Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Integumentary System
Elizabeth A. Mauldin, Jeanine Peters-Kennedy, in Jubb, Kennedy &
Palmer's Pathology of Domestic Animals: Volume 1 (Sixth Edition),
2016
Epidermis
The epidermis consists of a highly organized, continuously renewing
squamous epithelium that is stratified into functionally distinct
layers: stratum basale, stratum spinosum, stratum granulosum,
and stratum corneum. The keratinocytes of the epidermis undergo a
process of differentiation and proliferation that facilitates repair after
external trauma and yields a hydrophobic protective barrier, the
stratum corneum, which is continuously shed into the environment.
The steady state of the epidermis is a balance between cell
proliferation, differentiation, and desquamation. The renewal is
provided by a small population of slow-cycling stem cells (~10% of
cells) in the basal layer that undergo proliferation into transiently
amplifying cells. The amplified cells briefly proliferate then exit the cell
cycle and undergo terminal differentiation. In doing so, the cells march
toward the final product—fully-cornified anucleate keratinocytes
(corneocytes) that are shed into the environment. Within keratinocytes
as well as other epithelial cells, keratin, an intermediate filament,
forms the fibrous cytoskeleton that connects to desmosomes. Type I
(acidic) and type II (basic) keratin subunits assemble into
heterodimers through disulfide bonds. The type of keratin is
differentially expressed in layers of the epidermis as well as body site
(e.g., nonhaired skin of the pawpad and hair follicles). Keratin 5 (K5)
and keratin 14 (K14) form heterodimers in basal layer keratinocytes.
Commitment to differentiation in suprabasal keratinocytes is
associated with induction of keratins 1 (K1) and K10. Keratin 2 (K2) is
expressed in the stratum granulosum (SG).
The epidermis is a prime example of an adult tissue that undergoes
continual and rapid flux. The epidermis maintains homeostasis by
constant proliferation of a single inner (basal) layer of rapidly dividing
progeny of stem cells. As the basal keratinocytes withdraw from the
cell cycle, the transiently amplifying cells commit to terminally
differentiate, detaching from the basement membrane and initiating a
trek toward the skin surface.
•
The stratum basale (basal layer) is the deep germinative layer
of the epidermis and is composed of a single layer of cuboidal to
low columnar cells resting on the basement membrane zone.
The basal cells are attached to the underlying basement
membrane by hemidesmosomes and to adjacent and overlying
keratinocytes by desmosomes. Desmosomes are anchoring
structures that mediate adhesion between cells. They have a
complex structure that includes cadherin proteins of 2 types—
desmocollins and desmogleins. These proteins have different
isoforms, and they are differentially expressed in different layers
of the epidermis. Whereas basal cells express a pair of
desmogleins and desmocollins of simple epithelia, desmosomes
of the spinous layer express more varied isoforms. These
adhesion molecules are the immunologic target in several
blistering autoimmune diseases.
•
The stratum spinosum (prickle cell layer) is characterized
by prominent intercellular bridges that are the desmosomal
attachments between cells. The spinous appearance is due to
shrinkage artifact that occurs during tissue processing. The cells
are polyhedral to slightly flattened and are arranged in 1 or 2
layers in haired skin of dogs and cats and up to 4 layers in large
animals. This layer is much thicker in nonhaired skin and may be
up to 20 cells thick in the footpads and nasal planum.
•
The stratum granulosum is variably apparent on light
microscopy in haired skin and appears only 1-2 cells thick. In
nonhaired skin, this layer is more prominent, averaging 4-8
layers in thickness. The SG is composed of flattened cells with
shrunken nuclei and deeply basophilic keratohyaline granules.
The granules contain a precursor of filaggrin, a histidine-rich
interfibrillary matrix protein that functions as a biological glue that
aggregates and aligns keratin filaments.
•
The stratum corneum (SC) is composed of >20 overlapping
layers of bland, polyhedral, anucleate cells sandwiched between
layers of lipid. This inconspicuous layer is an active and tough
hydrophobic barrier that regulates water movement into and out
of the skin. Much of the content of the SC is lost during biopsy
sampling, cutting, and processing. The basket-weave pattern is
an artifact resulting from loss of the lipid lamellae during
processing. Thickness varies by species and site, but it is
generally adapted to the degree of surface trauma or friction.
The SC is thickest in nonhaired areas, such as footpads and
nasal planum. Cornification (keratinization) is the process by
which keratinocytes undergo terminal differentiation from the
basal layer to the highly specialized corneocyte. In doing so,
keratinocytes must lose a large amount of water volume (from
70% water in nucleated layers to 15% in stratum corneum).
Minor injuries to the corneal layer from tape stripping or
applications of solvents will result in increased transepidermal
water loss.
Several steps must occur for cornification to proceed normally: (1)
bundling of keratin to establish the corneocyte core, (2) replacement
of the cell membrane with a thick cornified envelope, (3) formation of
lipid lamellar bilayers, and (4) active desquamation. Alterations in any
step can lead to hyperkeratosis, clinical scaling, and decreased barrier
function.
The lipid is derived via lipid-laden organelles, called lamellar
bodies (also called Odland bodies, membrane coating granules,
lamellar granules, keratinosomes), which are synthesized in the upper
stratum spinosum. At the junction of the SG and SC, the lamellar
bodies fuse with the cell membrane and expel their contents into the
intercellular space. Lamellar bodies contain glucosylceramides
(GlcCer), sphingomyelin, glycerophospholipids, and cholesterol
sulfate, along with many modifying enzymes. During this release,
enzymes modify polar “probarrier” lipids into nonpolar “barrier” lipids.
The final product in the lipid bilayers of the SC contains an equimolar
ratio of ceramides, cholesterol, and free fatty acids that together
create a hydrophobic seal.
The protein core of the corneocyte provides much of the structural
integrity of the stratum corneum. Profilaggrin, found in the
keratohyaline granules of the SG, undergoes processing (proteolysis,
dephosphorylation) to the active enzyme filaggrin, which cross-links
the cytoplasmic keratin filaments. Transglutaminases, calcium-
containing enzymes, are located within both the epidermis and hair
follicles. These proteins (in particular, transglutaminase 1) catalyze the
formation of the cornified envelope (CE) by cross-linking small
protein molecules (e.g., involucrin, loricrin, cystatin A) that replace the
cell membrane. The CE surrounds the protein core and provides a
mechanical barrier as well as a scaffold that organizes the
extracellular lipids into lamellar membranes. In the mature SC,
multiple layers of corneocytes are sandwiched between layers of lipid,
producing the so-called “mortar and bricks” analogy.
Corneodesmosomes (desmosomes retained in the SC) are
enzymatically cleaved, and keratin squames (corneocytes) are shed
into the environment.
Read full chapter
Purchase book
Approaches to the Development of Cosmetic Products to
Counter the Effects of Skin Aging
Gopinathan K. Menon, ... Robert Kalafsky, in Skin Aging Handbook,
2009
11.4 The Nucleated Layers of Epidermis
Often termed as the viable epidermis, it spans the three layers of
epidermis underneath the SC, which are called stratum basale (Figure
11.3), stratum spinosum and stratum granulosum. The viable
epidermis is what produces epidermal keratin, NMF and the barrier
lipids, proliferates to heal the wounds (following laser resurfacing,
cosmetic peels, etc.), and replaces the corneocytes that are lost
by desquamation. Cells of this layer also transport
water and glycerol through the aquaporins, receive and
transfer melanin from the melanocytes for photoprotection, house the
antigen presenting langerhans (sentinel) cells, produce anti-microbial
peptides, and secrete a variety of chemokines, growth factors, etc. for
cellular communication within the epidermis as well as with dermal
cells (fibroblasts, mast cells). This layer stimulates production of the
dermal matrix, or when appropriate, its degradation. Being avascular,
transport of nutrients within this layer is conducted by diffusion through
intercellular fluids, once they have passed the selective barrier of
the basement membrane separating epidermis from the
vascular dermis. Sensory nerve fibers do extend into the epidermal
compartment, and secrete trophic neuropeptides that
influence keratinocyte physiology, as well as play some roles in
dysfunctions associated with sensitive skin. Each and every aspect of
this tissue and its functions are potential targets for anti-aging
intervention, and a multitude of approaches have been used to
achieve these results.
Sign in to download full-size image
Figure 11.3.
Intrinsic aging leads to a decrease in keratinocyte cell proliferation and
thinning of the epidermis, as seen in histologic comparison between
sun-protected skin from young and aged (30). Other changes in aged
skin include flattening of dermal–epidermal junction (DEJ), loss of
dermal papillae, loss in dermal matrix proteins, and disorganization of
the fibrous network. An association between increased oxidative
stress and intrinsic aging in general has been highlighted (31), and it
is possible that chronologically aged epidermal cells have higher
oxidative stress than epidermal cells of younger individuals. Strategies
to counter oxidative stress or otherwise improve cell proliferation and
subsequent increase in viable epidermal thickness, (measurable with
histology), have been employed. They are achievable with several
actives such as AHAs, BHAs, retinoic acid/retinol, vitamin C, and
several phytochemicals such as pomegranate seed oil (32).
Application of large scale gene expression analysis, such
as sequential analysis of gene expression (SAGE) technology, has
provided valuable insight into the differential expression patterns of
genes in aged skin. Decreased expression of c-fos and IKBA (inhibitor
of NF-kappa B, a well known gene regulator) in aged skin correlates
with reduced sensitivity to mitotic stimuli, and increased expression of
NFkB, respectively (30). However, c-fos and c-jun (components of AP-
1 or Activator Protein 1) can be reactivated in cultured fibroblasts from
old donors (33), an indication that it is biologically possible to
reactivate genes that are down-regulated in aging.
Ingredients with known medicinal or health promoting effects are
tested in cultured human skin cells for their potential to increase or
decrease transcription of such genes, and if devoid of any potential
risks associated with topical use, are selected for further investigations
and, if viable, eventual use in cosmetics. For epidermal cells, actives
that enhance differentiation, synthesis of barrier lipids, anti-oxidant
enzymes, energy production, cellular nutrition, aquaporins, and
cellular communication are currently being identified using gene
expression analysis, and successfully brought to market. On the other
hand, over-activation of AP-1 by UV radiation has been found to
induce over-production of Matrix Metalloproteinases by the epidermis,
causing aging changes via degradation of the dermal matrix (34).
Inhibitors of MMPs, mostly botanically derived, have often been used
as part of an anti-aging strategy. Retinoids, including retinol, prevents
the over stimulation of AP-1 by UV, one of the hallmarks of its anti-
aging effects (34, 35).
Another site of aging within the epidermis is DNA, because of the
damage caused by UV radiation (36, 37). UVB is absorbed by the
double bond in pyrimidine bases in DNA, opening the bond so they
can react with adjacent pyrimidine bases, resulting in a tight four
member ring. These genetic lesions in DNA are corrected quickly by a
cellular process termed “nucleotide excision repair” by DNA repair
enzymes. DNA repair enzymes from algae have been reported to be
effective (36) and several actives and delivery systems targeted to this
endpoint have been tested in vivo showing positive results (38, 39).
Prevention of UV-induced pyramidine dimer formation in epidermis by
green tea polyphenols, in addition to anti-inflammatory and antioxidant
functions of this popular cosmetic ingredient, has also been reported
(40, 41).
UV radiation also leads to lipid peroxidation and generation of reactive
oxygen species, which have been postulated as leading to
mitochondrial damage and aging (42). A multitude of antioxidants,
both enzymatic and non-enzymatic, such as superoxide
dismutase, catalase, glutathione oxidase, ascorbic acid and their
esters, vitamin E, and alpha lipoic acid have also been employed,
often with documented efficacy in in vitro and in vivo test conditions.
Another theory of aging, the telomere shortening hypothesis of aging,
follows the oxidative stress theory. Telomeres, located at the ends of
chromosomes, shorten with subsequent cell divisions, and when the
telomeric DNA reaches a critically short length, it leads to cell cycle
arrest and senescence (43), observed in human cells during the aging
process (44). Introducing telomerase, an enzyme that repairs telomere
damage, into cells, has been shown to extend the life span of human
cells (45). An extract of the fruit of Terminalia chibula, which shows
significant inhibition of oxidative stress as well as the age-dependant
shortening of the telomeric DNA in cultured cells, has potential as an
anti-aging ingredient (46).
One of the most visible signs of photoaging is pigmentary changes,
such as focal hyper-pigmentation or uneven pigmentation of the facial
skin. Among Asians and other darker phototypes (47),
dyspigmentation is a more common denominator of aging
than wrinkles are, until the middle of the fourth decade of life (48).
Skin lighteners are highly popular in Asia and Latin America, and
provide a desirable anti-aging benefit by decreasing the appearance
of uneven pigmentation. Skin lightening strategies have traditionally
utilized hydroquinone, but this active has fallen out of favor due to
safety and regulatory issues in several countries (Japan, European
Union). The classical strategy is to use plant-
derived tyrosinase inhibitors to reduce the activity of tyrosinase, the
crucial enzyme in the biochemical pathway of melanin synthesis.
However, the use of plant derived tyrosinase inhibitors (bearberry
extract, mulberry extract, kojic acid, etc.) alone as skin lightening
agents is no longer considered adequate, due to market trends
and consumer demands for increased efficacy. Hence, a whole slew
of new ingredients, such as cococin, thiodipropionic acid
(49), endothelin antagonists (which block keratinocyte-melanocyte
interaction for increased pigment production and transfer to
epidermis), protease inhibitors from soy (50), peptides, melanocyte
stimulating hormone antagonists, and small interference RNAs that
silence the messenger RNA for tyrosinase (51) have appeared in the
cosmetic field. Again, use of sunscreens as a general anti-aging (skin
lightening in darker phototypes) strategy has gained much ground
around the world. The increasing use of UVA blockers, along with
traditional UVB blockers, by consumers attests to the high level of
consumer awareness of extrinsic aging and the role of UVA radiation
in dermal damage.
As to the changes in immune sentinel cells, the number or activity
of Langerhans cells in the epidermal compartment is known to decline
somewhat in chronological aging (52), and especially so in the photo-
aged skin (53). Products aimed at boosting the skin's immune function
are claimed in a few anti-aging products but, by and large,
the immunocompetence of skin is not a widely addressed facet of anti-
aging cosmetics.
Paracellular Channel in Organ System
Lower Upper
Genes SB SS SS SG References
Claudin- Furuse et al. (2002); Haftek et al.
+ + + +
1 (2011); Igawa et al. (2011)
Claudin- Telgenhoff, Ramsay, Hilz, Slusarewicz,
− − − +
2 & Shroot (2008)
Claudin-
− − − + Watson et al. (2007)
3
Brandner et al. (2003); Furuse et al.
Claudin-
− − + + (2002); Morita, Tsukita, & Miyachi,
4
(2004)
Claudin- Peltonen, Riehokainen, Pummi, &
− − − +
5 Peltonen (2007)
Claudin-
− − + + Turksen & Troy (2002)
6
Lower Upper
Genes SB SS SS SG References
Claudin- Brandner, Kief, Wladykowski, Houdek,
+ + + +
7 & Moll, (2006); Kirschner et al. (2009)
Claudin-
− − − + Troy et al. (2005)
11
Claudin-
+ + + + Troy et al. (2005)
12
Claudin-
− − − + Brandner et al. (2003)
17
Claudin-
− − + + Troy et al. (2005)
18
SB, Stratum basale; SG, stratum granulosum; SS, stratum spinosum.