{"id":4696,"date":"2019-06-24T14:24:43","date_gmt":"2019-06-24T14:24:43","guid":{"rendered":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/chapter\/9-3-3\/"},"modified":"2023-11-30T18:48:23","modified_gmt":"2023-11-30T18:48:23","slug":"9-3-3","status":"publish","type":"chapter","link":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/chapter\/9-3-3\/","title":{"raw":"7.3 Human Cells and Tissues","rendered":"7.3 Human Cells and Tissues"},"content":{"raw":"&nbsp;\r\n\r\n[caption id=\"attachment_2809\" align=\"alignright\" width=\"514\"]<img class=\"wp-image-2809\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Bronchiolar_epithelium_4_-_SEM-2.jpg\" alt=\"\" width=\"514\" height=\"526\" \/> <em>Figure 7.3.1 Dust mop or human cells?<\/em>[\/caption]\r\n\r\n<span style=\"font-size: 1.602em; font-weight: bold;\">Dust Mop<\/span>\r\n\r\nThis photo (Figure 7.3.1) looks like a close-up of an old fashioned dust mop, and the object it shows has a somewhat similar function. The object, however, is greatly enlarged in the photo. Can you guess what it is? The answer may surprise you.\r\n\r\nIt is a scanning-electron\u00a0micrograph of human epithelial cells that line the bronchial passages. The floppy, dust-mop-like extensions are actually microscopic structures called cilia projecting from the outer surface of the epithelial cells. The function of the cilia is to trap dust, pathogens, and other particles in the air before it enters the lungs. The cilia also sway back and forth to sweep the trapped particles upward toward the throat, from which they can be expelled from the body.\r\n<div>\r\n<h1>Human Cells<\/h1>\r\n<\/div>\r\nLike the ciliated bronchial cells in the micrograph above, many other cells in the\u00a0human body\u00a0are very distinctive and well-suited for special functions. To perform their special functions, cells may vary in a number of ways.\r\n<h2>Variation in Human Cells<\/h2>\r\nSome cells act as individual cells and are not attached to one another. Red\u00a0blood\u00a0cells are a good example. Their main function is to transport oxygen to other cells throughout the body, so they must be able to move freely through the\u00a0circulatory system. Many other cells, in contrast, act together with other similar cells as part of the same tissue, so they are attached to one another and cannot move freely. For example, epithelial cells lining the respiratory tract are attached to each other to form a continuous surface that protects the\u00a0respiratory system\u00a0from particles and other hazards in the air.\r\n\r\nMany cells can divide readily and form new cells. Skin cells are constantly dying and being shed from the body and replaced by new skin cells, and bone cells can divide to form new bone for growth or repair. On the other hand, some other cells \u2014\u00a0like\u00a0certain nerve cells \u2014 can divide and form new cells only under exceptional circumstances.\u00a0Nervous system injuries (such as a severed spinal cord) generally cannot heal by the production of new cells,\u00a0which results\u00a0in a permanent loss of function.\r\n\r\nMany human cells have the primary job of producing and secreting a particular substance, such as a\u00a0hormone\u00a0or an\u00a0enzyme. For example, special cells in the\u00a0pancreas\u00a0produce and secrete the hormone insulin, which regulates the level of glucose in the\u00a0blood. Some of the epithelial cells that line the bronchial passages produce mucus, a sticky substance that helps trap particles in the air before it passes into the lungs.\r\n<h2>Different, but Identical<\/h2>\r\nAll the different cell types within an individual human organism are genetically identical, so no matter how different the cells are, they all have the same genes. How can such different types of cells arise? The answer is differential regulation of genes. Cells with the same genes can be very different because different genes are expressed depending on the cell type.\r\n<h2>Examples of Human Cell Types<\/h2>\r\nMany common types of human cells \u2014 such as bone cells and white blood cells\u00a0\u2014\u00a0actually consist of several subtypes of cells. Each subtype, in turn, has a special structure and function. A closer look at these cell types will give you a better appreciation for the diversity of structures and functions of human cells.\r\n<h3>Bone Cells<\/h3>\r\nThere are four main subtypes of bone cells, as shown in Figure 7.3.2. Each type has a different form and function:\r\n<ol>\r\n \t<li><strong>Osteogenic cells<\/strong>\u00a0are undifferentiated stem cells that differentiate to form osteoblasts in the tissue that covers the outside of bone.<\/li>\r\n \t<li><strong>Osteoblasts<\/strong>\u00a0are immature bone cells that are involved in synthesizing new bone. They develop into osteocytes, or mature bone cells.<\/li>\r\n \t<li><strong>Osteocytes<\/strong>\u00a0are star-shaped bone cells that make up the majority of bone tissue. They are the most common cells in mature bone.<\/li>\r\n \t<li><strong>Osteoclasts<\/strong>\u00a0are very large, multinucleated cells responsible for the breakdown of\u00a0bones\u00a0through resorption. The breakdown of bone is very important in\u00a0bone health, because it allows for bone remodeling.<\/li>\r\n<\/ol>\r\n[caption id=\"attachment_2812\" align=\"aligncenter\" width=\"807\"]<img class=\"size-full wp-image-2812\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Bone_cells-by-OpenStax-CC-BY-2.jpg\" alt=\"\" width=\"807\" height=\"567\" \/> <em>Figure 7.3.2 <\/em>Four subtypes of bone cells in the human skeletal system.[\/caption]\r\n\r\n<div>\r\n<h3>White Blood Cells<\/h3>\r\n<\/div>\r\nWhite blood cells (also called leukocytes) are even more variable than bone cells. Five subtypes of white blood cells are shown in Figure 7.3.3. All of them are immune system cells involved in defending the body, but each subtype has a different function. They also differ in the normal proportion of all leukocytes they make up.\r\n<ol>\r\n \t<li><strong>Monocytes<\/strong> make up about five per cent of leukocytes. They engulf and destroy (phagocytize) pathogens in tissues.<\/li>\r\n \t<li><strong>Eosinophils<\/strong> compose\u00a0about two per cent of leukocytes. They attack larger parasites and set off allergic responses.<\/li>\r\n \t<li><strong>Basophils<\/strong> make up less than one per cent of leukocytes. They release\u00a0proteins\u00a0called histamines that are involved in inflammation.<\/li>\r\n \t<li><strong>Lymphocytes<\/strong> make up about 30 per cent of leukocytes. They include B cells and T cells. B cells produce antibodies against nonself antigens, and T cells destroy virus-infected cells and\u00a0cancer\u00a0cells.<\/li>\r\n \t<li><strong>Neutrophils<\/strong> are the most numerous white blood cells, making up about 62 per cent of leukocytes. They phagocytize single-celled\u00a0bacteria\u00a0and\u00a0fungi\u00a0in the blood.<\/li>\r\n<\/ol>\r\n[caption id=\"attachment_2813\" align=\"aligncenter\" width=\"800\"]<img class=\" wp-image-2813\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Blausen_0909_WhiteBloodCells-2.png\" alt=\"\" width=\"800\" height=\"600\" \/> <em>Figure 7.3.3 Five subtypes of human white blood cells in the human immune system.<\/em>[\/caption]\r\n\r\n<div>\r\n\r\n<span style=\"font-size: 1.602em; font-weight: bold;\">Tissues<\/span>\r\n\r\n<\/div>\r\nGroups of connected cells form tissues. The cells in a tissue may all be the same type, or they may be of multiple types. In either case, the cells in the tissue work together to carry out a specific function. There are four main types of human tissues: connective, epithelial, muscle, and nervous tissues.\u00a0 We will be learning about each of the four tissue types in more detail in the next few sections, but here is a summary:\r\n<h2>Epithelial Tissue<\/h2>\r\n<strong>[pb_glossary id=\"2814\"]Epithelial tissue[\/pb_glossary]<\/strong>\u00a0is made up of cells that line inner and outer body surfaces, such as the skin and the inner surface of the digestive tract. Epithelial tissue that lines inner body surfaces and body openings is called\u00a0<strong>mucous membrane.<\/strong>\u00a0This type of epithelial tissue produces\u00a0<strong>mucus<\/strong>, a slimy substance that coats mucous membranes and traps pathogens, particles, and debris. Epithelial tissue protects the body and its internal organs, secretes substances (such as hormones) in addition to mucus, and absorbs substances (such as nutrients).\r\n\r\nEpithelial tissue is identified and named by shape and layering.\u00a0 Epithelial cells exist in three main shapes: squamous, cuboidal, and columnar.\u00a0 These specifically-shaped cells can, depending on function, be layered several different ways: simple, stratified, pseudostratified, and transitional.\r\n<h2>Connective Tissue<\/h2>\r\nBone and blood are examples of connective tissue.\u00a0<strong>[pb_glossary id=\"2815\"]Connective tissue[\/pb_glossary]<\/strong> is very diverse. In general, it forms a framework and support structure for body tissues and organs. It's made up of living cells separated by non-living material, called an [pb_glossary id=\"6005\"]extracellular matrix[\/pb_glossary], which can be solid or liquid. The extracellular matrix of bone, for example, is a rigid mineral framework. The extracellular matrix of blood is liquid plasma. Connective tissues such as bone and cartilage generally form the body's structure.\r\n\r\nThere are three main categories of connective tissue, based on the nature of the matrix. They \u00a0look very different from one another, which is a reflection of their different functions:\r\n<ol>\r\n \t<li>Fibrous connective tissue: is characterized by a matrix which is flexible and is made of protein fibres including collagen, elastin and possibly reticular fibres.\u00a0 These tissues are found making up tendons, ligaments, and body membranes.<\/li>\r\n \t<li>Supportive connective tissue: is characterized by a solid matrix and is what is used to make bone and cartilage.\u00a0 These tissues are used for support and protection.<\/li>\r\n \t<li>Fluid connective tissue: is characterized by a fluid matrix and includes both blood and lymph.<\/li>\r\n<\/ol>\r\n<h2>Muscular Tissue<\/h2>\r\n[caption id=\"attachment_4170\" align=\"alignleft\" width=\"217\"]<img class=\"wp-image-4170\" title=\"12.3 Three muscle tissue types.\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Skeletal_Smooth_Cardiac-2.jpg\" alt=\"12.3 Three muscle tissue types: skeletal mjuscle, smooth muscle and cardiac muscle. \" width=\"217\" height=\"366\" \/> <em>Figure 7.3.4 These magnified images show (a) skeletal muscle tissue, (b) smooth muscle tissue, and (c) cardiac muscle tissue.<\/em>[\/caption]\r\n\r\n<strong>[pb_glossary id=\"2817\"]Muscular tissue[\/pb_glossary] <\/strong>is made up of cells that have the unique ability to contract. There are three major types of muscle tissue, as pictured in Figure 7.3.4: skeletal, smooth, and cardiac muscle tissues.\r\n<ol>\r\n \t<li><strong style=\"font-size: 1em;\">Skeletal muscles<\/strong><span style=\"font-size: 1em;\">\u00a0are striated (or striped) in appearance, because of their internal structure.\u00a0Skeletal muscles\u00a0are attached to\u00a0bones\u00a0by tendons, a type of connective tissue. When they pull on the bones, they enable the body to move. Skeletal muscles are under voluntary control.<\/span><\/li>\r\n \t<li><strong>Smooth\u00a0muscles<\/strong>\u00a0are nonstriated\u00a0muscles. They are found in the walls of\u00a0blood vessels\u00a0and in the reproductive, gastrointestinal, and respiratory tracts. Smooth muscles are not under voluntary control.<\/li>\r\n \t<li><strong>Cardiac muscles<\/strong>\u00a0are striated and found only in the\u00a0heart. Their contractions cause the heart to pump blood. Cardiac muscles are not under voluntary control.<\/li>\r\n<\/ol>\r\n<h2><\/h2>\r\n<h2>Nervous Tissue<\/h2>\r\n<strong>[pb_glossary id=\"2818\"]Nervous tissue[\/pb_glossary]<\/strong> is made up of neurons and other types of cells, generally called glial cells. Neurons transmit messages \u2014 usually through an electrochemical process \u2014\u00a0with support from the other cells. Nervous tissue makes up the\u00a0central nervous system\u00a0(mainly the brain and spinal cord) and\u00a0peripheral nervous system\u00a0(the network of nerves that runs throughout the rest of the body).\r\n<div>\r\n<h1>Feature: My Human Body<\/h1>\r\n<\/div>\r\nIf you are a blood donor, then you have donated tissue. Blood is a tissue that you can donate when you are alive. You may have indicated on your driver\u2019s license application that you wish to be a tissue donor in the event of your death. Deceased people can donate many different tissues, including skin, bone, heart valves, and the corneas of the eyes. If you are not already registered as a tissue donor, the information from the BC Transplant link below may help you decide if you would like to register.\r\n\r\nAs of April 2020, there were over 1.5 million donors registered in the BC Organ Donor Registry.\u00a0 In 2019, 480 lives were saved in BC as a result of organ donation, both through deceased donors and [pb_glossary id=\"2820\"]living donors[\/pb_glossary].\u00a0 Over the years, organ transplants have saved the lives of over 5,000 British Columbians.\u00a0 In 2019, 331 kidney transplants were conducted, the most common transplant needed, and of these, 120 kidneys were from living donors \u2014 people who donated their kidney and are still walking around to tell the tale!\u00a0 Despite these encouraging statistics, there are still over 640 British Columbians on the waiting list for a kidney transplant.\r\n\r\nUnlike organs \u2014 which generally must be transplanted immediately after the donor dies \u2014 donated tissues can be processed and stored for a long time for later use. Donated tissues can be used to replace burned skin and damaged bone, and to repair ligaments. Corneal tissues can be used for corneal transplants that restore sight in blind people. Unfortunately, there are not enough tissues to go around, and the need for donated tissues keeps rising.\r\n\r\nFor more information on organ and tissue transplants, you can visit the <a href=\"http:\/\/www.transplant.bc.ca\/\">BC Transplant<\/a> website.\r\n<div class=\"textbox textbox--key-takeaways\"><header class=\"textbox__header\">\r\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">7.3 Summary<\/span><\/h1>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n<ul>\r\n \t<li>Cells of the\u00a0human body\u00a0show a lot of variation. Some cells are unattached to other cells and can move freely, while others are attached to each other and cannot move freely. Some cells can divide readily and form new cells, and others can divide only under exceptional circumstances. Many cells are specialized to produce and secrete particular substances.<\/li>\r\n \t<li>All the different cell types within an individual have the same genes. Cells can vary because different genes are expressed depending on the cell type.<\/li>\r\n \t<li>Many common types of human cells actually consist of several subtypes of cells, each of which has a special structure and function.\u00a0Subtypes of bone cells, for example, include osteocytes, osteoblasts, osteogenic cells, and osteoclasts.<\/li>\r\n \t<li>There are four major types of human tissues: connective, epithelial, muscle, and nervous tissues.<\/li>\r\n \t<li>Connective tissues, such as bone and blood, are made up of living cells that are separated by non-living material, called extracellular matrix.<\/li>\r\n \t<li>Epithelial tissues, such as skin and mucous membranes, protect the body and its internal organs. They also secrete or absorb substances.<\/li>\r\n \t<li>Muscle tissues are made up of cells that have the unique ability to contract. They include skeletal, smooth, and cardiac muscle tissues.<\/li>\r\n \t<li>Nervous tissues are made up of neurons \u2014 which transmit messages \u2014 and glial cells of various types, which play supporting roles.<\/li>\r\n<\/ul>\r\n<\/div>\r\n<\/div>\r\n<div class=\"textbox textbox--exercises\"><header class=\"textbox__header\">\r\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">7.3 Review Questions<\/span><\/h1>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n<ol>\r\n \t<li>Give an example of cells that function individually and move freely. Additionally, give an example of cells that act together and are attached to other cells of the same type.<\/li>\r\n \t<li>What\u00a0is an example of cells that can readily divide?\u00a0What is an example of cells that can divide only under rare circumstances?<\/li>\r\n \t<li>Identify a type of cell that secretes an important substance. Name the substance it secretes.<\/li>\r\n \t<li>Explain how different cell types come about when all the cells in an individual human being are genetically identical.<\/li>\r\n \t<li>Compare and contrast four subtypes of human bone cells.<\/li>\r\n \t<li>Identify three types of human white blood cells. State their functions.<\/li>\r\n \t<li>Why are bone and blood both classified as connective tissues?<\/li>\r\n \t<li>Name another type of connective tissue. Describe its role in the human body.<\/li>\r\n \t<li>Based on the information above about types of epithelial tissues, list four general ways this type of tissue functions in the human body.<\/li>\r\n \t<li>Compare and contrast the three types of muscle tissues.<\/li>\r\n \t<li>Identify the two main types of cells that make up nervous tissue. Compare their general functions.<\/li>\r\n \t<li>Of the main types of human tissue, name two that can secrete hormones.<\/li>\r\n \t<li>Cells in a particular tissue...\r\n<ol type=\"a\">\r\n \t<li>Are all of the same type<\/li>\r\n \t<li>Have different genes from cells in other tissues<\/li>\r\n \t<li>Work together to carry out a function<\/li>\r\n \t<li>Are always connected physically to each other<\/li>\r\n<\/ol>\r\n<\/li>\r\n \t<li>Why are mucus membranes often located in regions that interface between the body and the outside world?<\/li>\r\n \t<li>Skin is a type of _____________ tissue.<\/li>\r\n \t<li>Body fat is a type of ____________ tissue.<\/li>\r\n<\/ol>\r\n<\/div>\r\n<\/div>\r\n<div class=\"textbox textbox--examples\"><header class=\"textbox__header\">\r\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">7.3 Explore More<\/span><\/h1>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n\r\nhttps:\/\/www.youtube.com\/watch?v=_7TKiFRkKGY\r\n<p style=\"text-align: center;\">Could tissue engineering mean personalized medicine? - Nina Tandon, TED-Ed, 2013.<\/p>\r\nhttps:\/\/www.youtube.com\/watch?v=bX3C201O4MA\r\n<p style=\"text-align: center;\">Printing a human kidney - Anthony Atala, TED-Ed, 2013.<\/p>\r\n\r\n<\/div>\r\n<\/div>\r\n&nbsp;\r\n<h2>Attributions<\/h2>\r\n<strong>Figure 7.3.1<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Bronchiolar_epithelium_4_-_SEM.jpg\" rel=\"cc:attributionURL\">Bronchiolar_epithelium_4_-_SEM<\/a> by Louisa Howard on Wikimedia Commons is released into the <a class=\"extiw\" title=\"w:en:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/en:public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain)<b>.\u00a0<\/b>\r\n\r\n<strong>Figure 7.3.2<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:604_Bone_cells.jpg\" rel=\"cc:attributionURL\">Bone_cells<\/a> by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/6-3-bone-structure\">OpenStax College <\/a>\u00a0on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en) license.\r\n\r\n<strong>Figure 7.3.3<\/strong>\r\n<ul>\r\n \t<li><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Blausen_0909_WhiteBloodCells.png\" rel=\"cc:attributionURL\">Blausen_0909_WhiteBloodCells<\/a> by <a title=\"User:BruceBlaus\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus<\/a> on Wikimedia Commons is used under a\u00a0<a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\" rel=\"license\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/li>\r\n \t<li><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:414_Skeletal_Smooth_Cardiac.jpg\">414 Skeletal Smooth Cardiac<\/a> by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/4-4-muscle-tissue-and-motion\">OpenStax College<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en) license.<\/li>\r\n<\/ul>\r\n<h2>References<\/h2>\r\n<p class=\"hanging-indent\"><span class=\"os-title-label\">Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, April 25). <\/span>Figure 4.18 Muscle tissue <span class=\"os-title-label\"><span id=\"3633\" class=\"os-title\" data-type=\"title\">[digital image].\u00a0 <\/span>In <em>Anatomy and Physiology<\/em> (Section 4.4). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/4-4-muscle-tissue-and-motion<\/span><\/p>\r\n<p class=\"hanging-indent\"><span class=\"os-title-label\">Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, April 25). Figure <span class=\"os-number\">6.11<\/span><span class=\"os-divider\">\u00a0<\/span><span id=\"3633\" class=\"os-title\" data-type=\"title\">Bone cells [digital image].\u00a0 <\/span>In <em>Anatomy and Physiology<\/em> (Section 6.3). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/6-3-bone-structure<\/span><\/p>\r\n<p class=\"hanging-indent\">Blausen.com Staff. (2014). Medical gallery of Blausen Medical 2014. <em>WikiJournal of Medicine 1<\/em>\u00a0(2). DOI:10.15347\/wjm\/2014.010. ISSN 2002-4436.<\/p>\r\n<p class=\"hanging-indent\">Brainard, J\/ CK-12 Foundation. (2016). Figure 3 Five subtypes of human white blood cells in the human immune system [digital image]. In <em>CK-12 College Human Biology<\/em> (Section 9.3) [online Flexbook]. CK12.org. https:\/\/www.ck12.org\/book\/ck-12-college-human-biology\/section\/9.3\/<\/p>\r\n<p class=\"hanging-indent\">TED-Ed. (2013, May 17). Could tissue engineering mean personalized medicine? - Nina Tandon. YouTube. https:\/\/www.youtube.com\/watch?v=_7TKiFRkKGY&amp;feature=youtu.be<\/p>\r\n<p class=\"hanging-indent\">TED-Ed. (2013, March 15). Printing a human kidney - Anthony Atala. YouTube. https:\/\/www.youtube.com\/watch?v=bX3C201O4MA&amp;feature=youtu.be<\/p>","rendered":"<p>&nbsp;<\/p>\n<figure id=\"attachment_2809\" aria-describedby=\"caption-attachment-2809\" style=\"width: 514px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2809\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Bronchiolar_epithelium_4_-_SEM-2.jpg\" alt=\"\" width=\"514\" height=\"526\" \/><figcaption id=\"caption-attachment-2809\" class=\"wp-caption-text\"><em>Figure 7.3.1 Dust mop or human cells?<\/em><\/figcaption><\/figure>\n<p><span style=\"font-size: 1.602em; font-weight: bold;\">Dust Mop<\/span><\/p>\n<p>This photo (Figure 7.3.1) looks like a close-up of an old fashioned dust mop, and the object it shows has a somewhat similar function. The object, however, is greatly enlarged in the photo. Can you guess what it is? The answer may surprise you.<\/p>\n<p>It is a scanning-electron\u00a0micrograph of human epithelial cells that line the bronchial passages. The floppy, dust-mop-like extensions are actually microscopic structures called cilia projecting from the outer surface of the epithelial cells. The function of the cilia is to trap dust, pathogens, and other particles in the air before it enters the lungs. The cilia also sway back and forth to sweep the trapped particles upward toward the throat, from which they can be expelled from the body.<\/p>\n<div>\n<h1>Human Cells<\/h1>\n<\/div>\n<p>Like the ciliated bronchial cells in the micrograph above, many other cells in the\u00a0human body\u00a0are very distinctive and well-suited for special functions. To perform their special functions, cells may vary in a number of ways.<\/p>\n<h2>Variation in Human Cells<\/h2>\n<p>Some cells act as individual cells and are not attached to one another. Red\u00a0blood\u00a0cells are a good example. Their main function is to transport oxygen to other cells throughout the body, so they must be able to move freely through the\u00a0circulatory system. Many other cells, in contrast, act together with other similar cells as part of the same tissue, so they are attached to one another and cannot move freely. For example, epithelial cells lining the respiratory tract are attached to each other to form a continuous surface that protects the\u00a0respiratory system\u00a0from particles and other hazards in the air.<\/p>\n<p>Many cells can divide readily and form new cells. Skin cells are constantly dying and being shed from the body and replaced by new skin cells, and bone cells can divide to form new bone for growth or repair. On the other hand, some other cells \u2014\u00a0like\u00a0certain nerve cells \u2014 can divide and form new cells only under exceptional circumstances.\u00a0Nervous system injuries (such as a severed spinal cord) generally cannot heal by the production of new cells,\u00a0which results\u00a0in a permanent loss of function.<\/p>\n<p>Many human cells have the primary job of producing and secreting a particular substance, such as a\u00a0hormone\u00a0or an\u00a0enzyme. For example, special cells in the\u00a0pancreas\u00a0produce and secrete the hormone insulin, which regulates the level of glucose in the\u00a0blood. Some of the epithelial cells that line the bronchial passages produce mucus, a sticky substance that helps trap particles in the air before it passes into the lungs.<\/p>\n<h2>Different, but Identical<\/h2>\n<p>All the different cell types within an individual human organism are genetically identical, so no matter how different the cells are, they all have the same genes. How can such different types of cells arise? The answer is differential regulation of genes. Cells with the same genes can be very different because different genes are expressed depending on the cell type.<\/p>\n<h2>Examples of Human Cell Types<\/h2>\n<p>Many common types of human cells \u2014 such as bone cells and white blood cells\u00a0\u2014\u00a0actually consist of several subtypes of cells. Each subtype, in turn, has a special structure and function. A closer look at these cell types will give you a better appreciation for the diversity of structures and functions of human cells.<\/p>\n<h3>Bone Cells<\/h3>\n<p>There are four main subtypes of bone cells, as shown in Figure 7.3.2. Each type has a different form and function:<\/p>\n<ol>\n<li><strong>Osteogenic cells<\/strong>\u00a0are undifferentiated stem cells that differentiate to form osteoblasts in the tissue that covers the outside of bone.<\/li>\n<li><strong>Osteoblasts<\/strong>\u00a0are immature bone cells that are involved in synthesizing new bone. They develop into osteocytes, or mature bone cells.<\/li>\n<li><strong>Osteocytes<\/strong>\u00a0are star-shaped bone cells that make up the majority of bone tissue. They are the most common cells in mature bone.<\/li>\n<li><strong>Osteoclasts<\/strong>\u00a0are very large, multinucleated cells responsible for the breakdown of\u00a0bones\u00a0through resorption. The breakdown of bone is very important in\u00a0bone health, because it allows for bone remodeling.<\/li>\n<\/ol>\n<figure id=\"attachment_2812\" aria-describedby=\"caption-attachment-2812\" style=\"width: 807px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-2812\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Bone_cells-by-OpenStax-CC-BY-2.jpg\" alt=\"\" width=\"807\" height=\"567\" \/><figcaption id=\"caption-attachment-2812\" class=\"wp-caption-text\"><em>Figure 7.3.2 <\/em>Four subtypes of bone cells in the human skeletal system.<\/figcaption><\/figure>\n<div>\n<h3>White Blood Cells<\/h3>\n<\/div>\n<p>White blood cells (also called leukocytes) are even more variable than bone cells. Five subtypes of white blood cells are shown in Figure 7.3.3. All of them are immune system cells involved in defending the body, but each subtype has a different function. They also differ in the normal proportion of all leukocytes they make up.<\/p>\n<ol>\n<li><strong>Monocytes<\/strong> make up about five per cent of leukocytes. They engulf and destroy (phagocytize) pathogens in tissues.<\/li>\n<li><strong>Eosinophils<\/strong> compose\u00a0about two per cent of leukocytes. They attack larger parasites and set off allergic responses.<\/li>\n<li><strong>Basophils<\/strong> make up less than one per cent of leukocytes. They release\u00a0proteins\u00a0called histamines that are involved in inflammation.<\/li>\n<li><strong>Lymphocytes<\/strong> make up about 30 per cent of leukocytes. They include B cells and T cells. B cells produce antibodies against nonself antigens, and T cells destroy virus-infected cells and\u00a0cancer\u00a0cells.<\/li>\n<li><strong>Neutrophils<\/strong> are the most numerous white blood cells, making up about 62 per cent of leukocytes. They phagocytize single-celled\u00a0bacteria\u00a0and\u00a0fungi\u00a0in the blood.<\/li>\n<\/ol>\n<figure id=\"attachment_2813\" aria-describedby=\"caption-attachment-2813\" style=\"width: 800px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2813\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Blausen_0909_WhiteBloodCells-2.png\" alt=\"\" width=\"800\" height=\"600\" \/><figcaption id=\"caption-attachment-2813\" class=\"wp-caption-text\"><em>Figure 7.3.3 Five subtypes of human white blood cells in the human immune system.<\/em><\/figcaption><\/figure>\n<div>\n<p><span style=\"font-size: 1.602em; font-weight: bold;\">Tissues<\/span><\/p>\n<\/div>\n<p>Groups of connected cells form tissues. The cells in a tissue may all be the same type, or they may be of multiple types. In either case, the cells in the tissue work together to carry out a specific function. There are four main types of human tissues: connective, epithelial, muscle, and nervous tissues.\u00a0 We will be learning about each of the four tissue types in more detail in the next few sections, but here is a summary:<\/p>\n<h2>Epithelial Tissue<\/h2>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2814\">Epithelial tissue<\/a><\/strong>\u00a0is made up of cells that line inner and outer body surfaces, such as the skin and the inner surface of the digestive tract. Epithelial tissue that lines inner body surfaces and body openings is called\u00a0<strong>mucous membrane.<\/strong>\u00a0This type of epithelial tissue produces\u00a0<strong>mucus<\/strong>, a slimy substance that coats mucous membranes and traps pathogens, particles, and debris. Epithelial tissue protects the body and its internal organs, secretes substances (such as hormones) in addition to mucus, and absorbs substances (such as nutrients).<\/p>\n<p>Epithelial tissue is identified and named by shape and layering.\u00a0 Epithelial cells exist in three main shapes: squamous, cuboidal, and columnar.\u00a0 These specifically-shaped cells can, depending on function, be layered several different ways: simple, stratified, pseudostratified, and transitional.<\/p>\n<h2>Connective Tissue<\/h2>\n<p>Bone and blood are examples of connective tissue.\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2815\">Connective tissue<\/a><\/strong> is very diverse. In general, it forms a framework and support structure for body tissues and organs. It&#8217;s made up of living cells separated by non-living material, called an <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_6005\">extracellular matrix<\/a>, which can be solid or liquid. The extracellular matrix of bone, for example, is a rigid mineral framework. The extracellular matrix of blood is liquid plasma. Connective tissues such as bone and cartilage generally form the body&#8217;s structure.<\/p>\n<p>There are three main categories of connective tissue, based on the nature of the matrix. They \u00a0look very different from one another, which is a reflection of their different functions:<\/p>\n<ol>\n<li>Fibrous connective tissue: is characterized by a matrix which is flexible and is made of protein fibres including collagen, elastin and possibly reticular fibres.\u00a0 These tissues are found making up tendons, ligaments, and body membranes.<\/li>\n<li>Supportive connective tissue: is characterized by a solid matrix and is what is used to make bone and cartilage.\u00a0 These tissues are used for support and protection.<\/li>\n<li>Fluid connective tissue: is characterized by a fluid matrix and includes both blood and lymph.<\/li>\n<\/ol>\n<h2>Muscular Tissue<\/h2>\n<figure id=\"attachment_4170\" aria-describedby=\"caption-attachment-4170\" style=\"width: 217px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-4170\" title=\"12.3 Three muscle tissue types.\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Skeletal_Smooth_Cardiac-2.jpg\" alt=\"12.3 Three muscle tissue types: skeletal mjuscle, smooth muscle and cardiac muscle.\" width=\"217\" height=\"366\" \/><figcaption id=\"caption-attachment-4170\" class=\"wp-caption-text\"><em>Figure 7.3.4 These magnified images show (a) skeletal muscle tissue, (b) smooth muscle tissue, and (c) cardiac muscle tissue.<\/em><\/figcaption><\/figure>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2817\">Muscular tissue<\/a> <\/strong>is made up of cells that have the unique ability to contract. There are three major types of muscle tissue, as pictured in Figure 7.3.4: skeletal, smooth, and cardiac muscle tissues.<\/p>\n<ol>\n<li><strong style=\"font-size: 1em;\">Skeletal muscles<\/strong><span style=\"font-size: 1em;\">\u00a0are striated (or striped) in appearance, because of their internal structure.\u00a0Skeletal muscles\u00a0are attached to\u00a0bones\u00a0by tendons, a type of connective tissue. When they pull on the bones, they enable the body to move. Skeletal muscles are under voluntary control.<\/span><\/li>\n<li><strong>Smooth\u00a0muscles<\/strong>\u00a0are nonstriated\u00a0muscles. They are found in the walls of\u00a0blood vessels\u00a0and in the reproductive, gastrointestinal, and respiratory tracts. Smooth muscles are not under voluntary control.<\/li>\n<li><strong>Cardiac muscles<\/strong>\u00a0are striated and found only in the\u00a0heart. Their contractions cause the heart to pump blood. Cardiac muscles are not under voluntary control.<\/li>\n<\/ol>\n<h2><\/h2>\n<h2>Nervous Tissue<\/h2>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2818\">Nervous tissue<\/a><\/strong> is made up of neurons and other types of cells, generally called glial cells. Neurons transmit messages \u2014 usually through an electrochemical process \u2014\u00a0with support from the other cells. Nervous tissue makes up the\u00a0central nervous system\u00a0(mainly the brain and spinal cord) and\u00a0peripheral nervous system\u00a0(the network of nerves that runs throughout the rest of the body).<\/p>\n<div>\n<h1>Feature: My Human Body<\/h1>\n<\/div>\n<p>If you are a blood donor, then you have donated tissue. Blood is a tissue that you can donate when you are alive. You may have indicated on your driver\u2019s license application that you wish to be a tissue donor in the event of your death. Deceased people can donate many different tissues, including skin, bone, heart valves, and the corneas of the eyes. If you are not already registered as a tissue donor, the information from the BC Transplant link below may help you decide if you would like to register.<\/p>\n<p>As of April 2020, there were over 1.5 million donors registered in the BC Organ Donor Registry.\u00a0 In 2019, 480 lives were saved in BC as a result of organ donation, both through deceased donors and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2820\">living donors<\/a>.\u00a0 Over the years, organ transplants have saved the lives of over 5,000 British Columbians.\u00a0 In 2019, 331 kidney transplants were conducted, the most common transplant needed, and of these, 120 kidneys were from living donors \u2014 people who donated their kidney and are still walking around to tell the tale!\u00a0 Despite these encouraging statistics, there are still over 640 British Columbians on the waiting list for a kidney transplant.<\/p>\n<p>Unlike organs \u2014 which generally must be transplanted immediately after the donor dies \u2014 donated tissues can be processed and stored for a long time for later use. Donated tissues can be used to replace burned skin and damaged bone, and to repair ligaments. Corneal tissues can be used for corneal transplants that restore sight in blind people. Unfortunately, there are not enough tissues to go around, and the need for donated tissues keeps rising.<\/p>\n<p>For more information on organ and tissue transplants, you can visit the <a href=\"http:\/\/www.transplant.bc.ca\/\">BC Transplant<\/a> website.<\/p>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">7.3 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>Cells of the\u00a0human body\u00a0show a lot of variation. Some cells are unattached to other cells and can move freely, while others are attached to each other and cannot move freely. Some cells can divide readily and form new cells, and others can divide only under exceptional circumstances. Many cells are specialized to produce and secrete particular substances.<\/li>\n<li>All the different cell types within an individual have the same genes. Cells can vary because different genes are expressed depending on the cell type.<\/li>\n<li>Many common types of human cells actually consist of several subtypes of cells, each of which has a special structure and function.\u00a0Subtypes of bone cells, for example, include osteocytes, osteoblasts, osteogenic cells, and osteoclasts.<\/li>\n<li>There are four major types of human tissues: connective, epithelial, muscle, and nervous tissues.<\/li>\n<li>Connective tissues, such as bone and blood, are made up of living cells that are separated by non-living material, called extracellular matrix.<\/li>\n<li>Epithelial tissues, such as skin and mucous membranes, protect the body and its internal organs. They also secrete or absorb substances.<\/li>\n<li>Muscle tissues are made up of cells that have the unique ability to contract. They include skeletal, smooth, and cardiac muscle tissues.<\/li>\n<li>Nervous tissues are made up of neurons \u2014 which transmit messages \u2014 and glial cells of various types, which play supporting roles.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">7.3 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>Give an example of cells that function individually and move freely. Additionally, give an example of cells that act together and are attached to other cells of the same type.<\/li>\n<li>What\u00a0is an example of cells that can readily divide?\u00a0What is an example of cells that can divide only under rare circumstances?<\/li>\n<li>Identify a type of cell that secretes an important substance. Name the substance it secretes.<\/li>\n<li>Explain how different cell types come about when all the cells in an individual human being are genetically identical.<\/li>\n<li>Compare and contrast four subtypes of human bone cells.<\/li>\n<li>Identify three types of human white blood cells. State their functions.<\/li>\n<li>Why are bone and blood both classified as connective tissues?<\/li>\n<li>Name another type of connective tissue. Describe its role in the human body.<\/li>\n<li>Based on the information above about types of epithelial tissues, list four general ways this type of tissue functions in the human body.<\/li>\n<li>Compare and contrast the three types of muscle tissues.<\/li>\n<li>Identify the two main types of cells that make up nervous tissue. Compare their general functions.<\/li>\n<li>Of the main types of human tissue, name two that can secrete hormones.<\/li>\n<li>Cells in a particular tissue&#8230;\n<ol type=\"a\">\n<li>Are all of the same type<\/li>\n<li>Have different genes from cells in other tissues<\/li>\n<li>Work together to carry out a function<\/li>\n<li>Are always connected physically to each other<\/li>\n<\/ol>\n<\/li>\n<li>Why are mucus membranes often located in regions that interface between the body and the outside world?<\/li>\n<li>Skin is a type of _____________ tissue.<\/li>\n<li>Body fat is a type of ____________ tissue.<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">7.3 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p><iframe loading=\"lazy\" id=\"oembed-1\" title=\"Could tissue engineering mean personalized medicine? - Nina Tandon\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/_7TKiFRkKGY?feature=oembed&#38;rel=0&#38;rel=0\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p style=\"text-align: center;\">Could tissue engineering mean personalized medicine? &#8211; Nina Tandon, TED-Ed, 2013.<\/p>\n<p><iframe loading=\"lazy\" id=\"oembed-2\" title=\"Printing a human kidney - Anthony Atala\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/bX3C201O4MA?feature=oembed&#38;rel=0&#38;rel=0\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p style=\"text-align: center;\">Printing a human kidney &#8211; Anthony Atala, TED-Ed, 2013.<\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<h2>Attributions<\/h2>\n<p><strong>Figure 7.3.1<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Bronchiolar_epithelium_4_-_SEM.jpg\" rel=\"cc:attributionURL\">Bronchiolar_epithelium_4_-_SEM<\/a> by Louisa Howard on Wikimedia Commons is released into the <a class=\"extiw\" title=\"w:en:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/en:public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain)<b>.\u00a0<\/b><\/p>\n<p><strong>Figure 7.3.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:604_Bone_cells.jpg\" rel=\"cc:attributionURL\">Bone_cells<\/a> by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/6-3-bone-structure\">OpenStax College <\/a>\u00a0on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en) license.<\/p>\n<p><strong>Figure 7.3.3<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Blausen_0909_WhiteBloodCells.png\" rel=\"cc:attributionURL\">Blausen_0909_WhiteBloodCells<\/a> by <a title=\"User:BruceBlaus\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus<\/a> on Wikimedia Commons is used under a\u00a0<a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\" rel=\"license\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/li>\n<li><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:414_Skeletal_Smooth_Cardiac.jpg\">414 Skeletal Smooth Cardiac<\/a> by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/4-4-muscle-tissue-and-motion\">OpenStax College<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en) license.<\/li>\n<\/ul>\n<h2>References<\/h2>\n<p class=\"hanging-indent\"><span class=\"os-title-label\">Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, April 25). <\/span>Figure 4.18 Muscle tissue <span class=\"os-title-label\"><span id=\"3633\" class=\"os-title\" data-type=\"title\">[digital image].\u00a0 <\/span>In <em>Anatomy and Physiology<\/em> (Section 4.4). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/4-4-muscle-tissue-and-motion<\/span><\/p>\n<p class=\"hanging-indent\"><span class=\"os-title-label\">Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, April 25). Figure <span class=\"os-number\">6.11<\/span><span class=\"os-divider\">\u00a0<\/span><span class=\"os-title\" data-type=\"title\">Bone cells [digital image].\u00a0 <\/span>In <em>Anatomy and Physiology<\/em> (Section 6.3). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/6-3-bone-structure<\/span><\/p>\n<p class=\"hanging-indent\">Blausen.com Staff. (2014). Medical gallery of Blausen Medical 2014. <em>WikiJournal of Medicine 1<\/em>\u00a0(2). DOI:10.15347\/wjm\/2014.010. ISSN 2002-4436.<\/p>\n<p class=\"hanging-indent\">Brainard, J\/ CK-12 Foundation. (2016). Figure 3 Five subtypes of human white blood cells in the human immune system [digital image]. In <em>CK-12 College Human Biology<\/em> (Section 9.3) [online Flexbook]. CK12.org. https:\/\/www.ck12.org\/book\/ck-12-college-human-biology\/section\/9.3\/<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2013, May 17). Could tissue engineering mean personalized medicine? &#8211; Nina Tandon. YouTube. https:\/\/www.youtube.com\/watch?v=_7TKiFRkKGY&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2013, March 15). Printing a human kidney &#8211; Anthony Atala. YouTube. https:\/\/www.youtube.com\/watch?v=bX3C201O4MA&amp;feature=youtu.be<\/p>\n<div class=\"glossary\"><span class=\"screen-reader-text\" id=\"definition\">definition<\/span><template id=\"term_4696_2814\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4696_2814\"><div tabindex=\"-1\"><p>Created by CK-12 Foundation\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_848\" aria-describedby=\"caption-attachment-848\" style=\"width: 350px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-839\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Sunburn.jpg\" alt=\"10.3.1\" width=\"350\" height=\"452\"><figcaption id=\"caption-attachment-848\" class=\"wp-caption-text\"><em>Figure 10.3.1 Feel the burn!<\/em><\/figcaption><\/figure>\n<h1>Feel the Burn<\/h1>\n<p>The person in Figure 10.3.1 is no doubt feeling the burn \u2014 sunburn, that is. <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3536\">Sunburn<\/a><\/strong>\u00a0occurs when the outer layer of the skin is damaged by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3537\">UV light<\/a> from the\u00a0sun\u00a0or tanning lamps. Some people deliberately allow UV light to burn their skin, because after the redness subsides, they are left with a tan. A tan may look healthy, but it is actually a sign of skin damage. People who experience one or more serious sunburns are significantly more likely to develop\u00a0skin <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2148\">cancer<\/a>. Natural pigment molecules in the skin help protect it from UV light damage. These pigment molecules are found in the layer of the skin called the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2655\">epidermis<\/a>.<\/p>\n<div>\n<h1>What is the\u00a0Epidermis?<\/h1>\n<\/div>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2655\">epidermis<\/a><\/strong>\u00a0is the outer of the two main layers of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3521\">skin<\/a>. The inner layer\u00a0is\u00a0the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2625\">dermis<\/a>. It averages about 0.10 mm thick, and is much thinner than the dermis. The epidermis is thinnest on the eyelids (0.05 mm) and thickest on the palms of the hands and soles of the feet (1.50 mm). The epidermis covers almost the entire body surface. It is continuous with \u2014 but structurally distinct from \u2014 the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3538\">mucous membranes<\/a>\u00a0that line the mouth, anus, urethra, and vagina.<\/p>\n<div>\n<h1>Structure of the Epidermis<\/h1>\n<\/div>\n<p>There are no blood vessels and very few nerve cells in the epidermis. Without blood to bring epidermal cells oxygen and nutrients, the cells must absorb oxygen directly from the air and obtain nutrients via <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_1655\">diffusion<\/a> of fluids from the dermis below. However, as thin as it is, the epidermis still has a complex structure. It has a variety of cell types and multiple layers.<\/p>\n<h2>Cells\u00a0of the Epidermis<\/h2>\n<p>There are several different types of\u00a0cells\u00a0in the epidermis. All of the cells are necessary for the important functions of the epidermis.<\/p>\n<ul>\n<li>The epidermis consists mainly of stacks of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3525\">keratin<\/a>-producing epithelial cells called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3524\">keratinocytes<\/a><\/strong>. These cells make up at least 90 per cent of the epidermis. Near the top of the epidermis, these cells are also called squamous cells.<\/li>\n<li>Another eight per cent of epidermal cells are <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3526\">melanocytes<\/a><\/strong>. These cells produce the pigment melanin that protects the\u00a0dermis\u00a0from UV light.<\/li>\n<li>About one per cent of epidermal cells are <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3540\">Langerhans cells<\/a><\/strong>. These are immune system cells that detect and fight pathogens entering the skin.<\/li>\n<li>Less than one per cent of epidermal cells are <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3527\">Merkel cells<\/a><\/strong>, which respond to light touch and connect to nerve endings in the dermis.<\/li>\n<\/ul>\n<h2>Layers of the Epidermis<\/h2>\n<p>The epidermis in most parts of the body consists of four distinct layers. A fifth layer occurs in the palms of the hands and soles of the feet, where the epidermis is thicker than in the rest of the body. The layers of the epidermis are shown in Figure 10.3.2, and described in the following text.<\/p>\n<figure id=\"attachment_848\" aria-describedby=\"caption-attachment-848\" style=\"width: 1024px\" class=\"wp-caption aligncenter\"><img class=\"size-full wp-image-841\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Blausen_0353_Epidermis.png\" alt=\"Diagram of the Epidermis\" width=\"1024\" height=\"1024\"><figcaption id=\"caption-attachment-848\" class=\"wp-caption-text\"><em>Figure 10.3.2 The epidermis has multiple layers, and structures (such as hairs from the dermis below it) pass through them. This diagram illustrates the five layers that exist on the palms and soles of the feet.<\/em><\/figcaption><\/figure>\n<h3>Stratum Basale<\/h3>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3542\">stratum basale<\/a><\/strong>\u00a0is the innermost (or deepest) layer of the epidermis. It is separated from the dermis by a membrane called the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2544\">basement membrane<\/a><\/strong>. The stratum basale contains stem cells \u2014 called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2537\">basal cells<\/a><\/strong>\u00a0\u2014 which divide to form all the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3524\">keratinocytes<\/a> of the epidermis. When keratinocytes first form, they are cube-shaped and contain almost no keratin. As more keratinocytes are produced, previously formed cells are pushed up through the stratum basale. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3545\">Melanocytes<\/a>\u00a0and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3527\">Merkel cells<\/a>\u00a0are also found in the stratum basale. The Merkel cells are especially numerous in touch-sensitive areas, such as the fingertips and lips.<\/p>\n<h3>Stratum Spinosum<\/h3>\n<p>Just above the stratum basale is the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3546\">stratum spinosum<\/a><\/strong>. This is the\u00a0thickest\u00a0of the four epidermal layers. The keratinocytes in this layer have begun to accumulate keratin, and they have become tougher and flatter. Spiny cellular projections form between the keratinocytes and hold them together. In addition to keratinocytes, the stratum spinosum contains the immunologically active <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3540\">Langerhans cells<\/a>.<\/p>\n<h3>Stratum Granulosum<\/h3>\n<p>The next layer above the stratum spinosum is the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3547\">stratum granulosum<\/a><\/strong>. In this layer, keratinocytes have become nearly filled with <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3525\">keratin<\/a>, giving their cytoplasm a granular appearance.\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2205\">Lipids<\/a>\u00a0are released by keratinocytes in this layer to form a\u00a0lipid\u00a0barrier in the epidermis. Cells in this layer have also started to die, because they are becoming too far removed from\u00a0blood vessels\u00a0in the dermis to receive\u00a0nutrients. Each dying cell digests its own\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2402\">nucleus<\/a>\u00a0and\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2083\">organelles<\/a>, leaving behind only a tough, keratin-filled shell.<\/p>\n<h3>Stratum Lucidum<\/h3>\n<p>Only on the palms of the hands and soles of the feet, the next layer above the stratum granulosum is the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3548\">stratum lucidum<\/a><\/strong>. This is a layer consisting of stacks of translucent, dead keratinocytes that provide extra protection to the underlying layers.<\/p>\n<h3>Stratum Corneum<\/h3>\n<p>The uppermost layer of the epidermis everywhere on the body is the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3549\">stratum corneum<\/a><\/strong>. This layer is made of flat, hard, tightly packed dead keratinocytes that form a waterproof keratin barrier to protect the underlying layers of the epidermis. Dead cells from this layer are constantly shed from the surface of the body. The shed cells are continually replaced by cells moving up from lower layers of the epidermis. It takes a period of about 48 days for newly formed keratinocytes in the stratum basale to make their way to the top of the stratum corneum to replace shed cells.<\/p>\n<div>\n<h1>Functions of the Epidermis<\/h1>\n<\/div>\n<p>The epidermis has several crucial functions in the body. These functions include protection,\u00a0water\u00a0retention, and vitamin D synthesis.<\/p>\n<h2>Protective Functions<\/h2>\n<p>The epidermis provides protection to underlying tissues from physical damage, pathogens, and UV light.<\/p>\n<h3>Protection from Physical Damage<\/h3>\n<p>Most of the physical protection of the epidermis is provided by its tough outer layer, the stratum corneum. Because of this layer, minor scrapes and scratches generally do not cause significant damage to the skin or underlying tissues. Sharp objects and rough surfaces have difficulty penetrating or removing the tough, dead, keratin-filled cells of the stratum corneum. If cells in this layer are pierced or scraped off, they are quickly replaced by new cells moving up to the surface from lower skin layers.<\/p>\n<h3>Protection from Pathogens<\/h3>\n<figure id=\"attachment_848\" aria-describedby=\"caption-attachment-848\" style=\"width: 337px\" class=\"wp-caption alignright\"><img class=\" wp-image-846\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Scraped-knee-by-Alpha-on-flickr.jpg\" alt=\"Skin: Protection from Pathogens\" width=\"337\" height=\"253\"><figcaption id=\"caption-attachment-848\" class=\"wp-caption-text\"><em>Figure 10.3.3 This scrape on the knee provides an opportunity for bacteria to enter the body through the broken skin.<\/em><\/figcaption><\/figure>\n<p>When pathogens such as viruses and bacteria try to enter the body, it is virtually impossible for them to enter through intact epidermal layers. Generally, pathogens can enter the skin only if the epidermis has been breached, for example by a cut, puncture, or scrape (like the one pictured in Figure 10.3.3). That\u2019s why it is important to clean and cover even a <em>minor<\/em> wound in the epidermis. This helps ensure that pathogens do not use the wound to enter the body. Protection from pathogens is also provided by conditions at or near the skin surface. These include relatively high acidity (pH\u00a0of about 5.0), low amounts of\u00a0water, the presence of antimicrobial substances produced by epidermal cells, and\u00a0competition\u00a0with non-pathogenic microorganisms that normally live on the epidermis.<\/p>\n<p>&nbsp;<\/p>\n<h3>Protection from UV Light<\/h3>\n<p><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3537\">UV light<\/a>\u00a0that penetrates the epidermis can damage epidermal cells. In particular, it can cause\u00a0mutations\u00a0in\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_277\">DNA<\/a>\u00a0that lead to the\u00a0development\u00a0of\u00a0skin <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2148\">cancer<\/a>, in which epidermal cells grow out of control. UV light can also destroy vitamin B9 (in forms such as folate or folic acid), which is needed for good health and successful\u00a0reproduction. In a person with light skin, just an hour of exposure to intense sunlight can reduce the body\u2019s vitamin B9 level by <em>50 per cent.<\/em><\/p>\n<p><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3526\">Melanocyte<\/a>s in the stratum basale of the epidermis contain small\u00a0organelles\u00a0called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2470\">melanosomes<\/a><\/strong>, which produce, store, and transport the dark brown pigment <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2462\">melanin<\/a>. As melanosomes become full of melanin, they move into thin extensions of the melanocytes. From there, the melanosomes are transferred to <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3524\">keratinocytes<\/a>\u00a0in the epidermis, where they absorb UV light that strikes the skin. This prevents the light from penetrating deeper into the skin, where it can cause damage. The more melanin there is in the skin, the more UV light can be absorbed.<\/p>\n<h2>Water\u00a0Retention<\/h2>\n<p>Skin's ability\u00a0to hold water and not lose it to the surrounding environment is due mainly to the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3549\">stratum corneum<\/a>.\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2205\">Lipids<\/a>\u00a0arranged in an organized way among the cells of the stratum corneum form a barrier to water loss from the epidermis. This is critical for maintaining healthy skin and preserving proper water balance in the body.<\/p>\n<p>Although the skin is impermeable to water, it is not impermeable to\u00a0<em>all <\/em>substances. Instead, the skin is\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2480\"><em>selectively<\/em>\u00a0permeable<\/a>, allowing certain fat-soluble substances to pass through the epidermis. The selective permeability of the epidermis is both a benefit and a risk.<\/p>\n<ul>\n<li>Selective permeability allows certain medications to enter the bloodstream through the capillaries in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2625\">dermis<\/a>. This is the basis of medications that are delivered using topical ointments, or patches (see Figure 10.3.4) that are applied to the skin. These include steroid hormones, such as <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2659\">estrogen<\/a> (for hormone replacement therapy), scopolamine (for motion sickness), nitroglycerin (for heart problems), and nicotine (for people trying to quit smoking).<\/li>\n<li>Selective permeability of the epidermis also allows certain harmful substances to enter the body through the skin. Examples include the heavy metal lead, as well as many pesticides.<\/li>\n<\/ul>\n<figure id=\"attachment_848\" aria-describedby=\"caption-attachment-848\" style=\"width: 394px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-847\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Nicoderm.jpg\" alt=\"Skin - selectively permeable\" width=\"394\" height=\"262\"><figcaption id=\"caption-attachment-848\" class=\"wp-caption-text\"><em>Figure 10.3.4 This skin patch delivers small amounts of nicotine through the skin of a person in a smoking cessation program.<\/em><\/figcaption><\/figure>\n<h3>Vitamin D Synthesis<\/h3>\n<p>Vitamin D is a nutrient that is needed in the human body for the absorption of calcium from food. Molecules of a lipid compound named 7-dehydrocholesterol are precursors of vitamin D. These molecules are present in the stratum basale and stratum spinosum layers of the epidermis. When UV light strikes the molecules, it changes them to vitamin D3. In the kidneys, vitamin D3 is converted to calcitriol, which is the form of vitamin D that is active in the body.<\/p>\n<div>\n<h1>What Gives Skin Its Colour?<\/h1>\n<\/div>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2462\">Melanin<\/a><\/strong> in the epidermis is the main substance that determines the colour of human skin. It explains most of the variation in skin colour in people around the world. Two other substances also contribute to skin colour, however, especially in light-skinned people: carotene and hemoglobin.<\/p>\n<ul>\n<li>The pigment\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2457\">carotene<\/a><\/strong>\u00a0is present in the epidermis and gives skin a yellowish tint, especially in skin with low levels of melanin.<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3556\">Hemoglobin<\/a><\/strong> is a red pigment found in red\u00a0blood\u00a0cells. It is visible through skin as a pinkish tint, mainly in skin with low levels of melanin. The pink colour is most visible when capillaries in the underlying dermis dilate, allowing greater blood flow near the surface.<\/li>\n<\/ul>\n<p>Hear what Bill Nye has to say about the subject of skin colour in the video <a href=\"https:\/\/youtu.be\/zOkj5jgC4sM\">here<\/a>.<\/p>\n<div>\n<h1>Bacteria\u00a0on Skin<\/h1>\n<\/div>\n<figure id=\"attachment_848\" aria-describedby=\"caption-attachment-848\" style=\"width: 251px\" class=\"wp-caption alignleft\"><img class=\" wp-image-848\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Staphylococcus-aureus-bacteria-by-Microbe-World-on-flickr.jpg\" alt=\"Skin - protects against bacteria\" width=\"251\" height=\"170\"><figcaption id=\"caption-attachment-848\" class=\"wp-caption-text\"><em>Figure 10.3.5 The bacterium Staphylococcus epidermidis is a common microorganism living on healthy human skin.<\/em><\/figcaption><\/figure>\n<p>The surface of the human skin normally provides a home to countless numbers of bacteria. Just one square inch of skin normally has an average of about 50 million bacteria. These generally harmless bacteria represent roughly one thousand bacterial species (including the one in Figure 10.3.5) from 19 different bacterial phyla. Typical variations in the moistness and oiliness of the skin produce a variety of rich and diverse habitats for these microorganisms. For example, the skin in the armpits is warm and moist and often hairy, whereas the skin on the forearms is smooth and dry. These two areas of the human body are as diverse to microorganisms as rainforests and deserts are to larger organisms. The density of bacterial populations on the skin depends largely on the region of the skin and its ecological characteristics. For example, oily surfaces, such as the face, may contain over 500 million bacteria per square inch. Despite the huge number of individual microorganisms living on the skin, their total volume is only about the size of a pea.<\/p>\n<p>In general, the normal microorganisms living on the skin keep one another in check, and thereby play an important role in keeping the skin healthy.\u00a0If the balance of microorganisms is disturbed, however, there may be an overgrowth of certain\u00a0species, and this may result in an infection. For example, when a patient is prescribed antibiotics, it may kill off normal bacteria and allow an overgrowth of single-celled yeast. Even if skin is disinfected, no amount of cleaning can remove all of the microorganisms it contains. Disinfected areas are also quickly recolonized by bacteria residing in deeper areas (such as\u00a0hair\u00a0follicles) and in adjacent areas of the skin.<\/p>\n<div>\n<h1>Feature: Myth vs. Reality<\/h1>\n<\/div>\n<p>Because of the negative health effects of excessive UV light exposure, it is important to know the facts about protecting the skin from UV light.<\/p>\n<table class=\"grid\" style=\"border-collapse: collapse;width: 84.1914%;height: 84px\" border=\"0\">\n<tbody>\n<tr style=\"height: 14px\">\n<td style=\"width: 29.1878%;height: 14px\">\n<h2><span style=\"color: #ff0000\">Myth<\/span><\/h2>\n<\/td>\n<td style=\"width: 55.0036%;height: 14px\">\n<h2><span style=\"color: #339966\">Reality<\/span><\/h2>\n<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 29.1878%;height: 14px\"><em>\"Sunblock and sunscreen are just different names for the same type of product. They both work the same way and are equally effective.\"<\/em><\/td>\n<td style=\"width: 55.0036%;height: 14px\"><strong><span style=\"font-size: 16px\">Sunscreens and sunblocks are different types of products that protect the skin from UV light in different ways. They are not equally effective. Sunblocks are opaque, so they do not let light pass through. They prevent most of the rays of UV light from penetrating to the skin surface. Sunblocks are generally stronger and more effective than sunscreens. Sunblocks also do not need to be reapplied as often as sunscreens. Sunscreens, in contrast, are transparent once they are applied the skin. Although they can prevent most UV light from penetrating the skin when first applied, the active ingredients in sunscreens tend to break down when exposed to UV light. Sunscreens, therefore, must be reapplied often to remain effective.<\/span><\/strong><\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 29.1878%;height: 14px\"><em><span style=\"font-size: 16px\">\"The skin needs to be protected from UV light only on sunny days. When the sky is cloudy, UV light cannot penetrate to the ground and harm the skin.\"<\/span><\/em><\/td>\n<td style=\"width: 55.0036%;height: 14px\"><strong><span style=\"font-size: 16px\">Even on cloudy days, a significant amount of UV radiation penetrates the atmosphere to strike Earth\u2019s surface. Therefore, using sunscreens or sunblocks to protect exposed skin is important even when there are\u00a0clouds\u00a0in the sky.<\/span><\/strong><\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 29.1878%;height: 14px\"><em><span style=\"font-size: 16px\">\"People who have dark skin, such as African Americans, do not need to worry about skin damage from UV light.\"<\/span><\/em><\/td>\n<td style=\"width: 55.0036%;height: 14px\"><strong><span style=\"font-size: 16px\">No matter what colour skin you have, your skin can be damaged by too much exposure to UV light. Therefore, even dark-skinned people should use sunscreens or sunblocks to protect exposed skin from UV light.<\/span><\/strong><\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 29.1878%;height: 14px\"><em><span style=\"font-size: 16px\">\"Sunscreens with an SPF (sun protection factor) of 15 are adequate to fully protect the skin from UV light.\"<\/span><\/em><\/td>\n<td style=\"width: 55.0036%;height: 14px\"><strong><span style=\"font-size: 16px\">Most dermatologists recommend using sunscreens with an SPF of at least 35 for adequate protection from UV light. They also recommend applying sunscreens at least 20 minutes before\u00a0sun\u00a0exposure and reapplying sunscreens often, especially if you are sweating or spending time in the water.<\/span><\/strong><\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 29.1878%;height: 14px\"><em><span style=\"font-size: 16px\">\"Using tanning beds is safer than tanning outside in natural sunlight.\"<\/span><\/em><\/td>\n<td style=\"width: 55.0036%;height: 14px\"><strong><span style=\"font-size: 16px\">The light in tanning beds is UV light, and it can do the same damage to the skin as the natural UV light in sunlight. This is evidenced by the fact that people who regularly use tanning beds have significantly higher rates of\u00a0skin cancer\u00a0than people who do not. It is also the reason that the use of tanning beds is prohibited in many places in people who are under the age of 18, just as youth are prohibited from using harmful substances, such as tobacco and alcohol.<\/span><\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<div>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">10.3 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2655\">epidermis<\/a> is the outer of the two main layers of the skin. It is very thin, but has a complex structure.<\/li>\n<li>Cell types in the epidermis include <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3524\">keratinocytes<\/a> that produce <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3525\">keratin<\/a> and make up 90 per cent of epidermal cells, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3526\">melanocytes<\/a> that produce <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2462\">melanin<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3540\">Langerhans cells<\/a> that fight <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2405\">pathogens<\/a> in the skin, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3527\">Merkel cells<\/a> that respond to light touch.<\/li>\n<li>The epidermis in most parts of the body consists of four distinct layers. A fifth layer occurs only in the epidermis of the palms of the hands and soles of the feet.<\/li>\n<li>The innermost layer of the epidermis is the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3542\">stratum basale<\/a>, which contains stem cells that divide to form new keratinocytes. The next layer is the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3546\">stratum spinosum<\/a>, which is the\u00a0thickest layer and contains Langerhans cells and spiny keratinocytes. This is followed by the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3547\">stratum granulosum<\/a>, in which keratinocytes are filling with keratin and starting to die. The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3548\">stratum lucidum<\/a> is next, but only on the palms and soles. It consists of translucent dead keratinocytes. The outermost layer is the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3549\">stratum corneum<\/a>, which consists of flat, dead, tightly packed keratinocytes that form a tough, waterproof barrier for the rest of the epidermis.<\/li>\n<li>Functions of the epidermis include protecting underlying tissues from physical damage and pathogens. Melanin in the epidermis absorbs and protects underlying tissues from <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3537\">UV light<\/a>. The epidermis also prevents loss of water from the body and synthesizes vitamin D.<\/li>\n<li>Melanin is the main pigment that determines the colour of human skin. The pigments carotene and hemoglobin, however, also contribute to skin colour, especially in skin with low levels of melanin.<\/li>\n<li>The surface of healthy skin normally is covered by vast numbers of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2588\">bacteria<\/a> representing about one thousand\u00a0species\u00a0from 19 phyla. Different areas of the body provide diverse habitats for skin microorganisms. Usually, microorganisms on the skin keep each other in check unless their balance is disturbed.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">10.3 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>What is the epidermis?<\/li>\n<li>Identify the types of cells in the epidermis.<\/li>\n<li>Describe the layers of the epidermis.<\/li>\n<li>\n<div id=\"h5p-145\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-145\" class=\"h5p-iframe\" data-content-id=\"145\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Label the atom\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>State one function of each of the four epidermal layers found all over the body.<\/li>\n<li>Explain three ways the epidermis protects the body.<\/li>\n<li>What makes the skin waterproof?<\/li>\n<li>Why is the selective permeability of the epidermis both a benefit and a risk?<\/li>\n<li>How is vitamin D synthesized in the epidermis?<\/li>\n<li>Identify three pigments that impart colour to skin.<\/li>\n<li>Describe bacteria that normally reside on the skin, and explain why they do not usually cause infections.<\/li>\n<li>Explain why the keratinocytes at the surface of the epidermis are dead, while keratinocytes located deeper in the epidermis are still alive.<\/li>\n<li>Which layer of the epidermis contains keratinocytes that have begun to die?<\/li>\n<li>\n<div id=\"h5p-146\">\n<div class=\"h5p-content\" data-content-id=\"146\"><\/div>\n<\/div>\n<\/li>\n<li>Explain why our skin is not permanently damaged if we rub off some of the surface layer by using a rough washcloth.<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\" style=\"text-align: left\"><span style=\"color: #ffffff\">10.3 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/www.youtube.com\/watch?v=27lMmdmy-b8<\/p>\n<p style=\"text-align: center\">Jonathan Eisen: Meet your microbes, TED,\u00a02015.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=9AcQXnOscQ8<\/p>\n<p style=\"text-align: center\">Why Do We Blush?, SciShow, 2014.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=_r4c2NT4naQ<\/p>\n<p style=\"text-align: center\">The science of skin colour - Angela Koine Flynn, TED-Ed, 2016.<\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 10.3.1<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Sunburn.jpg\" rel=\"cc:attributionURL\">Sunburn<\/a> by <a class=\"extiw\" title=\"wikipedia:User:QuinnHK\" href=\"https:\/\/en.wikipedia.org\/wiki\/User:QuinnHK\">QuinnHK<\/a>\u00a0at\u00a0<a class=\"extiw\" title=\"wikipedia:\" href=\"https:\/\/en.wikipedia.org\/wiki\/\">English Wikipedia<\/a> on Wikimedia Commons is released into the <a class=\"extiw\" title=\"w:en:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/en:public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain).<\/p>\n<p><strong>Figure 10.3.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Blausen_0353_Epidermis.png\" rel=\"cc:attributionURL\">Blausen_0353_Epidermis<\/a> by <a title=\"User:BruceBlaus\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en\" rel=\"license\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong>Figure 10.3.3<\/strong><\/p>\n<p><a href=\"https:\/\/www.flickr.com\/photos\/avlxyz\/10975825785\" rel=\"cc:attributionURL\">Isaac's scraped knee close-up<\/a> by <a class=\"owner-name truncate\" title=\"Go to Alpha's photostream\" href=\"https:\/\/www.flickr.com\/photos\/avlxyz\/\" data-track=\"attributionNameClick\">Alpha<\/a> on <a href=\"http:\/\/flickr.com\" rel=\"cc:attributionURL\">Flickr<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/2.0\/\" rel=\"license\">CC BY-NC-SA 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-nc-sa\/2.0\/) license.<\/p>\n<p><strong>Figure 10.3.4<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Nicoderm.JPG\" rel=\"cc:attributionURL\">Nicoderm<\/a> by <a title=\"User:RegBarc\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:RegBarc\">RegBarc<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en\">CC BY-SA 3.0<\/a> (http:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/) license. (No machine-readable author provided for original.)<\/p>\n<p><strong>Figure 10.3.5<\/strong><\/p>\n<p><a href=\"https:\/\/www.flickr.com\/photos\/microbeworld\/5619255092\">Staphylococcus aureus bacteria, MRSA<\/a> by <a class=\"owner-name truncate\" title=\"Go to Microbe World's photostream\" href=\"https:\/\/www.flickr.com\/photos\/microbeworld\/\" data-track=\"attributionNameClick\">Microbe World<\/a> on <a href=\"http:\/\/flickr.com\">Flickr<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/2.0\/\" rel=\"license\">CC BY-NC-SA 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-nc-sa\/2.0\/) license.<\/p>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">Blausen.com staff. (2014). Medical gallery of Blausen Medical 2014. <em>WikiJournal of Medicine 1<\/em> (2). DOI:10.15347\/wjm\/2014.010. ISSN 2002-4436.<\/p>\n<p class=\"hanging-indent\">Jeff Bone 'n' Pookie. (2020, July 19). Bill Nye the science guy explains we have different skin color. Youtube. https:\/\/www.youtube.com\/watch?v=zOkj5jgC4sM&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">SciShow. (2014, July 15). Why do we blush? YouTube. https:\/\/www.youtube.com\/watch?v=9AcQXnOscQ8<\/p>\n<p class=\"hanging-indent\">TED. (2015, July 17). Jonathan Eisen: Meet your microbes. YouTube. https:\/\/www.youtube.com\/watch?v=27lMmdmy-b8<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2016, February 16). The science of skin color - Angela Koine Flynn. YouTube. https:\/\/youtu.be\/_r4c2NT4naQ<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4696_2815\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4696_2815\"><div tabindex=\"-1\"><p>Created by CK-12 Foundation\/Adapted by Christine Miller<\/p>\n<div>\n<figure id=\"attachment_3560\" aria-describedby=\"caption-attachment-3560\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-3560\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Goose_bumps.jpg\" alt=\"10.4.1\" width=\"400\" height=\"209\"><figcaption id=\"caption-attachment-3560\" class=\"wp-caption-text\"><em>Figure 10.4.1 Goose bumps!<\/em><\/figcaption><\/figure>\n<h1>Goose Bumps<\/h1>\n<\/div>\n<p>No doubt you\u2019ve experienced the tiny, hair-raising skin bumps called goose bumps, like those you see in Figure 10.4.1. They happen when you feel chilly. Do you know what causes goose bumps, or why they pop up when you are cold? The answers to these questions involve the layer of skin known as the dermis.<\/p>\n<div>\n<h1>What is the Dermis?<\/h1>\n<\/div>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2625\">dermis<\/a><\/strong>\u00a0is the inner of the two major layers that make up the skin, the outer layer being the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2655\">epidermis<\/a><\/strong>. The dermis consists mainly of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2815\">connective tissues<\/a>. It also contains most skin structures, such as <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2936\">glands<\/a>\u00a0and\u00a0blood vessels. The dermis is anchored to the tissues below it by flexible collagen bundles that permit most areas of the skin to move freely over subcutaneous (\u201cbelow the skin\u201d) tissues. Functions of the dermis include cushioning subcutaneous tissues, regulating body\u00a0temperature, sensing\u00a0the environment, and excreting wastes.<\/p>\n<div>\n<h1>Anatomy of the Dermis<\/h1>\n<\/div>\n<p>The basic anatomy of the dermis is a matrix, or sort of scaffolding, composed of connective tissues. These tissues include collagen fibres \u2014 which provide toughness \u2014 and elastin fibres, which provide elasticity. Surrounding these fibres, the matrix also includes a gel-like substance made of proteins. The tissues of the matrix give the dermis both strength and flexibility.<\/p>\n<p>The dermis is divided into two layers: the papillary layer and the reticular layer. Both layers are shown in Figure 10.4.2 below and described in the text that follows.<\/p>\n<figure id=\"attachment_861\" aria-describedby=\"caption-attachment-861\" style=\"width: 376px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-853\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Layers_of_the_Dermis.jpg\" alt=\"Layers of the Dermis\" width=\"376\" height=\"485\"><figcaption id=\"caption-attachment-861\" class=\"wp-caption-text\"><em>Figure 10.4.2 This photomicrograph shows a cross-section of the papillary and reticular layers of the dermis.<\/em><\/figcaption><\/figure>\n<h2>Papillary Layer<\/h2>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2460\">papillary layer<\/a><\/strong> is the upper layer of the dermis, just below the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2544\">basement membrane<\/a> that connects the dermis to the epidermis above it. The papillary layer is the thinner of the two dermal layers. It is composed mainly of loosely arranged collagen fibres. The papillary layer is named for its fingerlike projections \u2014 or papillae \u2014 that extend upward into the epidermis. The papillae contain capillaries and sensory touch receptors.<\/p>\n<figure id=\"attachment_861\" aria-describedby=\"caption-attachment-861\" style=\"width: 390px\" class=\"wp-caption alignleft\"><img class=\" wp-image-3563\" src=\"http:\/\/humanbiology.pressbooks.tru.ca\/wp-content\/uploads\/sites\/6\/2019\/06\/Fingerprint_detail_on_male_finger_in_T\u0159eb\u00ed\u010d_T\u0159eb\u00ed\u010d_District.jpg#fixme\" alt=\"10.3 Fingerprints\" width=\"390\" height=\"260\"><figcaption id=\"caption-attachment-861\" class=\"wp-caption-text\"><em>Figure 10.4.3 This photo is an enlarged image of epidermal ridges on a finger.<\/em><\/figcaption><\/figure>\n<p>The papillae give the dermis a bumpy surface that interlocks with the epidermis above it, strengthening the connection between the two layers of skin. On the palms and soles, the papillae create epidermal ridges. Epidermal ridges on the fingers are commonly called fingerprints (see Figure 10.4.3). Fingerprints are genetically determined, so no two people (other than identical twins) have exactly the same fingerprint pattern. Therefore, fingerprints can be used as a means of identification, for example, at crime scenes. Fingerprints were much more commonly used forensically before DNA analysis was introduced for this purpose.<\/p>\n<h2>Reticular Layer<\/h2>\n<p>The\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2465\"><strong>reticular layer<\/strong> <\/a>is the lower layer of the dermis, located below the papillary layer. It is the thicker of the two dermal layers. It is composed of densely woven collagen and elastin fibres. These protein fibres give the dermis its properties of strength and elasticity. This layer of the dermis cushions subcutaneous tissues of the body from stress and strain. The reticular layer of the dermis also contains most of the structures in the dermis, such as <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2936\">glands<\/a> and hair <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2684\">follicle<span style=\"font-size: 1em\">s<\/span><span style=\"text-align: initial;font-size: 1em\"><\/a><\/span><span style=\"text-align: initial;font-size: 1em\">.<\/span><\/p>\n<div>\n<h1>Structures in the Dermis<\/h1>\n<\/div>\n<p>Both papillary and reticular layers of the dermis contain numerous <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3006\">sensory receptors<\/a>, which make the skin the body\u2019s primary sensory organ for the sense of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3129\">touch<\/a>. Both dermal layers also contain blood vessels. They provide nutrients to remove wastes from dermal cells, as well as cells in the lowest layer of the epidermis, the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3542\">stratum basale<\/a>. The circulatory components of the dermis are shown in Figure 10.4.4 below.<\/p>\n<figure id=\"attachment_861\" aria-describedby=\"caption-attachment-861\" style=\"width: 1024px\" class=\"wp-caption aligncenter\"><img class=\"size-full wp-image-854\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Blausen_0802_Skin_DermalCirculation.png\" alt=\"10.3 Dermal Circulation\" width=\"1024\" height=\"819\"><figcaption id=\"caption-attachment-861\" class=\"wp-caption-text\"><em>Figure 10.4.4 Both the papillary layer and the reticular layer of the dermis contain blood vessels, as shown in this diagram.<\/em><\/figcaption><\/figure>\n<h2>Glands<\/h2>\n<p>Glands in the reticular layer of the dermis include sweat glands and sebaceous (oil) glands. Both are exocrine glands, which are glands that release their secretions through ducts to nearby body surfaces. The diagram in Figure 10.4.5 shows these glands, as well as several other structures in the dermis.<\/p>\n<figure id=\"attachment_861\" aria-describedby=\"caption-attachment-861\" style=\"width: 702px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-856 \" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Anatomy_The_Skin_-_NCI_Visuals_Online-1-e1591224136617.jpg\" alt=\"10.4 Skin Glands\" width=\"702\" height=\"580\"><figcaption id=\"caption-attachment-861\" class=\"wp-caption-text\"><em>Figure 10.4.5 The dermis contains sweat and oil (sebaceous) glands, as well as hair follicles and blood vessels.<\/em><\/figcaption><\/figure>\n<h3>Sweat Glands<\/h3>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3566\">Sweat glands<\/a><\/strong>\u00a0produce the fluid called sweat, which contains mainly\u00a0water\u00a0and salts. The glands have ducts that carry the sweat to\u00a0hair\u00a0follicles, or to the surface of the skin. There are two different types of sweat glands: eccrine glands and apocrine glands.<\/p>\n<ul>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3568\">Eccrine sweat gland<strong>s<\/strong><\/a><\/strong>\u00a0occur in skin all over the body. Their ducts empty through tiny openings called pores onto the skin surface. These sweat glands are involved in\u00a0temperature\u00a0regulation.<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3569\">Apocrine sweat gland<strong>s<\/strong><\/a><\/strong>\u00a0are larger than eccrine glands, and occur only in the skin of the armpits and groin. The ducts of apocrine glands empty into hair follicles, and then the sweat travels along hairs to reach the surface. Apocrine glands are inactive until\u00a0puberty, at which point they start producing an oily sweat that is consumed by\u00a0bacteria\u00a0living on the skin. The digestion of apocrine sweat by bacteria\u00a0causes\u00a0body odor.<\/li>\n<\/ul>\n<h3>Sebaceous Glands<\/h3>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3570\">Sebaceous gland<\/strong><strong style=\"font-size: 1em\">s<\/strong><strong style=\"text-align: initial;font-size: 1em\"><\/a><\/strong><span style=\"text-align: initial;font-size: 1em\">\u00a0are exocrine glands that produce a thick, fatty substance called sebum.\u00a0<\/span><strong style=\"text-align: initial;font-size: 1em\"><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3571\">Sebum<\/a><\/strong><span style=\"text-align: initial;font-size: 1em\">\u00a0is secreted into hair follicles and makes its way to the skin surface along hairs. It waterproofs the hair and skin, and helps prevent them from drying out. Sebum also has antibacterial properties, so it inhibits the growth of microorganisms on the skin. Sebaceous glands are found in every part of the skin \u2014 except for the palms of the hands and soles of the feet, where hair does not grow.<\/span><\/p>\n<h2>Hair Follicles<\/h2>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3572\">Hair follicle<\/strong><strong style=\"font-size: 1em\">s<\/strong><strong style=\"text-align: initial;font-size: 1em\"><\/a><\/strong><span style=\"text-align: initial;font-size: 1em\">\u00a0are the structures where hairs originate (see the diagram\u00a0above). Hairs grow out of follicles, pass through the epidermis, and exit at the surface of the skin. Associated with each hair follicle is a sebaceous gland, which secretes sebum that coats and waterproofs the hair. Each follicle also has a bed of capillaries, a nerve ending, and a tiny muscle called an <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2454\">arrector pili<\/a>.<\/span><\/p>\n<div>\n<h1>Functions of the Dermis<\/h1>\n<\/div>\n<p>The main functions of the dermis are regulating body temperature, enabling the sense of touch, and eliminating wastes from the body.<\/p>\n<h2>Temperature Regulation<\/h2>\n<p>Several structures in the reticular layer of the dermis are involved in regulating body temperature. For example, when body temperature rises, the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2937\">hypothalamus<\/a> of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2554\">brain<\/a> sends nerve signals to sweat glands, causing them to release sweat. An adult can sweat up to four litres an hour. As the sweat evaporates from the surface of the body, it uses energy in the form of body heat, thus cooling the body. The hypothalamus also causes dilation of blood vessels in the dermis when body temperature rises. This allows more blood to flow through the skin, bringing body heat to the surface, where it can radiate into the environment.<\/p>\n<p>When the body is too cool, sweat glands stop producing sweat, and blood vessels in the skin constrict, thus conserving body\u00a0heat. The arrector pili\u00a0muscles\u00a0also contract, moving hair follicles and lifting hair shafts. This results in more air being trapped under the hairs to insulate the surface of the skin. These contractions of arrector pili muscles are the cause of goose bumps.<\/p>\n<h2>Sensing\u00a0the Environment<\/h2>\n<p>Sensory receptors in the dermis are mainly responsible for the body\u2019s tactile\u00a0senses. The receptors detect such tactile stimuli as warm or cold temperature, shape, texture, pressure, vibration, and pain. They send\u00a0nerve impulses\u00a0to the brain, which interprets and responds to the sensory information. Sensory receptors in the dermis can be classified on the basis of the type of touch stimulus they sense.\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3124\">Mechanoreceptor<\/strong><strong style=\"font-size: 1em\">s<\/strong><strong style=\"text-align: initial;font-size: 1em\"><\/a><\/strong><span style=\"text-align: initial;font-size: 1em\">\u00a0sense mechanical forces such as pressure, roughness, vibration, and stretching.\u00a0<\/span><strong style=\"text-align: initial;font-size: 1em\"><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3125\">Thermoreceptor<\/strong><strong style=\"font-size: 1em;text-align: initial\">s<\/strong><strong style=\"text-align: initial;font-size: 1em\"><\/a><\/strong><span style=\"text-align: initial;font-size: 1em\">\u00a0sense variations in temperature that are above or below body temperature.\u00a0<\/span><strong style=\"text-align: initial;font-size: 1em\"><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3126\">Nociceptor<\/strong><strong style=\"font-size: 1em;text-align: initial\">s<\/strong><strong style=\"text-align: initial;font-size: 1em\"><\/a><\/strong><span style=\"text-align: initial;font-size: 1em\"> sense painful stimuli. Figure 10.4.6 shows several specific kinds of tactile receptors in the dermis. Each kind of receptor senses one or more types of touch stimuli.<\/span><\/p>\n<ul>\n<li>Free nerve endings sense pain and temperature variations.<\/li>\n<li>Merkel\u00a0cells\u00a0sense light touch, shapes, and textures.<\/li>\n<li>Meissner\u2019s corpuscles sense light touch.<\/li>\n<li>Pacinian corpuscles sense pressure and vibration.<\/li>\n<li>Ruffini corpuscles sense stretching and sustained pressure.<\/li>\n<\/ul>\n<figure id=\"attachment_861\" aria-describedby=\"caption-attachment-861\" style=\"width: 836px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-858 \" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Blausen_0809_Skin_TactileReceptors-e1591224860583.png\" alt=\"10.4 Tactile Receptors\" width=\"836\" height=\"669\"><figcaption id=\"caption-attachment-861\" class=\"wp-caption-text\"><em>Figure 10.4.6 A variety of types of tactile receptors are located in the dermis of the skin.<\/em><\/figcaption><\/figure>\n<h2>Excreting Wastes<\/h2>\n<p>The sweat released by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3568\">eccrine sweat gland<span style=\"font-size: 1em\">s<\/span><span style=\"text-align: initial;font-size: 1em\"><\/a><\/span><span style=\"text-align: initial;font-size: 1em\">\u00a0is one way the body excretes waste products. Sweat contains excess\u00a0water, salts (electrolytes), and other waste products that the body must get rid of to maintain\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2350\">homeostasis<\/a>. The most common electrolytes in sweat are sodium and chloride. Potassium, calcium, and magnesium electrolytes may be excreted in sweat, as well. When these electrolytes reach high levels in the\u00a0blood, more are excreted in sweat. This helps to bring their blood levels back into balance. Besides electrolytes, sweat contains small amounts of waste products from <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2368\">metabolism<\/a>, including ammonia and urea. Sweat may also contain alcohol in someone who has been drinking alcoholic beverages.<\/span><\/p>\n<div>\n<h1>Feature: My\u00a0Human Body<\/h1>\n<\/div>\n<figure id=\"attachment_861\" aria-describedby=\"caption-attachment-861\" style=\"width: 343px\" class=\"wp-caption alignright\"><img class=\"wp-image-861\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Akne-jugend.jpg\" alt=\"10.4.7\" width=\"343\" height=\"234\"><figcaption id=\"caption-attachment-861\" class=\"wp-caption-text\"><em>Figure 10.4.7 Acne can be embarrassing, but most people will experience it at one point in their lives.<\/em><\/figcaption><\/figure>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3576\">Acne<\/a><\/strong> is the most common skin disorder in the Canada. At least 20% of Canadians have acne at any given time and it affects approximately 90% of adolescents (as in Figure 10.4.7). Although acne occurs most commonly in teens and young adults, but it can occur at any age. Even newborn babies can get acne.<\/p>\n<p>The main sign of acne is the appearance of pimples (pustules) on the skin, like those in the photo above. Other signs of acne may include whiteheads, blackheads, nodules, and other lesions. Besides the face, acne can appear on the back, chest, neck, shoulders, upper arms, and buttocks. Acne can permanently scar the skin, especially if it isn\u2019t treated appropriately. Besides its physical effects on the skin, acne can also lead to low self-esteem and depression.<\/p>\n<p>Acne is caused by clogged, sebum-filled pores that provide a perfect environment for the growth of\u00a0bacteria. The bacteria cause infection, and the immune system responds with inflammation. Inflammation, in turn, causes swelling and redness, and may be associated with the formation of pus. If the inflammation goes deep into the skin, it may form an acne nodule.<\/p>\n<p>Mild acne often responds well to treatment with over-the-counter (OTC) products containing benzoyl peroxide or salicylic\u00a0acid. Treatment with these products may take a month or two to clear up the acne. Once the skin clears, treatment generally needs to continue for some time to prevent future breakouts.<\/p>\n<p>If acne fails to respond to OTC products, nodules develop, or acne is affecting self-esteem, a visit to a dermatologist is in order. A dermatologist can determine which treatment is best for a given patient. A dermatologist can also prescribe prescription medications (which are likely to be more effective than OTC products) and provide other medical treatments, such as laser light therapies or chemical peels.<\/p>\n<p>What can you do to maintain healthy skin and prevent or reduce acne? Dermatologists recommend the following tips:<\/p>\n<ul>\n<li>Wash affected or acne-prone skin (such as the face) twice a day, and after sweating.<\/li>\n<li>Use your fingertips to apply a gentle, non-abrasive cleanser. Avoid scrubbing, which can make acne worse.<\/li>\n<li>Use only alcohol-free products and avoid any products that irritate the skin, such as harsh astringents or exfoliants.<\/li>\n<li>Rinse with lukewarm\u00a0water, and avoid using very hot or cold water.<\/li>\n<li>Shampoo your hair regularly.<\/li>\n<li>Do not pick, pop, or squeeze acne. If you do, it will take longer to heal and is more likely to scar.<\/li>\n<li>Keep your hands off your face. Avoid touching your skin throughout the day.<\/li>\n<li>Stay out of the\u00a0sun\u00a0and tanning beds. Some acne medications make your skin very sensitive to UV light.<\/li>\n<\/ul>\n<div>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">10.4 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2625\">dermis<\/a> is the inner and thicker of the two major layers that make up the skin. It consists mainly of a matrix of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2815\">connective tissue<\/a>s that provide strength and stretch. It also contains almost all skin structures, including <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3006\">sensory receptors<\/a>\u00a0and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2448\">blood vessel<\/a>s.<\/li>\n<li>The dermis has two layers. The upper <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2460\">papillary layer<\/a> has papillae extending upward into the epidermis and loose connective tissues. The lower <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2465\">reticular layer<\/a> has denser connective tissues and structures, such as glands and hair follicles. Glands in the dermis include eccrine and apocrine sweat glands and sebaceous glands. Hair <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2684\">follicles<\/a>\u00a0are structures where hairs originate.<\/li>\n<li>Functions of the dermis include cushioning subcutaneous tissues, regulating body temperature, sensing the environment, and excreting wastes. The dense connective tissues of the dermis provide cushioning. The dermis regulates body temperature mainly by sweating and by vasodilation or vasoconstriction. The many tactile sensory receptors in the dermis make it the main organ for the sense of touch. Wastes excreted in sweat include excess water, electrolytes, and certain metabolic wastes.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">10.4 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>What is the dermis?<\/li>\n<li>Describe the basic anatomy of the dermis.<\/li>\n<li>Compare and contrast the papillary and reticular layers of the dermis.<\/li>\n<li>What causes epidermal ridges, and why can they be used to identify individuals?<\/li>\n<li>Name the two types of sweat glands in the dermis, and explain\u00a0how they differ.<\/li>\n<li>What is the function of sebaceous glands?<\/li>\n<li>Describe the structures associated with hair follicles.<\/li>\n<li>Explain how the dermis helps regulate body temperature.<\/li>\n<li>Identify three specific kinds of tactile receptors in the dermis, along with the type of stimuli they sense.<\/li>\n<li>How does the dermis excrete wastes? What waste products does it excrete?<\/li>\n<li>What are subcutaneous tissues?\u00a0Which layer of the dermis provides cushioning for subcutaneous tissues? Why does this layer provide most of the cushioning, instead of the other layer?<\/li>\n<li>For each of the functions listed below, describe which structure within the dermis carries it out.\n<ol type=\"a\">\n<li>Brings nutrients to and removes wastes from dermal and lower epidermal cells<\/li>\n<li>Causes hairs to move<\/li>\n<li>Detects painful stimuli on the skin<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">10.4 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/www.youtube.com\/watch?v=FX-FwK0IIrE<\/p>\n<p style=\"text-align: center\">How do you get rid of acne? SciShow, 2016.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=VcHQWMAClhQ&amp;feature=emb_logo<\/p>\n<p style=\"text-align: center\">When You Can't Scratch Away An Itch, Seeker, 2013.<\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 10.4.1<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Goose_bumps.jpg\" rel=\"cc:attributionURL\">Goose_bumps<\/a> by <a class=\"external text\" href=\"https:\/\/www.flickr.com\/photos\/61532128@N00\" rel=\"nofollow\">EverJean<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\/deed.en\" rel=\"license\">CC BY 2.0 <\/a>(https:\/\/creativecommons.org\/licenses\/by\/2.0) license.<\/p>\n<p><strong>Figure 10.4.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:506_Layers_of_the_Dermis.jpg\" rel=\"cc:attributionURL\">Layers_of_the_Dermis<\/a>\u00a0by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/5-1-layers-of-the-skin\">OpenStax College<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en\" rel=\"license\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong>Figure 10.4.3<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Fingerprint_detail_on_male_finger_in_T%C5%99eb%C3%AD%C4%8D,_T%C5%99eb%C3%AD%C4%8D_District.jpg\" rel=\"cc:attributionURL\">Fingerprint_detail_on_male_finger_in_T\u0159eb\u00ed\u010d,_T\u0159eb\u00ed\u010d_District<\/a> by <a title=\"User:Frettie\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Frettie\">Frettie<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong style=\"text-align: initial;font-size: 1em\">Figure 10.4.4<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Blausen_0802_Skin_DermalCirculation.png\" rel=\"cc:attributionURL\">Blausen_0802_Skin_Dermal Circulation<\/a> by <a title=\"User:BruceBlaus\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus<\/a> on Wikimedia commons is used under a <span style=\"text-align: initial;font-size: 1em\">\u00a0<a style=\"text-align: initial;font-size: 1em\" href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\" rel=\"license\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.\u00a0<\/span><\/p>\n<p><strong>Figure 10.4.5<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Anatomy_The_Skin_-_NCI_Visuals_Online.jpg\" rel=\"cc:attributionURL\">Anatomy_The_Skin_-_NCI_Visuals_Online<\/a>\u00a0by Don Bliss (artist) \/ \u00a0<a class=\"extiw\" title=\"en:National Cancer Institute\" href=\"https:\/\/en.wikipedia.org\/wiki\/National_Cancer_Institute\">National Cancer Institute<\/a> (<a class=\"extiw\" title=\"en:National Institutes of Health\" href=\"https:\/\/en.wikipedia.org\/wiki\/National_Institutes_of_Health\">National Institutes of Health<\/a>, with the ID\u00a0<a class=\"external text\" href=\"https:\/\/visualsonline.cancer.gov\/details.cfm?imageid=4604\" rel=\"nofollow\">4604<\/a>) is in the<span style=\"font-size: 1em\"> <a class=\"extiw\" title=\"w:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/public_domain).<\/span><span style=\"text-align: initial;font-size: 1em\">\u00a0<\/span><\/p>\n<p><strong>Figure 10.4.6<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Blausen_0809_Skin_TactileReceptors.png\" rel=\"cc:attributionURL\">Blausen_0809_Skin_TactileReceptors<\/a> by <a title=\"User:BruceBlaus\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus<\/a> on Wikimedia commons is used under a <span style=\"text-align: initial;font-size: 1em\">\u00a0<a style=\"text-align: initial;font-size: 1em\" href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\" rel=\"license\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.\u00a0<\/span><\/p>\n<p><strong>Figure 10.4.7<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Akne-jugend.jpg\" rel=\"cc:attributionURL\">Akne-jugend<\/a> by <a title=\"User:Ellywa\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Ellywa\">Ellywa<\/a> on Wikimedia Commons is released into the <a class=\"extiw\" title=\"w:en:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/en:public_domain\">public domain<\/a> <span style=\"font-size: 1em\">(https:\/\/en.wikipedia.org\/wiki\/public_domain)<\/span>. (No machine-readable author provided. <a title=\"User:Ellywa\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Ellywa\">Ellywa<\/a>\u00a0assumed, based on copyright claims).<\/p>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, June 19). Figure 5.7 Layers of the dermis [digital image]. In <em>Anatomy and Physiology<\/em> (Section 5.1 Layers of the skin). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/5-1-layers-of-the-skin<\/p>\n<p class=\"hanging-indent\">Blausen.com staff. (2014). Medical gallery of Blausen Medical 2014. <em>WikiJournal of Medicine 1<\/em> (2). DOI:10.15347\/wjm\/2014.010. ISSN 2002-4436.<\/p>\n<p class=\"hanging-indent\">SciShow. (2016, October 26). How do you get rid of acne? YouTube. https:\/\/www.youtube.com\/watch?v=FX-FwK0IIrE<\/p>\n<p class=\"hanging-indent\">Seeker. (2013, October 26). When you can't scratch away an itch. YouTube. https:\/\/www.youtube.com\/watch?v=VcHQWMAClhQ&amp;amp;feature=emb_logo<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4696_6005\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4696_6005\"><div tabindex=\"-1\"><p>A three-dimensional network of extracellular macromolecules, such as collagen, enzymes, and glycoproteins, that provide structural and biochemical support to surrounding cells.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4696_2817\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4696_2817\"><div tabindex=\"-1\"><p>Created by CK-12 Foundation\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_894\" aria-describedby=\"caption-attachment-894\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-888\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Nails-by-allison-christine-vPrqHSLdF28-unsplash-scaled-e1591304396521.jpg\" alt=\"10.6.1\" width=\"400\" height=\"400\"><figcaption id=\"caption-attachment-894\" class=\"wp-caption-text\"><em>Figure 10.6.1 Neat nails!<\/em><\/figcaption><\/figure>\n<div>\n<h1>Nail Art<\/h1>\n<\/div>\n<p>Painting nails with coloured polish for aesthetic reasons is nothing new. In fact, there is evidence of this practice dating back to at least 3000 BCE. Today, painting and otherwise decorating the nails is big business, with annual revenues in the billions of dollars in North America alone! With all the attention (and money) given to nails as decorative objects, it\u2019s easy to forget that they also have important biological functions.<\/p>\n<div>\n<h1>What Are Nails?<\/h1>\n<\/div>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2003\">Nail<\/strong><strong style=\"font-size: 1em\">s<\/strong><strong style=\"text-align: initial;font-size: 1em\"><\/a><\/strong><span style=\"text-align: initial;font-size: 1em\">\u00a0are accessory organs of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3521\">skin<\/a>. They are made of sheets of dead <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3524\">keratinocytes<\/a> and are found on the far (or distal) ends of the fingers and toes. The keratin in nails makes them hard, but flexible. Nails serve a number of purposes, including protecting the digits, enhancing sensations, and acting as tools.<\/span><\/p>\n<div>\n<h1>Nail Anatomy<\/h1>\n<\/div>\n<figure id=\"attachment_894\" aria-describedby=\"caption-attachment-894\" style=\"width: 300px\" class=\"wp-caption alignright\"><img class=\" wp-image-890\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Blausen_0406_FingerNailAnatomy.png\" alt=\"10.5 Nail Anatomy\" width=\"300\" height=\"600\"><figcaption id=\"caption-attachment-894\" class=\"wp-caption-text\"><em>Figure 10.6.2 The top diagram in this diagram shows the external, visible part of the nail and the cuticle. The bottom diagram shows internal structures in a cross-section of the nail and nail bed.<\/em><\/figcaption><\/figure>\n<p>A nail has three main parts: the root, plate, and free margin. Other structures around or under the nail include the nail bed, cuticle, and nail fold. These structures are shown in Figure 10.6.2.<\/p>\n<ul>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3912\">nail root<\/a><\/strong>\u00a0is the portion of the nail found under the surface of the skin at the near (or proximal) end of the nail. It is where the nail begins.<\/li>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2157\">nail plate<\/a><\/strong>\u00a0(or body) is the portion of the nail that is external to the skin. It is the visible part of the nail.<\/li>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3916\">free margin<\/a><\/strong>\u00a0is the portion of the nail that protrudes beyond the distal end of the finger or toe. This is the part that is cut or filed to keep the nail trimmed.<\/li>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3914\">nail bed<\/a><\/strong> is the area of skin under the nail plate. It is pink in\u00a0colour, due to the presence of capillaries in the\u00a0dermis.<\/li>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3917\">cuticle<\/a><\/strong>\u00a0is a layer of dead epithelial\u00a0cells\u00a0that overlaps and covers the edge of the nail plate. It helps to seal the edges of the nail to prevent infection of the underlying tissues.<\/li>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3915\">nail fold<\/a><\/strong>\u00a0is a groove in the skin in which the side edges of the nail plate are embedded.<\/li>\n<\/ul>\n<div>\n<p>&nbsp;<\/p>\n<\/div>\n<div>\n<h1>Nail Growth<\/h1>\n<\/div>\n<p>Nails grow from a deep layer of living epidermal tissue, known as the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3920\">nail matrix<\/a>,<\/strong> at the proximal end of the nail (see the bottom of the diagram in Figure 10.6.2). The nail matrix surrounds the nail root. It contains stem cells that divide to form keratinocytes, which are cells that produce keratin and make up the nail.<\/p>\n<h2>Formation of the Nail Root and Nail Plate<\/h2>\n<p>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3524\">keratinocytes<\/a> produced by the nail matrix accumulate to form tough, hard, translucent sheets of dead\u00a0cells\u00a0filled with <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3525\">keratin<\/a>. The sheets make up the nail root, which slowly grows out of the skin and becomes the nail plate when it reaches the skin surface. As the nail grows longer, the cells of the nail root and nail plate are pushed toward the distal end of the finger or toe by new cells being formed in the nail matrix. The upper epidermal cells of the nail bed also move along with the nail plate as it grows toward the tip of the digit.<\/p>\n<p>The proximal end of the nail plate near the root has a whitish crescent shape called the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3921\">lunula<\/a><\/strong>. This is where a small amount of the nail matrix is visible through the nail plate. The lunula is most pronounced in the nails of the thumbs, and may not be visible in the nails of the little fingers.<\/p>\n<h2>Rate of Nail Growth<\/h2>\n<p>Nails grow at an average rate of 3 mm a month. Fingernails, however, grow up to four times as fast as toenails. If a fingernail is lost, it takes between three and six months to regrow completely, whereas a toenail takes between 12 and 18 months to regrow. The actual rate of growth of an individual\u2019s nails depends on many factors, including age, sex, season, diet, exercise level, and genes. If protected from breaking, nails can sometimes grow to be very long. The Chinese doctor in the photo below (Figure 10.6.3) has very long nails on two fingers of his left hand. This picture was taken in 1920 in China, where having long nails was a sign of aristocracy since it implied that one was wealthy enough to not have to do physical labour.<\/p>\n<figure id=\"attachment_894\" aria-describedby=\"caption-attachment-894\" style=\"width: 313px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-3922\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Chinese_doctor_with_long_finger_nails_an_aristocrat_ca.1920_CHS-249-scaled-1.jpg\" alt=\"10.6 Fingernails and aristocracy\" width=\"313\" height=\"500\"><figcaption id=\"caption-attachment-894\" class=\"wp-caption-text\"><em>Figure 10.6.3 Nails, like hair, can have sociocultural relevance, as the man in this photo illustrates. His long nails indicate his aristocratic heritage.<\/em><\/figcaption><\/figure>\n<div>\n<h1>Functions of Nails<\/h1>\n<\/div>\n<p>Both fingernails and toenails protect the soft tissues of the fingers and toes from injury. Fingernails also serve to enhance sensation and precise movements of the fingertips through the counter-pressure exerted on the pulp of the fingers by the nails. In addition, fingernails can function as several different types of tools. For example, they enable a fine precision grip like tweezers, and can also be used for cutting and scraping.<\/p>\n<div>\n<h1>Nails and Health<\/h1>\n<\/div>\n<p>Healthcare providers, particularly EMTs, often examine the fingernail beds as a quick and easy indicator of oxygen saturation of the blood, or the amount of blood reaching the extremities. If the nail beds are bluish or purple, it is generally a sign of low oxygen saturation. To see if blood flow to the extremities is adequate, a blanch test may be done. In this test, a fingernail is briefly depressed to turn the nail bed white by forcing the blood out of its capillaries. When the pressure is released, the pink colour of the nail bed should return within a second or two if there is normal blood flow. If the return to a pink colour is delayed, then it can be an indicator of low blood volume, due to dehydration or shock.<\/p>\n<figure id=\"attachment_894\" aria-describedby=\"caption-attachment-894\" style=\"width: 386px\" class=\"wp-caption alignleft\"><img class=\" wp-image-894\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Toenail-fungus-Nagelpilz-3.jpg\" alt=\"10.6 Toenail fungus\" width=\"386\" height=\"290\"><figcaption id=\"caption-attachment-894\" class=\"wp-caption-text\"><em>Figure 10.6.4 Fungus infections of the toenails are common. They often look worse than they are. Generally, they are more unsightly than painful or dangerous.<\/em><\/figcaption><\/figure>\n<p>How the visible portion of the nails appears can be used as an indicator of recent health status. In fact, nails have been used as diagnostic tools for hundreds \u2014 if not thousands \u2014 of years. Nail abnormalities, such as deep grooves, brittleness, discolouration, or unusually thin or thick nails, may indicate various illnesses, nutrient deficiencies, drug reactions, or other health problems.<\/p>\n<p>Nails \u2014 especially toenails \u2014 are common sites of fungal infections (shown in Figure 10.6.4), causing nails to become thickened and yellowish in colour. Toenails are more often infected than fingernails because they are often confined in shoes, which creates a dark, warm, moist environment where fungi can thrive. Toes also tend to have less blood flow than fingers, making it harder for the immune system to detect and stop infections in toenails.<\/p>\n<p>Although nails are harder and tougher than skin, they are also more permeable. Harmful substances may be absorbed through the nails and cause health problems. Some of the substances that can pass through the nails include the herbicide Paraquat, fungicidal agents such as miconazole (e.g., Monistat), and sodium hypochlorite, which is an ingredient in common household bleach. Care should be taken to protect the nails from such substances when handling or immersing the hands in them by wearing latex or rubber gloves.<\/p>\n<div>\n<h1>Feature: Reliable Sources<\/h1>\n<figure id=\"attachment_896\" aria-describedby=\"caption-attachment-896\" style=\"width: 400px\" class=\"wp-caption alignright\"><img class=\"wp-image-896 size-full\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Pedicure-in-progress-from-wikimedia-commons.jpg\" alt=\"10.6.5 Nail salon\" width=\"400\" height=\"300\"><figcaption id=\"caption-attachment-896\" class=\"wp-caption-text\"><em>Figure 10.6.5 Nail salons must follow very strict cleanliness guidelines in order to reduce the chances of transmitting pathogens from one customer to the next.<\/em><\/figcaption><\/figure>\n<\/div>\n<p>Do you get regular manicures or pedicures from a nail technician? If so, there is a chance that you are putting your health at risk. Nail tools that are not properly disinfected between clients may transmit infections from one person to another. Cutting the cuticles with scissors may create breaks in the skin that let infective agents enter the body. Products such as acrylics, adhesives, and UV gels that are applied to the nails may be harmful, especially if they penetrate the nails and enter the skin.<\/p>\n<p>Use the Internet to find several reliable sources that address the health risks of professional manicures or pedicures. Try to find answers to the following questions:<\/p>\n<ol>\n<li>What training and certification are required for professional nail technicians?<\/li>\n<li>What licenses and inspections are required for nail salons?<\/li>\n<li>What hygienic practices should be followed in nail salons to reduce the risk of infections being transmitted to clients?<\/li>\n<li>Which professional nail products are potentially harmful to the\u00a0human body\u00a0and which are safer?<\/li>\n<li>How likely is it to have an adverse health consequence when you get a professional manicure or pedicure?<\/li>\n<li>What steps can you take to ensure that a professional manicure or pedicure is safe?<\/li>\n<\/ol>\n<div>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">10.6 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2003\">Nails<\/a>\u00a0are accessory organs of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3521\">skin<\/a>, consisting of sheets of dead, keratin-filled <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3524\">keratinocytes<\/a>. The keratin in nails makes them hard, but flexible.<\/li>\n<li>A nail has three main parts: the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3912\">nail root<\/a> (which is under the epidermis), the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2157\">nail plate<\/a> (which is the visible part of the nail), and the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3916\">free margin<\/a> (which is the distal edge of the nail). Other structures under or around a nail include the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3914\">nail bed<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3917\">cuticle<\/a>, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3915\">nail fold<\/a>.<\/li>\n<li>A nail grows from a deep layer of living epidermal tissues \u2014 called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3920\">nail matrix<\/a> \u2014 at the proximal end of the nail. Stem cells in the nail matrix keep dividing to allow nail growth, forming first the nail root and then the nail plate as the nail continues to grow longer and emerges from the\u00a0epidermis.<\/li>\n<li>Fingernails grow faster than toenails. Actual rates of growth depend on many factors, such as age, sex, and season.<\/li>\n<li>Functions of nails include protecting the digits, enhancing sensations and precise movements of the fingertips, and acting as tools.<\/li>\n<li>The colour of the nail bed can be used to quickly assess oxygen and blood flow in a patient. How the nail plate grows out can reflect recent health problems, such as illness or nutrient deficiency.<\/li>\n<li>Nails \u2014 and especially toenails \u2014 are prone to fungus infections. Nails are more permeable than skin and can absorb several harmful substances, such as herbicides.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">10.6 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>What are nails?<\/li>\n<li>\n<div id=\"h5p-151\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-151\" class=\"h5p-iframe\" data-content-id=\"151\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"9.2 Review Questions\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Explain why most of the nail plate looks pink.<\/li>\n<li>Describe a lunula.<\/li>\n<li>Explain how a nail grows.<\/li>\n<li>Identify three functions of nails.<\/li>\n<li>Give several examples of how nails are related to health.<\/li>\n<li>What is the cuticle of the nail composed of?\u00a0What is the function of the cuticle?\u00a0Why is it a bad idea to cut the cuticle during a manicure?<\/li>\n<li>Is the nail plate composed of living or dead cells?<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">10.6 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/www.youtube.com\/watch?v=G35kPhbUZdg<\/p>\n<p style=\"text-align: center\">Longest Fingernails - Guinness World Records 60th Anniversary,<br \/>\nGuinness World Records, 2014.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=aTSVHwzkYI4&amp;feature=emb_logo<\/p>\n<p style=\"text-align: center\">5 Things Your Nails Can Say About Your Health, SciShow, 2015.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=7w2gCBL1MCg<\/p>\n<p style=\"text-align: center\">Claws vs. Nails - Matthew Borths, TED-Ed, 2019.<\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 10.6.1<\/strong><\/p>\n<p><a href=\"https:\/\/unsplash.com\/photos\/vPrqHSLdF28\" rel=\"cc:attributionURL\">Nails by allison-christine-vPrqHSLdF28<\/a>\u00a0[photo] by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@happpyal\">allison christine<\/a> on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/p>\n<p><strong>Figure 10.6.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Blausen_0406_FingerNailAnatomy.png\" rel=\"cc:attributionURL\">Blausen_0406_FingerNailAnatomy<\/a> by <a title=\"User:BruceBlaus\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus<\/a>\u00a0 on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\" rel=\"license\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong>Figure 10.6.3<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Chinese_doctor_with_long_finger_nails_(an_aristocrat),_ca.1920_(CHS-249).jpg\" rel=\"cc:attributionURL\">Chinese_doctor_with_long_finger_nails_(an_aristocrat),_ca.1920_(CHS-249)<\/a> by Pierce, C.C. (Charles C.), 1861-1946 from the <a href=\"http:\/\/digitallibrary.usc.edu\/cdm\/ref\/collection\/p15799coll65\/id\/8203\">USC Digital Library<\/a> on Wikimedia Commons is in the <a class=\"extiw\" title=\"w:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/public_domain).<\/p>\n<p><strong>Figure 10.6.4<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Nagelpilz-3.jpg\" rel=\"cc:attributionURL\">Toenail fungus Nagelpilz-3<\/a> by <a class=\"new mw-userlink\" title=\"User:Pepsyrock (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Pepsyrock&amp;action=edit&amp;redlink=1\">Pepsyrock<\/a> on Wikimedia Commons is released into the <a class=\"extiw\" title=\"w:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/public_domain).<\/p>\n<p><strong>Figure 10.6.5<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Pedicure_1.jpg\" rel=\"cc:attributionURL\">OLYMPUS DIGITAL CAMERA<\/a> by <a class=\"extiw\" title=\"en:User:Stoive\" href=\"https:\/\/en.wikipedia.org\/wiki\/User:Stoive\">Stoive<\/a> at the English language Wikipedia, on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en\" rel=\"license\">CC BY-SA 3.0 <\/a>(http:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/) license.<\/p>\n<p><span style=\"font-size: 1.424em;font-weight: bold\"><br \/>\nReferences<\/span><\/p>\n<p class=\"hanging-indent\">Blausen.com staff. (2014). Medical gallery of Blausen Medical 2014. <em>WikiJournal of Medicine 1<\/em> (2). DOI:10.15347\/wjm\/2014.010. ISSN 2002-4436.<\/p>\n<p class=\"hanging-indent\">Guiness World Records. (2014, December 8). Longest fingernails - Guinness World Records 60th Anniversary. YouTube. https:\/\/www.youtube.com\/watch?v=G35kPhbUZdg<\/p>\n<p class=\"hanging-indent\">SciShow. (2015, September 14). 5 things your nails can say about your health. YouTube. https:\/\/www.youtube.com\/watch?v=aTSVHwzkYI4<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2019, October 29). Claws vs. nails - Matthew Borths. YouTube. https:\/\/www.youtube.com\/watch?v=7w2gCBL1MCg<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4696_2818\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4696_2818\"><div tabindex=\"-1\"><p>Created by CK-12 Foundation\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_907\" aria-describedby=\"caption-attachment-907\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-903\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Stolen_Moment_in_the_Sun.jpg\" alt=\"10.7.1 Sunbathing\" width=\"400\" height=\"267\"><figcaption id=\"caption-attachment-907\" class=\"wp-caption-text\"><em>Figure 10.7.1 I hope they're wearing sunscreen!<\/em><\/figcaption><\/figure>\n<div>\n<h1>Bathing in Sunshine<\/h1>\n<\/div>\n<p>Summer sun may feel good on your body, but its invisible <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3537\">UV rays<\/a> wreak havoc on your skin. Exposing the skin to UV light causes photo-aging: premature wrinkling, brown discolourations, and other unattractive signs of sun exposure. Even worse, UV light increases your risk of skin cancer.<\/p>\n<div>\n<h1>What Is Skin Cancer?<\/h1>\n<\/div>\n<p>Skin <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2148\">cancer<\/a> is a disease in which skin cells grow out of control. It is caused mainly by excessive exposure to UV light, which damages <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_277\">DNA<\/a>. Therefore, skin cancer most often develops on areas of the skin that are frequently exposed to UV light. However, it can also occur on areas that are rarely exposed to UV light. Skin cancer affects people of all skin colours, including those with dark skin. It also affects more people altogether than all other cancers combined. One in five Canadians develops skin cancer in his or her lifetime.<\/p>\n<div>\n<h1>Types of Skin Cancer<\/h1>\n<\/div>\n<p>Skin cancer begins in the outer layer of skin, the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2655\">epidermis<\/a>. There are three common types of skin cancer: basal cell carcinoma, squamous cell carcinoma, and melanoma.<\/p>\n<h2>Basal Cell Carcinoma<\/h2>\n<figure id=\"attachment_907\" aria-describedby=\"caption-attachment-907\" style=\"width: 382px\" class=\"wp-caption alignright\"><img class=\" wp-image-905\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Basal_cell_carcinoma_ulcerated.jpg\" alt=\"10.6 Basal Cell Carcinoma\" width=\"382\" height=\"255\"><figcaption id=\"caption-attachment-907\" class=\"wp-caption-text\">Figure 10.7.2 Basal cell carcinoma<\/figcaption><\/figure>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3927\">Basal cell carcinoma<\/a><\/strong> occurs in basal cells of the epidermis. Basal cells are <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3163\">stem cell<span style=\"font-size: 1em\">s<\/span><span style=\"text-align: initial;font-size: 1em\"><\/a><\/span><span style=\"text-align: initial;font-size: 1em\"> in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3542\">stratum basale<\/a> layer that divide to form all the keratinocytes of the epidermis. Basal cell carcinoma is the most common form of skin cancer and 1 in 8 Canadians will develop basal cell carcinoma during their lifetime.\u00a0 A basal cell carcinoma may appear as a pearly or waxy sore, like the one shown in Figure 10.7.2. Basal cell carcinomas rarely spread (or undergo <\/span><strong style=\"text-align: initial;font-size: 1em\"><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3928\">metastasis<\/a><\/strong><span style=\"text-align: initial;font-size: 1em\">)<\/span><strong style=\"text-align: initial;font-size: 1em\">,<\/strong><span style=\"text-align: initial;font-size: 1em\">\u00a0so they can generally be cured with a\u00a0<\/span><strong style=\"text-align: initial;font-size: 1em\"><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3929\">biopsy<\/a>,<\/strong><span style=\"text-align: initial;font-size: 1em\">\u00a0in which the lesion is cut out of the skin and analyzed in a medical lab.<\/span><\/p>\n<div>\n<p><span style=\"font-size: 1.424em;font-weight: bold\">Squamous Cell Carcinoma<\/span><\/p>\n<\/div>\n<figure id=\"attachment_907\" aria-describedby=\"caption-attachment-907\" style=\"width: 192px\" class=\"wp-caption alignleft\"><img class=\" wp-image-906\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Squamous_cell_carcinoma_1.jpg\" alt=\"10.7 Squamous cell carcinoma\" width=\"192\" height=\"237\"><figcaption id=\"caption-attachment-907\" class=\"wp-caption-text\">Figure 10.7.3 Squamous cell carcinoma<\/figcaption><\/figure>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3931\">Squamous cell carcinoma<\/a><\/strong> occurs in squamous cells of the epidermis. Squamous cells are flattened, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3525\">keratin<\/a>-filled cells in upper layers of the epidermis. Squamous cell carcinoma is the second most common form of skin cancer. More than two million cases occur in the United States each year. A squamous cell carcinoma may appear as a firm, red nodule, or as a flat lesion with a scaly or crusty surface, like the one pictured in Figure 10.7.3. Squamous cell carcinomas are generally localized and unlikely to metastasize, so they are usually curable surgically.<\/p>\n<p>&nbsp;<\/p>\n<div>\n<p><span style=\"font-size: 1.424em;font-weight: bold\">Melanoma<\/span><\/p>\n<\/div>\n<figure id=\"attachment_907\" aria-describedby=\"caption-attachment-907\" style=\"width: 251px\" class=\"wp-caption alignleft\"><img class=\" wp-image-907\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Melanoma.jpg\" alt=\"10.7 Melanoma\" width=\"251\" height=\"175\"><figcaption id=\"caption-attachment-907\" class=\"wp-caption-text\">Figure 10.7.4 Melanoma<\/figcaption><\/figure>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3933\">Melanoma<\/a><\/strong> occurs in <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3526\">melanocytes<\/a> of the epidermis. Melanocytes are the melanin-producing cells in the stratum basale of the epidermis. Melanoma is the rarest type of skin cancer, accounting for less than one per cent of all skin cancer cases. Melanoma, however, is the most deadly type of skin cancer. It causes the vast majority of skin cancer deaths, because melanoma is malignant. If not treated, it will metastasize and spread to other parts of the body. If melanoma is detected early and while it is still localized in the skin, most patients survive for at least five years. If melanoma is discovered only after it has already metastasized to distant organs, there is only a 17% of patients surviving for five years. You can see an example of a melanoma in Figure 10.7.4.<\/p>\n<p>Melanoma can develop anywhere on the body. It may develop in otherwise normal skin, or an existing mole may become cancerous. Signs of melanoma may include a:<\/p>\n<ul>\n<li>Mole that changes in size, feel, or colour.<\/li>\n<li>Mole that bleeds.<\/li>\n<li>Large brown spot on the skin sprinkled with darker specks.<\/li>\n<li>Small lesion with an irregular border and parts that appear red, white, blue, or blue-black.<\/li>\n<li>Dark lesion on the palms, soles, fingertips, toes, or mucous membranes.<\/li>\n<\/ul>\n<div>\n<h1>Skin Cancer Risk Factors<\/h1>\n<\/div>\n<p>Exposure to UV radiation causes about 90 per cent of all skin cancer cases. The connection between skin cancer and UV light is so strong that the World Health Organization has classified UV radiation (whether from tanning beds or the sun) as a Group 1 carcinogen (cancer-causing agent). Group 1 carcinogens are those carcinogens that are known with virtual <em>certainty<\/em>\u00a0to cause\u00a0cancer. In addition to UV light,\u00a0Group 1 carcinogens\u00a0include tobacco and plutonium.\u00a0In terms of numbers of cancers caused, UV radiation is far worse than tobacco. More people develop skin cancer because of UV light exposure than develop lung\u00a0cancer\u00a0because of smoking. The increase in cancer risk due to UV light is especially great if you have ever had blistering sunburns as a child or teen.<\/p>\n<p>Besides UV light exposure, other risk factors for skin cancer include:<\/p>\n<ul>\n<li>Having light coloured skin.<\/li>\n<li>Having a lot of moles.<\/li>\n<li>Being diagnosed with precancerous skin lesions.<\/li>\n<li>Having a family history of skin cancer.<\/li>\n<li>Having a personal history of skin cancer.<\/li>\n<li>Having a weakened immune system.<\/li>\n<li>Being exposed to other forms of radiation or to certain toxic substances such as arsenic.<\/li>\n<\/ul>\n<div>\n<h1>Feature: My\u00a0Human Body<\/h1>\n<\/div>\n<p>As with most types of cancer, skin cancer is easiest to treat and most likely to be cured the earlier it is detected. The skin is one of the few organs that you can monitor for cancer yourself, as long as you know what to look for. A brown spot on the skin is likely to be a harmless mole, but it could be a sign of skin cancer. As shown in Figure 10.7.5 below, unlike moles, skin cancers may be asymmetrical, have irregular borders, may be very dark in colour, and may have a relatively great diameter. These characteristics can be remembered with the acronym ABCD.<\/p>\n<div>\n<figure id=\"attachment_908\" aria-describedby=\"caption-attachment-908\" style=\"width: 500px\" class=\"wp-caption aligncenter\"><img class=\"size-full wp-image-908\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/ABCDs-of-skin-cancer.png\" alt=\"10.7 ABCDs of skin cancer\" width=\"500\" height=\"137\"><figcaption id=\"caption-attachment-908\" class=\"wp-caption-text\">Figure 10.7.5 ABCDs of skin cancer<\/figcaption><\/figure>\n<\/div>\n<p>With the help of\u00a0mirrors, you should check all of your skin regularly. Look for new skin growths or changes in any existing moles, freckles, bumps, or birthmarks. Report anything suspicious or different to your doctor.<\/p>\n<p>If you have risk factors for skin cancer, it\u2019s a good idea to have an annual skin check by a dermatologist. This helps ensure that cancerous or precancerous lesions will be detected before they grow too large and become difficult to cure, or in the case of melanoma, before they metastasize.<\/p>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">10.7 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>Skin <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2148\">cancer<\/a> is a disease in which skin cells grow out of control. It is caused mainly by excessive exposure to <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3537\">UV light<\/a>, which damages <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_277\">DNA<\/a>. Skin cancer affects more Canadians than all other cancers combined. There are three common types of skin cancer: <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3927\">basal cell carcinoma<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3931\">squamous cell carcinoma<\/a>, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_3933\">melanoma<\/a>. Carcinomas are more common and unlikely to metastasize. Melanoma is rare and likely to metastasize. It causes most skin cancer deaths.<\/li>\n<li>Besides exposure to UV light, risk factors for skin cancer include having light coloured skin, having lots of moles, and a family history of skin cancer, among several others.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">10.7 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>What is skin cancer?<\/li>\n<li>How common is skin cancer?<\/li>\n<li>\n<div id=\"h5p-152\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-152\" class=\"h5p-iframe\" data-content-id=\"152\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"9.2 Review Drag and Drop\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Compare and contrast the three common types of skin cancer.<\/li>\n<li>Identify factors that increase the risk of skin cancer.<\/li>\n<li>How does exposure to UV light cause skin cancer?<\/li>\n<li>In which layer of the skin does skin cancer normally start?<\/li>\n<li>Which two skin cancers described in this section start in the same sub-layer? Include the name of the sub-layer and the cells affected in each of these cancers.<\/li>\n<li>Which type of skin cancer is most likely to spread to other organs? Explain your answer.<\/li>\n<li>Which form of skin cancer is the most deadly?<\/li>\n<li>What are some ways people can reduce their risk of getting skin cancer? Explain your answer.<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">10.7 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/www.youtube.com\/watch?v=60e-t4zglBk&amp;feature=emb_logo<\/p>\n<p style=\"text-align: center\">The skin 'beauty' and the sun 'beast': Charareh Pourzand at TEDxBathUniveristy, TEDx Talks, 2014.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=ID-O-Ion3EQ&amp;feature=emb_logo<\/p>\n<p style=\"text-align: center\">Cancer of the Vulva, Robert Miller, 2014.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=BmFEoCFDi-w<\/p>\n<p style=\"text-align: center\">How do cancer cells behave differently from healthy ones? - George Zaidan, TED-Ed, 2012.<\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<h2>Attributions<\/h2>\n<p><strong>Figure 10.7.1<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Stolen_Moment_in_the_Sun.jpg\" rel=\"cc:attributionURL\">Stolen_Moment_in_the_Sun<\/a> by <a class=\"external text\" href=\"https:\/\/www.flickr.com\/people\/79908182@N00\" rel=\"nofollow\">Angie Garrett<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\">CC BY 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/2.0) license.<\/p>\n<p><strong>Figure 10.7.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Basal_cell_carcinoma,_ulcerated.jpg\" rel=\"cc:attributionURL\">Basal_cell_carcinoma,_ulcerated<\/a> by Kelly Nelson (Photographer) from <a class=\"extiw\" title=\"en:National Cancer Institute\" href=\"https:\/\/en.wikipedia.org\/wiki\/National_Cancer_Institute\">National Cancer Institute<\/a> (part of the <a class=\"extiw\" title=\"en:National Institutes of Health\" href=\"https:\/\/en.wikipedia.org\/wiki\/National_Institutes_of_Health\">National Institutes of Health)<\/a> with the ID\u00a0<a class=\"external text\" href=\"https:\/\/visualsonline.cancer.gov\/details.cfm?imageid=9237\" rel=\"nofollow\">9237<\/a> on Wikimedia Commons was released into the <a class=\"extiw\" title=\"w:en:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/en:public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain)<b>.<\/b><\/p>\n<p><strong>Figure 10.7.3<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Squamous_cell_carcinoma_(1).jpg\" rel=\"cc:attributionURL\">Squamous_cell_carcinoma_(1)<\/a> by Kelly Nelson (Photographer) from <a class=\"extiw\" title=\"en:National Cancer Institute\" href=\"https:\/\/en.wikipedia.org\/wiki\/National_Cancer_Institute\">National Cancer Institute<\/a> (part of the <a class=\"extiw\" title=\"en:National Institutes of Health\" href=\"https:\/\/en.wikipedia.org\/wiki\/National_Institutes_of_Health\">National Institutes of Health)<\/a> with the ID\u00a0<a class=\"external text\" href=\"https:\/\/visualsonline.cancer.gov\/details.cfm?imageid=9248\" rel=\"nofollow\">9248<\/a> on Wikimedia Commons was released into the <a class=\"extiw\" title=\"w:en:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/en:public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain)<b>.<\/b><\/p>\n<p><strong>Figure 10.7.4<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Melanoma.jpg\" rel=\"cc:attributionURL\">Melanoma<\/a> by Unknown author\u00a0(Photographer) from <a class=\"extiw\" title=\"en:National Cancer Institute\" href=\"https:\/\/en.wikipedia.org\/wiki\/National_Cancer_Institute\">National Cancer Institute<\/a> (part of the <a class=\"extiw\" title=\"en:National Institutes of Health\" href=\"https:\/\/en.wikipedia.org\/wiki\/National_Institutes_of_Health\">National Institutes of Health)<\/a> with the <a href=\"https:\/\/visualsonline.cancer.gov\/details.cfm?imageid=9186\">AV-8500-3850\/ ID 9186<\/a> on Wikimedia Commons was released into the <a class=\"extiw\" title=\"w:en:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/en:public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain)<b>.<\/b><\/p>\n<p><strong style=\"text-align: initial;font-size: 1em\"><br \/>\nFigure 10.7.5<\/strong><\/p>\n<p><a href=\"https:\/\/www.ck12.org\/book\/ck-12-college-human-biology\/section\/12.7\/\" rel=\"cc:attributionURL\">ABCDs of skin cancer<\/a> by <a href=\"https:\/\/www.ck12.org\/book\/ck-12-college-human-biology\/section\/12.7\/\">CK-12 Foundation<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\">CC BY-NC 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/) license. (Original images courtesy of NCI: ID numbers <a href=\"http:\/\/visualsonline.cancer.gov\/details.cfm?imageid=2362\">2362;<\/a> <a href=\"http:\/\/visualsonline.cancer.gov\/details.cfm?imageid=2363\">2363<\/a>; <a href=\"http:\/\/visualsonline.cancer.gov\/details.cfm?imageid=2364\">2364;<\/a> and <a href=\"http:\/\/visualsonline.cancer.gov\/details.cfm?imageid=2184\">2184<\/a>)<\/p>\n<div><img src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/logo_ck12.png\" alt=\"\"> <span style=\"font-size: 1em\">\u00a9<\/span><a style=\"font-size: 1em\" href=\"http:\/\/www.ck12.org\/\">CK-12 Foundation<\/a> <span style=\"font-size: 1em\">Licensed under\u00a0<\/span><a style=\"font-size: 1em\" href=\"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\"><img class=\"alignnone size-full wp-image-8217\" title=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\" src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/icon_licence.png\" alt=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\"><\/a><span style=\"font-size: 1em\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em\" href=\"http:\/\/www.ck12.org\/about\/terms-of-use\/\">Terms of Use<\/a><span style=\"font-size: 1em\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em\" href=\"http:\/\/www.ck12.org\/about\/attribution\/\">Attribution<\/a><\/div>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">Brainard, J\/ CK-12 Foundation. (2016). Figure 5 ABCDs of skin cancer[digital image]. In <em>CK-12 College Human Biology<\/em> (Section 12.7) [online Flexbook]. CK12.org. https:\/\/www.ck12.org\/book\/ck-12-college-human-biology\/section\/12.7\/<\/p>\n<p class=\"hanging-indent\">Public Health Agency of Canada. (2019, December 9). Non melanoma skin cancer. Canada.ca. <a href=\"https:\/\/www.canada.ca\/en\/public-health\/services\/chronic-diseases\/cancer\/non-melanoma-skin-cancer.html\">https:\/\/www.canada.ca\/en\/public-health\/services\/chronic-diseases\/cancer\/non-melanoma-skin-cancer.html<\/a><\/p>\n<p class=\"hanging-indent\">Robert Miller. (2014, July 22). Cancer of the vulva. YouTube. https:\/\/www.youtube.com\/watch?v=ID-O-Ion3EQ<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2012, December 5). How do cancer cells behave differently from healthy ones? - George Zaidan. YouTube. https:\/\/www.youtube.com\/watch?v=BmFEoCFDi-w<\/p>\n<p class=\"hanging-indent\">TEDx Talks. (2014, March 28). The skin 'beauty' and the sun 'beast': Charareh Pourzand at TEDxBathUniveristy. YouTube. https:\/\/www.youtube.com\/watch?v=60e-t4zglBk<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4696_2820\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4696_2820\"><div tabindex=\"-1\"><p>Created by CK-12 Foundation\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_3945\" aria-describedby=\"caption-attachment-3945\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-3945\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Heels-by-apostolos-vamvouras-_pdbqMcNWus-unsplash-scaled-e1591372330939.jpg\" alt=\"11.1.1 Fancy Shoes\" width=\"400\" height=\"389\"><figcaption id=\"caption-attachment-3945\" class=\"wp-caption-text\"><em>Figure 11.1.1 Fancy shoes can be a real pain in the..... foot.<\/em><\/figcaption><\/figure>\n<div>\n<h1>Case Study: A Pain in the Foot<\/h1>\n<\/div>\n<p>Sophia loves wearing high heels when she goes out at night, like the stiletto heels shown in Figure 11.1.1. She knows they are not the most practical shoes, but she likes how they look.<\/p>\n<p>Lately, she has been experiencing pain in the balls of her feet \u2014 the area just behind the toes. Even when she trades her heels for comfortable sneakers, it still hurts when she stands or walks.<\/p>\n<p>What could be going on? She searches online to try to find some answers. She finds a reputable source for foot pain information \u2014 a website from a professional organization of physicians that peer reviews the content by experts in the field. There, she reads about a condition called <a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/metatarsalgia\/symptoms-causes\/syc-20354790#:~:text=Metatarsalgia%20(met%2Duh%2Dtahr,too%20tight%20or%20too%20loose.\">metatarsalgia<\/a>, which produces pain in the ball of the foot that sounds very similar to what she is experiencing.<\/p>\n<p>She learns that a common cause of metatarsalgia is the wearing of high heels. Shoes like this push the foot into an abnormal position, resulting in excessive pressure being placed on the ball of the foot. Looking at the photograph above (Figure 11.1.1), you can imagine how much of the woman\u2019s body weight is focused on the ball of her foot, because of the shape of her high heels. If she were not wearing high heels, her weight would be more evenly distributed across her foot.<\/p>\n<p>As she reads more about the hazards of high heels, Sophia learns that they can also cause foot deformities, such as hammertoes, bunions, and small cracks in bone called stress fractures. High heels may even contribute to the development of osteoarthritis of the knees at an early age.<\/p>\n<p>These conditions caused by high heels are all problems of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2906\">skeletal system<\/a>, which includes <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2552\">bones<\/a>\u00a0and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4696_2815\">connective tissues<\/a>\u00a0that hold bones together and cushion them at joints (such as the knee). The skeletal system supports the body\u2019s weight and protects internal organs, but as you will learn as you read this chapter, it also carries out a variety of other important physiological functions.<\/p>\n<p>At the end of the chapter, you will find out why high heels can cause these skeletal system problems, as well as the steps Sophia takes to recover from her foot pain and prevent long-term injury.<\/p>\n<div class=\"textbox textbox--learning-objectives\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">Chapter 11 Overview: Skeletal System<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>In this chapter, you will learn about the structure, functions, growth, repair, and disorders of the skeletal system. Specifically you will learn about:<\/p>\n<ul>\n<li>The components of the skeletal system, which includes bones, ligaments, and cartilage.<\/li>\n<li>The functions of the skeletal system, including supporting and giving shape to the body; protecting internal organs; facilitating movement; producing blood cells; helping maintain homeostasis; and producing endocrine hormones.<\/li>\n<li>The organization and functions of the two main divisions of the skeletal system: the axial skeletal system (which includes the skull, spine, and rib cage), and the appendicular skeletal system (which includes the limbs and girdles that attach the limbs to the axial skeleton).<\/li>\n<li>The tissues and cells that make up bones, along with their specific functions, which include making new bone, breaking down bone, producing blood cells, and regulating mineral homeostasis.<\/li>\n<li>The different types of bones in the skeletal system, based on shape and location.<\/li>\n<li>How bones grow, remodel, and repair themselves.<\/li>\n<li>The different types of joints between bones, where they are located, and the ways in which they allow different types of movement, depending on their structure.<\/li>\n<li>The causes, risk factors, and treatments for the two most common disorders of the skeletal system \u2014 osteoporosis and osteoarthritis.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox shaded\">\n<p>As you read this chapter, think about the following questions:<\/p>\n<ol>\n<li>Sophia suspects she has a condition called metatarsalgia. This term is related to the term \u201cmetatarsals.\u201d What are metatarsals, where are they located, and how do you think they are related to metatarsalgia?<\/li>\n<li>High heels can cause stress fractures, which are small cracks in bone that usually appear after repeated mechanical stress, instead of after a significant acute injury. What other condition described in this chapter involves a similar process?<\/li>\n<li>What are bunions and osteoarthritis of the knee? Why do you think they can be caused by wearing high heels?<\/li>\n<\/ol>\n<\/div>\n<p>&nbsp;<\/p>\n<h2>Attribution<\/h2>\n<p><strong>Figure 11.1.1<\/strong><\/p>\n<p><a href=\"https:\/\/unsplash.com\/photos\/_pdbqMcNWus\" rel=\"cc:attributionURL\">Heels by apostolos-vamvouras-_pdbqMcNWus<\/a> [photo] by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@apostolosv\">Apostolos Vamvouras<\/a> on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/p>\n<h2>Reference<\/h2>\n<p class=\"hanging-indent\">Mayo Clinic Staff. (n.p.). Metatarsalgia [online article]. MayoClinic.org. https:\/\/www.mayoclinic.org\/diseases-conditions\/metatarsalgia\/symptoms-causes\/syc-20354790<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><\/div>","protected":false},"author":32,"menu_order":3,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":"cc-by-nc"},"chapter-type":[48],"contributor":[],"license":[55],"class_list":["post-4696","chapter","type-chapter","status-publish","hentry","chapter-type-numberless","license-cc-by-nc"],"part":4681,"_links":{"self":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters\/4696","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/users\/32"}],"version-history":[{"count":3,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters\/4696\/revisions"}],"predecessor-version":[{"id":6427,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters\/4696\/revisions\/6427"}],"part":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/parts\/4681"}],"metadata":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters\/4696\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/media?parent=4696"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapter-type?post=4696"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/contributor?post=4696"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/license?post=4696"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}