Skin, Collagen, and Other Components of Tissue

The epidermis is composed of keratinocytes that become less cellular and harder as they move towards the surface. The nail bed is a specialized area of skin that produces hardened plates of keratin to form nails. Type I collagen is the primary structural collagen that helps form bone, cartilage, and tendons. Ehlers-Danlos syndrome is a condition where Type I collagen is defective. Type IV collagen is the primary structural collagen in the basement membrane and is defective in Alport’s syndrome. Hyaluronic acid is a glycosaminoglycan and a major component of the ground substance that surrounds cells. Fibrin is an insoluble protein that cross-links to form clots as part of haemostasis.

Overall, these components play important roles in the structure and function of tissues in the body. their functions and potential defects can aid in the diagnosis and treatment of various conditions.

The human body is composed of approximately 50-60% total body water, with men having a higher percentage of water at around 60%. This means that a 70Kg man would have approximately 42 litres of total body water.

This water is divided into two main categories: extracellular fluid and intracellular fluid. Extracellular fluid makes up one third of the total body water and is further divided into four subcategories: plasma, interstitial fluid, lymph, and transcellular fluid.

Plasma makes up 3.5 litres, interstitial fluid makes up 8.5 litres, while lymph and transcellular fluid each make up 1.5 litres. The remaining two thirds of the total body water is intracellular fluid.

It is important to note that the concentration of electrolytes, such as potassium, in the extracellular fluid is crucial for maintaining proper bodily function. In fact, an extracellular fluid concentration of 12 mmol/L of potassium is incompatible with life.

The body’s fluid composition is essential for maintaining overall health and wellness.

Cirrhosis: End-Stage Fibrosis of the Liver

Cirrhosis is a condition that describes the changes that occur in the liver when it reaches end-stage fibrosis. This happens due to chronic inflammation that leads to the death of liver cells or hepatocyte apoptosis. Initially, the dead cells are replaced by new ones through hepatocyte regeneration. However, in cases of chronic inflammation, activated stellate cells deposit fibrous tissue in the liver, leading to the formation of large bands that stretch between portal tracts. These tracts are also expanded with fibrosis, and areas of hepatocyte regeneration occur, forming nodules. Unfortunately, at this stage, the normal relationship between hepatocytes, portal triads, and central vein is lost, leading to poor drainage of portal blood through the liver. This results in increased back-pressure and portal hypertension. It is important to note that these features alone do not necessarily indicate cirrhosis.

Glial Cells in the Nervous System

There are various types of supporting cells in the nervous system, including astrocytes, ependymal cells, microglia, oligodendrocytes, and Schwann cells. Astrocytes play a crucial role in supporting the blood-brain barrier by wrapping their long foot processes around every capillary in the brain. This barrier separates the systemic circulation from the cerebral tissue and regulates the movement of water and glucose between them.

Ependymal cells are responsible for producing cerebrospinal fluid (CSF) in the choroid plexus. Microglia have an immune function and are involved in phagocytosis. Oligodendrocytes are responsible for myelinating cells in the CNS, while Schwann cells perform the same function in the PNS.

In summary, glial cells play a vital role in supporting and protecting the nervous system. Each type of glial cell has a unique function, from supporting the blood-brain barrier to producing CSF and myelinating cells. the roles of these cells is crucial in the complex workings of the nervous system.

The Role of Melanocytes in Skin Pigmentation

Melanocytes are a type of epithelial cell found in the basal layer of the epidermis. Despite their location, they have long cytoplasmic processes that extend into the spaces between keratinocytes. These cells are responsible for producing melanin, which is derived from tyrosine. The melanin is then transported along the cytoplasmic processes and into the keratinocytes in the basal and prickle cell layers. Interestingly, it is the rate of melanin production that determines skin tone, rather than the number of melanocytes present.

The epidermis is composed of four layers, with the stratum corneum being the most superficial and the stratum basale being the deepest. The stratum corneum is also known as the keratin layer, while the stratum granulosum is referred to as the granular layer. The prickle cell layer is known as the stratum spinosum, and the basal layer is the stratum basale. the role of melanocytes in skin pigmentation is important for the mechanisms behind skin color and how it can vary among individuals.

Dysplasia and its Association with Malignancy

Dysplasia refers to the cellular changes that occur during the development of malignancy. The degree of dysplasia in a cell is directly proportional to its likelihood of being found in an invasive cancer. Cells with higher-grade dysplasia have more genetic abnormalities than those with low-grade dysplasia.

Progressive dysplasia is characterized by variations in the appearance of cells and their nuclei, which is not typical in most tissues where cells appear similar. The nuclei of dysplastic cells are larger, and there is an increase in the number of nucleoli. The Ki67 index is a marker of proliferation, and a higher Ki67 index indicates a higher rate of cell turnover.

In most tissues, mitoses are rare, but malignant tissues made up of dysplastic cells show visible mitoses. dysplasia and its association with malignancy is crucial in the early detection and treatment of cancer.

Different Forms of Inflammation

There are various types of inflammation, each with its own distinct characteristics. Chronic inflammation, such as autoimmune hepatitis, is primarily characterized by lymphocytes, with some macrophages and neutrophils. This type of inflammation causes tissue damage, which is evident in apoptotic epithelial cells.

Acute inflammation, on the other hand, involves mainly neutrophils and macrophages, with fewer lymphocytes. It also causes more tissue oedema and hyperaemia than chronic inflammation.

Allergic inflammation, like asthma, is characterized by an eosinophilic infiltrate, along with excess mast cells and basophils in chronic cases.

Granulomatous inflammation requires the presence of granulomas, which are formed from an inner core of macrophages, surrounded by lymphocytes (T-cells), and finally sealed off by fibroblasts.

Malignant tissue can also cause inflammation with oedema, which can have a mixture of inflammatory cells infiltrating. Overall, the different forms of inflammation is crucial in diagnosing and treating various diseases.

Types of Skin Receptors

Pacinian corpuscles, free nerve endings, Meissner’s corpuscles, and Merkel cells are all types of skin receptors that play a role in sensory perception. Pacinian corpuscles are located deep in the dermis and are responsible for detecting pressure and vibration. They are made up of concentric rings of Schwann cells surrounding a nerve ending, giving them a distinctive onion-like appearance. Free nerve endings, on the other hand, are primary sensory afferents that are found throughout the dermal tissue and act as pain and temperature receptors.

Meissner’s corpuscles are touch receptors that are primarily located on the hands and feet. They are formed of spirally arranged cells in a fibrous coating, allowing them to detect light touch and changes in texture. Finally, Merkel cells are single cells that are found in the epidermis and function as slowly adapting touch receptors. They are similar in appearance to melanocytes but lack cytoplasmic processes.

In summary, these different types of skin receptors work together to provide us with a complex sensory experience, allowing us to perceive pressure, vibration, pain, temperature, and touch.

Different Types of Cells in the Body

Mesothelial cells are a type of flat epithelial cells that are responsible for lining cavities in the body. These cells can be found in the parietal and visceral pleura, peritoneum, tunica vaginalis, and pericardium. They secrete a small amount of lubricant fluid that allows the parietal and visceral layers to move against each other with low friction. However, mesothelial cells are also known for their development into mesothelioma, a malignant tumor that is strongly associated with asbestos exposure and has a poor prognosis.

Endothelial cells, on the other hand, are responsible for lining blood vessels. Fibroblasts are cells that secrete extracellular matrix, which is important for tissue repair and wound healing. Mesangial cells are supporting cells of the glomerular capillaries, which are responsible for filtering blood in the kidneys. Lastly, goblet cells are mucus-secreting cells that can be found throughout the body, particularly in the respiratory and digestive tracts.

Overall, the body is made up of various types of cells that have different functions and play important roles in maintaining overall health and well-being.

Cells in the Central Nervous System

Ependymal cells are responsible for the production of cerebrospinal fluid (CSF) in the choroid plexus, which is a highly vascular tissue found in all CNS ventricles. These cells are specialised for secretion and have apical microvilli. Enterochromaffin cells, on the other hand, are catecholamine-secreting cells found in the adrenal medulla. Mesangial cells are supporting cells of the glomerulus, while mesothelial cells form a monolayer that comprises the pleura, peritoneum, and pericardium. Lastly, microglial cells are phagocytic glial cells of the CNS. Each of these cells plays a unique role in the central nervous system and contributes to its overall function.