Epidermis and Skin Functions Quiz
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Questions and Answers

What is the primary function of the epidermal barrier?

  • Absorb nutrients from the environment
  • Limit bacterial growth
  • Regulate body temperature
  • Prevent water loss and microbial infection (correct)

Which layer of the epidermis is primarily responsible for water loss?

  • Stratum Granulosum
  • Stratum Basale
  • Stratum Corneum (correct)
  • Stratum Spinosum

What are melanosomes?

  • Granules containing melanin (correct)
  • Protein structures in keratinocytes
  • Cells that fight infections
  • Components that form the epidermal barrier

What is the rate of transepidermal water loss (TEWL) in normal conditions?

<p>6 grams/m2/hour (A)</p> Signup and view all the answers

Which type of cells predominantly make up the epidermis?

<p>Keratinocytes (A)</p> Signup and view all the answers

Which epidermal layer is also known as the 'prickle layer'?

<p>Stratum Spinosum (A)</p> Signup and view all the answers

What is the role of Langerhans cells in the epidermis?

<p>Acting as immune sentinels (B)</p> Signup and view all the answers

Which skin layer is primarily involved in connecting the skin to underlying structures?

<p>Subcutaneous tissue (B)</p> Signup and view all the answers

What is the primary role of Langerhans' cells in the skin?

<p>Act as dendritic immune cells (C)</p> Signup and view all the answers

What triggers the sensitization process in contact allergy?

<p>Small molecules known as haptens binding to proteins (B)</p> Signup and view all the answers

What is a common source of allergic reactions to cosmetic products?

<p>Preservatives and fragrances (D)</p> Signup and view all the answers

Where do Langerhans' cells migrate after recognizing a hapten-protein complex?

<p>To the lymph nodes to stimulate T-cell proliferation (B)</p> Signup and view all the answers

What are keratinocytes primarily responsible for?

<p>Creating the waterproof barrier of the skin (B)</p> Signup and view all the answers

What is the primary function of patch testing in contact allergies?

<p>To test for specific allergens causing reactions (C)</p> Signup and view all the answers

Which of the following statements about contact dermatitis is true?

<p>Allergic reactions can result from a hapten-protein complex. (B)</p> Signup and view all the answers

What do stem cells in the epidermis predominantly produce?

<p>Keratinocytes forming the epidermis (C)</p> Signup and view all the answers

What is the process called when daughter cells mature and move to the top of the epidermis?

<p>Keratinization (A)</p> Signup and view all the answers

What is the average normal cell cycle duration in the epidermis?

<p>26-42 days (A)</p> Signup and view all the answers

What type of cells are found in psoriatic plaques that should not exist in the stratum corneum?

<p>Parakeratotic cells (C)</p> Signup and view all the answers

What primarily characterizes the basal layer of the epidermis?

<p>Cuboidal cells that maintain cell population (C)</p> Signup and view all the answers

Which layer of the epidermis contains keratohyalin granules?

<p>Granular layer (A)</p> Signup and view all the answers

What happens to keratinocytes as they transition to corneocytes in the granular layer?

<p>Their cytoplasm disappears (C)</p> Signup and view all the answers

Which of the following statements about desquamation is correct?

<p>It occurs invisibly with shedding of individual cells. (B)</p> Signup and view all the answers

What is the role of lamellar bodies in the granular layer of the epidermis?

<p>To contain lipids and proteolytic enzymes (A)</p> Signup and view all the answers

What is the role of Natural Moisturizing Factor (NMF) in skin hydration?

<p>It provides an aqueous environment for enzymes (B)</p> Signup and view all the answers

Which of the following components are part of NMF?

<p>Lactate, amino acids, and PCA (C)</p> Signup and view all the answers

How does aging affect the levels of NMF in the skin?

<p>Levels of NMF decline with age (D)</p> Signup and view all the answers

What primary cell type is responsible for collagen production in the dermis?

<p>Fibroblasts (B)</p> Signup and view all the answers

What happens to the thickness of the dermis during childhood?

<p>It doubles between the ages of 3 and 7 years (A)</p> Signup and view all the answers

Ichthyosis vulgaris is primarily caused by a defect in which of the following?

<p>Profilaggrin synthesis (D)</p> Signup and view all the answers

What effect does washing skin with soap have on NMF levels?

<p>Decreases NMF levels compared to unwashed skin (D)</p> Signup and view all the answers

What is a significant component of the dermis that contributes to its structure?

<p>Amorphous intercellular substance (D)</p> Signup and view all the answers

What is the primary function of the stratum corneum in the skin?

<p>Barrier to water loss (D)</p> Signup and view all the answers

Which structure primarily consists of keratin filaments and is present in the stratum corneum?

<p>Corneocytes (B)</p> Signup and view all the answers

What role do lipids play in the stratum corneum?

<p>They serve as a barrier to water loss. (C)</p> Signup and view all the answers

What happens to desmosomes during desquamation in the upper stratum corneum?

<p>They are digested. (B)</p> Signup and view all the answers

The acidic pH of the stratum corneum is mainly due to the breakdown of which substance?

<p>Phospholipids (A)</p> Signup and view all the answers

Which layer of the epidermis is characterized by the presence of multiple lipid layers between squames?

<p>Stratum corneum (C)</p> Signup and view all the answers

What component is NOT found in the stratum corneum?

<p>Phospholipids (C)</p> Signup and view all the answers

Which cell type is transformed into corneocytes at the SG/SC interface?

<p>Keratinocytes (D)</p> Signup and view all the answers

What are desmosomes primarily responsible for in the stratum corneum?

<p>Cell adhesion (D)</p> Signup and view all the answers

What is the average thickness of the stratum corneum in the face?

<p>9 layers (C)</p> Signup and view all the answers

What is one of the main functions of collagen in the dermis?

<p>Gives strength to the skin (C)</p> Signup and view all the answers

Which type of collagen fibers are primarily found in the reticular dermis?

<p>Type I collagen fibers (C)</p> Signup and view all the answers

What is the role of glycosaminoglycans (GAGs) in the dermis?

<p>Binding water and contributing to salt and water balance (A)</p> Signup and view all the answers

What is a significant consequence of elastin degradation from sun exposure?

<p>Formation of elastosis (C)</p> Signup and view all the answers

What forms the dermal-epidermal junction (DEJ)?

<p>The projections of the upper dermis into the epidermis (C)</p> Signup and view all the answers

How does the content of glycosaminoglycans change with aging?

<p>GAGs content decreases (A)</p> Signup and view all the answers

Which of the following describes papillary dermis?

<p>Uppermost portion with type III collagen fibers (B)</p> Signup and view all the answers

Which nutrient is required for the synthesis of hydroxyproline and hydroxylysine?

<p>Ascorbic acid (D)</p> Signup and view all the answers

Flashcards

Epidermis

The outermost layer of the skin, responsible for protecting the body from external factors.

Transepidermal Water Loss (TEWL)

The process of water loss from the body through the skin, primarily as water vapor.

Stratum Basale

The innermost layer of the epidermis, where new skin cells are generated.

Stratum Spinosum

The layer above the Stratum Basale, characterized by spiny-shaped cells, and responsible for cell adhesion and strength.

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Stratum Granulosum

The layer above the Stratum Spinosum, containing granules that produce a protective barrier.

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Stratum Lucidum

The clear layer of the epidermis, found only in thick skin on the palms and soles.

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Stratum Corneum

The outermost layer of the epidermis, composed of dead, flattened cells that provide a tough, protective barrier.

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Keratinocytes

The skin cells responsible for producing keratin, the structural protein of the epidermis.

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Keratinization

The process of daughter cells maturing and migrating to the top of the epidermis to form the outermost layer, the stratum corneum.

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Cell cycle of the epidermis

The time it takes for new skin cells to form in the basal layer and mature into the stratum corneum.

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Desquamation

The natural shedding of dead skin cells from the stratum corneum.

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Hyperproliferative hyperkeratosis

An abnormal increase in cell division and keratin production in the epidermis.

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Psoriasis

A chronic skin disease characterized by hyperproliferative hyperkeratosis, resulting in red, scaly plaques.

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Parakeratotic cells

Nucleated cells that are found in psoriatic plaques, an abnormal finding in the stratum corneum.

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Basal layer

The layer at the base of the epidermis where new skin cells are constantly produced.

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Spinous layer

The layer above the basal layer with spiny-shaped cells, characterized by strong connections called desmosomes.

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What are antigens?

Antigens are substances that trigger an immune response in the body. They are recognized by the immune system as foreign and are often associated with pathogens like viruses, bacteria, and parasites. Antigens bind to specific receptors on immune cells, initiating a complex chain of events that lead to the activation of immune cells and the production of antibodies.

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What are antigen-presenting cells (APCs)?

Antigen-presenting cells (APCs) are specialized immune cells that play a crucial role in initiating adaptive immune responses. They engulf and process antigens from pathogens or other foreign substances. After processing, they display fragments of these antigens on their surface, making it possible for other immune cells, particularly T cells, to recognize and respond to the threat.

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What are Langerhans cells?

Langerhans cells are a specific type of dendritic cell found in the epidermis, the outermost layer of skin. They act as antigen-presenting cells, capturing antigens that penetrate the skin and presenting them to T lymphocytes in lymph nodes. This process is crucial for initiating immune responses against skin infections, allergens, and other threats.

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What is the Finn chamber?

The Finn chamber, also known as a patch test chamber, is a key tool used in contact allergy testing. It allows for the controlled application and exposure of suspected allergens to the skin. The chamber creates a sealed environment, preventing the test substance from spreading to other areas and ensuring accurate results.

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What is contact sensitization?

Contact sensitization is an immune reaction triggered by exposure to certain substances (allergens) that come into contact with the skin. It's a type of delayed hypersensitivity reaction that involves the sensitization of the immune system to the allergen. This sensitization can occur after a first exposure, and subsequent exposures lead to an allergic reaction.

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What is patch testing?

Patch testing is a common diagnostic method used to identify allergens responsible for contact dermatitis. It involves applying small amounts of suspected allergens to the skin under occlusive patches. After a set period, the skin is evaluated for signs of allergic reactions, such as redness, swelling, or itching, indicating sensitization to the tested allergen.

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What does a positive reaction in a patch test mean?

A positive reaction in a patch test indicates that the individual is allergic or sensitized to the tested allergen. This can be seen by the appearance of redness, swelling, or other signs of inflammation on the skin where the allergen was applied. It confirms the presence of contact allergy, suggesting the need to avoid the allergen in the future.

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What are the most common allergens in cosmetic products?

The majority of allergic reactions experienced from cosmetic products are often caused by the presence of preservatives and fragrances. These substances can act as allergens, triggering immune responses in sensitive individuals leading to allergic reactions like contact dermatitis.

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Natural Moisturizing Factor (NMF)

A specialized mixture of water-soluble compounds found within the stratum corneum (SC) of the skin. It mainly consists of lactate, amino acids, and pyrollidone carboxylic acid (PCA).

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Ichthyosis Vulgaris

A group of skin disorders characterized by excessive dryness and scaling. It occurs due to a defect in profilaggrin synthesis, disrupting the production of NMF.

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Collagen

A strong protein fiber that forms the main structural support of the dermis. It gives the skin its strength and elasticity.

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Fibroblasts

Specialized cells found within the dermis. They are responsible for producing collagen, elastin, and other essential proteins for skin structure.

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Elastin

A flexible protein fiber found in the dermis, responsible for skin's ability to stretch and return to its original shape.

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Dermis

The middle layer of skin, located beneath the epidermis. It gives the skin its thickness and contains blood vessels, nerves, and hair follicles.

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Collagenase

A type of enzyme responsible for the breakdown of collagen. Its activity can contribute to skin aging.

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Stratum Corneum (SC)

A tough, protective layer of the epidermis, composed of dead, flattened cells and lipids, acting as a barrier against external factors.

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Microfibril

The condensed structure formed when filaggrin interacts with keratin coiled-coils in the stratum granulosum.

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Desmosomes

The protein glue spots that connect corneocytes in the stratum corneum, responsible for cell adhesion.

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Corneocytes

Flattened, dead cells in the stratum corneum, packed with keratin fibers and devoid of cytoplasm.

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Intercellular Lipids

A group of lipids, including ceramides, cholesterol and long chain fatty acids, that form multiple layers in the stratum corneum, acting as the primary barrier to water loss.

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Brick and Mortar Model of the Stratum Corneum

A model describing the structure of the stratum corneum as a brick wall, with corneocytes acting as bricks and intercellular lipids as the mortar.

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Bilayer Lipid Matrix

A layer of lipids that tightly packs between the corneocytes, acting as the main barrier to water loss in the skin.

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Keratin Coiled-Coils

A coiled-coil protein structure formed in the stratum granulosum, which plays a crucial role in the formation of the microfibril.

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Papillary Dermis

The uppermost layer of the dermis, containing fine, delicate type III collagen fibers, which gives the skin its smooth, supple texture.

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Reticular Dermis

The lower layer of the dermis, composed of thick, dense connective tissue, primarily of thick type I collagen fibers, providing support and bulk to the skin.

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Dermal-Epidermal Junction (DEJ)

The junction between the epidermis and dermis, acting as an important barrier and anchoring the skin to its underlying connective tissue.

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Ground Substance

A gel-like substance within the dermis, containing proteoglycans and glycosaminoglycans, responsible for hydration, lubrication, and providing a medium for cell communication.

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Glycosaminoglycans (GAGs)

Complex carbohydrates that bind to proteins, forming proteoglycans, responsible for water retention and acting as shock absorbers in the dermis.

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Hyaluronic Acid (HA)

The most abundant GAG in the dermis, known as hyaluronic acid, playing a crucial role in hydrating the skin and providing a youthful, plump appearance.

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Study Notes

Basic Skin Science

  • Skin is the largest organ of the human body, comprising 16% of total body weight.
  • The skin is composed of three main layers: epidermis, dermis, and subcutaneous tissue.

The Epidermis

  • The epidermal barrier limits passive water loss from the body.
  • It reduces the absorption of chemicals from the environment.
  • The epidermal barrier prevents microbial infection.
  • Transepidermal water loss (TEWL) varies by body site, with normal values around 6 grams/m²/hour.

Epidermal Layers and Cells

  • The epidermis is composed of layers:
    • Horny layer
    • Clear layer
    • Granular layer
    • Prickle layer
    • Basal layer
  •  Different types of cells within these layers are:
    • Horny cell (corneum)
    • Clear cell (lucidum)
    • Granular cell (granulosum)
    • Prickle cell (spinosum)
    • Basal cell (basale)

Layers of the Epidermis(Alternative Names)

  • Basal cell layer - Stratum basale - Also known as germinativum or malphigian layer
  • Prickle layer - S. Spinosum - Also known as malphigian layer
  • Granular Layer - S. Granulosum - Also known as malphigian layer
  • Clear Layer - Stratum Lucidum
  • Horny Layer - Stratum Corneum

Epidermis: Key Points

  • The top layer of skin, the stratum corneum (SC), is crucial for water loss and compound entry.
  • Understanding the SC is key to comprehending how topical products function.
  • Keratinocytes are the predominant cell type, producing keratins (structural proteins).
  • Two other crucial cell types are melanocytes and Langerhans cells.

Melanocytes

  • Pigment-producing cells found in the basal layer.
  • Produce melanosomes, pigment granules containing melanin.
  • Transfer melanosomes to keratinocytes.
  • Protect the cell nucleus from UV light and provide skin color.
  • Melanocytes are dendritic cells.

The Langerhans' Cell

  • Dendritic immune cells.
  • Antigen-presenting cells in the skin.
  • Critical to the epidermis' immune function.
  • Involved in contact allergy responses.

Contact Sensitization

  • Small molecules (haptens) penetrate and bind to skin proteins.
  • Hapten-protein complexes are recognized by Langerhans cells.
  • Langerhans cells travel to lymph nodes, triggering the proliferation of sensitized T-cells.
  • Activated T-cells return to the epidermis, initiating a reaction.

The Finn Chamber

  • A tool for patch testing to identify contact allergens.

Patch Testing

  • Applying suspected allergens to the skin to detect allergic reactions.

Positive Reaction

  • An allergic reaction at the testing site, typically an inflamed rash. A visual representation of these reactions, in slide images, is included.

Most Cosmetic Product Reactions

  • Reactions to cosmetics often are due to preservatives or fragrances. Images of such reactions on the human body are included.

Keratinocytes

  • Keratinocytes make up the majority of the epidermis.
  • They are produced by stem cells at the base of the epidermis.
  •  "Daughter cells" migrate to the epidermis' top layer, a process called keratinization.

Timing in Stratum Corneum Formation (SC Formation)

  • Keratinization ('cell cycle') takes 26-42 days.
  • Desquamation (shedding) happens continuously and invisibly.
  • Partial detachment of keratinocytes during this process can occur.

Stratum Corneum (SC) Structure

  • The SC is multiple layers thick—typically 12-16 layers—on most body regions.
  • Corneocytes, flattened cells with keratin filaments, form the SC's main component.
  • Desmosomes (protein glue spots) hold the corneocytes together.
  • Multiple layers of lipids lie between corneocytes. These lipids contribute significantly to water barrier function. Ceramides, cholesterol, and fatty acids compose this intercellular lipid matrix.

Stratum Corneum (SC) Lipids

  • Lipids organize into multiple layers between SC cells.
  • No phospholipids are present in the SC.
  • Phospholipids are broken down by phospholipases, generating fatty acids.
  • The SC's acidic pH (4-5.5) helps prevent harmful bacteria colonization.

Natural Moisturizing Factor (NMF)

  • Found within the cells of the SC.
  • Composed of lactate, amino acids, and pyroglutamic acid (PCA).
  •  Water-binding nature, maintains hydration. Aids in retention of water within the SC and plays critical roles in skin hydration.
  •  Decreases with age and with washing, contributing to dry skin conditions.

Psoriasis

  • A hyperproliferative hyperkeratosis.
  • Rapid skin turnover leads to abnormal cells (parakeratotic cells) found within the plaques.
  • This should not be present in the stratum corneum.
  • Images of this condition are provided for observation.

Dermis

  • Responsible for skin thickness, varying between body parts and throughout life stages.
  • Primarily composed of collagen and elastin fibers embedded in a gelatinous ground substance.
  • Contains blood vessels, nerves, sweat glands, hair follicles, sebaceous glands, and immune cells (e.g., fibroblasts, mast cells).

The Dermal-Epidermal Junction (DEJ)

  • The junction between the epidermis and dermis.

Collagen

  • Provides skin strength; comprises 70-80% of the dermis' dry weight.
  • A complex of 18 proteins, with 11 commonly found in the dermis.

Elastin

  • Contributes to skin elasticity via thin, branching fibers capable of stretching and recoiling.
  • Elastin degrades with sun exposure, resulting in elastosis.

Ground Substance

  • Composed of proteoglycans supporting other dermal components, including fibroblasts and growth factors, crucial in dermal repair.

Glycosaminoglycans (GAGs)

  • Polysaccharide chains, binding water and affecting salt balance.
  • Hyaluronic acid (HA) is a plentiful example, functioning as a humectant. Dermatan sulfate is also present.

What is the Net Charge on Skin Proteins in the Upper Layer?

  • The isoelectric point of proteins in the skin's upper layer is approximately 3.5-4.5 and the pH range 4.5- 5.5. This provides context for considerations regarding skin conditioning and hand sanitizers.

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Test your knowledge on the structure and function of the epidermis in skin biology. This quiz covers key concepts including the roles of various cells, layers of the epidermis, and the mechanisms behind skin allergies. Perfect for students studying dermatology or skin physiology.

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