recall that thick skin (palms of the hands and soles of the feet) contains five epidermal layers. Due to its increased thickness, the formation of dermal papillae in thick skin forms ridges on the superficial surface of the epidermis called epidermal ridges. On the fingers, these are collectively known as fingerprints and serve to increase friction, making it easier to hold a glass jar without it slipping. Since these are formed based on movement within the womb, every individual person’s epidermal ridges are unique, even identical twins will be different. However, certain general patterns (swirl, loop, etc) are inherited. A person’s epidermal ridges do not change with growth or age but can be altered by injuries that alter the epidermal-dermal boundary. Epidermal ridges also exist on the palm of the hand, sole of the foot, and toes.
The stratum spinosum is the second layer of the epidermis, superficial to the stratum basale, and is named based on the spiny shape of the cells. However, this shape is an artifact of the removal from the tissue and staining. Unstained epidermis samples do not exhibit this characteristic appearance. The stratum spinosum is composed of 8 to 10 layers of keratinocytes, formed as a result of cell division in the stratum basale. Interspersed among the keratinocytes of this layer is a type of cell with long extensions called the Langerhans cell, which performs phagocytosis, engulfing bacteria, foreign particles, and damaged cells that occur in this layer.
The keratinocytes in the stratum spinosum begin the synthesis of keratin and release a water-repelling glycolipid that helps prevent water loss from the body, making the skin relatively waterproof. As new keratinocytes are produced atop the stratum basale, the keratinocytes of the stratum spinosum are pushed into the stratum granulosum.
The stratum granulosum is the third layer of the epidermis and is named for its grainy appearance due to increased production and accumulation of keratin. These 3 to 5 layers of cells become flatter and their cell membranes thicken. The nuclei and other cell organelles disintegrate as the cells begin to die, leaving behind the keratin and cell membranes that will form the stratum lucidum, the stratum corneum, and the accessory structures of hair and nails.
The stratum lucidum is a thin layer of the epidermis only present in thick skin. This layer is named based on being seemingly translucent (lucidum, clear). The keratinocytes that compose the stratum lucidum are dead and flattened.
The stratum corneum is the most superficial layer of the epidermis and is the layer exposed to the outside environment. The increased keratinization (also called cornification) of the cells in this layer gives it its name. There are usually 15 to 30 layers of cells in the stratum corneum. This dry, dead layer helps prevent the penetration of microbes, dehydration of underlying tissues, and provides mechanical protection against abrasion for the more delicate, underlying layers. Cells in this layer are shed periodically and are replaced by cells pushed up from the stratum granulosum (or stratum lucidum in the case of the palms and soles of feet). The entire layer is replaced during a period of about 4 weeks. Cosmetic procedures, such as microdermabrasion, help remove some of the dry, upper layers and aim to keep the skin looking “fresh” and healthy.
The dermis might be considered the “core” of the integumentary system (derma, skin), as distinct from the epidermis (epi, upon / over) and hypodermis (hypo, below). It contains blood vessels, lymph vessels, nerves, and other structures, such as hair follicles and sweat glands. The dermis is made of two layers of connective tissue that compose an interconnected mesh of elastin and collagenous fibers, produced by fibroblasts.
The papillary layer is the superficial layer of the dermis and is made of loose, areolar connective tissue. Recall that areolar tissue forms a mesh of collagen, elastic, and reticular fibers among fibroblasts, a small number of fat cells (adipocytes), and an abundance of small blood vessels. This layer fills in space and provides support for the superficial epidermis. In addition, the papillary layer contains phagocytes, defensive cells that help fight bacteria or other infections that have breached the skin, and sensory nerve fibers.
Deep to the papillary layer is the much thicker reticular layer, composed of dense irregular connective tissue. Recall that dense, irregular tissue contains tightly packed, randomly oriented collagen fibers, providing strength in all directions. The reticular layer provides strength.
This layer is well vascularized and has a rich nerve supply. The reticular layer appears reticulated (net-like) due to a tight meshwork of fibers. Elastic fibers provide some elasticity to the skin, enabling movement and recoil. Collagen fibers provide structure and tensile strength, with strands of collagen extending into both the papillary layer and the hypodermis. In addition, collagen binds water to keep the skin hydrated. Collagen injections and Retin-A creams help restore skin tension by either introducing collagen externally or stimulating blood flow and repair of the dermis, respectively.
The hypodermis (also called the subcutaneous layer or superficial fascia) is a layer deep in the dermis and serves to connect the integument to the underlying tissue of bones and muscles. It is not strictly a part of the skin, although the border between the hypodermis and dermis can be difficult to distinguish. The hypodermis consists of well-vascularized, loose, areolar connective tissue and adipose tissue, which functions as a mode of lipid storage, providing energy storage, insulation, and cushioning.
IN CONTEXT
Everyday Connection - Lipid Storage
The hypodermis is home to most of the fat that concerns people when they are trying to keep their weight under control. Adipose tissue present in the hypodermis consists of fat-storing cells called adipocytes. This stored fat can serve as an energy reserve, insulate the body to prevent heat loss, and act as a cushion to protect underlying structures from trauma.
Where the fat is deposited and accumulates within the hypodermis depends on hormones (testosterone, estrogen, insulin, glucagon, leptin, and others), as well as genetic factors. Fat distribution changes as our bodies mature and age. Males tend to accumulate fat in different areas (neck, arms, lower back, and abdomen) than do females (breasts, hips, thighs, and buttocks). The body mass index (BMI) is often used as a measure of fat, although this measure is, in fact, derived from a mathematical formula that compares body weight (mass) to height. Therefore, its accuracy as a health indicator can be called into question in individuals who are extremely physically fit.
In many animals, there is a pattern of storing excess calories as fat to be used in times when food is not readily available. In much of the developed world, insufficient exercise coupled with the ready availability and consumption of high-calorie foods have resulted in unwanted accumulations of adipose tissue in many people. Although periodic accumulation of excess fat may have provided an evolutionary advantage to our ancestors, who experienced unpredictable bouts of famine, it is now becoming chronic and considered a major health threat. Recent studies indicate that a distressing percentage of our population is overweight and/or clinically obese. Not only is this a problem for the individuals affected, but it also has a severe impact on our healthcare system. Changes in lifestyle—specifically in diet and exercise—are the best ways to control body fat accumulation, especially when it reaches levels that increase the risk of heart disease and diabetes.
The color of skin and other bodily structures is influenced by a number of pigments, including melanin, hemoglobin, and carotene, among others. Differences in the color of skin can be based on genetics, disorders or conditions, nutrition, injuries, or the environment.
Recall that melanin is a pigment-protein produced by cells called melanocytes, which are found scattered throughout the stratum basale of the epidermis. The number of melanocytes present in the skin is the same no matter a person’s skin or hair color. The difference is in how much melanin a melanocyte produces. Dark-skinned individuals produce more melanin than those with pale skin.
Melanin is produced by melanocytes and transferred into keratinocytes by a vesicle called a melanosome. Recall that melanin can act as a shield to protect a cell from the damaging effects of UV light which can cause DNA mutations. Exposure to the UV rays of the sun or a tanning salon causes keratinocytes to secrete chemicals that stimulate melanocytes to increase melanin production. The accumulation of melanin in keratinocytes results in the darkening of the skin, or a tan. However, it requires about 10 days after initial sun exposure for melanin synthesis to peak, which is why pale-skinned individuals tend to suffer sunburns of the epidermis initially. Dark-skinned individuals can also get sunburns but are more protected than pale-skinned individuals. Sun tans are also impermanent for two reasons. First, melanosomes are eventually destroyed by fusion with lysosomes which will break down the melanin. Second, the skin is continually renewed as the stratum corneum sloughs off.
Too much sun exposure can eventually lead to wrinkling due to the destruction of the cellular structure of the skin and, in severe cases, can cause sufficient DNA damage to result in skin cancer. When there is an irregular accumulation of melanocytes in the skin, freckles appear. Moles are larger masses of melanocytes, and although most are benign, they should be monitored for changes that might indicate the presence of cancer.
While melanin can protect cells from harmful DNA damage, too much melanin can have detrimental effects. Through UV light exposure, the skin plays a role in the production of Vitamin D, an important nutrient involved in calcium absorption. Therefore, too much melanin can lower Vitamin D and calcium levels in the body. You will see in a future lesson how this can affect the structural integrity of bones and the skeletal system.
IN CONTEXT
Disorders of the Integumentary System
The first thing a clinician sees is the skin, so the examination of the skin should be part of any thorough physical examination. Most skin disorders are relatively benign, but a few, including melanomas, can be fatal if untreated. A couple of the more noticeable disorders, albinism and vitiligo, affect the appearance of the skin and its accessory organs. Although neither is fatal, it would be hard for the afflicted individuals to claim that they are benign.
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily due to the inability of melanocytes to produce melanin. Individuals with albinism tend to appear white or very pale due to the lack of melanin in their skin and hair. Recall that melanin helps protect the skin from the harmful effects of UV radiation. Individuals with albinism tend to need more protection from UV radiation, as they are more prone to sunburns and skin cancer. They also tend to be more sensitive to light and have vision problems due to the lack of pigmentation on the retinal wall. Treatment of this disorder usually involves addressing the symptoms, such as limiting UV light exposure to the skin and eyes.
In vitiligo, the melanocytes in certain areas lose their ability to produce melanin, possibly due to an autoimmune reaction. This leads to a loss of color in patches (see image below). Neither albinism nor vitiligo directly affects the lifespan of an individual.
Hemoglobin (Hg) is the protein pigment that provides blood the ability to carry and transport oxygen throughout the body. When blood is oxygenated, hemoglobin is bright red and the blood vessels carrying it are seen as red. When oxygen is used up, the blood is deoxygenated, hemoglobin is dark red, and the blood vessels are seen as blue (a trick your skin plays with light).
Other changes in the appearance of skin coloration can be indicative of dietary practices or diseases associated with other body systems.
Source: THIS CONTENT HAS BEEN ADAPTED FROM OPENSTAX "ANATOMY AND PHYSIOLOGY 2E" AT openstax.org/details/books/anatomy-and-physiology-2e
REFERENCES
Millisky, R. (2022, August 9). The true story of paul karason, the man whose skin slowly turned blue. MSN. Retrieved November 11, 2022, from www.msn.com/en-us/health/wellness/the-true-story-of-paul-karason-the-man-whose-skin-slowly-turned-blue/ar-AA10tWT5
Brown University. (2012, October 30). How silver turns people blue. ScienceDaily. Retrieved November 11, 2022 from www.sciencedaily.com/releases/2012/10/121030143029.htm