{"id":4717,"date":"2020-05-12T13:09:16","date_gmt":"2020-05-12T13:09:16","guid":{"rendered":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/chapter\/7-3-tissues-3\/"},"modified":"2023-11-30T18:48:36","modified_gmt":"2023-11-30T18:48:36","slug":"7-3-tissues-3","status":"publish","type":"chapter","link":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/chapter\/7-3-tissues-3\/","title":{"raw":"7.4 Tissues","rendered":"7.4 Tissues"},"content":{"raw":"<div>\r\n\r\n&nbsp;\r\n\r\n[h5p id=\"534\"]\r\n\r\n<em>Figure 7.4.1 Construction \u2014 It's important to have the right materials for the job.\u00a0\u00a0<\/em>\r\n<h1>The Right Material for the Job<\/h1>\r\nBuilding a house is a big job and one that requires a lot of different materials for specific purposes.\u00a0 As you can see in Figure 7.4.1, many different types of materials are used to build a complete house, but each type of material fulfills certain functions.\u00a0 You wouldn't use insulation to cover your roof, and you wouldn't use lumber to wire your home.\u00a0 Just as a builder chooses the appropriate materials to build each aspect of a home (wires for electrical, lumber for framing, shingles for roofing), your body uses the right <em>cells<\/em> for each type of role.\u00a0 When many cells work together to perform a specific function, this is termed a [pb_glossary id=\"2801\"]tissue[\/pb_glossary].\r\n<h1>Tissues<\/h1>\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, and they are always specialized to be able to carry out that function better than any other type of tissue.\u00a0 There are four main types of human tissues: connective, epithelial, muscle, and nervous tissues. We use tissues to build organs and organ systems.\u00a0 The 200 types of cells that the body can produce based on our single set of DNA can create all the types of tissue in the body.\r\n<h1>Epithelial Tissue<\/h1>\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\nThe key identifying feature of epithelial tissue is that it contains a free surface and a basement membrane.\u00a0 The free surface is not attached to any other cells and is either open to the outside of the body, or is open to the inside of a hollow organ or body tube.\u00a0 The basement membrane anchors the epithelial tissue to underlying cells.\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\r\nEpithelial tissue forms coverings and linings and is responsible for a range of functions including diffusion, absorption, secretion and protection.\u00a0 The shape of an epithelial cell can maximize its ability to perform a certain function.\u00a0 The thinner an epithelial cell is, the easier it is for substances to move through it to carry out diffusion and\/or absorption.\u00a0 The larger an epithelial cell is, the more room it has in its cytoplasm to be able to make products for secretion, and the more protection it can provide for underlying tissues. Their are three main shapes of epithelial cells: squamous (which is shaped like a pancake- flat and oval), cuboidal (cube shaped), and columnar (tall and rectangular).\r\n\r\n[h5p id=\"535\"]\r\n\r\n<em>Figure 7.4.2 The shape of epithelial tissues is important.\u00a0\u00a0<\/em>\r\n\r\nEpithelial tissue will also organize into different layerings depending on their function.\u00a0 For example, multiple layers of cells provide excellent protection, but would no longer be efficient for diffusion, whereas a single layer would work very well for diffusion, but no longer be as protective; a special type of layering called transitional is needed for organs that stretch, like your bladder.\u00a0 Your tissues exhibit the layering that makes them most efficient for the function they are supposed to perform. There are four main layerings found in epithelial tissue: simple (one layer of cells), stratified (many layers of cells), pseudostratified (appears stratified, but upon closer inspection is actually simple), and transitional (can stretch, going from many layers to fewer layers).\r\n\r\n[h5p id=\"536\"]\r\n\r\n<em>Figure 7.4.3 The layerings found in epithelial tissues is important.\u00a0\u00a0<\/em>\r\n\r\nSee Table 7.4.1 for a summary of the different layering types and shapes epithelial cells can form and their related functions and locations.\r\n<p style=\"text-align: left;\"><strong>Table 7.4.1 <\/strong><\/p>\r\n<p style=\"text-align: left;\"><em>Summary of Epithelial Tissue Cells<\/em><\/p>\r\n<img class=\"size-full wp-image-2830 aligncenter\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Summary_of_Epithelial_Tissue_Cells-from-wikipedia-2.jpg\" alt=\"\" width=\"937\" height=\"1502\" \/>\r\n\r\nSo far, we have identified epithelial tissue based on shape and layering.\u00a0 The representative diagrams we have seen so far are helpful for visualizing the tissue structures, but it is important to look at real examples of these cells.\u00a0 Since cells are too tiny to see with the naked eye, we rely on microscopes to help us study them.\u00a0\u00a0<strong>[pb_glossary id=\"2879\"]Histology[\/pb_glossary]<\/strong> is the study of the microscopic anatomy and cells and tissues.\u00a0 See Table 7.4.2 to see some examples of slides of epithelial tissues prepared for the purpose of histology.\r\n\r\n<strong>Table 7.4.2<\/strong>\r\n\r\n<em>Epithelial Tissues and Histological Samples<\/em>\r\n\r\n&nbsp;\r\n<table class=\"grid aligncenter\" style=\"border-collapse: collapse; width: 84.3373%; height: 843px;\" border=\"0\">\r\n<tbody>\r\n<tr style=\"height: 14px;\">\r\n<td style=\"width: 8.45179%; height: 14px;\">Epithelial Tissue Type<\/td>\r\n<td style=\"width: 16.9932%; height: 14px;\">Tissue Diagram<\/td>\r\n<td style=\"width: 52.855%; height: 14px;\">Histological Sample<\/td>\r\n<\/tr>\r\n<tr style=\"height: 286px;\">\r\n<td style=\"width: 8.45179%; height: 286px;\">Stratified squamous\r\n\r\n(from skin)<\/td>\r\n<td style=\"width: 16.9932%; height: 286px;\"><img class=\"wp-image-2830 aligncenter\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Summary_of_Epithelial_Tissue_Cells-from-wikipedia-e1589313321713-2.jpg\" alt=\"\" width=\"107\" height=\"39\" \/><\/td>\r\n<td style=\"width: 52.855%; height: 286px;\"><img class=\"wp-image-2836\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Epithelial_Tissues_Stratified_Squamous_Epithelium_40230842160-scaled-e1589313552577-2.jpg\" alt=\"\" width=\"328\" height=\"300\" \/><\/td>\r\n<\/tr>\r\n<tr style=\"height: 227px;\">\r\n<td style=\"width: 8.45179%; height: 227px;\">Simple cuboidal\r\n\r\n(from kidney tubules)<\/td>\r\n<td style=\"width: 16.9932%; height: 227px;\"><img class=\"wp-image-2830 aligncenter\" style=\"font-size: 14.4px;\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Summary_of_Epithelial_Tissue_Cells-from-wikipedia-e1589313076678-2.jpg\" alt=\"\" width=\"158\" height=\"36\" \/><\/td>\r\n<td style=\"width: 52.855%; height: 227px;\"><img class=\"wp-image-2833\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Simple-cuboidal-epithelial-tissue-histology-by-Berkshire-Community-College-on-flickr-2.jpg\" alt=\"\" width=\"393\" height=\"222\" \/><\/td>\r\n<\/tr>\r\n<tr style=\"height: 167px;\">\r\n<td style=\"width: 8.45179%; height: 167px;\">Pseudostratified ciliated columnar\r\n\r\n(from trachea)<\/td>\r\n<td style=\"width: 16.9932%; height: 167px;\"><img class=\"wp-image-2830 aligncenter\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Summary_of_Epithelial_Tissue_Cells-from-wikipedia-e1589313435536-2.jpg\" alt=\"\" width=\"151\" height=\"87\" \/><\/td>\r\n<td style=\"width: 52.855%; height: 167px;\"><img class=\"wp-image-2837\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Pseudostratified_Epithelium-e1589314776658-2.jpg\" alt=\"\" width=\"415\" height=\"298\" \/><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h1>Connective Tissue<\/h1>\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\u00a0body tissues\u00a0and organs.\u00a0It's\u00a0made up of living cells\u00a0separated by non-living material, called [pb_glossary id=\"6005\"]extracellular matrix[\/pb_glossary], which can be\u00a0solid\u00a0or\u00a0liquid.\u00a0The extracellular matrix of bone, for example, is a rigid mineral framework. The extracellular matrix of blood is\u00a0liquid\u00a0plasma.\r\n\r\nThe key identifying feature of connective tissue is that is is composed of a scattering of cells in a non-cellular matrix. 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:\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>Fibrous Connective Tissue<\/h2>\r\nFibrous connective tissue contains cells called [pb_glossary id=\"6011\"]fibroblasts[\/pb_glossary].\u00a0 These cells produce fibres of collagen, elastin, or reticular fibre which makes up the matrix of this type of connective tissue.\u00a0 Based on how tightly packed these fibres are and how they are oriented changes the properties, and therefore the function of the fibrous connective tissue.\r\n\r\n&nbsp;\r\n<ul>\r\n \t<li><strong>Loose fibrous connective tissue:\u00a0<\/strong> composed of a loose and disorganized weave of collagen and elastin fibres, creating a tissue that is thin and flexible, yet still tough.\u00a0 This tissue, which is also sometimes referred to as \"areolar tissue\", is found in membranes and surrounding blood vessels and most body organs.\u00a0 As you can see from the diagram in Figure 7.4.4, loose fibrous connective tissue fulfills the definition of connectives tissue since it is a scattering of cells (fibroblasts) in a non-cellular matrix (a mesh of collagen and elastin fibres).\u00a0 There are two types of specialized loose fibrous connective tissue: reticular and adipose.\u00a0 Adipose tissue stores fat and reticular tissue forms the spleen and lymph nodes.\r\n<table class=\"grid aligncenter\" style=\"border-collapse: collapse; width: 68.8679%; height: 373px;\" border=\"0\">\r\n<tbody>\r\n<tr style=\"height: 172px;\">\r\n<td style=\"width: 46.3774%; height: 172px;\">\r\n\r\n[caption id=\"attachment_2857\" align=\"alignnone\" width=\"343\"]<img class=\" wp-image-2857\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Loose-fibrous-connective-tissue-2.jpg\" alt=\"Loose Fibrous Connective Tissue\" width=\"343\" height=\"284\" \/> <em>Figure 7.4.4 Diagram of loose fibrous connective tissue consists of a scattering of fibroblasts in a non-cellular matrix of loosely woven collagen and elastin fibres.<\/em>[\/caption]<\/td>\r\n<td style=\"width: 40.5573%; height: 172px;\">\r\n\r\n[caption id=\"attachment_2858\" align=\"alignnone\" width=\"323\"]<img class=\"wp-image-2858\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Connective_Tissue_Loose_Aerolar_39977986150-scaled-e1589924098592-2.jpg\" alt=\"Loose Fibrous Connective Tissue\" width=\"323\" height=\"295\" \/> <em>Figure 7.4.5 Microscopic view of loose fibrous connective tissue.<\/em>[\/caption]<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/li>\r\n \t<li><strong>Dense Fibrous Connective<\/strong> <strong>Tissue:\u00a0<\/strong>composed of a dense mat of parallel collagen fibres and a scattering of fibroblasts, creating a tissue that is very strong.\u00a0 Dense fibrous connective tissue forms tendons and ligaments, which connect bones to muscles and\/or bones to neighbouring bones.\r\n<table class=\"grid aligncenter\" style=\"border-collapse: collapse; width: 85.6604%; height: 159px;\" border=\"0\">\r\n<tbody>\r\n<tr>\r\n<td style=\"width: 50%;\">\r\n\r\n[caption id=\"attachment_2865\" align=\"alignnone\" width=\"343\"]<img class=\" wp-image-2865\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Dense-Fibrous-Connective-Tissue-2.jpg\" alt=\"Dense Fibrous Connective Tissue\" width=\"343\" height=\"340\" \/> <em>Figure 7.4.6 Dense fibrous connective tissue is composed of fibroblasts and a dense parallel packing of collagen fibres.<\/em>[\/caption]<\/td>\r\n<td style=\"width: 50%;\">\r\n\r\n[caption id=\"attachment_2866\" align=\"alignnone\" width=\"362\"]<img class=\" wp-image-2866\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Dense_connective_tissue-400x-e1589925818790-2.jpg\" alt=\"Dense Fibrous Connective Tissue\" width=\"362\" height=\"326\" \/> <em>Figure 7.4.7 Microscopic view of dense fibrous connective tissue.<\/em>[\/caption]<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/li>\r\n<\/ul>\r\n<h2>Supportive Connective Tissue<\/h2>\r\nSupportive connective tissue exhibits the defining feature of connective tissue in that it is a scattering of cells in a non-cellular matrix; what sets it apart from other connective tissues is its solid matrix.\u00a0 In this tissue group, the matrix is solid- either bone or cartilage.\u00a0 While fibrous connective tissue contained cells called fibroblasts which produced fibres, supportive connective tissue contains cells that either create bone ([pb_glossary id=\"5637\"]osteocytes[\/pb_glossary]) or cells that create cartilage ([pb_glossary id=\"2872\"]chondrocytes[\/pb_glossary]).\r\n<h3>Cartilage<\/h3>\r\nChondrocytes produce the cartilage matrix in which they reside.\u00a0 Cartilage is made up of protein fibres and chondrocytes in lacunae.\u00a0 This is tissue is strong yet flexible and is used many places in the body for protection and support.\u00a0 Cartilage is one of the few tissues that is not vascular (doesn't have a direct blood supply) meaning it relies on diffusion to obtain nutrients and gases; this is the cause of slow healing rates in injuries involving cartilage.\u00a0 There are three main types of cartilage:\r\n<ul>\r\n \t<li><strong>Hyaline cartilage<\/strong>: a smooth, strong and flexible tissue.\u00a0 Found at the ends of ribs and long bones, in the nose, and comprising the entire fetal skeleton.<\/li>\r\n \t<li><strong>Fibrocartilage<\/strong>: a very strong tissue containing thick bundles of collagen.\u00a0 Found in joints that need cushioning from high impact (knees, jaw).<\/li>\r\n \t<li><strong>Elastic cartilage<\/strong>: contains elastic fibres in addition to collagen,\u00a0 giving support with the benefit of elasticity.\u00a0 Found in earlobes and the epiglottis.\r\n\r\n[caption id=\"attachment_2873\" align=\"aligncenter\" width=\"550\"]<img class=\" wp-image-2873\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Types_of_Cartilage-new-2.jpg\" alt=\"Types of Connective Tissue\" width=\"550\" height=\"651\" \/> <em>Figure 7.4.8 Three types of cartilage, each with distinct characteristics based on the nature of the matrix.<\/em>[\/caption]<\/li>\r\n<\/ul>\r\n<h3 style=\"margin-top: 2.14286em; margin-bottom: 1.42857em; line-height: 1.28571em;\">Bone<\/h3>\r\nOsteocytes produce the bone matrix in which they reside.\u00a0 Since bone is very solid, these cells reside in small spaces called [pb_glossary id=\"2870\"]lacunae[\/pb_glossary].\u00a0 This bone tissue is composed of collagen fibres embedded in calcium phosphate giving it strength without brittleness.\u00a0 There are two types of bone: compact and spongy.\r\n<ul>\r\n \t<li><strong>Compact bone:<\/strong> has a dense matrix organized into cylindrical units called osteons.\u00a0 Each osteon contains a central canal (sometimes called a Harversian Canal) which allows for space for blood vessels and nerves, as well as concentric rings of bone matrix and osteocytes in lacunae, as per the diagram here.\u00a0 Compact bone is found in long bones and forms a shell around spongy bone.<\/li>\r\n<\/ul>\r\n[caption id=\"attachment_2875\" align=\"aligncenter\" width=\"609\"]<img class=\" wp-image-2875\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Compact_bone_histology_2014-scaled-3.jpg\" alt=\"Compact Bone\" width=\"609\" height=\"405\" \/> <em>Figure 7.4.9 Compact bone is composed of organized units called osteons.<\/em>[\/caption]\r\n<ul>\r\n \t<li>Spongy bone: a very porous type of bone which most often contains bone marrow.\u00a0 It is found at the end of long bones, and makes up the majority of the ribs, shoulder blades and flat bones of the cranium.<\/li>\r\n<\/ul>\r\n[caption id=\"attachment_2876\" align=\"aligncenter\" width=\"347\"]<img class=\"wp-image-2876 size-full\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Bone_normal_and_degraded_micro_structure-e1589929753605-2.jpg\" alt=\"Spongy Bone\" width=\"347\" height=\"376\" \/> <em>Figure 7.4.10 Spongy bone contains a latticework of bone and open spaces to house bone marrow. Due to its structure, it is strong yet flexible, which is why it is found at the end of long bones.<\/em>[\/caption]\r\n<h3>Fluid Connective Tissue<\/h3>\r\nFluid connective tissue has a matrix that is fluid; unlike the other two categories of connective tissue, the cells that reside in the matrix do not actually <em>produc<\/em>e the matrix. Fibroblasts make the fibrous matrix, chondrocytes make the cartilaginous matrix, osteocytes make the bony matrix, yet blood cells <strong>do not<\/strong> make the fluid matrix of either lymph or plasma.\u00a0 This tissue still fits the definition of connective tissue in that it is still a scattering of cells in a non-cellular matrix.\r\n\r\nThere are two types of fluid connective tissue:\r\n<ul>\r\n \t<li><strong>Blood:<\/strong> blood contains three types of cells suspended in plasma, and is contained in the cardiovascular system.\r\n<ul>\r\n \t<li>Eryththrocytes, more commonly called red blood cells, are present in high numbers (roughly 5 million cells per mL) and are responsible for delivering oxygen from to the lungs to all the other areas of the body. These cells are relatively small in size with a diameter of around 7 micrometres and live no longer than 120 days.<\/li>\r\n \t<li>Leukocytes, often referred to as white blood cells, are present in lower numbers (approximately 5 thousand cells per mL) are responsible for various immune functions.\u00a0 They are typically larger than erythrocytes, but can live much longer, particularly white blood cells responsible for long term immunity.\u00a0 The number of leukocytes in your blood can go up or down based on whether or not you are fighting an infection.<\/li>\r\n \t<li>Thrombocytes, also known as platelets, are very small cells responsible for blood clotting.\u00a0 Thrombocytes are not actually true cells, they are fragments of a much larger cell called a megakaryocyte.<\/li>\r\n<\/ul>\r\n<\/li>\r\n \t<li><strong>Lymph:<\/strong> contains a liquid matrix and white blood cells and is contained in the lymphatic system, which ultimately drains into the cardiovascular system.<\/li>\r\n<\/ul>\r\n[h5p id=\"537\"]\r\n\r\n<em>Figure 7.4.11 A stained lymphocyte surrounded by red blood cells viewed using a light microscope.\u00a0<\/em>\r\n<h1>Muscular Tissue<\/h1>\r\n<strong>[pb_glossary id=\"2817\"]Muscular tissue[\/pb_glossary]<\/strong> is made up of cells\u00a0 that have the unique ability to contract- which is the defining feature of muscular tissue.\u00a0 There are three major types of muscle tissue, as pictured in Figure 7.4.12 skeletal, smooth, and cardiac muscle tissues.\r\n<h2>Skeletal Muscle<\/h2>\r\nSkeletal muscles are voluntary muscles, meaning that you exercise conscious control over them.\u00a0 Skeletal muscles are attached to bones by tendons, a type of connective tissue. When these muscles shorten to pull on the bones to which they are attached, they enable the body to move. When you are exercising, reading a book, or making dinner, you are using skeletal muscles to move your body to carry out these tasks.\r\n\r\nUnder the microscope, skeletal muscles are striated (or striped) in appearance, because of their internal structure which contains alternating protein fibres of actin and myosin.\u00a0 Skeletal muscle is described as multinucleated, meaning one \"cell\" has many nuclei.\u00a0 This is because in utero, individual cells destined to become skeletal muscle fused, forming muscle fibres in a process known as myogenesis.\u00a0 You will learn more about skeletal muscle and how it contracts in the Muscular System.\r\n\r\n[caption id=\"attachment_2887\" align=\"aligncenter\" width=\"489\"]<img class=\" wp-image-2887\" src=\"http:\/\/humanbiology.pressbooks.tru.ca\/wp-content\/uploads\/sites\/6\/2020\/05\/Skeletal_muscle_\u6a2a\u7eb9\u808c1.jpg#fixme\" alt=\"Skeletal Muscle\" width=\"489\" height=\"275\" \/> <em>Figure 7.4.12 Skeletal muscle is striated and multinucleated.<\/em>[\/caption]\r\n<h2>Smooth Muscle<\/h2>\r\n<strong>Smooth\u00a0muscles<\/strong> are nonstriated muscles- they still contain the muscle fibres actin and myosin, but not in the same alternating arrangement seen in skeletal muscle.\u00a0 \u00a0Smooth muscle is found in the tubes of the body - in the walls of blood vessels and in the reproductive, gastrointestinal, and respiratory tracts. Smooth muscles are not under voluntary control meaning that they operate unconsciously, via the autonomic nervous system.\u00a0 Smooth muscles move substances through a wave of contraction which cascades down the length of a tube, a process termed <strong>[pb_glossary id=\"2890\"]peristalsis[\/pb_glossary].\u00a0 <\/strong>\r\n\r\nWatch the YouTube video \"<a href=\"https:\/\/www.youtube.com\/watch?v=kVjeNZA5pi4\">What is Peristalsis<\/a>\" by <a href=\"https:\/\/www.youtube.com\/channel\/UCxTlkZfjArUobBAeVwzJjYg\/feed\">Mister Science<\/a> to see peristalsis in action.\r\n\r\nhttps:\/\/www.youtube.com\/watch?v=kVjeNZA5pi4\r\n<p style=\"text-align: center;\">What is Peristalsis, Mister Science, 2018.<\/p>\r\n&nbsp;\r\n\r\n[caption id=\"attachment_2889\" align=\"aligncenter\" width=\"391\"]<img class=\"wp-image-2889 \" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Smooth_Muscle_new-e1590202536987-2.jpg\" alt=\"Smooth Muscle\" width=\"391\" height=\"380\" \/> <em>Figure 7.4.13 Smooth muscle is non-striated and each oval-shaped cell contains a single nuclei. (Micrograph provided by the Regents of University of Michigan Medical School \u00a9 2012)<\/em>[\/caption]\r\n\r\n[caption id=\"attachment_2888\" align=\"aligncenter\" width=\"410\"]<img class=\" wp-image-2888\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/PeristalsisN-2.jpg\" alt=\"Peristalsis\" width=\"410\" height=\"306\" \/> <em>Figure 7.4.14 Peristalsis is a wave-like contraction of smooth muscle which pushes the contents of a tube ahead of the wave of contraction.<\/em>[\/caption]\r\n\r\n&nbsp;\r\n<h2>Cardiac Muscle<\/h2>\r\n<strong style=\"text-align: initial; font-size: 1em;\">\r\nCardiac muscles<\/strong><span style=\"font-weight: normal; text-align: initial; font-size: 1em;\"> work involuntarily, meaning they are regulated by the autonomic nervous system.\u00a0 This is probably a good thing, since you wouldn't want to have to consciously concentrate on keeping your heart beating all the time! Cardiac muscle, which is found only in the heart, is mononucleated and striated (due to alternating bands of myosin and actin). Their contractions cause the heart to pump blood. In order to make sure entire sections of the heart contract in unison, cardiac muscle tissue contains special cell junctions called [pb_glossary id=\"2891\"]intercalated discs[\/pb_glossary], which conduct the electrical signals used to \"tell\" the chambers of the heart when to contract.<\/span>\r\n\r\n[caption id=\"attachment_2893\" align=\"aligncenter\" width=\"584\"]<img class=\" wp-image-2893\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Cardiac-Muscle-1-2.jpg\" alt=\"Cardiac Muscle\" width=\"584\" height=\"438\" \/> <em>Figure 7.4.15 Cardiac muscle cells contain a single nucleus, have a striated appearance, and are joined by specialized junctions called intercalated discs.<\/em>[\/caption]\r\n<h2>Nervous Tissue<\/h2>\r\n<strong>[pb_glossary id=\"2818\"]Nervous tissue[\/pb_glossary]<\/strong> is made up of neurons and a group of cells called neuroglia (also known as glial cells).\u00a0 Nervous tissue makes up the central nervous system (mainly the brain and spinal cord) and peripheral nervous system (the network of nerves that runs throughout the rest of the body).\u00a0 The defining feature of nervous tissue is that it is specialized to be able to generate and conduct nerve impulses.\u00a0 This function is carried out by neurons, and the purpose of neuroglia is to support neurons.\r\n\r\nA neuron has several parts to its structure:\r\n<ul>\r\n \t<li>Dendrites which collect incoming nerve impulses<\/li>\r\n \t<li>A cell body, or soma, which contains the majority of the neuron's organelles, including the nucleus<\/li>\r\n \t<li>An axon, which carries nerve impulses away from the soma, to the next neuron in the chain<\/li>\r\n \t<li>A myelin sheath, which encases the axon and increases that rate at which nerve impulses can be conducted<\/li>\r\n \t<li>Axon terminals, which maintain physical contact with the dendrites of neighbouring neurons<\/li>\r\n<\/ul>\r\n[caption id=\"attachment_2896\" align=\"aligncenter\" width=\"411\"]<img class=\" wp-image-2896\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Neuron.svg_-2.png\" alt=\"\" width=\"411\" height=\"221\" \/> <em>Figure 7.4.16 Neurons a cell which specialize in conducting electrical impulses.<\/em>[\/caption]\r\n\r\n<div>\r\n\r\nNeuroglia can be understood as support staff for the neuron.\u00a0 The neurons have such an important job, they need cells to bring them nutrients, take away cell waste, and build their mylein sheath.\u00a0 There are many types of neuroglia, which are categorized based on their function and\/or their location in the nervous system.\u00a0 Neuroglia outnumber neurons by as much as 50 to 1, and are much smaller.\u00a0 See the diagram in 7.4.17 to compare the size and number of neurons and neuroglia.\r\n\r\n[caption id=\"attachment_2897\" align=\"aligncenter\" width=\"553\"]<img class=\" wp-image-2897\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Nervous-Tissue-close-up-2.jpg\" alt=\"Nervous Tissue\" width=\"553\" height=\"415\" \/> <em>Figure 7.4.17 Neuroglia, the small cells seen here, outnumber neurons (the two larger cells) by as much as 50 to 1.<\/em>[\/caption]\r\n\r\nTry out this memory game to test your tissues knowledge:\r\n\r\n[h5p id=\"538\"]\r\n\r\n<\/div>\r\n&nbsp;\r\n<div class=\"textbox textbox--key-takeaways\"><header class=\"textbox__header\">\r\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">7.4 Summary<\/span><\/h1>\r\n<\/header>\r\n<ul>\r\n \t<li>\u00a0Tissues are made up of cells working together.<\/li>\r\n \t<li>There are four main types of tissues: epithelial, connective, muscular and nervous.<\/li>\r\n \t<li>Epithelial tissue makes up the linings and coverings of the body and is characterized by having a free surface and a basement membrane.\u00a0 Types of epithelial tissue are distinguished by shape of cell (squamous, cuboidal or columnar) and layering (simple, stratified, pseudostratified and transitional).\u00a0 Different epithelial tissues can carry out diffusion, secretion, absorption, and\/or protection depending on their particular cell shape and layering.<\/li>\r\n \t<li>Connective tissue provides structure and support for the body and is characterized as a scattering of cells in a non-cellular matrix.\u00a0 There are three main categories of connective tissue, each characterized by a particular type of matrix:\r\n<ul>\r\n \t<li>Fibrous connective tissue contains protein fibres.\u00a0 Both loose and dense fibrous connective tissue belong in this category.<\/li>\r\n \t<li>Supportive connective tissue contains a very solid matrix, and includes both bone and cartilage.<\/li>\r\n \t<li>Fluid connective tissue contains cells in a fluid matrix with the two types of blood and lymph.<\/li>\r\n<\/ul>\r\n<\/li>\r\n \t<li>Muscular tissue's defining feature is that it is contractile.\u00a0 There are three types of muscular tissue:\u00a0 skeletal muscle which is found attached to the skeleton for voluntary movement, smooth muscle which moves substances through body tubes, and cardiac muscle which moves blood through the heart.<\/li>\r\n \t<li>Nervous tissue contains specialized cells called neurons which can conduct electrical impulses.\u00a0 Also found in nervous tissue are neuroglia, which support neurons by providing nutrients, removing wastes, and creating myelin sheath.<\/li>\r\n<\/ul>\r\n&nbsp;\r\n\r\n<\/div>\r\n<div class=\"textbox textbox--exercises\"><header class=\"textbox__header\">\r\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">7.4 Review Questions<\/span><\/h1>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n<ol>\r\n \t<li>Define the term tissue.<\/li>\r\n \t<li>[h5p id=\"539\"]<\/li>\r\n \t<li>If a part of the body needed a lining that was both protective, but still able to absorb nutrients, what would be the best type of epithelial tissue to use?<\/li>\r\n \t<li>[h5p id=\"540\"]<\/li>\r\n \t<li>Where do you find skeletal muscle?\u00a0 Smooth muscle? Cardiac muscle?<\/li>\r\n \t<li>[h5p id=\"541\"]<\/li>\r\n \t<li>What are some of the functions of neuroglia?<\/li>\r\n \t<li>[h5p id=\"542\"]<\/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;\">7.4 Explore More<\/span><\/h1>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n\r\nhttps:\/\/www.youtube.com\/watch?v=O0ZvbPak4ck\r\n<p style=\"text-align: center;\">Types of Human Body Tissue, MoomooMath and Science, 2017.<\/p>\r\nhttps:\/\/www.youtube.com\/watch?v=uHbn7wLN_3k\r\n<p style=\"text-align: center;\">How to 3D print human tissue - Taneka Jones, TED-Ed, 2019.<\/p>\r\nhttps:\/\/www.youtube.com\/watch?v=1Qfmkd6C8u8\r\n<p style=\"text-align: center;\">How bones make blood - Melody Smith, TED-Ed, 2020.<\/p>\r\n\r\n<\/div>\r\n<\/div>\r\n<h2>Attributions<\/h2>\r\n<strong>Figure 7.4.1<\/strong>\r\n<ul>\r\n \t<li><a href=\"https:\/\/unsplash.com\/photos\/Za9oagRJNLM\">Construction man kneeling in front of wall<\/a> by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@charlesdeluvio\">Charles Deluvio<\/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).<\/li>\r\n \t<li><a href=\"https:\/\/unsplash.com\/photos\/qJa6WDmRNwM\">Beige wooden frame<\/a> by\u00a0<a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@charlesdeluvio\">Charles Deluvio<\/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).<\/li>\r\n \t<li><a href=\"https:\/\/unsplash.com\/photos\/_Agl-CUoQvc\">Tambour on green<\/a> by <a href=\"https:\/\/unsplash.com\/@chatelp\">Pierre Ch\u00e2tel-Innocenti<\/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).<\/li>\r\n \t<li><a href=\"https:\/\/pixabay.com\/es\/photos\/construcci%C3%B3n-esp%C3%A1rragos-fontaner%C3%ADa-273291\/\">Tags: Construction Studs Plumbing Wiring<\/a> by <a class=\"hover_opacity\" href=\"https:\/\/pixabay.com\/es\/users\/JWahl-167616\/\">JWahl<\/a> on <a href=\"http:\/\/pixabay.com\">Pixabay<\/a> is used under the <a href=\"https:\/\/pixabay.com\/es\/service\/license\/\">Pixabay License<\/a> (https:\/\/pixabay.com\/es\/service\/license\/).<\/li>\r\n<\/ul>\r\n<strong>Figure 7.4.2 and Figure 7.4.3<\/strong>\r\n<ul>\r\n \t<li><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Simple_columnar_epithelium_tissue.svg\">Simple columnar epithelium tissue<\/a>\u00a0by<span style=\"font-size: 14.4px;\"> <a class=\"new\" title=\"User:Kamilx3 (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Kamilx3&amp;action=edit&amp;redlink=1\">Kamil Danak<\/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> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en) license.\u00a0<\/span><\/li>\r\n \t<li><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Simple_cuboidal_epithelium.svg\">Simple cuboidal epithelium<\/a> by <span style=\"font-size: 14.4px;\"><a class=\"new\" title=\"User:Kamilx3 (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Kamilx3&amp;action=edit&amp;redlink=1\">Kamil Danak<\/a><\/span>\u00a0on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en) license.<\/li>\r\n \t<li><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Simple_squamous_epithelium.svg#mw-jump-to-license\">Simple squamous epithelium<\/a> by<span style=\"font-size: 14.4px;\"> <a class=\"new\" title=\"User:Kamilx3 (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Kamilx3&amp;action=edit&amp;redlink=1\">Kamil Danak<\/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> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en) license.\u00a0<\/span><\/li>\r\n<\/ul>\r\n<strong>Figure 7.4.4<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Figure_33_02_06.jpg\" rel=\"cc:attributionURL\">Loose fibrous connective tissue<\/a> by <a href=\"https:\/\/cnx.org\/contents\/GFy_h8cu@10.53:-LfhWRES@4\/Animal-Primary-Tissues\">CNX OpenStax. Biology<\/a>. on Wikimedial Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0)\">CC BY 4.0<\/a>. (https:\/\/creativecommons.org\/licenses\/by\/4.0) license.\r\n\r\n<strong>Figure 7.4.5<\/strong>\r\n\r\n<a href=\"https:\/\/www.flickr.com\/photos\/146824358@N03\/39977986150\/\">Connective Tissue: Loose Aerolar<\/a> by <a href=\"http:\/\/blogs.berkshirecc.edu\/bccoer\" rel=\"noreferrer nofollow\">Berkshire Community College Bioscience Image Library<\/a>\u00a0on <a href=\"http:\/\/flickr.com\">Flickr<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/\" rel=\"license\">CC0 1.0<\/a> Universal public domain dedication (https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/) license.\r\n\r\n<strong>Figure 7.4.6<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Figure_33_02_07.jpg\" rel=\"cc:attributionURL\">Dense Fibrous Connective Tissue<\/a> by by <a href=\"https:\/\/cnx.org\/contents\/GFy_h8cu@10.53:-LfhWRES@4\/Animal-Primary-Tissues\">CNX OpenStax. Biology<\/a>. on Wikimedial Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0)\">CC BY 4.0<\/a>. (https:\/\/creativecommons.org\/licenses\/by\/4.0) license.\r\n\r\n<strong>Figure 7.4.7<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Dense_connective_tissue-400x.jpg\" rel=\"cc:attributionURL\">Dense_connective_tissue-400x<\/a> by <a class=\"new\" title=\"User:J Jana (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:J_Jana&amp;action=edit&amp;redlink=1\">J Jana<\/a> on Wikimedia Commons is used under a\u00a0 <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\" rel=\"license\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/deed.en) license.\r\n\r\n<strong>Figure 7.4.8<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:412_Types_of_Cartilage-new.jpg\" rel=\"cc:attributionURL\">Types_of_Cartilage-new<\/a> by<span style=\"text-align: initial; font-size: 1em;\">\u00a0<a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/4-3-connective-tissue-supports-and-protects\">OpenStax College<\/a> on <span style=\"font-size: 1em;\">Wikipedia Commons is used under a <\/span><a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.\u00a0<\/span>\r\n\r\n<strong>Figure 7.4.9<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Compact_bone_histology_2014.jpg\" rel=\"cc:attributionURL\">Compact_bone_histology_2014<\/a> by <a title=\"User:Athikhun.suw\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Athikhun.suw\">Athikhun.suw<\/a> on Wikimedia Commons is used under a\u00a0 <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/deed.en\" rel=\"license\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/deed.en) license.\r\n\r\n<strong>Figure 7.4.10<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Bone_normal_and_degraded_micro_structure.jpg\" rel=\"cc:attributionURL\">Bone_normal_and_degraded_micro_structure<\/a> by <a class=\"new\" title=\"User:Gtirouflet (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Gtirouflet&amp;action=edit&amp;redlink=1\">Gtirouflet<\/a> 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> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en) license.\r\n\r\n<strong>Figure 7.4.11<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Lymphocyte2.jpg\">Lymphocyte2<\/a> by <a class=\"mw-userlink\" title=\"User:NicolasGrandjean\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:NicolasGrandjean\">NicolasGrandjean<\/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> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en) license.\u00a0 [No machine-readable author provided. NicolasGrandjean\u00a0is assumed, based on copyright claims.]\r\n\r\n<strong>Figure 7.4.12<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Skeletal_muscle_%E6%A8%AA%E7%BA%B9%E8%82%8C1.JPG\" rel=\"cc:attributionURL\">Skeletal_muscle_\u6a2a\u7eb9\u808c1<\/a> by <a title=\"User:\u4e4c\u62c9\u8de8\u6c2a\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:%E4%B9%8C%E6%8B%89%E8%B7%A8%E6%B0%AA\">\u4e4c\u62c9\u8de8\u6c2a<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\" rel=\"license\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/deed.en) license.\r\n\r\n<strong>Figure 7.4.13<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:1021_Smooth_Muscle_new.jpg\" rel=\"cc:attributionURL\">Smooth_Muscle_new<\/a> by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/10-8-smooth-muscle\">OpenStax<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" rel=\"license\">CC BY 4.0 <\/a>\u00a0(https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.en) license.\r\n\r\n<strong>Figure 7.4.14<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:2404_PeristalsisN.jpg\" rel=\"cc:attributionURL\">Peristalsis<\/a> by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/23-2-digestive-system-processes-and-regulation\">OpenStax<\/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\/deed.en) license.\r\n\r\n<strong>Figure 7.4.15<\/strong>\r\n\r\n<a href=\"https:\/\/www.flickr.com\/photos\/89557913@N00\/6197702211\/in\/photostream\/\" rel=\"cc:attributionURL\">400x Cardiac Muscle<\/a>\u00a0by\u00a0<a href=\"https:\/\/www.flickr.com\/photos\/89557913@N00\/\" rel=\"dc:creator\">Jessy731<\/a> on <a href=\"http:\/\/flickr.com\">Flickr<\/a> is used and adapted by Christine Miller under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc\/2.0\/\">CC BY-NC 2.0<\/a>\u00a0(https:\/\/creativecommons.org\/licenses\/by-nc\/2.0\/) license.\r\n\r\n<strong>Figure 7.4.16<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Neuron.svg\" rel=\"cc:attributionURL\">Neuron.svg<\/a> by <a class=\"new\" title=\"User:Dhp1080 (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Dhp1080&amp;action=edit&amp;redlink=1\">User:Dhp1080<\/a> 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> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en) license.\r\n\r\n<strong>Figure 7.4.17<\/strong>\r\n\r\n<a href=\"https:\/\/www.flickr.com\/photos\/89557913@N00\/6198225348\/in\/album-72157627663341815\/\" rel=\"cc:attributionURL\">400x Nervous Tissue <\/a>\u00a0by\u00a0<a href=\"https:\/\/www.flickr.com\/photos\/89557913@N00\/\" rel=\"dc:creator\">Jessy731<\/a> on <a href=\"http:\/\/flickr.com\">Flickr<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc\/2.0\/\" rel=\"license\">CC BY-NC 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-nc\/2.0\/) license.\r\n\r\n<strong>Table 7.4.1<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:423_Table_04_02_Summary_of_Epithelial_Tissue_CellsN.jpg#\/media\/File:423_Table_04_02_Summary_of_Epithelial_Tissue_CellsN.jpg\">Summary of Epithelial Tissue Cells<\/a>, <span style=\"text-align: initial; font-size: 1em;\">by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/4-2-epithelial-tissue\">OpenStax College<\/a> on <span style=\"font-size: 1em;\">Wikipedia Commons is used under a <\/span><a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.\u00a0<\/span>\r\n\r\n<strong>Table 7.4.2<\/strong>\r\n<ul>\r\n \t<li><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Epithelial_Tissues_Stratified_Squamous_Epithelium_(40230842160).jpg\" rel=\"cc:attributionURL\">Epithelial_Tissues_Stratified_Squamous_Epithelium_(40230842160)<\/a> by\r\n<a class=\"external text\" href=\"https:\/\/www.flickr.com\/people\/146824358@N03\" rel=\"nofollow\">Berkshire Community College Bioscience Image Library<\/a>\u00a0on Wikimedia Commons is used under a\u00a0 <a href=\"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/\" rel=\"license\">CC0 1.0<\/a> Universal Public Domain Dedication (https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/) license.<\/li>\r\n \t<li><a href=\"https:\/\/www.flickr.com\/photos\/146824358@N03\/41681552782\/\" rel=\"cc:attributionURL\">Simple cuboidal epithelial tissue histology<\/a> by <a href=\"https:\/\/www.flickr.com\/photos\/146824358@N03\/\">Berkshire Community College<\/a> on <a href=\"http:\/\/Flickr.com\">Flickr<\/a> is used under a\u00a0 <a href=\"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/\" rel=\"license\">CC0 1.0<\/a> Universal Public Domain Dedication (https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/) license.<\/li>\r\n \t<li><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:2304_Pseudostratified_Epithelium.jpg\" rel=\"cc:attributionURL\">Pseudostratified_Epithelium<\/a> by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/22-1-organs-and-structures-of-the-respiratory-system\">OpenStax College<\/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.<\/li>\r\n<\/ul>\r\n<h2>References<\/h2>\r\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, April 25). Figure 4.8 Summary of epithelial tissue cells [digital image].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 4.2). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/4-2-epithelial-tissue<\/p>\r\n<p class=\"hanging-indent\"><span class=\"os-title-label\"><span class=\"search-highlight text\" data-timestamp=\"1595304353878\" data-highlight-id=\"24812396-94bb-4ad8-9c2b-9493f84bc468\" data-highlighted=\"true\">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\u00a0<\/span><\/span><span class=\"os-number\"><span class=\"search-highlight text\" data-timestamp=\"1595304353878\" data-highlight-id=\"24812396-94bb-4ad8-9c2b-9493f84bc468\" data-highlighted=\"true\">4.16<\/span><\/span><span class=\"os-divider\">\u00a0<\/span><span id=\"65771\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text\" data-timestamp=\"1595304353878\" data-highlight-id=\"24812396-94bb-4ad8-9c2b-9493f84bc468\" data-highlighted=\"true\">Types of cartilage [digital image].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 4.3). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/4-3-connective-tissue-supports-and-protects <\/span><\/span><\/p>\r\n<p class=\"hanging-indent\"><span id=\"65771\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text\" data-timestamp=\"1595304353878\" data-highlight-id=\"24812396-94bb-4ad8-9c2b-9493f84bc468\" data-highlighted=\"true\"><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 10.23 Smooth muscle [digital micrograph].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 10.8). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/10-8-smooth-muscle (Micrograph provided by the Regents of University of Michigan Medical School \u00a9 2012)<\/span><\/span><\/p>\r\n<p class=\"hanging-indent\"><span id=\"65771\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text\" data-timestamp=\"1595304353878\" data-highlight-id=\"24812396-94bb-4ad8-9c2b-9493f84bc468\" data-highlighted=\"true\"><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><\/span><\/span>Figure 22.5 Pseudostratified ciliated columnar epithelium <span id=\"65771\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text\" data-timestamp=\"1595304353878\" data-highlight-id=\"24812396-94bb-4ad8-9c2b-9493f84bc468\" data-highlighted=\"true\">[digital micrograph].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 22.1). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/22-1-organs-and-structures-of-the-respiratory-system <\/span><\/span><\/p>\r\n<p class=\"hanging-indent\"><span class=\"os-title-label\"><span class=\"search-highlight text\" data-timestamp=\"1595349068914\" data-highlight-id=\"cfc8b754-6300-4e64-bbd6-b284869dd483\" data-highlighted=\"true\"><span id=\"65771\" class=\"os-title\" data-type=\"title\">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\u00a0<\/span><\/span><span class=\"os-number\"><span class=\"search-highlight text\" data-timestamp=\"1595349068914\" data-highlight-id=\"cfc8b754-6300-4e64-bbd6-b284869dd483\" data-highlighted=\"true\">23.5<\/span><\/span><span class=\"os-divider\">\u00a0<\/span><span id=\"4684\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text\" data-timestamp=\"1595349068914\" data-highlight-id=\"cfc8b754-6300-4e64-bbd6-b284869dd483\" data-highlighted=\"true\">Peristalsis [diagram]. <span id=\"65771\" class=\"os-title\" data-type=\"title\">In <em>Anatomy and Physiology<\/em> (Section 23.2). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/23-2-digestive-system-processes-and-regulation<\/span><\/span><\/span><\/p>\r\n<p class=\"hanging-indent\">Mister Science. (2018). What is peristalsis? YouTube. https:\/\/www.youtube.com\/watch?v=kVjeNZA5pi4<\/p>\r\n<p class=\"hanging-indent\">MoomooMath and Science. (2017, May 18). Types of human body tissue. YouTube. https:\/\/www.youtube.com\/watch?v=O0ZvbPak4ck&amp;feature=youtu.be<\/p>\r\n<p class=\"hanging-indent\"><span style=\"text-align: initial; font-size: 1em;\">Open Stax. (2016, May 27). Figure 6 Loose connective tissue [digital image]. In <em>OpenStax Biology<\/em> (Section 33.2). OpenStax CNX. https:\/\/cnx.org\/contents\/GFy_h8cu@10.53:-LfhWRES@4\/Animal-Primary-Tissues<\/span><\/p>\r\n<p class=\"hanging-indent\"><span style=\"text-align: initial; font-size: 1em;\">Open Stax. (2016, May 27). Figure 7 Fibrous connective tissue from the tendon [digital image]. In <em>OpenStax Biology<\/em> (Section 33.2). OpenStax CNX. https:\/\/cnx.org\/contents\/GFy_h8cu@10.53:-LfhWRES@4\/Animal-Primary-Tissues<\/span><\/p>\r\n<p class=\"hanging-indent\"><span style=\"text-align: initial; font-size: 1em;\">TED-Ed. (2019, October 17). How to 3D print human tissue - Taneka Jones. YouTube. https:\/\/www.youtube.com\/watch?v=uHbn7wLN_3k&amp;feature=youtu.be<\/span><\/p>\r\n<p class=\"hanging-indent\">TED-Ed. (2020, January 27). How bones make blood - Melody Smith. YouTube. https:\/\/www.youtube.com\/watch?v=1Qfmkd6C8u8&amp;feature=youtu.be<\/p>\r\n&nbsp;\r\n\r\n&nbsp;","rendered":"<div>\n<p>&nbsp;<\/p>\n<div id=\"h5p-534\">\n<div class=\"h5p-content\" data-content-id=\"534\"><\/div>\n<\/div>\n<p><em>Figure 7.4.1 Construction \u2014 It&#8217;s important to have the right materials for the job.\u00a0\u00a0<\/em><\/p>\n<h1>The Right Material for the Job<\/h1>\n<p>Building a house is a big job and one that requires a lot of different materials for specific purposes.\u00a0 As you can see in Figure 7.4.1, many different types of materials are used to build a complete house, but each type of material fulfills certain functions.\u00a0 You wouldn&#8217;t use insulation to cover your roof, and you wouldn&#8217;t use lumber to wire your home.\u00a0 Just as a builder chooses the appropriate materials to build each aspect of a home (wires for electrical, lumber for framing, shingles for roofing), your body uses the right <em>cells<\/em> for each type of role.\u00a0 When many cells work together to perform a specific function, this is termed a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2801\">tissue<\/a>.<\/p>\n<h1>Tissues<\/h1>\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, and they are always specialized to be able to carry out that function better than any other type of tissue.\u00a0 There are four main types of human tissues: connective, epithelial, muscle, and nervous tissues. We use tissues to build organs and organ systems.\u00a0 The 200 types of cells that the body can produce based on our single set of DNA can create all the types of tissue in the body.<\/p>\n<h1>Epithelial Tissue<\/h1>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_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>The key identifying feature of epithelial tissue is that it contains a free surface and a basement membrane.\u00a0 The free surface is not attached to any other cells and is either open to the outside of the body, or is open to the inside of a hollow organ or body tube.\u00a0 The basement membrane anchors the epithelial tissue to underlying cells.<\/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<p>Epithelial tissue forms coverings and linings and is responsible for a range of functions including diffusion, absorption, secretion and protection.\u00a0 The shape of an epithelial cell can maximize its ability to perform a certain function.\u00a0 The thinner an epithelial cell is, the easier it is for substances to move through it to carry out diffusion and\/or absorption.\u00a0 The larger an epithelial cell is, the more room it has in its cytoplasm to be able to make products for secretion, and the more protection it can provide for underlying tissues. Their are three main shapes of epithelial cells: squamous (which is shaped like a pancake- flat and oval), cuboidal (cube shaped), and columnar (tall and rectangular).<\/p>\n<div id=\"h5p-535\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-535\" class=\"h5p-iframe\" data-content-id=\"535\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Epithelial Cell Shapes\"><\/iframe><\/div>\n<\/div>\n<p><em>Figure 7.4.2 The shape of epithelial tissues is important.\u00a0\u00a0<\/em><\/p>\n<p>Epithelial tissue will also organize into different layerings depending on their function.\u00a0 For example, multiple layers of cells provide excellent protection, but would no longer be efficient for diffusion, whereas a single layer would work very well for diffusion, but no longer be as protective; a special type of layering called transitional is needed for organs that stretch, like your bladder.\u00a0 Your tissues exhibit the layering that makes them most efficient for the function they are supposed to perform. There are four main layerings found in epithelial tissue: simple (one layer of cells), stratified (many layers of cells), pseudostratified (appears stratified, but upon closer inspection is actually simple), and transitional (can stretch, going from many layers to fewer layers).<\/p>\n<div id=\"h5p-536\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-536\" class=\"h5p-iframe\" data-content-id=\"536\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Epithelial Cell Layering\"><\/iframe><\/div>\n<\/div>\n<p><em>Figure 7.4.3 The layerings found in epithelial tissues is important.\u00a0\u00a0<\/em><\/p>\n<p>See Table 7.4.1 for a summary of the different layering types and shapes epithelial cells can form and their related functions and locations.<\/p>\n<p style=\"text-align: left;\"><strong>Table 7.4.1 <\/strong><\/p>\n<p style=\"text-align: left;\"><em>Summary of Epithelial Tissue Cells<\/em><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-2830 aligncenter\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Summary_of_Epithelial_Tissue_Cells-from-wikipedia-2.jpg\" alt=\"\" width=\"937\" height=\"1502\" \/><\/p>\n<p>So far, we have identified epithelial tissue based on shape and layering.\u00a0 The representative diagrams we have seen so far are helpful for visualizing the tissue structures, but it is important to look at real examples of these cells.\u00a0 Since cells are too tiny to see with the naked eye, we rely on microscopes to help us study them.\u00a0\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2879\">Histology<\/a><\/strong> is the study of the microscopic anatomy and cells and tissues.\u00a0 See Table 7.4.2 to see some examples of slides of epithelial tissues prepared for the purpose of histology.<\/p>\n<p><strong>Table 7.4.2<\/strong><\/p>\n<p><em>Epithelial Tissues and Histological Samples<\/em><\/p>\n<p>&nbsp;<\/p>\n<table class=\"grid aligncenter\" style=\"border-collapse: collapse; width: 84.3373%; height: 843px;\">\n<tbody>\n<tr style=\"height: 14px;\">\n<td style=\"width: 8.45179%; height: 14px;\">Epithelial Tissue Type<\/td>\n<td style=\"width: 16.9932%; height: 14px;\">Tissue Diagram<\/td>\n<td style=\"width: 52.855%; height: 14px;\">Histological Sample<\/td>\n<\/tr>\n<tr style=\"height: 286px;\">\n<td style=\"width: 8.45179%; height: 286px;\">Stratified squamous<\/p>\n<p>(from skin)<\/td>\n<td style=\"width: 16.9932%; height: 286px;\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2830 aligncenter\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Summary_of_Epithelial_Tissue_Cells-from-wikipedia-e1589313321713-2.jpg\" alt=\"\" width=\"107\" height=\"39\" \/><\/td>\n<td style=\"width: 52.855%; height: 286px;\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2836\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Epithelial_Tissues_Stratified_Squamous_Epithelium_40230842160-scaled-e1589313552577-2.jpg\" alt=\"\" width=\"328\" height=\"300\" \/><\/td>\n<\/tr>\n<tr style=\"height: 227px;\">\n<td style=\"width: 8.45179%; height: 227px;\">Simple cuboidal<\/p>\n<p>(from kidney tubules)<\/td>\n<td style=\"width: 16.9932%; height: 227px;\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2830 aligncenter\" style=\"font-size: 14.4px;\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Summary_of_Epithelial_Tissue_Cells-from-wikipedia-e1589313076678-2.jpg\" alt=\"\" width=\"158\" height=\"36\" \/><\/td>\n<td style=\"width: 52.855%; height: 227px;\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2833\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Simple-cuboidal-epithelial-tissue-histology-by-Berkshire-Community-College-on-flickr-2.jpg\" alt=\"\" width=\"393\" height=\"222\" \/><\/td>\n<\/tr>\n<tr style=\"height: 167px;\">\n<td style=\"width: 8.45179%; height: 167px;\">Pseudostratified ciliated columnar<\/p>\n<p>(from trachea)<\/td>\n<td style=\"width: 16.9932%; height: 167px;\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2830 aligncenter\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Summary_of_Epithelial_Tissue_Cells-from-wikipedia-e1589313435536-2.jpg\" alt=\"\" width=\"151\" height=\"87\" \/><\/td>\n<td style=\"width: 52.855%; height: 167px;\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2837\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Pseudostratified_Epithelium-e1589314776658-2.jpg\" alt=\"\" width=\"415\" height=\"298\" \/><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h1>Connective Tissue<\/h1>\n<p>Bone and blood are examples of connective tissue.\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2815\">Connective tissue<\/a><\/strong> is very diverse. In general, it forms a framework and support structure for\u00a0body tissues\u00a0and organs.\u00a0It&#8217;s\u00a0made up of living cells\u00a0separated by non-living material, called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_6005\">extracellular matrix<\/a>, which can be\u00a0solid\u00a0or\u00a0liquid.\u00a0The extracellular matrix of bone, for example, is a rigid mineral framework. The extracellular matrix of blood is\u00a0liquid\u00a0plasma.<\/p>\n<p>The key identifying feature of connective tissue is that is is composed of a scattering of cells in a non-cellular matrix. 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>Fibrous Connective Tissue<\/h2>\n<p>Fibrous connective tissue contains cells called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_6011\">fibroblasts<\/a>.\u00a0 These cells produce fibres of collagen, elastin, or reticular fibre which makes up the matrix of this type of connective tissue.\u00a0 Based on how tightly packed these fibres are and how they are oriented changes the properties, and therefore the function of the fibrous connective tissue.<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li><strong>Loose fibrous connective tissue:\u00a0<\/strong> composed of a loose and disorganized weave of collagen and elastin fibres, creating a tissue that is thin and flexible, yet still tough.\u00a0 This tissue, which is also sometimes referred to as &#8220;areolar tissue&#8221;, is found in membranes and surrounding blood vessels and most body organs.\u00a0 As you can see from the diagram in Figure 7.4.4, loose fibrous connective tissue fulfills the definition of connectives tissue since it is a scattering of cells (fibroblasts) in a non-cellular matrix (a mesh of collagen and elastin fibres).\u00a0 There are two types of specialized loose fibrous connective tissue: reticular and adipose.\u00a0 Adipose tissue stores fat and reticular tissue forms the spleen and lymph nodes.<br \/>\n<table class=\"grid aligncenter\" style=\"border-collapse: collapse; width: 68.8679%; height: 373px;\">\n<tbody>\n<tr style=\"height: 172px;\">\n<td style=\"width: 46.3774%; height: 172px;\">\n<figure id=\"attachment_2857\" aria-describedby=\"caption-attachment-2857\" style=\"width: 343px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2857\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Loose-fibrous-connective-tissue-2.jpg\" alt=\"Loose Fibrous Connective Tissue\" width=\"343\" height=\"284\" \/><figcaption id=\"caption-attachment-2857\" class=\"wp-caption-text\"><em>Figure 7.4.4 Diagram of loose fibrous connective tissue consists of a scattering of fibroblasts in a non-cellular matrix of loosely woven collagen and elastin fibres.<\/em><\/figcaption><\/figure>\n<\/td>\n<td style=\"width: 40.5573%; height: 172px;\">\n<figure id=\"attachment_2858\" aria-describedby=\"caption-attachment-2858\" style=\"width: 323px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2858\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Connective_Tissue_Loose_Aerolar_39977986150-scaled-e1589924098592-2.jpg\" alt=\"Loose Fibrous Connective Tissue\" width=\"323\" height=\"295\" \/><figcaption id=\"caption-attachment-2858\" class=\"wp-caption-text\"><em>Figure 7.4.5 Microscopic view of loose fibrous connective tissue.<\/em><\/figcaption><\/figure>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/li>\n<li><strong>Dense Fibrous Connective<\/strong> <strong>Tissue:\u00a0<\/strong>composed of a dense mat of parallel collagen fibres and a scattering of fibroblasts, creating a tissue that is very strong.\u00a0 Dense fibrous connective tissue forms tendons and ligaments, which connect bones to muscles and\/or bones to neighbouring bones.<br \/>\n<table class=\"grid aligncenter\" style=\"border-collapse: collapse; width: 85.6604%; height: 159px;\">\n<tbody>\n<tr>\n<td style=\"width: 50%;\">\n<figure id=\"attachment_2865\" aria-describedby=\"caption-attachment-2865\" style=\"width: 343px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2865\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Dense-Fibrous-Connective-Tissue-2.jpg\" alt=\"Dense Fibrous Connective Tissue\" width=\"343\" height=\"340\" \/><figcaption id=\"caption-attachment-2865\" class=\"wp-caption-text\"><em>Figure 7.4.6 Dense fibrous connective tissue is composed of fibroblasts and a dense parallel packing of collagen fibres.<\/em><\/figcaption><\/figure>\n<\/td>\n<td style=\"width: 50%;\">\n<figure id=\"attachment_2866\" aria-describedby=\"caption-attachment-2866\" style=\"width: 362px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2866\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Dense_connective_tissue-400x-e1589925818790-2.jpg\" alt=\"Dense Fibrous Connective Tissue\" width=\"362\" height=\"326\" \/><figcaption id=\"caption-attachment-2866\" class=\"wp-caption-text\"><em>Figure 7.4.7 Microscopic view of dense fibrous connective tissue.<\/em><\/figcaption><\/figure>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/li>\n<\/ul>\n<h2>Supportive Connective Tissue<\/h2>\n<p>Supportive connective tissue exhibits the defining feature of connective tissue in that it is a scattering of cells in a non-cellular matrix; what sets it apart from other connective tissues is its solid matrix.\u00a0 In this tissue group, the matrix is solid- either bone or cartilage.\u00a0 While fibrous connective tissue contained cells called fibroblasts which produced fibres, supportive connective tissue contains cells that either create bone (<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5637\">osteocytes<\/a>) or cells that create cartilage (<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2872\">chondrocytes<\/a>).<\/p>\n<h3>Cartilage<\/h3>\n<p>Chondrocytes produce the cartilage matrix in which they reside.\u00a0 Cartilage is made up of protein fibres and chondrocytes in lacunae.\u00a0 This is tissue is strong yet flexible and is used many places in the body for protection and support.\u00a0 Cartilage is one of the few tissues that is not vascular (doesn&#8217;t have a direct blood supply) meaning it relies on diffusion to obtain nutrients and gases; this is the cause of slow healing rates in injuries involving cartilage.\u00a0 There are three main types of cartilage:<\/p>\n<ul>\n<li><strong>Hyaline cartilage<\/strong>: a smooth, strong and flexible tissue.\u00a0 Found at the ends of ribs and long bones, in the nose, and comprising the entire fetal skeleton.<\/li>\n<li><strong>Fibrocartilage<\/strong>: a very strong tissue containing thick bundles of collagen.\u00a0 Found in joints that need cushioning from high impact (knees, jaw).<\/li>\n<li><strong>Elastic cartilage<\/strong>: contains elastic fibres in addition to collagen,\u00a0 giving support with the benefit of elasticity.\u00a0 Found in earlobes and the epiglottis.<br \/>\n<figure id=\"attachment_2873\" aria-describedby=\"caption-attachment-2873\" style=\"width: 550px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2873\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Types_of_Cartilage-new-2.jpg\" alt=\"Types of Connective Tissue\" width=\"550\" height=\"651\" \/><figcaption id=\"caption-attachment-2873\" class=\"wp-caption-text\"><em>Figure 7.4.8 Three types of cartilage, each with distinct characteristics based on the nature of the matrix.<\/em><\/figcaption><\/figure>\n<\/li>\n<\/ul>\n<h3 style=\"margin-top: 2.14286em; margin-bottom: 1.42857em; line-height: 1.28571em;\">Bone<\/h3>\n<p>Osteocytes produce the bone matrix in which they reside.\u00a0 Since bone is very solid, these cells reside in small spaces called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2870\">lacunae<\/a>.\u00a0 This bone tissue is composed of collagen fibres embedded in calcium phosphate giving it strength without brittleness.\u00a0 There are two types of bone: compact and spongy.<\/p>\n<ul>\n<li><strong>Compact bone:<\/strong> has a dense matrix organized into cylindrical units called osteons.\u00a0 Each osteon contains a central canal (sometimes called a Harversian Canal) which allows for space for blood vessels and nerves, as well as concentric rings of bone matrix and osteocytes in lacunae, as per the diagram here.\u00a0 Compact bone is found in long bones and forms a shell around spongy bone.<\/li>\n<\/ul>\n<figure id=\"attachment_2875\" aria-describedby=\"caption-attachment-2875\" style=\"width: 609px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2875\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Compact_bone_histology_2014-scaled-3.jpg\" alt=\"Compact Bone\" width=\"609\" height=\"405\" \/><figcaption id=\"caption-attachment-2875\" class=\"wp-caption-text\"><em>Figure 7.4.9 Compact bone is composed of organized units called osteons.<\/em><\/figcaption><\/figure>\n<ul>\n<li>Spongy bone: a very porous type of bone which most often contains bone marrow.\u00a0 It is found at the end of long bones, and makes up the majority of the ribs, shoulder blades and flat bones of the cranium.<\/li>\n<\/ul>\n<figure id=\"attachment_2876\" aria-describedby=\"caption-attachment-2876\" style=\"width: 347px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2876 size-full\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Bone_normal_and_degraded_micro_structure-e1589929753605-2.jpg\" alt=\"Spongy Bone\" width=\"347\" height=\"376\" \/><figcaption id=\"caption-attachment-2876\" class=\"wp-caption-text\"><em>Figure 7.4.10 Spongy bone contains a latticework of bone and open spaces to house bone marrow. Due to its structure, it is strong yet flexible, which is why it is found at the end of long bones.<\/em><\/figcaption><\/figure>\n<h3>Fluid Connective Tissue<\/h3>\n<p>Fluid connective tissue has a matrix that is fluid; unlike the other two categories of connective tissue, the cells that reside in the matrix do not actually <em>produc<\/em>e the matrix. Fibroblasts make the fibrous matrix, chondrocytes make the cartilaginous matrix, osteocytes make the bony matrix, yet blood cells <strong>do not<\/strong> make the fluid matrix of either lymph or plasma.\u00a0 This tissue still fits the definition of connective tissue in that it is still a scattering of cells in a non-cellular matrix.<\/p>\n<p>There are two types of fluid connective tissue:<\/p>\n<ul>\n<li><strong>Blood:<\/strong> blood contains three types of cells suspended in plasma, and is contained in the cardiovascular system.\n<ul>\n<li>Eryththrocytes, more commonly called red blood cells, are present in high numbers (roughly 5 million cells per mL) and are responsible for delivering oxygen from to the lungs to all the other areas of the body. These cells are relatively small in size with a diameter of around 7 micrometres and live no longer than 120 days.<\/li>\n<li>Leukocytes, often referred to as white blood cells, are present in lower numbers (approximately 5 thousand cells per mL) are responsible for various immune functions.\u00a0 They are typically larger than erythrocytes, but can live much longer, particularly white blood cells responsible for long term immunity.\u00a0 The number of leukocytes in your blood can go up or down based on whether or not you are fighting an infection.<\/li>\n<li>Thrombocytes, also known as platelets, are very small cells responsible for blood clotting.\u00a0 Thrombocytes are not actually true cells, they are fragments of a much larger cell called a megakaryocyte.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Lymph:<\/strong> contains a liquid matrix and white blood cells and is contained in the lymphatic system, which ultimately drains into the cardiovascular system.<\/li>\n<\/ul>\n<div id=\"h5p-537\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-537\" class=\"h5p-iframe\" data-content-id=\"537\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Fluid Connective Tissue - Blood - Image Hotspot\"><\/iframe><\/div>\n<\/div>\n<p><em>Figure 7.4.11 A stained lymphocyte surrounded by red blood cells viewed using a light microscope.\u00a0<\/em><\/p>\n<h1>Muscular Tissue<\/h1>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2817\">Muscular tissue<\/a><\/strong> is made up of cells\u00a0 that have the unique ability to contract- which is the defining feature of muscular tissue.\u00a0 There are three major types of muscle tissue, as pictured in Figure 7.4.12 skeletal, smooth, and cardiac muscle tissues.<\/p>\n<h2>Skeletal Muscle<\/h2>\n<p>Skeletal muscles are voluntary muscles, meaning that you exercise conscious control over them.\u00a0 Skeletal muscles are attached to bones by tendons, a type of connective tissue. When these muscles shorten to pull on the bones to which they are attached, they enable the body to move. When you are exercising, reading a book, or making dinner, you are using skeletal muscles to move your body to carry out these tasks.<\/p>\n<p>Under the microscope, skeletal muscles are striated (or striped) in appearance, because of their internal structure which contains alternating protein fibres of actin and myosin.\u00a0 Skeletal muscle is described as multinucleated, meaning one &#8220;cell&#8221; has many nuclei.\u00a0 This is because in utero, individual cells destined to become skeletal muscle fused, forming muscle fibres in a process known as myogenesis.\u00a0 You will learn more about skeletal muscle and how it contracts in the Muscular System.<\/p>\n<figure id=\"attachment_2887\" aria-describedby=\"caption-attachment-2887\" style=\"width: 489px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2887\" src=\"http:\/\/humanbiology.pressbooks.tru.ca\/wp-content\/uploads\/sites\/6\/2020\/05\/Skeletal_muscle_\u6a2a\u7eb9\u808c1.jpg#fixme\" alt=\"Skeletal Muscle\" width=\"489\" height=\"275\" \/><figcaption id=\"caption-attachment-2887\" class=\"wp-caption-text\"><em>Figure 7.4.12 Skeletal muscle is striated and multinucleated.<\/em><\/figcaption><\/figure>\n<h2>Smooth Muscle<\/h2>\n<p><strong>Smooth\u00a0muscles<\/strong> are nonstriated muscles- they still contain the muscle fibres actin and myosin, but not in the same alternating arrangement seen in skeletal muscle.\u00a0 \u00a0Smooth muscle is found in the tubes of the body &#8211; in the walls of blood vessels and in the reproductive, gastrointestinal, and respiratory tracts. Smooth muscles are not under voluntary control meaning that they operate unconsciously, via the autonomic nervous system.\u00a0 Smooth muscles move substances through a wave of contraction which cascades down the length of a tube, a process termed <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2890\">peristalsis<\/a>.\u00a0 <\/strong><\/p>\n<p>Watch the YouTube video &#8220;<a href=\"https:\/\/www.youtube.com\/watch?v=kVjeNZA5pi4\">What is Peristalsis<\/a>&#8221; by <a href=\"https:\/\/www.youtube.com\/channel\/UCxTlkZfjArUobBAeVwzJjYg\/feed\">Mister Science<\/a> to see peristalsis in action.<\/p>\n<p><iframe loading=\"lazy\" id=\"oembed-1\" title=\"What is peristalsis?\" width=\"500\" height=\"375\" src=\"https:\/\/www.youtube.com\/embed\/kVjeNZA5pi4?feature=oembed&#38;rel=0&#38;rel=0\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p style=\"text-align: center;\">What is Peristalsis, Mister Science, 2018.<\/p>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_2889\" aria-describedby=\"caption-attachment-2889\" style=\"width: 391px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2889\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Smooth_Muscle_new-e1590202536987-2.jpg\" alt=\"Smooth Muscle\" width=\"391\" height=\"380\" \/><figcaption id=\"caption-attachment-2889\" class=\"wp-caption-text\"><em>Figure 7.4.13 Smooth muscle is non-striated and each oval-shaped cell contains a single nuclei. (Micrograph provided by the Regents of University of Michigan Medical School \u00a9 2012)<\/em><\/figcaption><\/figure>\n<figure id=\"attachment_2888\" aria-describedby=\"caption-attachment-2888\" style=\"width: 410px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2888\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/PeristalsisN-2.jpg\" alt=\"Peristalsis\" width=\"410\" height=\"306\" \/><figcaption id=\"caption-attachment-2888\" class=\"wp-caption-text\"><em>Figure 7.4.14 Peristalsis is a wave-like contraction of smooth muscle which pushes the contents of a tube ahead of the wave of contraction.<\/em><\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<h2>Cardiac Muscle<\/h2>\n<p><strong style=\"text-align: initial; font-size: 1em;\"><br \/>\nCardiac muscles<\/strong><span style=\"font-weight: normal; text-align: initial; font-size: 1em;\"> work involuntarily, meaning they are regulated by the autonomic nervous system.\u00a0 This is probably a good thing, since you wouldn&#8217;t want to have to consciously concentrate on keeping your heart beating all the time! Cardiac muscle, which is found only in the heart, is mononucleated and striated (due to alternating bands of myosin and actin). Their contractions cause the heart to pump blood. In order to make sure entire sections of the heart contract in unison, cardiac muscle tissue contains special cell junctions called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2891\">intercalated discs<\/a>, which conduct the electrical signals used to &#8220;tell&#8221; the chambers of the heart when to contract.<\/span><\/p>\n<figure id=\"attachment_2893\" aria-describedby=\"caption-attachment-2893\" style=\"width: 584px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2893\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Cardiac-Muscle-1-2.jpg\" alt=\"Cardiac Muscle\" width=\"584\" height=\"438\" \/><figcaption id=\"caption-attachment-2893\" class=\"wp-caption-text\"><em>Figure 7.4.15 Cardiac muscle cells contain a single nucleus, have a striated appearance, and are joined by specialized junctions called intercalated discs.<\/em><\/figcaption><\/figure>\n<h2>Nervous Tissue<\/h2>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2818\">Nervous tissue<\/a><\/strong> is made up of neurons and a group of cells called neuroglia (also known as glial cells).\u00a0 Nervous tissue makes up the central nervous system (mainly the brain and spinal cord) and peripheral nervous system (the network of nerves that runs throughout the rest of the body).\u00a0 The defining feature of nervous tissue is that it is specialized to be able to generate and conduct nerve impulses.\u00a0 This function is carried out by neurons, and the purpose of neuroglia is to support neurons.<\/p>\n<p>A neuron has several parts to its structure:<\/p>\n<ul>\n<li>Dendrites which collect incoming nerve impulses<\/li>\n<li>A cell body, or soma, which contains the majority of the neuron&#8217;s organelles, including the nucleus<\/li>\n<li>An axon, which carries nerve impulses away from the soma, to the next neuron in the chain<\/li>\n<li>A myelin sheath, which encases the axon and increases that rate at which nerve impulses can be conducted<\/li>\n<li>Axon terminals, which maintain physical contact with the dendrites of neighbouring neurons<\/li>\n<\/ul>\n<figure id=\"attachment_2896\" aria-describedby=\"caption-attachment-2896\" style=\"width: 411px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2896\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Neuron.svg_-2.png\" alt=\"\" width=\"411\" height=\"221\" \/><figcaption id=\"caption-attachment-2896\" class=\"wp-caption-text\"><em>Figure 7.4.16 Neurons a cell which specialize in conducting electrical impulses.<\/em><\/figcaption><\/figure>\n<div>\n<p>Neuroglia can be understood as support staff for the neuron.\u00a0 The neurons have such an important job, they need cells to bring them nutrients, take away cell waste, and build their mylein sheath.\u00a0 There are many types of neuroglia, which are categorized based on their function and\/or their location in the nervous system.\u00a0 Neuroglia outnumber neurons by as much as 50 to 1, and are much smaller.\u00a0 See the diagram in 7.4.17 to compare the size and number of neurons and neuroglia.<\/p>\n<figure id=\"attachment_2897\" aria-describedby=\"caption-attachment-2897\" style=\"width: 553px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2897\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Nervous-Tissue-close-up-2.jpg\" alt=\"Nervous Tissue\" width=\"553\" height=\"415\" \/><figcaption id=\"caption-attachment-2897\" class=\"wp-caption-text\"><em>Figure 7.4.17 Neuroglia, the small cells seen here, outnumber neurons (the two larger cells) by as much as 50 to 1.<\/em><\/figcaption><\/figure>\n<p>Try out this memory game to test your tissues knowledge:<\/p>\n<div id=\"h5p-538\">\n<div class=\"h5p-content\" data-content-id=\"538\"><\/div>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">7.4 Summary<\/span><\/h1>\n<\/header>\n<ul>\n<li>\u00a0Tissues are made up of cells working together.<\/li>\n<li>There are four main types of tissues: epithelial, connective, muscular and nervous.<\/li>\n<li>Epithelial tissue makes up the linings and coverings of the body and is characterized by having a free surface and a basement membrane.\u00a0 Types of epithelial tissue are distinguished by shape of cell (squamous, cuboidal or columnar) and layering (simple, stratified, pseudostratified and transitional).\u00a0 Different epithelial tissues can carry out diffusion, secretion, absorption, and\/or protection depending on their particular cell shape and layering.<\/li>\n<li>Connective tissue provides structure and support for the body and is characterized as a scattering of cells in a non-cellular matrix.\u00a0 There are three main categories of connective tissue, each characterized by a particular type of matrix:\n<ul>\n<li>Fibrous connective tissue contains protein fibres.\u00a0 Both loose and dense fibrous connective tissue belong in this category.<\/li>\n<li>Supportive connective tissue contains a very solid matrix, and includes both bone and cartilage.<\/li>\n<li>Fluid connective tissue contains cells in a fluid matrix with the two types of blood and lymph.<\/li>\n<\/ul>\n<\/li>\n<li>Muscular tissue&#8217;s defining feature is that it is contractile.\u00a0 There are three types of muscular tissue:\u00a0 skeletal muscle which is found attached to the skeleton for voluntary movement, smooth muscle which moves substances through body tubes, and cardiac muscle which moves blood through the heart.<\/li>\n<li>Nervous tissue contains specialized cells called neurons which can conduct electrical impulses.\u00a0 Also found in nervous tissue are neuroglia, which support neurons by providing nutrients, removing wastes, and creating myelin sheath.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">7.4 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>Define the term tissue.<\/li>\n<li>\n<div id=\"h5p-539\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-539\" class=\"h5p-iframe\" data-content-id=\"539\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Epithelial Tissue\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>If a part of the body needed a lining that was both protective, but still able to absorb nutrients, what would be the best type of epithelial tissue to use?<\/li>\n<li>\n<div id=\"h5p-540\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-540\" class=\"h5p-iframe\" data-content-id=\"540\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Connective Tissue\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Where do you find skeletal muscle?\u00a0 Smooth muscle? Cardiac muscle?<\/li>\n<li>\n<div id=\"h5p-541\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-541\" class=\"h5p-iframe\" data-content-id=\"541\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Guess the Tissue\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>What are some of the functions of neuroglia?<\/li>\n<li>\n<div id=\"h5p-542\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-542\" class=\"h5p-iframe\" data-content-id=\"542\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Neuron\"><\/iframe><\/div>\n<\/div>\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;\">7.4 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p><iframe loading=\"lazy\" id=\"oembed-2\" title=\"Types of Human Body Tissue\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/O0ZvbPak4ck?feature=oembed&#38;rel=0&#38;rel=0\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p style=\"text-align: center;\">Types of Human Body Tissue, MoomooMath and Science, 2017.<\/p>\n<p><iframe loading=\"lazy\" id=\"oembed-3\" title=\"How to 3D print human tissue - Taneka Jones\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/uHbn7wLN_3k?feature=oembed&#38;rel=0&#38;rel=0\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p style=\"text-align: center;\">How to 3D print human tissue &#8211; Taneka Jones, TED-Ed, 2019.<\/p>\n<p><iframe loading=\"lazy\" id=\"oembed-4\" title=\"How bones make blood - Melody Smith\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/1Qfmkd6C8u8?feature=oembed&#38;rel=0&#38;rel=0\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p style=\"text-align: center;\">How bones make blood &#8211; Melody Smith, TED-Ed, 2020.<\/p>\n<\/div>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 7.4.1<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/unsplash.com\/photos\/Za9oagRJNLM\">Construction man kneeling in front of wall<\/a> by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@charlesdeluvio\">Charles Deluvio<\/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).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/qJa6WDmRNwM\">Beige wooden frame<\/a> by\u00a0<a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@charlesdeluvio\">Charles Deluvio<\/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).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/_Agl-CUoQvc\">Tambour on green<\/a> by <a href=\"https:\/\/unsplash.com\/@chatelp\">Pierre Ch\u00e2tel-Innocenti<\/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).<\/li>\n<li><a href=\"https:\/\/pixabay.com\/es\/photos\/construcci%C3%B3n-esp%C3%A1rragos-fontaner%C3%ADa-273291\/\">Tags: Construction Studs Plumbing Wiring<\/a> by <a class=\"hover_opacity\" href=\"https:\/\/pixabay.com\/es\/users\/JWahl-167616\/\">JWahl<\/a> on <a href=\"http:\/\/pixabay.com\">Pixabay<\/a> is used under the <a href=\"https:\/\/pixabay.com\/es\/service\/license\/\">Pixabay License<\/a> (https:\/\/pixabay.com\/es\/service\/license\/).<\/li>\n<\/ul>\n<p><strong>Figure 7.4.2 and Figure 7.4.3<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Simple_columnar_epithelium_tissue.svg\">Simple columnar epithelium tissue<\/a>\u00a0by<span style=\"font-size: 14.4px;\"> <a class=\"new\" title=\"User:Kamilx3 (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Kamilx3&amp;action=edit&amp;redlink=1\">Kamil Danak<\/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> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en) license.\u00a0<\/span><\/li>\n<li><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Simple_cuboidal_epithelium.svg\">Simple cuboidal epithelium<\/a> by <span style=\"font-size: 14.4px;\"><a class=\"new\" title=\"User:Kamilx3 (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Kamilx3&amp;action=edit&amp;redlink=1\">Kamil Danak<\/a><\/span>\u00a0on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en) license.<\/li>\n<li><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Simple_squamous_epithelium.svg#mw-jump-to-license\">Simple squamous epithelium<\/a> by<span style=\"font-size: 14.4px;\"> <a class=\"new\" title=\"User:Kamilx3 (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Kamilx3&amp;action=edit&amp;redlink=1\">Kamil Danak<\/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> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en) license.\u00a0<\/span><\/li>\n<\/ul>\n<p><strong>Figure 7.4.4<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Figure_33_02_06.jpg\" rel=\"cc:attributionURL\">Loose fibrous connective tissue<\/a> by <a href=\"https:\/\/cnx.org\/contents\/GFy_h8cu@10.53:-LfhWRES@4\/Animal-Primary-Tissues\">CNX OpenStax. Biology<\/a>. on Wikimedial Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0)\">CC BY 4.0<\/a>. (https:\/\/creativecommons.org\/licenses\/by\/4.0) license.<\/p>\n<p><strong>Figure 7.4.5<\/strong><\/p>\n<p><a href=\"https:\/\/www.flickr.com\/photos\/146824358@N03\/39977986150\/\">Connective Tissue: Loose Aerolar<\/a> by <a href=\"http:\/\/blogs.berkshirecc.edu\/bccoer\" rel=\"noreferrer nofollow\">Berkshire Community College Bioscience Image Library<\/a>\u00a0on <a href=\"http:\/\/flickr.com\">Flickr<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/\" rel=\"license\">CC0 1.0<\/a> Universal public domain dedication (https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/) license.<\/p>\n<p><strong>Figure 7.4.6<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Figure_33_02_07.jpg\" rel=\"cc:attributionURL\">Dense Fibrous Connective Tissue<\/a> by by <a href=\"https:\/\/cnx.org\/contents\/GFy_h8cu@10.53:-LfhWRES@4\/Animal-Primary-Tissues\">CNX OpenStax. Biology<\/a>. on Wikimedial Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0)\">CC BY 4.0<\/a>. (https:\/\/creativecommons.org\/licenses\/by\/4.0) license.<\/p>\n<p><strong>Figure 7.4.7<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Dense_connective_tissue-400x.jpg\" rel=\"cc:attributionURL\">Dense_connective_tissue-400x<\/a> by <a class=\"new\" title=\"User:J Jana (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:J_Jana&amp;action=edit&amp;redlink=1\">J Jana<\/a> on Wikimedia Commons is used under a\u00a0 <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\" rel=\"license\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/deed.en) license.<\/p>\n<p><strong>Figure 7.4.8<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:412_Types_of_Cartilage-new.jpg\" rel=\"cc:attributionURL\">Types_of_Cartilage-new<\/a> by<span style=\"text-align: initial; font-size: 1em;\">\u00a0<a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/4-3-connective-tissue-supports-and-protects\">OpenStax College<\/a> on <span style=\"font-size: 1em;\">Wikipedia Commons is used under a <\/span><a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.\u00a0<\/span><\/p>\n<p><strong>Figure 7.4.9<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Compact_bone_histology_2014.jpg\" rel=\"cc:attributionURL\">Compact_bone_histology_2014<\/a> by <a title=\"User:Athikhun.suw\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Athikhun.suw\">Athikhun.suw<\/a> on Wikimedia Commons is used under a\u00a0 <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/deed.en\" rel=\"license\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/deed.en) license.<\/p>\n<p><strong>Figure 7.4.10<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Bone_normal_and_degraded_micro_structure.jpg\" rel=\"cc:attributionURL\">Bone_normal_and_degraded_micro_structure<\/a> by <a class=\"new\" title=\"User:Gtirouflet (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Gtirouflet&amp;action=edit&amp;redlink=1\">Gtirouflet<\/a> 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> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en) license.<\/p>\n<p><strong>Figure 7.4.11<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Lymphocyte2.jpg\">Lymphocyte2<\/a> by <a class=\"mw-userlink\" title=\"User:NicolasGrandjean\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:NicolasGrandjean\">NicolasGrandjean<\/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> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en) license.\u00a0 [No machine-readable author provided. NicolasGrandjean\u00a0is assumed, based on copyright claims.]<\/p>\n<p><strong>Figure 7.4.12<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Skeletal_muscle_%E6%A8%AA%E7%BA%B9%E8%82%8C1.JPG\" rel=\"cc:attributionURL\">Skeletal_muscle_\u6a2a\u7eb9\u808c1<\/a> by <a title=\"User:\u4e4c\u62c9\u8de8\u6c2a\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:%E4%B9%8C%E6%8B%89%E8%B7%A8%E6%B0%AA\">\u4e4c\u62c9\u8de8\u6c2a<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\" rel=\"license\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/deed.en) license.<\/p>\n<p><strong>Figure 7.4.13<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:1021_Smooth_Muscle_new.jpg\" rel=\"cc:attributionURL\">Smooth_Muscle_new<\/a> by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/10-8-smooth-muscle\">OpenStax<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" rel=\"license\">CC BY 4.0 <\/a>\u00a0(https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.en) license.<\/p>\n<p><strong>Figure 7.4.14<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:2404_PeristalsisN.jpg\" rel=\"cc:attributionURL\">Peristalsis<\/a> by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/23-2-digestive-system-processes-and-regulation\">OpenStax<\/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\/deed.en) license.<\/p>\n<p><strong>Figure 7.4.15<\/strong><\/p>\n<p><a href=\"https:\/\/www.flickr.com\/photos\/89557913@N00\/6197702211\/in\/photostream\/\" rel=\"cc:attributionURL\">400x Cardiac Muscle<\/a>\u00a0by\u00a0<a href=\"https:\/\/www.flickr.com\/photos\/89557913@N00\/\" rel=\"dc:creator\">Jessy731<\/a> on <a href=\"http:\/\/flickr.com\">Flickr<\/a> is used and adapted by Christine Miller under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc\/2.0\/\">CC BY-NC 2.0<\/a>\u00a0(https:\/\/creativecommons.org\/licenses\/by-nc\/2.0\/) license.<\/p>\n<p><strong>Figure 7.4.16<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Neuron.svg\" rel=\"cc:attributionURL\">Neuron.svg<\/a> by <a class=\"new\" title=\"User:Dhp1080 (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Dhp1080&amp;action=edit&amp;redlink=1\">User:Dhp1080<\/a> 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> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en) license.<\/p>\n<p><strong>Figure 7.4.17<\/strong><\/p>\n<p><a href=\"https:\/\/www.flickr.com\/photos\/89557913@N00\/6198225348\/in\/album-72157627663341815\/\" rel=\"cc:attributionURL\">400x Nervous Tissue <\/a>\u00a0by\u00a0<a href=\"https:\/\/www.flickr.com\/photos\/89557913@N00\/\" rel=\"dc:creator\">Jessy731<\/a> on <a href=\"http:\/\/flickr.com\">Flickr<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc\/2.0\/\" rel=\"license\">CC BY-NC 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-nc\/2.0\/) license.<\/p>\n<p><strong>Table 7.4.1<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:423_Table_04_02_Summary_of_Epithelial_Tissue_CellsN.jpg#\/media\/File:423_Table_04_02_Summary_of_Epithelial_Tissue_CellsN.jpg\">Summary of Epithelial Tissue Cells<\/a>, <span style=\"text-align: initial; font-size: 1em;\">by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/4-2-epithelial-tissue\">OpenStax College<\/a> on <span style=\"font-size: 1em;\">Wikipedia Commons is used under a <\/span><a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.\u00a0<\/span><\/p>\n<p><strong>Table 7.4.2<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Epithelial_Tissues_Stratified_Squamous_Epithelium_(40230842160).jpg\" rel=\"cc:attributionURL\">Epithelial_Tissues_Stratified_Squamous_Epithelium_(40230842160)<\/a> by<br \/>\n<a class=\"external text\" href=\"https:\/\/www.flickr.com\/people\/146824358@N03\" rel=\"nofollow\">Berkshire Community College Bioscience Image Library<\/a>\u00a0on Wikimedia Commons is used under a\u00a0 <a href=\"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/\" rel=\"license\">CC0 1.0<\/a> Universal Public Domain Dedication (https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/) license.<\/li>\n<li><a href=\"https:\/\/www.flickr.com\/photos\/146824358@N03\/41681552782\/\" rel=\"cc:attributionURL\">Simple cuboidal epithelial tissue histology<\/a> by <a href=\"https:\/\/www.flickr.com\/photos\/146824358@N03\/\">Berkshire Community College<\/a> on <a href=\"http:\/\/Flickr.com\">Flickr<\/a> is used under a\u00a0 <a href=\"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/\" rel=\"license\">CC0 1.0<\/a> Universal Public Domain Dedication (https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/) license.<\/li>\n<li><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:2304_Pseudostratified_Epithelium.jpg\" rel=\"cc:attributionURL\">Pseudostratified_Epithelium<\/a> by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/22-1-organs-and-structures-of-the-respiratory-system\">OpenStax College<\/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.<\/li>\n<\/ul>\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, April 25). Figure 4.8 Summary of epithelial tissue cells [digital image].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 4.2). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/4-2-epithelial-tissue<\/p>\n<p class=\"hanging-indent\"><span class=\"os-title-label\"><span class=\"search-highlight text\" data-timestamp=\"1595304353878\" data-highlight-id=\"24812396-94bb-4ad8-9c2b-9493f84bc468\" data-highlighted=\"true\">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\u00a0<\/span><\/span><span class=\"os-number\"><span class=\"search-highlight text\" data-timestamp=\"1595304353878\" data-highlight-id=\"24812396-94bb-4ad8-9c2b-9493f84bc468\" data-highlighted=\"true\">4.16<\/span><\/span><span class=\"os-divider\">\u00a0<\/span><span id=\"65771\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text\" data-timestamp=\"1595304353878\" data-highlight-id=\"24812396-94bb-4ad8-9c2b-9493f84bc468\" data-highlighted=\"true\">Types of cartilage [digital image].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 4.3). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/4-3-connective-tissue-supports-and-protects <\/span><\/span><\/p>\n<p class=\"hanging-indent\"><span class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text\" data-timestamp=\"1595304353878\" data-highlight-id=\"24812396-94bb-4ad8-9c2b-9493f84bc468\" data-highlighted=\"true\"><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 10.23 Smooth muscle [digital micrograph].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 10.8). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/10-8-smooth-muscle (Micrograph provided by the Regents of University of Michigan Medical School \u00a9 2012)<\/span><\/span><\/p>\n<p class=\"hanging-indent\"><span class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text\" data-timestamp=\"1595304353878\" data-highlight-id=\"24812396-94bb-4ad8-9c2b-9493f84bc468\" data-highlighted=\"true\"><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><\/span><\/span>Figure 22.5 Pseudostratified ciliated columnar epithelium <span class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text\" data-timestamp=\"1595304353878\" data-highlight-id=\"24812396-94bb-4ad8-9c2b-9493f84bc468\" data-highlighted=\"true\">[digital micrograph].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 22.1). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/22-1-organs-and-structures-of-the-respiratory-system <\/span><\/span><\/p>\n<p class=\"hanging-indent\"><span class=\"os-title-label\"><span class=\"search-highlight text\" data-timestamp=\"1595349068914\" data-highlight-id=\"cfc8b754-6300-4e64-bbd6-b284869dd483\" data-highlighted=\"true\"><span class=\"os-title\" data-type=\"title\">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\u00a0<\/span><\/span><span class=\"os-number\"><span class=\"search-highlight text\" data-timestamp=\"1595349068914\" data-highlight-id=\"cfc8b754-6300-4e64-bbd6-b284869dd483\" data-highlighted=\"true\">23.5<\/span><\/span><span class=\"os-divider\">\u00a0<\/span><span id=\"4684\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text\" data-timestamp=\"1595349068914\" data-highlight-id=\"cfc8b754-6300-4e64-bbd6-b284869dd483\" data-highlighted=\"true\">Peristalsis [diagram]. <span class=\"os-title\" data-type=\"title\">In <em>Anatomy and Physiology<\/em> (Section 23.2). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/23-2-digestive-system-processes-and-regulation<\/span><\/span><\/span><\/p>\n<p class=\"hanging-indent\">Mister Science. (2018). What is peristalsis? YouTube. https:\/\/www.youtube.com\/watch?v=kVjeNZA5pi4<\/p>\n<p class=\"hanging-indent\">MoomooMath and Science. (2017, May 18). Types of human body tissue. YouTube. https:\/\/www.youtube.com\/watch?v=O0ZvbPak4ck&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\"><span style=\"text-align: initial; font-size: 1em;\">Open Stax. (2016, May 27). Figure 6 Loose connective tissue [digital image]. In <em>OpenStax Biology<\/em> (Section 33.2). OpenStax CNX. https:\/\/cnx.org\/contents\/GFy_h8cu@10.53:-LfhWRES@4\/Animal-Primary-Tissues<\/span><\/p>\n<p class=\"hanging-indent\"><span style=\"text-align: initial; font-size: 1em;\">Open Stax. (2016, May 27). Figure 7 Fibrous connective tissue from the tendon [digital image]. In <em>OpenStax Biology<\/em> (Section 33.2). OpenStax CNX. https:\/\/cnx.org\/contents\/GFy_h8cu@10.53:-LfhWRES@4\/Animal-Primary-Tissues<\/span><\/p>\n<p class=\"hanging-indent\"><span style=\"text-align: initial; font-size: 1em;\">TED-Ed. (2019, October 17). How to 3D print human tissue &#8211; Taneka Jones. YouTube. https:\/\/www.youtube.com\/watch?v=uHbn7wLN_3k&amp;feature=youtu.be<\/span><\/p>\n<p class=\"hanging-indent\">TED-Ed. (2020, January 27). How bones make blood &#8211; Melody Smith. YouTube. https:\/\/www.youtube.com\/watch?v=1Qfmkd6C8u8&amp;feature=youtu.be<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<div class=\"glossary\"><span class=\"screen-reader-text\" id=\"definition\">definition<\/span><template id=\"term_4717_2801\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4717_2801\"><div tabindex=\"-1\"><p>Created by CK-12 Foundation\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_671\" aria-describedby=\"caption-attachment-671\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-661\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Kids-piant-duet-by-PJMixer-on-Unsplash.jpg\" alt=\"\" width=\"400\" height=\"268\"><figcaption id=\"caption-attachment-671\" class=\"wp-caption-text\"><em>Figure 8.6.1 A duet with the peripheral nervous system.\u00a0<\/em><\/figcaption><\/figure>\n<h1>One Piano, Four Hands<\/h1>\n<p>Did you ever see two people play the same piano? How do they coordinate all the movements of their own fingers \u2014 let alone synchronize them with those of their partner? The peripheral nervous system plays an important part in this challenge.<\/p>\n<div>\n<h1>What Is the Peripheral Nervous System?<\/h1>\n<\/div>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_3009\">peripheral nervous system<\/a> (PNS)<\/strong>\u00a0consists of all the nervous tissue that lies outside of the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2579\">central nervous system<\/a>\u00a0(CNS). The main function of the PNS is to connect the CNS to the rest of the organism. It serves as a\u00a0communication\u00a0relay, going back and forth between the CNS and\u00a0muscles, organs, and glands throughout the body.<\/p>\n<figure id=\"attachment_671\" aria-describedby=\"caption-attachment-671\" style=\"width: 421px\" class=\"wp-caption aligncenter\"><img class=\"size-full wp-image-663\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Nervous_system_diagram.png\" alt=\"Peripheral Nervous System\" width=\"421\" height=\"695\"><figcaption id=\"caption-attachment-671\" class=\"wp-caption-text\"><em>Figure 8.6.2 The nerves of the peripheral nervous system are shown in blue in this diagram.<\/em><\/figcaption><\/figure>\n<div><\/div>\n<div>\n<h1>Tissues of the Peripheral Nervous System<\/h1>\n<\/div>\n<p>The PNS is mostly made up of cable-like bundles of axons called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_3011\">nerves<\/a><\/strong>,\u00a0as well as\u00a0clusters of neuronal cell bodies called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2699\">ganglia<\/a><\/strong>\u00a0(singular,\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2701\">ganglion<\/a><\/strong>). Nerves are generally classified\u00a0as sensory, motor, or mixed nerves\u00a0based on\u00a0the direction in which they carry\u00a0nerve impulses.<\/p>\n<ul>\n<li><strong>Sensory nerves<\/strong>\u00a0transmit information from sensory receptors in the body to the CNS. Sensory nerves are also called afferent nerves. You can see an example in the figure\u00a0below.<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_3111\">Motor nerves<\/a><\/strong>\u00a0transmit information from the CNS to\u00a0muscles, organs, and glands. Motor nerves are also called efferent nerves. You can see one in the figure\u00a0below.<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_3112\">Mixed nerves<\/a><\/strong>\u00a0contain both sensory and motor neurons, so they can transmit information in both directions. They have both afferent and efferent functions.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<div>\n<figure id=\"attachment_665\" aria-describedby=\"caption-attachment-665\" style=\"width: 868px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-665\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Afferent_and_efferent_neurons_en.svg_.png\" alt=\"Afferent and Efferent Neurons\" width=\"868\" height=\"533\"><figcaption id=\"caption-attachment-665\" class=\"wp-caption-text\"><em>Figure 8.6.3 In this diagram, each nerve is depicted as a single neuron for simplicity. This afferent neuron sends nerve impulses from sensory receptors in the skin to the CNS. The efferent neuron is a motor neuron that sends nerve impulses from the CNS to a muscle. The cell body of the afferent neuron is located in a ganglion (not pictured), while the cell body of the motor neuron is located in the spinal cord.<\/em><\/figcaption><\/figure>\n<\/div>\n<div>\n<h1>Divisions of the Peripheral Nervous System<\/h1>\n<\/div>\n<p>The PNS is divided into two major systems, called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2533\">autonomic nervous system<\/a> and the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_3014\">somatic nervous system<\/a>. In the diagram\u00a0below, the autonomic system is shown on the left, and the somatic system on the right. Both systems of the PNS interact with the CNS and include sensory and motor neurons, but they use different\u00a0circuits\u00a0of nerves and ganglia.<\/p>\n<figure id=\"attachment_671\" aria-describedby=\"caption-attachment-671\" style=\"width: 1075px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-667\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Autonomic-and-Somatic-Nervous-System.png\" alt=\"Autonomic and Somatic Nervous System\" width=\"1075\" height=\"510\"><figcaption id=\"caption-attachment-671\" class=\"wp-caption-text\"><em>Figure 8.6.4 The two major divisions of the PNS are the autonomic and sensory nervous systems.<\/em><\/figcaption><\/figure>\n<h2>Somatic Nervous System<\/h2>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_3014\">somatic nervous system<\/a><\/strong>\u00a0primarily\u00a0senses\u00a0the external environment and controls voluntary activities about which decisions and commands come from the cerebral cortex of the brain. When you feel too warm, for example, you decide to turn on the air conditioner. As you walk across the room to the thermostat, you are using your somatic nervous system. In general, the somatic nervous system is responsible for all of your\u00a0<em>conscious<\/em>\u00a0perceptions of the outside world, as well as all of the voluntary motor activities you perform in response. Whether it\u2019s playing a piano, driving a car, or playing basketball, you can thank your somatic nervous system for making it possible.<\/p>\n<p>Somatic sensory and motor information is transmitted through\u00a012 pairs of cranial nerves and 31 pairs of spinal nerves. Cranial nerves are in the head and neck and connect directly to the brain. Sensory components of cranial nerves\u00a0transmit information about\u00a0smells, tastes, light, sounds, and body position. Motor components of cranial nerves control\u00a0skeletal muscles\u00a0of the face, tongue, eyeballs, throat, head, and shoulders. Motor components of cranial nerves also control the salivary glands and swallowing. Four of the 12 cranial nerves participate in both sensory and motor functions as mixed nerves, having both sensory and motor neurons.<\/p>\n<p>Spinal nerves emanate from the spinal column between vertebrae. All of the spinal nerves are mixed nerves, containing both sensory and motor neurons. The areas of skin innervated by the 31 pairs of spinal nerves are shown in the figure\u00a0below. These include sensory nerves in the skin that sense pressure,\u00a0temperature, vibrations, and pain. Other sensory nerves are in the\u00a0muscles, and they sense stretching and tension. Spinal nerves also include motor nerves that stimulate\u00a0skeletal muscles\u00a0to contract, allowing for voluntary body movements.<\/p>\n<figure id=\"attachment_671\" aria-describedby=\"caption-attachment-671\" style=\"width: 550px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-669\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Dermatoms.svg_.png\" alt=\"Nerves\" width=\"550\" height=\"778\"><figcaption id=\"caption-attachment-671\" class=\"wp-caption-text\"><em>Figure 8.6.5 This drawing shows the areas of the skin innervated by sensory spinal nerves of the somatic nervous system. The left half of the figure shows the nerves in the front of the body, and the right half shows the nerves in the back of the body. The area that each spinal nerve innervates is shown in a different colour.<\/em><\/figcaption><\/figure>\n<h2>Autonomic Nervous System<\/h2>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2533\">autonomic nervous system<\/a><\/strong>\u00a0primarily\u00a0senses\u00a0the internal environment and controls involuntary activities. It is responsible for monitoring conditions in the internal environment and bringing about appropriate changes in them. In general, the\u00a0autonomic\u00a0nervous system is responsible for all the activities that go on inside your body\u00a0<em>without<\/em>\u00a0your conscious awareness or voluntary participation.<\/p>\n<p>Structurally, the autonomic nervous system consists of sensory and motor nerves that run between the CNS (especially the hypothalamus in the brain), internal organs (such as the\u00a0heart, lungs, and digestive organs), and glands (such as the\u00a0pancreas\u00a0and sweat glands). <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_3030\">Sensory neurons<\/a> in the autonomic system detect internal body conditions and send messages to the brain. Motor nerves in the autonomic system affect appropriate responses by controlling contractions of smooth or cardiac muscle, or glandular tissue. For example, when sensory nerves of the autonomic system detect a rise in body\u00a0temperature, motor nerves signal smooth muscles in\u00a0blood vessels\u00a0near the body surface to undergo vasodilation, and the sweat glands in the skin to secrete more sweat to cool the body.<\/p>\n<p>The autonomic nervous system, in turn, has three subdivisions: the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_3015\">sympathetic division<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_3016\">parasympathetic division<\/a>, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2650\">enteric division<\/a>. The first two subdivisions of the autonomic system are summarized in the figure\u00a0below. Both affect the same organs and glands, but they generally do so in opposite ways.<\/p>\n<ul>\n<li>The\u00a0<strong>sympathetic division<\/strong>\u00a0controls the fight-or-flight response. Changes occur in organs and glands throughout the body that prepare the body to fight or flee in response to a perceived danger. For example, the\u00a0heart\u00a0rate speeds up, air passages in the lungs become wider, more\u00a0blood\u00a0flows to the\u00a0skeletal muscles, and the\u00a0digestive system temporarily shuts down.<\/li>\n<li>The\u00a0<strong>parasympathetic division<\/strong>\u00a0returns the body to normal after the fight-or-flight response has occurred. For example, it slows down the\u00a0heart\u00a0rate, narrows air passages in the lungs, reduces\u00a0blood\u00a0flow to the skeletal muscles, and stimulates the\u00a0digestive system\u00a0to start working again. The parasympathetic division also maintains internal\u00a0homeostasis\u00a0of the body at other times.<\/li>\n<li>The\u00a0<strong>enteric division<\/strong> is made up of nerve fibres that supply the organs of the digestive system. This division allows for the local control of many digestive functions.<\/li>\n<\/ul>\n<figure id=\"attachment_671\" aria-describedby=\"caption-attachment-671\" style=\"width: 597px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-671\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/The_Autonomic_Nervous_System.jpg\" alt=\"The autonomic nervous system\" width=\"597\" height=\"598\"><figcaption id=\"caption-attachment-671\" class=\"wp-caption-text\"><em>Figure 8.6.6 This diagram summarizes the structures and functions controlled by the parasympathetic and sympathetic divisions of the autonomic nervous system.<\/em><\/figcaption><\/figure>\n<p><span style=\"font-size: 1.602em;font-weight: bold\">Disorders of the Peripheral Nervous System<\/span><\/p>\n<p>Unlike the CNS \u2014 which is protected by\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2552\">bone<\/a>s, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2929\">meninges<\/a>, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2589\">cerebrospinal fluid<\/a> \u2014 the PNS has no such protections. The PNS also has no blood-brain barrier to protect it from toxins and pathogens in the\u00a0blood. Therefore, the PNS is more subject to injury and disease than is the CNS. Causes of nerve injury include\u00a0<a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/diabetes\/symptoms-causes\/syc-20371444\">diabetes<\/a>,\u00a0infectious diseases\u00a0(such as <a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/shingles\/symptoms-causes\/syc-20353054\">shingles<\/a>), and poisoning by toxins (such as heavy metals). PNS disorders often have symptoms\u00a0like\u00a0loss of feeling, tingling, burning sensations, or muscle weakness. If a traumatic injury results in a nerve being transected (cut all the way through), it may regenerate, but this is a very slow process and may take many months.<\/p>\n<p>Two other diseases of the PNS are Guillain-Barre syndrome and Charcot-Marie-Tooth disease.<\/p>\n<ul>\n<li><a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/guillain-barre-syndrome\/symptoms-causes\/syc-20362793\">Guillain-Barre syndrome<\/a> is a rare disease in which the immune system attacks nerves of the PNS, leading to muscle weakness and even paralysis. The exact cause of Guillain-Barre syndrome is unknown, but it often occurs after a viral or bacterial infection. There is no known cure for the syndrome, but most people eventually make a full recovery. Recovery can be slow, however, lasting anywhere from several weeks to several years.<\/li>\n<li><a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/charcot-marie-tooth-disease\/symptoms-causes\/syc-20350517\">Charcot-Marie-Tooth disease<\/a> is a hereditary disorder of the nerves, and one of the most common inherited neurological disorders. It affects predominantly the nerves in the feet and legs,\u00a0and often\u00a0in the hands and arms, as well. The disease is characterized by loss of muscle tissue and sense of touch. It is presently incurable.<\/li>\n<\/ul>\n<div>\n<h1>Feature: My\u00a0Human Body<\/h1>\n<\/div>\n<p>The autonomic nervous system is considered to be involuntary because it doesn't require conscious input. However, it\u00a0<em>is<\/em>\u00a0possible to exert some voluntary control over it. People who practice yoga or other so-called mind-body techniques, for example,\u00a0can\u00a0reduce their heart rate and certain other autonomic functions. Slowing down these otherwise involuntary responses is a good way to relieve stress and reduce the wear-and-tear that stress can place on the body. Such techniques may also be useful for controlling post-traumatic stress disorder and chronic pain. Three types of integrative practices for these purposes\u00a0are\u00a0breathing exercises, body-based tension modulation exercises, and mindfulness techniques.<\/p>\n<p>Breathing exercises can help control the rapid, shallow breathing that often occurs when you are anxious or under stress. These exercises can be learned quickly, and they provide immediate feelings of relief. Specific breathing exercises include paced breath, diaphragmatic breathing, and Breathe2Relax or Chill Zone on MindShift\u2122 CBT, which are downloadable breathing practice mobile applications, or \"Apps\". Try syncing your breathing with Eric Klassen's \"Triangle breathing, 1 minute\" video:<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=u9Q8D6n-3qw<\/p>\n<p style=\"text-align: center\">Triangle breathing, 1 minute, Erin Klassen, 2015.<\/p>\n<p>Body-based tension modulation exercises include yoga postures (also known as \u201casanas\u201d) and tension manipulation exercises. The latter include the Trauma\/Tension Release\u00a0Exercise\u00a0(TRE) and the Trauma Resiliency Model (TRM). Watch this video for a brief \u2014 but informative \u2014 introduction to the TRE program:<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=67R974D8swM&amp;feature=youtu.be<\/p>\n<p style=\"text-align: center\">TRE\u00ae : Tension and Trauma Releasing Exercises, an Introduction with Jessica Schaffer, Jessica Schaffer Nervous System RESET, 2015.<\/p>\n<p>Mindfulness techniques have been shown to reduce symptoms of depression, as well as those of anxiety and stress. They have also been shown to be useful for pain management and performance enhancement. Specific mindfulness programs include Mindfulness Based Stress Reduction (MBSR) and Mindfulness Mind-Fitness Training (MMFT). You can learn more about MBSR by watching the video below.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=0TA7P-iCCcY&amp;feature=youtu.be<\/p>\n<p style=\"text-align: center\">Mindfulness-Based Stress Reduction (UMass Medical School, Center for Mindfulness), Palouse Mindfulness, 2017.<\/p>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">8.6 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_4717_3009\">peripheral nervous system<\/a> (PNS) consists of all the nervous tissue that lies outside the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2579\">central nervous system<\/a> (CNS). Its main function is to connect the CNS to the rest of the organism.<\/li>\n<li>The PNS is made up of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_3011\">nerves<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2699\">ganglia<\/a>. Nerves are bundles of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2535\">axons<\/a>, and ganglia are groups of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2576\">cell bodies<\/a>. Nerves are classified as sensory, motor, or a mix of the two.<\/li>\n<li>The PNS is divided into the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_3014\">somatic<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2533\">autonomic nervous systems<\/a>. The somatic system controls <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_3004\">voluntary<\/a> activities, whereas the autonomic system controls <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_3005\">involuntary<\/a> activities.<\/li>\n<li>The autonomic nervous system is further divided into <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_3015\">sympathetic<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_3016\">parasympathetic<\/a>, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2650\">enteric divisions<\/a>. The sympathetic division controls <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2682\">fight-or-flight responses<\/a>\u00a0during emergencies, the parasympathetic system controls routine body functions the rest of the time, and the enteric division provides local control over the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2628\">digestive system<\/a>.<\/li>\n<li>The PNS is not as well protected physically or chemically as the CNS, so it is more prone to injury and disease. PNS problems include injury from\u00a0diabetes, shingles, and heavy metal poisoning. Two disorders of the PNS are Guillain-Barre syndrome and Charcot-Marie-Tooth disease.<\/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\">8.6 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>Describe the general structure of the peripheral nervous system. State its primary function.<\/li>\n<li>What are ganglia?<\/li>\n<li>Identify three types of nerves based on the direction in which they carry\u00a0nerve impulses.<\/li>\n<li>Outline all of the divisions of the peripheral nervous system.<\/li>\n<li>Compare and contrast the somatic and autonomic nervous systems.<\/li>\n<li>When and how does the sympathetic division of the autonomic nervous system affect the body?<\/li>\n<li>What is the function of the parasympathetic division of the autonomic nervous system?\u00a0Specifically, how does it affect the body?<\/li>\n<li>Name and describe two peripheral nervous system disorders.<\/li>\n<li>Give one example of how the CNS interacts with the PNS to control a function in the body.<\/li>\n<li>For each of the following types of information, identify whether the neuron carrying it is sensory or motor, and whether it is most likely in the somatic or autonomic nervous system:\n<ol type=\"a\">\n<li>Visual information<\/li>\n<li>Blood pressure information<\/li>\n<li>Information that causes muscle contraction in digestive organs after eating<\/li>\n<li>Information that causes muscle contraction in skeletal muscles based on the person\u2019s decision to make a movement<\/li>\n<\/ol>\n<\/li>\n<li>\n<div id=\"h5p-125\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-125\" class=\"h5p-iframe\" data-content-id=\"125\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"8.2 Review Questions Introduction to the Nervous System\"><\/iframe><\/div>\n<\/div>\n<\/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\">8.6 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/www.youtube.com\/watch?v=ySIDMU2cy0Y&amp;feature=emb_logo<\/p>\n<p style=\"text-align: center\">Phantom Limbs Explained, Plethrons, 2015.<\/p>\n<p>https:\/\/www.youtube.com\/watch?time_continue=1&amp;v=73yo5nJne6c&amp;feature=emb_logo<\/p>\n<p style=\"text-align: center\">Why Do Hot Peppers Cause Pain? Reactions, 2015.<\/p>\n<\/div>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 8.6.1<\/strong><\/p>\n<p><a href=\"https:\/\/www.flickr.com\/photos\/pjmixer\/4460758776\" rel=\"cc:attributionURL\">Kid\u2019s piant duet<\/a> by\u00a0<a href=\"https:\/\/www.flickr.com\/photos\/pjmixer\/\" rel=\"dc:creator\">PJMixer<\/a> on <a href=\"http:\/\/flickr.com\">Flickr<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/2.0\/\" rel=\"license\">CC BY-NC-ND 2.0<\/a>\u00a0(https:\/\/creativecommons.org\/licenses\/by-nc-nd\/2.0\/) license.<\/p>\n<p><strong>Figure 8.6.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Nervous_system_diagram.png\" rel=\"cc:attributionURL\">Nervous_system_diagram<\/a> by <a class=\"extiw\" title=\"en:User:Persian Poet Gal\" href=\"https:\/\/en.wikipedia.org\/wiki\/User:Persian_Poet_Gal\"><span style=\"font-family: comic sans ms\"><span style=\"color: purple\">\u00a4~Persian Poet Gal<\/span><\/span><\/a>\u00a0 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 style=\"text-align: initial;font-size: 1em\"><br \/>\nFigure 8.6.3<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Afferent_and_efferent_neurons_en.svg\" rel=\"cc:attributionURL\">Afferent_and_efferent_neurons_en.svg<\/a> by <a title=\"User:Helixitta\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Helixitta\">Helixitta<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\" rel=\"license\">CC BY-SA 4.0 <\/a>\u00a0 (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0) license.<\/p>\n<p><strong>Figure 8.6.4<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Autonomic_and_Somatic_Nervous_System.png\" rel=\"cc:attributionURL\">Autonomic and Somatic Nervous System<\/a> by <a title=\"User:Christinelmiller\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Christinelmiller\">Christinelmiller<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\" rel=\"license\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0) license.<\/p>\n<p><strong>Figure 8.6.5<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Dermatoms.svg\" rel=\"cc:attributionURL\">Dermatoms.svg<\/a> by Ralf Stephan (mailto:ralf@ark.in-berlin.de) 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 8.6.6<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:The_Autonomic_Nervous_System.jpg\" rel=\"cc:attributionURL\">The_Autonomic_Nervous_System<\/a> by <a title=\"User:Geo-Science-International\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Geo-Science-International\">Geo-Science-International<\/a> on Wikimedia Commons is used and adapted by Christine Miller under a\u00a0<a href=\"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/\" rel=\"license\">CC0 1.0<\/a> Universal<br \/>\nPublic Domain Dedication license (https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/).<\/p>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">Erin Klassen. (2015, December 15). Triangle breathing, 1 minute. YouTube. https:\/\/www.youtube.com\/watch?v=u9Q8D6n-3qw&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">Jessica Schaffer Nervous System RESET. (2015, January 15). TRE\u00ae : Tension and trauma releasing exercises, an Introduction with Jessica Schaffer. YouTube. https:\/\/www.youtube.com\/watch?v=67R974D8swM&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">Mayo Clinic Staff. (n.d.). Charcot-Marie-Tooth disease [online article]. MayoClinic.org. https:\/\/www.mayoclinic.org\/diseases-conditions\/charcot-marie-tooth-disease\/symptoms-causes\/syc-20350517<\/p>\n<p class=\"hanging-indent\">Mayo Clinic Staff. (n.d.). Diabetes [online article]. MayoClinic.org. https:\/\/www.mayoclinic.org\/diseases-conditions\/diabetes\/symptoms-causes\/syc-20371444<\/p>\n<p class=\"hanging-indent\">Mayo Clinic Staff. (n.d.). Guillain-Barre syndrome [online article]. MayoClinic.org. https:\/\/www.mayoclinic.org\/diseases-conditions\/guillain-barre-syndrome\/symptoms-causes\/syc-20362793<\/p>\n<p class=\"hanging-indent\">Mayo Clinic Staff. (n.d.). Shingles [online article]. MayoClinic.org. https:\/\/www.mayoclinic.org\/diseases-conditions\/shingles\/symptoms-causes\/syc-20353054<\/p>\n<p class=\"hanging-indent\">Mayo Clinic Staff. (n.d.). Stroke [online article]. MayoClinic.org. https:\/\/www.mayoclinic.org\/diseases-conditions\/stroke\/symptoms-causes\/syc-20350113<\/p>\n<p class=\"hanging-indent\">Palouse Mindfulness. (2017, March 25).\u00a0 Mindfulness-based stress reduction (UMass Medical School, Center for Mindfulness), YouTube. https:\/\/www.youtube.com\/watch?v=0TA7P-iCCcY&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">Plethrons, (2015, March 23). Phantom limbs explained. YouTube. https:\/\/www.youtube.com\/watch?v=ySIDMU2cy0Y&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">Reactions. (2015, December 1). Why do hot peppers cause pain? YouTube. https:\/\/www.youtube.com\/watch?v=73yo5nJne6c&amp;feature=youtu.be<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4717_2814\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_3521\">skin<\/a>. The inner layer\u00a0is\u00a0the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_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_4717_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_4717_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_4717_3525\">keratin<\/a>-producing epithelial cells called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_3545\">Melanocytes<\/a>\u00a0and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_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_4717_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_4717_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_4717_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_4717_3525\">keratin<\/a>, giving their cytoplasm a granular appearance.\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_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_4717_2402\">nucleus<\/a>\u00a0and\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_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_4717_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_4717_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_4717_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_4717_277\">DNA<\/a>\u00a0that lead to the\u00a0development\u00a0of\u00a0skin <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_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_4717_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_4717_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_4717_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_4717_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_4717_3549\">stratum corneum<\/a>.\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_3524\">keratinocytes<\/a> that produce <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_3525\">keratin<\/a> and make up 90 per cent of epidermal cells, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_3526\">melanocytes<\/a> that produce <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2462\">melanin<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_3540\">Langerhans cells<\/a> that fight <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2405\">pathogens<\/a> in the skin, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_2879\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4717_2879\"><div tabindex=\"-1\"><p>Created by CK-12 Foundation\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_1805\" aria-describedby=\"caption-attachment-1805\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-1799\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/WaterforPeople_Uganda.jpg\" alt=\"18.8.1 Menstruation Awareness\" width=\"400\" height=\"300\"><figcaption id=\"caption-attachment-1805\" class=\"wp-caption-text\"><em>Figure 18.8.1 It's healthy to talk about menstruation.<\/em><\/figcaption><\/figure>\n<div>\n<h1>Taboo Topic<\/h1>\n<\/div>\n<p>The banner in Figure 18.8.1 was carried in a 2014 march in Uganda as part of the celebration of Menstrual Hygiene Day. Menstrual Hygiene Day is an awareness day on May 28 of each year that aims to raise awareness worldwide about menstruation and menstrual hygiene. Maintaining good menstrual hygiene is difficult in developing countries like Uganda because of taboos on discussing menstruation and lack of availability of menstrual hygiene products. Poor menstrual hygiene, in turn, can lead to embarrassment, degradation, and reproductive health problems in females. May 28 was chosen as Menstrual Hygiene Day because of its symbolism. May is the fifth month of the year, and most women average five days of menstrual bleeding each month. The 28th day was chosen because the menstrual cycle averages about 28 days.<\/p>\n<div>\n<h1>What Is the Menstrual Cycle?<\/h1>\n<\/div>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5293\">menstrual cycle<\/a><\/strong> refers to natural changes that occur in the female reproductive system each month during the reproductive years. The cycle is necessary for the production of ova and the preparation of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5102\">uterus<\/a> for <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5280\">pregnancy<\/a>. It involves changes in both the ovaries and the uterus, and is controlled by pituitary and ovarian hormones. Day 1 of the cycle is the first day of the menstrual period,\u00a0when bleeding from the uterus begins as the built-up <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5241\">endometrium<\/a> lining the uterus is shed. The endometrium builds up again during the remainder of the cycle, only to be shed again during the beginning of the next cycle if\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5280\">pregnancy<\/a>\u00a0does not occur. In the ovaries, the menstrual cycle includes the\u00a0development\u00a0of a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5253\">follicle<\/a>, ovulation of a secondary oocyte, and then degeneration of the follicle if pregnancy does not occur. Both uterine and ovarian changes during the menstrual cycle are generally divided into three phases, although the phases are not the same in the two organs.<\/p>\n<h2>Menarche and Menopause<\/h2>\n<p>The female reproductive years are delineated by the start and stop of the menstrual cycle. The first menstrual period usually occurs around 12 or 13 years of age, an event that is known as\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5300\">menarche<\/a>.<\/strong>\u00a0There is considerable variation among individuals in the age at menarche. It may occasionally occur as early as eight years of age or as late as 16 years of age and still be considered normal. The average age is generally later in the developing world, and earlier in the developed world. This variation is thought to be largely attributable to nutritional differences.<\/p>\n<p>The cessation of menstrual cycles at the end of a woman\u2019s reproductive years is termed\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5255\">menopause<\/a>.<\/strong>\u00a0The average age of menopause is 52 years, but it may occur normally at any age between about 45 and 55 years of age. The age of menopause varies due to a variety of biological and environmental factors.\u00a0It\u00a0may occur earlier as a result of certain illnesses or medical treatments.<\/p>\n<h2>Variation in the Menstrual Cycle<\/h2>\n<p>The length of the menstrual cycle \u2014 as well as its phases \u2014 may vary considerably, not only among different women, but also from month to month for a given woman. The average length of time between the first day of one menstrual period and the first day of the next menstrual period is 28 days, but it may range from 21 days to 45 days. Cycles are considered regular when a woman\u2019s longest and shortest cycles differ by less than eight days. The menstrual period itself is usually about five days long, but it may vary in length from about two days to seven days.<\/p>\n<div>\n<h1>Ovarian Cycle<\/h1>\n<\/div>\n<p>The events of the menstrual cycle that take place in the ovaries make up the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5301\">ovarian cycle<\/a>.<\/strong> It consists of changes that occur in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5253\">follicles<\/a> of one of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_3487\">ovaries<\/a>. The ovarian cycle is divided into the following three phases: follicular phase, ovulation, and luteal phase. These phases are illustrated in Figure 18.8.2.<\/p>\n<figure id=\"attachment_1805\" aria-describedby=\"caption-attachment-1805\" style=\"width: 919px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-1802 \" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Ovarian-Cycle-e1593185427416.png\" alt=\"18.8.2 Ovarian Cycle\" width=\"919\" height=\"473\"><figcaption id=\"caption-attachment-1805\" class=\"wp-caption-text\"><em>Figure 18.8.2 The phases and days of the ovarian cycle are shown in this diagram. The ovarian cycle depicted in the diagram represents a cycle in which fertilization does not occur so the corpus luteum degenerates during the luteal phase.<\/em><\/figcaption><\/figure>\n<h2>Follicular Phase<\/h2>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5303\">follicular phase<\/a><\/strong>\u00a0is the first phase of the ovarian cycle. It generally lasts about 12 to 14 days for a 28-day menstrual cycle. During this phase, several <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5253\">ovarian 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\"> are stimulated to begin maturing, but usually only one \u2014 called the Graafian follicle \u2014 matures completely so it is ready to release an egg. The other maturing follicles stop growing and disintegrate. Follicular development occurs because of a rise in the blood level of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5206\">follicle stimulating hormone<\/a> (FSH), which is secreted by the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2938\">pituitary gland<\/a>. The maturing follicle releases <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2659\">estrogen<\/a>, the level of which rises throughout the follicular phase. You can see these and other changes in hormone levels that occur during the menstrual cycle in the following chart.<\/span><\/p>\n<figure id=\"attachment_1805\" aria-describedby=\"caption-attachment-1805\" style=\"width: 724px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-1803 size-full\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Figure_43_04_04-e1593185848433.png\" alt=\"18.8.3 Pituitary and Ovarian Hormones\" width=\"724\" height=\"457\"><figcaption id=\"caption-attachment-1805\" class=\"wp-caption-text\"><em>Figure 18.8.3 FSH and estrogen increase during the first half of the menstrual cycle. LH surges shortly before ovulation occurs due to the rise in estrogen.<\/em><\/figcaption><\/figure>\n<h2>Ovulation<\/h2>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5239\">Ovulation<\/a><\/strong>\u00a0is the second phase of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5301\">ovarian cycle<\/a>. It usually occurs around day 14 of a 28-day menstrual cycle. During this phase, the Graafian follicle ruptures and releases its ovum. Ovulation is stimulated by a sudden rise in the blood level of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5205\">luteinizing hormone<\/a> (LH) from the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2938\">pituitary gland<\/a>. This is called the LH surge. You can see the LH surge in the top hormone graph in Figure 18.8.3. The LH surge generally starts around day 12 of the cycle and lasts for a day or two. The surge in LH is triggered by a continued rise in estrogen from the maturing follicle in the ovary. During the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5303\">follicular phase<\/a>, the rising estrogen level actually suppresses LH secretion by the pituitary gland. However, by the time the follicular phase is nearing its end, the level of estrogen reaches a threshold level above which this effect is reversed, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2659\">estrogen<\/a> stimulates the release of a large amount of LH. The surge in LH matures the ovum and weakens the wall of the follicle, causing the fully developed follicle to release its secondary <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5274\">oocyte<\/a>.<\/p>\n<h2>Luteal Phase<\/h2>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5305\">luteal phase<\/a><\/strong>\u00a0is the third and final phase of the ovarian cycle. It typically lasts about 14 days in a 28-day menstrual cycle. At the beginning of the luteal phase, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5206\">FSH<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5306\">LH<\/a> cause the Graafian follicle that ovulated the egg to transform into a structure called a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5277\">corpus luteum<\/a>. The corpus luteum secretes <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_3411\">progesterone<\/a>, which in turn suppresses FSH and LH production by the pituitary gland and stimulates the continued buildup of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5241\">endometrium<\/a> in the uterus. How this phase ends depends on whether or not the ovum has been fertilized.<\/p>\n<ul>\n<li>If\u00a0fertilization\u00a0has not occurred, the falling levels of FSH and LH during the luteal phase cause the corpus luteum to atrophy, so its production of progesterone declines. Without a high level of progesterone to maintain it, the endometrium starts to break down. By the end of the luteal phase, the endometrium can no longer be maintained, and the next menstrual cycle begins with the shedding of the endometrium (menses).<\/li>\n<li>If\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2677\">fertilization<\/a>\u00a0has occurred so a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2471\">zygote<\/a> forms and then divides to become a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5279\">blastocyst<\/a>, the outer layer of the blastocyst produces a\u00a0hormone\u00a0called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5307\">human chorionic gonadotropin<\/a> (HCG). This hormone is very similar to LH and preserves the corpus luteum. The corpus luteum can then continue to secrete progesterone to maintain the new pregnancy.<\/li>\n<\/ul>\n<div>\n<h1>Uterine Cycle<\/h1>\n<\/div>\n<p>The events of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5293\">menstrual cycle<\/a> that take place in the uterus make up the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5308\">uterine cycle<\/a><\/strong>. This cycle consists of changes that occur mainly in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5241\">endometrium<\/a>, which is the layer of tissue that lines the uterus. The uterine cycle is divided into the following three phases: menstruation, proliferative phase, and secretory phase. These phases are illustrated in Figure 18.8.4.<\/p>\n<figure id=\"attachment_1805\" aria-describedby=\"caption-attachment-1805\" style=\"width: 488px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-1804 size-full\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Ovarian-and-menstrual-cycle-e1593188761715.jpg\" alt=\"18.8.4 Uterine cycle\" width=\"488\" height=\"206\"><figcaption id=\"caption-attachment-1805\" class=\"wp-caption-text\"><em>Figure 18.8.4 The uterine cycle begins with menstruation, which starts on day 1 of the cycle. The relative thickness of the endometrium in each phase is indicated in pink.<\/em><\/figcaption><\/figure>\n<h2>Menstruation<\/h2>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5310\">Menstruation<\/a><\/strong> (also called menstrual period or menses) is the first phase of the uterine cycle. It occurs if <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2677\">fertilization<\/a> has not taken place during the preceding menstrual cycle. During menstruation, the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5241\">endometrium<\/a> of the uterus, which has built up during the preceding cycle, degenerates and is shed from the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5102\">uterus<\/a>, flowing through an opening in the cervix, and out through the external opening of the vagina. The average loss of blood during menstruation is about 35 mL (about 1 oz or 2 tablespoons). The flow of blood is often accompanied by uterine cramps, which may be severe in some women.<\/p>\n<h2>Proliferative Phase<\/h2>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5311\">proliferative phase<\/a><\/strong>\u00a0is the second phase of the uterine cycle. During this phase, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2659\">estrogen<\/a> secreted by\u00a0cells\u00a0of the maturing <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5253\">ovarian follicle<\/a> causes the lining of the uterus to grow, or proliferate. Estrogen also stimulates the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5235\">cervix<\/a> of the uterus to secrete larger amounts of thinner mucus that can help\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2506\">sperm<\/a>\u00a0swim through the cervix and into the uterus, making fertilization more likely.<\/p>\n<h2>Secretory Phase<\/h2>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5312\">secretory phase<\/a><\/strong>\u00a0is the third and final phase of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5308\">uterine cycle<\/a>. During this phase, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_3411\">progesterone<\/a> produced by the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5277\">corpus luteum<\/a> in the ovary stimulates further changes in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5241\">endometrium<\/a> so it is more receptive to implantation of a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5279\">blastocyst<\/a>. For example, progesterone increases blood flow to the uterus and promotes uterine secretions. It also decreases the contractility of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2982\">smooth muscle<\/a> tissue in the uterine wall.<\/p>\n<p>&nbsp;<\/p>\n<h1>Bringing it All Together<\/h1>\n<p>It is important to note that the pituitary gland, the ovaries and the uterus are all responsible for parts of the ovarian and uterine cycles.\u00a0 The pituitary hormones, LH and FSH affect the ovarian cycle and its hormones.\u00a0 The ovarian hormones, estrogen and progesterone affect the uterine cycle and also feedback on the pituitary gland.\u00a0 Look at Figure 18.8.5 and look at what is happening on different days of the cycle in each of the sets of hormones, the ovarian cycle and the uterine cycle.<\/p>\n<figure id=\"attachment_1805\" aria-describedby=\"caption-attachment-1805\" style=\"width: 1000px\" class=\"wp-caption aligncenter\"><img class=\"size-full wp-image-1805\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/1000px-MenstrualCycle2_en.svg_.png\" alt=\"18.8.8 Overview of ovarian and uterine cycle\" width=\"1000\" height=\"977\"><figcaption id=\"caption-attachment-1805\" class=\"wp-caption-text\"><em>Figure 18.8.5 The pituitary gland, ovarian cycle and uterine cycle are all interrelated in their regulation and participation in the monthly reproductive cycles of women.<\/em><\/figcaption><\/figure>\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\">18.8 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_4717_5293\">menstrual cycle<\/a> refers to natural changes that occur in the female reproductive system each month during the reproductive years, except when a woman is pregnant. The cycle is necessary for the production of ova and the preparation of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5102\">uterus<\/a> for <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5280\">pregnancy<\/a>. It involves changes in both the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_3487\">ovaries<\/a> and uterus, and is controlled by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2938\">pituitary gland<\/a> hormones (<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5206\">FSH<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5306\">LH<\/a>) and ovarian hormones (<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2659\">estrogen<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_3411\">progesterone<\/a>).<\/li>\n<li>The female reproductive period is delineated by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5300\">menarche<\/a>, or the first menstrual period, which usually occurs around age 12 or 13; and by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5255\">menopause<\/a>, or the cessation of menstrual periods, which typically occurs around age 52. A typical menstrual cycle averages 28 days in length but may vary normally from 21 to 45 days. The average menstrual period is five days long, but may vary normally from two to seven days. These variations in the menstrual cycle may occur both between women and within individual women from month to month.<\/li>\n<li>The events of the menstrual cycle that take place in the ovaries make up the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5301\">ovarian cycle<\/a>. It includes the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5303\">follicular phase<\/a> (when a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5253\">follicle<\/a> and its ovum mature due to rising levels of FSH), <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5239\">ovulation<\/a> (when the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5099\">ovum<\/a> is released from the ovary due to a rise in estrogen and a surge in LH), and the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5305\">luteal phase<\/a> (when the follicle is transformed into a structure called a corpus luteum that secretes progesterone). In a 28-day menstrual cycle, the follicular and luteal phases typically average about two weeks in length, with ovulation generally occurring around day 14 of the cycle.<\/li>\n<li>The events of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5293\">menstrual cycle<\/a> that take place in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5102\">uterus<\/a> make up the uterine cycle. It includes <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5310\">menstruation<\/a>, which generally occurs on days 1 to 5 of the cycle and involves shedding of endometrial tissue that built up during the preceding cycle; the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5311\">proliferative phase<\/a>, during which the endometrium builds up again until <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5239\">ovulation<\/a> occurs; and the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5312\">secretory phase<\/a>, which follows ovulation and during which the endometrium secretes substances and undergoes other changes that prepare it to receive an <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5262\">embryo<\/a>.<\/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\">18.8 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>\n<div id=\"h5p-213\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-213\" class=\"h5p-iframe\" data-content-id=\"213\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Eukaryote and Prokaryote Drag and Drop\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>What is the menstrual cycle? Why is the menstrual cycle necessary in order for pregnancy to occur?<\/li>\n<li>What organs are involved in the menstrual cycle?<\/li>\n<li>Identify the two major events that mark the beginning and end of the reproductive period in females. When do these events typically occur?<\/li>\n<li>Discuss the average length of the menstrual cycle and menstruation, as well as variations that are considered normal.<\/li>\n<li>If the LH surge did not occur in a menstrual cycle, what do you think would happen? Explain your answer.<\/li>\n<li>Give one reason why FSH and LH levels drop in the luteal phase of the menstrual cycle.<\/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\">18.8 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/youtu.be\/cjbgZwgdY7Q<\/p>\n<p style=\"text-align: center\">Why do women have periods? TED-Ed, 2015.<\/p>\n<p>https:\/\/youtu.be\/5B3Abpv0ysM<\/p>\n<p style=\"text-align: center\">Girl's Rite of Passage | National Geographic, 2007.<\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 18.8.1<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:WaterforPeople_Uganda.jpg\" rel=\"cc:attributionURL\">WaterforPeople_Uganda<\/a> by <a href=\"https:\/\/www.flickr.com\/photos\/gtzecosan\/17511016219\/in\/album-72157626959211983\/\">WaterforPeople_Uganda<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\" rel=\"license\">CC BY 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/2.0) license.<\/p>\n<p><strong>Figure 18.8.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Figure_43_04_04.png%20andhttps:\/\/commons.wikimedia.org\/wiki\/File:MenstrualCycle2_en.svg\" rel=\"cc:attributionURL\">Ovarian Cycle<\/a> by <a href=\"https:\/\/cnx.org\/contents\/GFy_h8cu@10.53:Ha3dnFEx@6\/Hormonal-Control-of-Human-Reproduction\">CNX OpenStax<\/a> on Wikimedia Commons is used and adapted under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" rel=\"license\">CC BY 4.0 <\/a>(https:\/\/creativecommons.org\/licenses\/by\/4.0) license.<\/p>\n<p><strong>Figure 18.8.3<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Figure_43_04_04.png\" rel=\"cc:attributionURL\">Figure_43_04_04<\/a>\u00a0by <a href=\"https:\/\/cnx.org\/contents\/GFy_h8cu@10.53:Ha3dnFEx@6\/Hormonal-Control-of-Human-Reproduction\">CNX OpenStax<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" rel=\"license\">CC BY 4.0 <\/a>(https:\/\/creativecommons.org\/licenses\/by\/4.0) license. (Original: modification of work by Mikael H\u00e4ggstr\u00f6m)<\/p>\n<p><strong>Figure 18.8.4<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Figure_28_02_07.jpg\" rel=\"cc:attributionURL\">Ovarian and menstrual cycle<\/a>\u00a0by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/27-2-anatomy-and-physiology-of-the-female-reproductive-system\">OpenStax College<\/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.<\/p>\n<p><strong>Figure 18.8.5<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:MenstrualCycle2_en.svg\" rel=\"cc:attributionURL\">1000px-MenstrualCycle2_en.svg<\/a> by <a title=\"User:Isometrik\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Isometrik\">Isometrik<\/a> on Wikimedia Common is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\" rel=\"license\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0) license.<\/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). <span class=\"os-title-label\">Figure\u00a0<\/span><span class=\"os-number\">27.15<\/span><span class=\"os-divider\">\u00a0<\/span><span id=\"78432\" class=\"os-title\" data-type=\"title\">Hormone levels in ovarian and menstrual cycles<\/span> [digital image].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 27.2). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/27-2-anatomy-and-physiology-of-the-female-reproductive-system<\/p>\n<p class=\"hanging-indent\">National Geographic. (2007, May 31). Girl's rite of passage | National Geographic. YouTube. https:\/\/www.youtube.com\/watch?v=5B3Abpv0ysM&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">OpenStax. (2016, May 27) Figure 4 Rising and falling hormone levels result in progression of the ovarian and menstrual cycles [digital image]. In <em>Open Stax, Biology<\/em> (Section 43.4). OpenStax CNX. https:\/\/cnx.org\/contents\/GFy_h8cu@10.53:Ha3dnFEx@6\/Hormonal-Control-of-Human-Reproduction<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2015, October 19). Why do women have periods? YouTube.\u00a0 https:\/\/www.youtube.com\/watch?v=cjbgZwgdY7Q&amp;feature=youtu.be<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4717_2815\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4717_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_4717_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_4717_2655\">epidermis<\/a><\/strong>. The dermis consists mainly of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2815\">connective tissues<\/a>. It also contains most skin structures, such as <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_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_4717_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_4717_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_4717_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_4717_2936\">glands<\/a> and hair <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_2937\">hypothalamus<\/a> of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_3006\">sensory receptors<\/a>\u00a0and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_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_4717_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_4717_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_4717_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_4717_6005\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4717_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_4717_6011\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4717_6011\"><div tabindex=\"-1\"><p>A cell in connective tissue which produces collagen and\/or other protein fibers.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4717_5637\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4717_5637\"><div tabindex=\"-1\"><p>a bone cell, formed when an osteoblast becomes embedded in the matrix it has secreted.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4717_2872\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4717_2872\"><div tabindex=\"-1\"><p>Created by CK-12 Foundation\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_1696\" aria-describedby=\"caption-attachment-1696\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-1693\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Cycling-to-Beat-Blood-Cancer.jpg\" alt=\"17.7.1 Cycling to Beat Blood Cancer\" width=\"400\" height=\"267\"><figcaption id=\"caption-attachment-1696\" class=\"wp-caption-text\"><em>Figure 17.7.1 Be Unstoppable for Leukemia and Lymphoma Research.<\/em><\/figcaption><\/figure>\n<div>\n<h1>Case Study Conclusion: Defending Your Defenses<\/h1>\n<\/div>\n<p>These people are participating in a bike ride to raise funds for leukemia and lymphoma research (Figure 17.7.1). Leukemia and lymphoma are blood cancers. In 2020,\u00a0 approximately 6,900 Canadians will be diagnosed with leukemia and 3,000 will die from this cancer. Lymphoma is the most common type of blood cancer. As a lymphoma patient, Hakeem, who you learned about in the beginning of this chapter, may eventually benefit from research funded by a bike ride like this one.<\/p>\n<p>What type of blood cell is affected in <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5026\">lymphoma<\/a>? As the name implies, lymphoma is a cancer that affects lymphocytes, which are a type of leukocyte. As you have learned in this chapter, there are different types of lymphocytes, including the B and T cells of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4822\">adaptive immune system<\/a>. Different types of lymphoma affect different types of lymphocytes in different ways. It is important to correctly identify the type of lymphoma, so that patients can be treated appropriately.<\/p>\n<p>You may recall that one of Hakeem\u2019s symptoms was a swollen <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4831\">lymph node<\/a>, and he was diagnosed with lymphoma after a biopsy of that lymph node. Swollen lymph nodes are a common symptom of lymphoma. As you have learned, lymph nodes are distributed throughout the body along lymphatic vessels, as part of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2911\">lymphatic system<\/a>. The lymph nodes filter <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4552\">lymph<\/a> and store lymphocytes. Therefore, they play an important role in fighting infections. Because of this, they will often swell in response to an infection. In Hakeem\u2019s case, the swelling and other symptoms did not improve after several weeks and a course of antibiotics, which caused Dr. Hayes to suspect lymphoma instead. The biopsy showed that Hakeem did indeed have cancerous lymphocytes in his lymph nodes.<\/p>\n<p>But which type of lymphocytes were affected? Lymphoma most commonly affects B or T lymphocytes. The two major types of lymphoma are called Hodgkin (HL) or non-Hodgkin lymphoma (NHL). NHL is more common than HL. In 2020, the Canadian Cancer Society estimates 10,400 Canadians will be diagnosed with non-Hodgkin lymphoma, whereas 1,000 will be diagnosed with Hodgkin lymphoma. While HL is one distinct type of lymphoma, NHL has about 60 different subtypes, depending on which specific cells are affected and how.<\/p>\n<p>Hakeem was diagnosed with a type of NHL called diffuse large B-cell lymphoma (DLBCL) \u2014 the most common type of NHL. This type of lymphoma affects <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2058\">B 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\"> and causes them to appear large under the microscope. In addition to Hakeem\u2019s symptoms of fatigue, swollen lymph nodes, loss of appetite, and weight loss, common symptoms of this type of lymphoma include fever and night sweats. It is an aggressive and fast-growing type of lymphoma that is fatal if not treated. The good news is that with early detection and proper treatment, about 70% of patients with DLBCL can be cured.<\/span><\/p>\n<figure id=\"attachment_1696\" aria-describedby=\"caption-attachment-1696\" style=\"width: 299px\" class=\"wp-caption alignright\"><img class=\" wp-image-1696\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/antigen-stain.jpg\" alt=\"17.7.2 Antigen stain\" width=\"299\" height=\"267\"><figcaption id=\"caption-attachment-1696\" class=\"wp-caption-text\">Figure 17.7.2 A lab technician can apply stains that target specific antigens to help identify which type of lymphoma is present.<\/figcaption><\/figure>\n<p>How do physicians determine the specific type of lymphoma? Tissue obtained from a biopsy can be examined under a microscope to observe physical changes (such as abnormal cell size or shape) that are characteristic of a particular subtype of lymphoma. Additionally, tests can be performed on the tissue to determine which cell-surface antigens are present. Recall that antigens are molecules that bind to specific antibodies. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2215\">Antibodies<\/a> can be produced in the laboratory and labeled with compounds that can be identified by their colour under a microscope. When these antibodies are applied to a tissue sample, this colour will appear wherever the antigen is present, because it binds to the antibody. This technique was used in the photomicrograph in Figure 17.7.2 to identify the presence of a cell-surface antigen (shown as reddish-brown) in a sample of skin cells. This technique, called immunohistochemistry, is also commonly used to identify antigens in tissue samples from lymphoma patients.<\/p>\n<p>Why would identifying cell-surface antigens be important in diagnosing and treating lymphoma? As you have learned, the immune system uses antigens present on the surface of cells or pathogens to distinguish between self and non-self, and to launch adaptive immune responses. Cells that become cancerous often change their cell-surface antigens. This is one way that the immune system can identify and destroy them. Also, different cell types in the body can sometimes be identified by the presence of specific cell-surface antigens. Knowing the types of cell-surface antigens present in a tissue sample can help physicians identify which cells are cancerous, and possibly the specific subtype of cancer. Knowing this information can be helpful in choosing more tailored and effective treatments.<\/p>\n<p>One treatment for NHL is, in fact, the use of medications made from antibodies that bind to cell-surface antigens present on cells affected by the specific subtype of NHL. This is called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5004\">immunotherapy<\/a>. These drugs can directly bind to and kill the cancerous cells. For patients with DLBCL like Hakeem, immunotherapy is often used in conjunction with <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5029\">chemotherapy<\/a> and radiation as a course of treatment. Although Hakeem has a difficult road ahead, he and his medical team are optimistic that \u2014 given the high success rate when DLBCL is caught and treated early \u2014 he may be cured. More research into how the immune system functions may lead to even better treatments for lymphoma \u2014 and other types of cancers \u2014 in the future.<\/p>\n<div>\n<div class=\"textbox textbox--learning-objectives\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">Chapter 17 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>In this chapter, you learned about the immune system. Specifically, you learned that:<\/p>\n<ul>\n<li>Any agent that can cause disease is called a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2405\">pathogen<\/a>. Most human pathogens are <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2371\">microorganisms<\/a>, such as <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2588\">bacteria<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4283\">viruses<\/a>. The immune system is the\u00a0body\u00a0system that defends the human host from pathogens and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2148\">cancerous<\/a>\u00a0cells.<\/li>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4820\">innate immune system<\/a> is a subset of the immune system that provides very quick, but non-specific responses to pathogens. It includes multiple types of barriers to pathogens, leukocytes that phagocytize pathogens, and several other general responses.<\/li>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4822\">adaptive immune system<\/a> is a subset of the immune system that provides specific responses tailored to particular pathogens. It takes longer to put into effect, but it may lead to <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4884\">immunity<\/a> to the pathogens.<\/li>\n<li>Both innate and adaptive immune responses depend on the ability of the immune system to distinguish between self and non-self molecules. Most body cells have <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4825\">major histocompatibility complex (MHC)<\/a> proteins that identify them as self. Pathogens, infected cells, and tumor cells have non-self proteins called antigens that the immune system recognizes as foreign.<\/li>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2704\">Antigens<\/a>\u00a0are proteins that bind to specific receptors on immune system cells and elicit an adaptive immune response. Some immune cells (<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2058\">B cells<\/a>) respond to foreign antigens by producing antibodies that bind with antigens and target pathogens for destruction.<\/li>\n<li>An important role of the immune system is tumor surveillance. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4893\">Killer T cells<\/a>\u00a0of the adaptive immune system find and destroy tumor cells, which they can identify from their abnormal antigens.<\/li>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4833\">neuroimmune system<\/a> that protects the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2579\">central nervous system<\/a> is thought to be distinct from the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4834\">peripheral immune system<\/a> that protects the rest of the human body. The blood-brain and blood-spinal cord barriers are one type of protection of the neuroimmune system. Neuroglia also play a role in this system, for example, by carrying out <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_1680\">phagocytosis<\/a>.<\/li>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2911\">lymphatic system<\/a> is a human organ system that is a vital part of the adaptive immune system. It consists of several organs and a system of vessels that transport or filter the fluid called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4552\">lymph<\/a>. The main immune function of the lymphatic system is to produce, mature, harbor, and circulate white blood cells called lymphocytes, which are the main cells in the adaptive immune system, and are circulated in lymph.<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li>The return of lymph to the bloodstream is one of the functions of the lymphatic system. Lymph flows from tissue spaces, where it leaks out of blood vessels, to major veins in the upper chest. It is then returned to the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2571\">cardiovascular system<\/a>. Lymph is similar in composition to blood <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4395\">plasma<\/a>. Its main cellular components are lymphocytes.<\/li>\n<li>Lymphatic vessels called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4607\">lacteals<\/a>\u00a0are found in <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4543\">villi<\/a> that line the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4559\">small intestine<\/a>. Lacteals absorb fatty acids from the digestion of lipids in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2628\">digestive system<\/a>. The fatty acids are then transported through the network of lymphatic vessels to the bloodstream.<\/li>\n<li>Lymphocytes, which include <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2058\">B cells<\/a>\u00a0and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4892\">T cells<\/a>, are the subset of leukocytes involved in <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4822\">adaptive immune responses<\/a>. They may create a lasting memory of and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4884\">immunity<\/a> to specific pathogens.<\/li>\n<li>All lymphocytes are produced in <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4021\">bone marrow<\/a> and then go through a process of maturation, in which they \u201clearn\u201d to distinguish self from non-self. B cells mature in the bone marrow, and T cells mature in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4829\">thymus<\/a>. Both the bone marrow and thymus are considered <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4845\">primary lymphatic organs<\/a>.<\/li>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4847\">Secondary lymphatic organs<\/a> include the tonsils, spleen, and lymph nodes. There are four pairs of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4830\">tonsils<\/a>\u00a0that encircle the throat. The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4497\">spleen<\/a> filters blood, as well as lymph. There are hundreds of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4831\">lymph nodes<\/a>\u00a0located in clusters along the lymphatic vessels. All of these secondary organs filter lymph and store lymphocytes, so they are sites where pathogens encounter and activate lymphocytes and initiate adaptive immune responses.<\/li>\n<\/ul>\n<\/li>\n<li>Unlike the adaptive immune system, the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4820\">innate immune system<\/a> does not confer immunity. The innate immune system includes surface barriers, inflammation, the complement system, and a variety of cellular responses.<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li>The body\u2019s first line of defense consists of three different types of barriers that keep most pathogens out of body tissues. The types of barriers are mechanical, chemical, and biological barriers.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4857\">Mechanical barriers<\/a>\u00a0\u2014\u00a0which include the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_3521\">skin<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_3538\">mucous membranes<\/a>, and fluids (such as tears and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4717\">urine<\/a>) \u2014 physically block pathogens from entering the body.<\/li>\n<li>Chemical barriers\u00a0\u2014\u00a0such as enzymes in <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4711\">sweat<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4595\">saliva<\/a>, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4885\">semen<\/a>\u00a0\u2014\u00a0kill pathogens on body surfaces.<\/li>\n<li>Biological barriers are harmless bacteria that use up food and space so pathogenic bacteria cannot colonize the body.<\/li>\n<\/ul>\n<\/li>\n<li>If pathogens breach the protective barriers, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4860\">inflammation<\/a> occurs. This creates a physical barrier against the spread of infection and repairs tissue damage. Inflammation is triggered by chemicals (such as <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4865\">cytokines<\/a>\u00a0and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4879\">histamines<\/a>), and it causes swelling, redness, and warmth.<\/li>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4868\">complement system<\/a> is a complex biochemical mechanism that helps <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2215\">antibodies<\/a> kill pathogens. Once activated, the complement system consists of more than two dozen proteins that lead to disruption of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2169\">cell membrane<\/a> of pathogens and bursting of the cells.<\/li>\n<li>Cellular responses of the innate immune system involve various types of leukocytes (white blood cells). For example, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2067\">neutrophils<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4340\">macrophages<\/a>, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4875\">dendritic cells<\/a>\u00a0phagocytize pathogens. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2103\">Basophils<\/a>\u00a0and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4881\">mast cells<\/a>\u00a0release chemicals that trigger inflammation. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2027\">Natural killer cells<\/a>\u00a0destroy cancerous or virus-infected cells, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2045\">eosinophils<\/a>\u00a0kill parasites.<\/li>\n<li>Many pathogens have evolved mechanisms that help them evade the innate immune system. For example, some pathogens form a protective capsule around themselves, and some mimic host cells so the immune system does not recognize them as foreign.<\/li>\n<\/ul>\n<\/li>\n<li>The main cells of the adaptive immune system are <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4832\">lymphocytes<\/a>. There are two major types of lymphocytes: T cells and B cells. Both types must be activated by foreign antigens to become functioning immune cells.<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li>Most activated T cells become either <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4893\">killer T cells<\/a>\u00a0or <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2055\">helper T cells<\/a>. Killer T cells destroy cells that are infected with pathogens or are cancerous. Helper T cells manage immune responses by releasing cytokines that control other types of leukocytes.<\/li>\n<li>Activated B cells form <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4902\">plasma cell<\/a>s that secrete antibodies, which bind to specific antigens on pathogens or infected cells. The antibody-antigen complexes generally lead to the destruction of the cells, for example, by attracting phagocytes or triggering the complement system.<\/li>\n<\/ul>\n<\/li>\n<li>After an adaptive immune response occurs, long-lasting <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4904\">memory B cells and memory T cells<\/a> may remain to confer <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4884\">immunity<\/a> to the specific pathogen that caused the adaptive immune response. These memory cells are ready to activate an immediate response if they are exposed to the same antigen again in the future.<\/li>\n<li>Immunity may be active or passive.<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li>\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4906\">Active immunity<\/a> occurs when the immune system has been presented with antigens that elicit an adaptive immune response. This may occur naturally as the result of an infection, or artificially as the result of immunization. Active immunity may last for years or even for life.<\/li>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4910\">Passive immunity<\/a> occurs without an adaptive immune response by the transfer of antibodies or activated T cells. This may occur naturally between a mother and her fetus or her nursing infant, or it may occur artificially by injection. Passive immunity lasts only as long as the antibodies or activated T cells remain alive in the body, generally just weeks or months.<\/li>\n<\/ul>\n<\/li>\n<li>Many pathogens have evolved mechanisms to evade the adaptive immune system. For example, human immunodeficiency virus (<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4501\">HIV<\/a>) evades the adaptive immune system by frequently changing its antigens and by forming its outer envelope from the host\u2019s cell membrane.<\/li>\n<li>An <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4877\">allergy<\/a> is a disorder in which the immune system makes an inflammatory response to a harmless antigen. Any antigen that causes allergies is called an <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4999\">allergen<\/a>. Common allergens include pollen, dust mites, mold, specific foods (such as peanuts), insect stings, and certain medications (such as aspirin).<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li>The prevalence of allergies has been increasing for decades, especially in developed countries, where they are much more common than in developing countries. The hygiene hypothesis posits that this has occurred because humans evolved to cope with more pathogens than we now typically face in our relatively sterile environments in developed countries. As a result, the immune system \u201ckeeps busy\u201d by attacking harmless antigens.<\/li>\n<li>Allergies occur when B cells are first activated to produce large amounts of antibodies to an otherwise harmless allergen, and the antibodies attach to mast cells. On subsequent exposures to the allergen, the mast cells immediately release cytokines and histamines that cause inflammation.<\/li>\n<li>Mild allergy symptoms are frequently treated with antihistamines that counter histamines and reduce allergy symptoms. A severe systemic allergic reaction, called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5002\">anaphylaxis<\/a>, is a medical emergency that is usually treated with injections of epinephrine. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5004\">Immunotherapy<\/a> for allergies involves injecting increasing amounts of allergens to desensitize the immune system to them.<\/li>\n<\/ul>\n<\/li>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5006\">Autoimmune diseases<\/a>\u00a0occur when the immune system fails to recognize the body\u2019s own molecules as self and attacks them, causing damage to tissues and organs. A family history of autoimmunity and female gender are risk factors for autoimmune diseases.<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li>In some autoimmune diseases, such as type I diabetes, the immune system attacks and damages specific body cells. In other autoimmune diseases, such as systemic lupus erythematosus, many different tissues and organs may be attacked and injured. Autoimmune diseases generally cannot be cured, but their symptoms can often be managed with drugs or other treatments.<\/li>\n<\/ul>\n<\/li>\n<li>Immunodeficiency occurs when the immune system is not working properly, generally because one or more of its components are inactive. As a result, the immune system is unable to fight off pathogens or cancers that a normal immune system would be able to resist.<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5012\">Primary immunodeficiency<\/a> is present at birth and caused by rare genetic diseases. An example is severe combined immunodeficiency. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5013\">Secondary immunodeficiency<\/a> occurs because of some event or exposure experienced after birth. Possible causes include substance abuse, obesity, and malnutrition, among others.<\/li>\n<li>The most common cause of immunodeficiency in the world today is human immunodeficiency virus (HIV), which infects and destroys helper T cells. HIV is transmitted through mucous membranes or body fluids. The virus may eventually lead to such low levels of helper T cells that opportunistic infections occur. When this happens, the patient is diagnosed with <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_5016\">acquired immunodeficiency syndrome<\/a> (AIDS). Medications can control the multiplication of HIV in the human body, but\u00a0it can't\u00a0eliminate the virus completely.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Up to this point, this book has covered body systems that carry out processes within individuals, such as the digestive, muscular, and immune systems. Read the next chapter to learn about the body system that allows humans to produce new individuals \u2014 the reproductive system.<\/p>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">Chapter 17 Review<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>\n<div id=\"h5p-205\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-205\" class=\"h5p-iframe\" data-content-id=\"205\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"11.6 Quiz\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Compare and contrast a pathogen and an allergen.<\/li>\n<li>Describe three ways in which pathogens can enter the body.<\/li>\n<li>The complement system involves the activation of several proteins to kill pathogens. Why do you think this is considered part of the innate immune system, instead of the adaptive immune system?<\/li>\n<li>Why are innate immune responses generally faster than adaptive immune responses?<\/li>\n<li>Explain how an autoimmune disease could be triggered by a pathogen.<\/li>\n<li>What is an opportunistic infection?\u00a0Name two diseases or conditions that could result in opportunistic infections. Explain your answer.<\/li>\n<li>Which cell type in the immune system can be considered an \u201cantibody factory?\"<\/li>\n<li>Besides foreign pathogens, what is one thing that the immune system protects the body against?<\/li>\n<li>What cell type in the immune system is infected and killed by HIV?<\/li>\n<li>Name two types of cells that produce cytokines in the immune system.\u00a0What are two functions of cytokines in the immune system?<\/li>\n<li>Many pathogens evade the immune system by altering their outer surface in some way. Based on what you know about the functioning of the immune system, why is this often a successful approach?<\/li>\n<li>What is \u201cmissing self?\" How does this condition arise?<\/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\">17.7 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/youtu.be\/Z3B-AaqjyjE<\/p>\n<p style=\"text-align: center\">What is leukemia? - Danilo Allegra and Dania Puggioni, TED-Ed, 2015.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 17.7.1<\/strong><\/p>\n<p><a href=\"https:\/\/flic.kr\/p\/eQCQyD\" rel=\"cc:attributionURL\">Cycling to Beat Blood Cancer<\/a> by <a href=\"https:\/\/www.flickr.com\/photos\/leukaemia_research\/\">Blood Cancer UK<\/a> (Formerly Bloodwise) on <a href=\"http:\/\/flickr.com\">Flickr<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/2.0\/\">CC BY-NC-ND 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-nc-nd\/2.0\/) license.<\/p>\n<p><strong>Figure 17.7.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Langerhans_Cells_in_Normal_Epidermis,_CD1a_Immunostain_(4435883030).jpg\" rel=\"cc:attributionURL\">antigen stain<\/a> by <a class=\"external text\" href=\"https:\/\/www.flickr.com\/people\/78147607@N00\" rel=\"nofollow\">Ed Uthman<\/a> from Houston, TX, USA on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\" rel=\"license\">CC BY 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/2.0) license.<\/p>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">Hodgkin lymphoma statistics [online article]. (2020). Canadian Cancer Society. https:\/\/www.cancer.ca:443\/en\/cancer-information\/cancer-type\/hodgkin-lymphoma\/statistics\/?region=on<\/p>\n<p class=\"hanging-indent\">Non-Hodgkin lymphoma statistics [online article]. (2020). Canadian Cancer Society. https:\/\/www.cancer.ca:443\/en\/cancer-information\/cancer-type\/non-hodgkin-lymphoma\/statistics\/?region=on<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2015, April 30). What is leukemia? - Danilo Allegra and Dania Puggioni. YouTube. https:\/\/www.youtube.com\/watch?v=Z3B-AaqjyjE&amp;feature=youtu.be<\/p>\n<p>&nbsp;<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4717_2870\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4717_2870\"><div tabindex=\"-1\"><p>Created by CK-12 Foundation\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_1668\" aria-describedby=\"caption-attachment-1668\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-1654\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Killer_T_cells_surround_a_cancer_cell.png\" alt=\"Figure 17.5.1 Killer T Cells\" width=\"400\" height=\"267\"><figcaption id=\"caption-attachment-1668\" class=\"wp-caption-text\"><em>Figure 17.5.1 Kill the cancer.<\/em><\/figcaption><\/figure>\n<div>\n<h1>The Kiss of Death<\/h1>\n<\/div>\n<p>The photomicrograph in Figure 17.5.1 shows a group of killer T cells (green and red) surrounding a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2148\">cancer<\/a> cell (blue, centre). When a killer T cell makes contact with the cancer cell, it attaches to and spreads over the dangerous target. The killer T cell then uses special chemicals stored in <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2437\">vesicle<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\">\u00a0(red) to deliver the killing blow. This event has thus been nicknamed \u201cthe kiss of death.\u201d After the target cell is killed, the killer T cells move on to find the next victim. Killer T cells like these are important players in the adaptive immune system.<\/span><\/p>\n<div>\n<h1>What Is the Adaptive Immune System?<\/h1>\n<\/div>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4822\">adaptive immune system<\/a><\/strong>\u00a0is a subsystem of the overall immune system. It is composed of highly specialized cells and processes that eliminate specific <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2405\">pathogen<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\">\u00a0and tumor cells. An adaptive immune response is set in motion by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2704\">antigen<\/span><span style=\"font-size: 1em\">s<\/span><span style=\"text-align: initial;font-size: 1em\"><\/a>\u00a0that the immune system recognizes as foreign. Unlike an innate immune response, an adaptive immune response is highly specific to a particular pathogen (or its antigen). An important function of the adaptive immune system that is\u00a0<\/span><em style=\"text-align: initial;font-size: 1em\">not<\/em><span style=\"text-align: initial;font-size: 1em\">\u00a0shared by the innate immune system is the creation of immunological memory \u2014 or <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4884\">immunity<\/a> \u2014 which occurs after the initial response to a specific pathogen. It allows for a faster, stronger response on subsequent encounters with the same pathogen, usually before the pathogen can even cause symptoms of illness.<\/span><\/p>\n<p><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4832\">Lymphocyte<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\">\u00a0are the main cells of the adaptive immune system. They are <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2172\">leukocyte<\/span><span style=\"font-size: 1em\">s<\/span><span style=\"font-size: 1em;text-align: initial\"><\/a><\/span><span style=\"font-size: 1em;text-align: initial\">\u00a0that arise and mature in organs of the lymphatic system, including the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4021\">bone marrow<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4829\">thymus<\/a>. The human body normally has about 2 trillion lymphocytes, which constitute about 1\/3 of all leukocytes. Most of the lymphocytes are normally sequestered within tissue fluid or organs of the lymphatic system, including the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4830\">tonsil<\/span><span style=\"font-size: 1em\">s<\/span><span style=\"font-size: 1em;text-align: initial\"><\/a><\/span><span style=\"font-size: 1em;text-align: initial\">, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4497\">spleen<\/a>, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4831\">lymph node<\/span><span style=\"font-size: 1em\">s<\/span><span style=\"font-size: 1em;text-align: initial\"><\/a><\/span><span style=\"font-size: 1em;text-align: initial\">. Only about 2% of the lymphocytes are normally circulating in the blood. There are two main types of lymphocytes involved in adaptive immune responses, called T cells and B cells. T cells destroy infected cells or release chemicals that regulate immune responses. B cells secrete <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2215\">antibodies<\/a> that bind with <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2704\">antigen<\/span><span style=\"font-size: 1em\">s<\/span><span style=\"text-align: initial;font-size: 1em\">[<\/span><span style=\"text-align: initial;font-size: 1em\">\/pb_glossary]<\/span><span style=\"text-align: initial;font-size: 1em\">\u00a0of [pb_glossary id=\"271\"]pathogen<\/span><span style=\"font-size: 1em\">s<\/span><span style=\"font-size: 1em;text-align: initial\"><\/a><\/span><span style=\"font-size: 1em;text-align: initial\">\u00a0so they can be removed by other immune cells or processes.<\/span><\/p>\n<div>\n<h1>Pathways of the Adaptive Immune Response<\/h1>\n<p>There are some general similarities in the way in which the separate adaptive immune responses occur in T cell and B cell responses.\u00a0 In both pathways, a foreign antigen is recognized by the B or T cell.\u00a0 From there, cytokines produced by helper T-cells promote clonal expansion of lymphocytes.\u00a0 From this clonal expansion, two types of B or T cells are produced- cells that directly fight the pathogen invasion and cells that remain behind to provide long-term <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4884\">immunity<\/a>.\u00a0 Finally, once the pathogen invasion has been eradicated, the plasma cells and killer T cells go through apoptosis (programmed cell death).<\/p>\n<h1>T Cells<\/h1>\n<\/div>\n<p>There are multiple types of\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4892\">T cells<\/a>,<\/strong>\u00a0or T lymphocytes. Major types are <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4893\">killer (or cytotoxic) T cells<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2055\">helper T cells<\/a>. Both types develop from immature T cells that become activated by exposure to an <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2704\">antigen<\/a>.<\/p>\n<h2>T Cell Activation (or Cell-Mediated Immunity)<\/h2>\n<p>T cells must be activated to become either killer T cells or helper T cells. This requires presentation of a foreign antigen by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4895\">antigen-presenting cells<\/a>, as shown in Figure 17.5.2. Antigen-presenting cells may be <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4875\">dendritic 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\">, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4340\">macrophage<\/span><span style=\"font-size: 1em\">s<\/span><span style=\"font-size: 1em;text-align: initial\"><\/a><\/span><span style=\"font-size: 1em;text-align: initial\">, or <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2058\">B cell<\/span><span style=\"font-size: 1em\">s<\/span><span style=\"font-size: 1em;text-align: initial\"><\/a><\/span><span style=\"font-size: 1em;text-align: initial\">. Activation occurs when T cells are presented with a foreign antigen coupled with an MHC self antigen. Helper T cells are more easily activated than killer T cells. Activation of killer T cells is strongly regulated and may require additional stimulation from helper T cells.<\/span><\/p>\n<figure id=\"attachment_1668\" aria-describedby=\"caption-attachment-1668\" style=\"width: 580px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-1655\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/1000px-T_cell_activation.svg_.png\" alt=\"17.5.2 T-Cell Activation\" width=\"580\" height=\"877\"><figcaption id=\"caption-attachment-1668\" class=\"wp-caption-text\"><em>Figure 17.5.2 Exposure to a foreign antigen on an antigen-presenting cell is necessary to activate T cells to become killer T cells or helper T cells.<\/em><\/figcaption><\/figure>\n<h2>Killer T Cells<\/h2>\n<p>Activated killer T cells induce the death of cells that bear a specific <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_1960\">non-self<\/a> antigen because they are infected with pathogens or are cancerous. The antigen targets the cell for destruction by killer T cells, which travel through the bloodstream searching for target cells to kill. Killer T cells may use various mechanisms to kill target cells. One way is by releasing toxins in granules that enter and kill infected or cancerous cells (see Figure 17.5.3).<\/p>\n<figure id=\"attachment_1668\" aria-describedby=\"caption-attachment-1668\" style=\"width: 1024px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-1656 size-full\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Cytotoxic-T-Cell-function-e1592851629363.png\" alt=\"17.5.3 Killer T Cell Function\" width=\"1024\" height=\"419\"><figcaption id=\"caption-attachment-1668\" class=\"wp-caption-text\"><em>Figure 17.5.3 A killer T cell releases toxins that destroy an infected body cell and the viruses it contains.<\/em><\/figcaption><\/figure>\n<h2>Helper T Cells<\/h2>\n<p>Activated <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2055\">helper T 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\">\u00a0do not kill infected or cancerous cells. Instead, their role is to \u201cmanage\u201d both <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4820\">innate<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4822\">adaptive immune<\/a> responses by directing other cells to perform these tasks. They control other cells by releasing <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4865\">cytokine<\/span><span style=\"font-size: 1em\">s<\/span><span style=\"font-size: 1em;text-align: initial\"><\/a><\/span><span style=\"font-size: 1em;text-align: initial\">, which are proteins that can influence the activity of many cell types, including <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4893\">killer T cell<\/span><span style=\"font-size: 1em\">s<\/span><span style=\"font-size: 1em;text-align: initial\"><\/a><\/span><span style=\"font-size: 1em;text-align: initial\">, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2058\">B cells<\/a>, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4340\">macrophages<\/a>.\u00a0Some cytokines released by helper T cells assist with the activation of killer T cells.<\/span><\/p>\n<div>\n<h1>B Cells<\/h1>\n<\/div>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2058\">B cell<\/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\">, or B lymphocytes, are the major cells involved in the creation of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2215\">antibodies<\/a> that circulate in blood <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4395\">plasma<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4552\">lymph<\/a>. Antibodies are large, Y-shaped proteins used by the immune system to identify and neutralize foreign invaders. Besides producing antibodies, B cells may also function as <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4895\">antigen-presenting cell<\/span><span style=\"font-size: 1em\">s<\/span><span style=\"font-size: 1em;text-align: initial\"><\/a><\/span><span style=\"font-size: 1em;text-align: initial\">, or secrete cytokines that help control other immune cells and responses.<\/span><\/p>\n<h2>B Cell Activation (or Antibody-Mediated Immunity)<\/h2>\n<p>Before B cells can actively function to defend the host, they must be activated. As shown in Figure 17.5.4, B cell activation begins when a B cell engulfs and digests an antigen. The antigen may be either free floating in the lymph, or it may be presented by an antigen-presenting cell, such as a dendritic cell or macrophage. In either case, the B cell then displays antigen fragments bound to its own MHC antigens. The MHC-antigen complex on the B cell attracts helper T cells. The helper T cells, in turn, secrete cytokines that help the B cell to multiply, and the daughter cells to mature into plasma cells.<\/p>\n<figure id=\"attachment_1668\" aria-describedby=\"caption-attachment-1668\" style=\"width: 583px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-1658\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/B_cell_activation.svg_.png\" alt=\"17.5.4 B Cell Activation\" width=\"583\" height=\"896\"><figcaption id=\"caption-attachment-1668\" class=\"wp-caption-text\"><em>Figure 17.5.4 B cells are activated and become antibody-producing plasma cells with the help of helper T cells.<\/em><\/figcaption><\/figure>\n<h2>Plasma Cells<\/h2>\n<figure id=\"attachment_1668\" aria-describedby=\"caption-attachment-1668\" style=\"width: 325px\" class=\"wp-caption alignright\"><img class=\" wp-image-4903\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Antibody.svg_-1-1.png\" alt=\"17.5.5 Antibodies match the shape of the antigen\" width=\"325\" height=\"459\"><figcaption id=\"caption-attachment-1668\" class=\"wp-caption-text\"><em>Figure 17.5.5 Each antibody fits its antigen like a lock fits a key.<\/em><\/figcaption><\/figure>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4902\">Plasma cell<\/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\"> are antibody-secreting cells that form from activated B cells. Each plasma cell is like a tiny antibody factory. It may secrete millions of copies of an antibody, each of which can bind to the specific antigen that activated the original B cell. The specificity of an antibody to a specific antigen is illustrated in Figure 17.5.5. When antibodies bind with antigens, it makes the cells bearing them easier targets for phagocytes to find and destroy. Antibody-antigen complexes may also trigger the complement system of the innate immune system, which destroys the cells in a cascade of protein enzymes. In addition, the complexes are likely to clump together (agglutinate). If this occurs, they are filtered out of the blood in the spleen or liver.<\/span><\/p>\n<div>\n<h1>Immunity<\/h1>\n<\/div>\n<p>Once a pathogen has been cleared from the body, most activated T cells and B cells die within a few days.\u00a0A\u00a0few of the cells, however, survive and remain in the body as memory T cells or memory B cells. These <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4904\"><strong>memory cell<\/strong>s<\/a> are ready to activate an immediate response if they are exposed to the same antigen again in the future. This is the basis of\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4884\">immunity<\/a>.<\/strong><\/p>\n<p>The earliest known reference to the concept of immunity relates to the bubonic plaque (see Figure 17.5.6). In 430 B.C., a Greek historian and general named Thucydides noted that people who had recovered from a previous bout of the plague could nurse people who were sick with the plague without contracting the illness a second time. We now know that this is true of many diseases, and that it occurs because of active immunity.<\/p>\n<figure id=\"attachment_1668\" aria-describedby=\"caption-attachment-1668\" style=\"width: 332px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-1662\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Acral_gangrene_due_to_plague-e1592852768241.jpg\" alt=\"17.5.6 Bubonic Plague\" width=\"332\" height=\"500\"><figcaption id=\"caption-attachment-1668\" class=\"wp-caption-text\"><em>Figure 17.5.6 Dead, blackened tissues at the finger tips and other extremities are a sign of the bubonic plague, giving rise to its other name, the black death.<\/em><\/figcaption><\/figure>\n<h2>Active Immunity<\/h2>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4906\">Active immunity<\/a><\/strong>\u00a0is the ability of the adaptive immune system to resist a specific pathogen because it has formed an immunological memory of the pathogen. Active immunity is adaptive, because it occurs during the lifetime of an individual as an adaptation to infection with a specific pathogen, and prepares the immune system for future challenges from that pathogen. Active immunity can come about naturally or artificially.<\/p>\n<h3>Naturally Acquired Active Immunity<\/h3>\n<p>Active immunity is acquired naturally when a pathogen invades the body and activates the adaptive immune system. When the initial infection is over, memory B cells and memory T cells remain, providing immunological memory of the pathogen. As long as the memory cells are alive, the immune system is ready to mount an immediate response if the same pathogen tries to infect the body again.<\/p>\n<h3>Artificially Acquired Active Immunity<\/h3>\n<p>Active immunity can also be acquired artificially through immunization.\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4908\">Immunization<\/a><\/strong> is the deliberate exposure of a person to a pathogen in order to provoke an adaptive immune response and the formation of memory cells specific to that pathogen. The pathogen is introduced in a vaccine \u2014 usually by injection, sometimes by nose or mouth (see Figure 17.5.7) \u2014 so immunization is also called vaccination.<\/p>\n<figure id=\"attachment_1668\" aria-describedby=\"caption-attachment-1668\" style=\"width: 511px\" class=\"wp-caption alignleft\"><img class=\" wp-image-1664\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/immunizations.jpg\" alt=\"17.5.7 Immunizations\" width=\"511\" height=\"289\"><figcaption id=\"caption-attachment-1668\" class=\"wp-caption-text\"><em>Figure 17.5.7 This young child is receiving a vaccine. Vaccines are a safe way to create immunity against life-threatening diseases.<\/em><\/figcaption><\/figure>\n<p>Typically, only part of a pathogen, a weakened form of the pathogen, or a dead pathogen is used in a vaccine, which causes an adaptive immune response without making the immunized person sick. This is how you most likely became immune to diseases such as <a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/measles\/symptoms-causes\/syc-20374857\">measles<\/a>, <a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/mumps\/symptoms-causes\/syc-20375361\">mumps<\/a>, and chicken pox. Immunizations may last for a lifetime, or they may require periodic booster shots to maintain immunity. While immunization generally has long-lasting effects, it usually takes several weeks to develop full immunity.<\/p>\n<p>Immunization is the most effective method ever discovered of preventing infectious diseases. As many as 3 million deaths are prevented each year because of vaccinations. Widespread immunity from vaccinations is largely responsible for the worldwide eradication of <a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/smallpox\/symptoms-causes\/syc-20353027\">smallpox<\/a>, and the near elimination of several other infectious diseases from many populations, including <a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/polio\/symptoms-causes\/syc-20376512\">polio<\/a> and measles. Immunization is so successful because it exploits the natural specificity and inducibility of the adaptive immune system.<\/p>\n<h2>Passive Immunity<\/h2>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4910\">Passive immunity<\/a><\/strong>\u00a0results when pathogen-specific antibodies or activated T cells are transferred to a person who has never been exposed to the pathogen. Passive immunity provides immediate protection from a pathogen, but the adaptive immune system does not develop immunological memory to protect the host from the same pathogen in the future. Unlike active immunity, passive immunity lasts only as long as the transferred antibodies or T cells survive in the blood \u2014 usually between a few days and a few months. However, like active immunity, passive immunity can be acquired both naturally and artificially.<\/p>\n<h3>Naturally Acquired Passive Immunity<\/h3>\n<p>Passive immunity is acquired naturally by a fetus through its mother\u2019s blood. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2215\">Antibodies<\/a> are transported from mother to fetus across the placenta, so babies have high levels of antibodies at birth. Their antibodies have the same range of antigen specificities as their mother\u2019s. Passive immunity may also be acquired by an infant through the mother\u2019s breast milk. This gives young infants protection from common pathogens in their environment while their own immune system matures.<\/p>\n<h3>Artificially Acquired Passive Immunity<\/h3>\n<p>Older children and adults can acquire passive immunity artificially through the injection of antibodies or activated T cells, which may be done when there is a high risk of infection and insufficient time for the body to develop active immunity through vaccination. It may also be done to reduce symptoms of ongoing disease, or to compensate for immunodeficiency diseases.<\/p>\n<div>\n<h1>Adaptive Immune Evasion<\/h1>\n<\/div>\n<p>Many pathogens have been around for a long time, living with human populations for generations. To persist, some have evolved mechanisms to evade the adaptive immune system of human hosts. One way they have done this is by rapidly changing their non-essential antigens. This is called antigenic variation. An example of a pathogen that takes this approach is human immunodeficiency virus (HIV). It mutates rapidly so the proteins on its viral envelope are constantly changing. By the time the adaptive immune system responds, the virus\u2019s antigens have changed. Antigenic variation is the main reason that efforts to develop a vaccine against HIV have not yet been successful.<\/p>\n<p>Another evasion approach that some pathogens may take is to mask pathogen antigens with host molecules so the host\u2019s immune system cannot detect the antigens. HIV takes this approach, as well. The envelope that covers the virus is formed from the outermost membrane of the host cell.<\/p>\n<div>\n<h1>Feature: My Human Body<\/h1>\n<\/div>\n<p>If you think that immunizations are just for kids, think again. There are several vaccines recommended by <a href=\"https:\/\/www.healthlinkbc.ca\/tools-videos\/bc-immunization-schedules\">HealthLinkBC<\/a> for people over the age of 18. The tables below from HealthLinkBC show the vaccine schedules recommended for infants and children, school-aged children, and adults and senior. Additional vaccines may be recommended for certain adults based on specific travel plans, medical conditions or other indications. Are you up to date with your vaccines? You can check with your doctor to be sure.<\/p>\n<div>\n<p><img class=\"aligncenter wp-image-1666\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/BC-Immunization-2020-Schedule-Infants-and-Children.png\" alt=\"17.5 British Columbia Immunization Schedule - Infants and Children\" width=\"763\" height=\"741\"><\/p>\n<\/div>\n<p><img class=\"wp-image-1667 aligncenter\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/BC-Immunization-2020-Schedule-School-Aged-Children.png\" alt=\"17.5 BC Immunization 2020 Schedule School-Aged Children\" width=\"694\" height=\"329\"><\/p>\n<p>&nbsp;<\/p>\n<p><img class=\"wp-image-1668 aligncenter\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/BC-Immunization-2020-Schedule-Adults-Seniors-Individuals-at-High-Risk.png\" alt=\"17.5 BC Immunization 2020 Schedule Adults, Seniors, Individuals at High Risk\" width=\"715\" height=\"463\"><\/p>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">17.5 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_4717_4822\">adaptive immune system<\/a> is a subsystem of the overall immune system that recognizes and makes a tailored attack against specific <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2405\">pathogens<\/a>\u00a0or tumor cells. It is a slower, but more effective response than the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4820\">innate immune response<\/a>, and also leads to immunity to particular pathogens.<\/li>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4832\">Lymphocytes<\/a>\u00a0produced by the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2911\">lymphatic system<\/a> are the main cells of the adaptive immune system. There are two major types of lymphocytes: <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4892\">T cells<\/a>\u00a0and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2058\">B cells<\/a>. Both types must be activated by foreign <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2704\">antigens<\/a>\u00a0to become functioning immune cells.<\/li>\n<li>Most activated T cells become either <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4893\">killer T cells<\/a>\u00a0or <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2055\">helper T cells<\/a>. Killer T cells destroy cells that are infected with pathogens or are cancerous. Helper T cells manage immune responses by releasing <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4865\">cytokines<\/a>\u00a0that control other types of leukocytes.<\/li>\n<li>Activated B cells form <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4902\">plasma cells<\/a>\u00a0that secrete <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2215\">antibodies<\/a>, which bind to specific antigens on pathogens or infected cells. The antibody-antigen complexes generally lead to the destruction of the cells, for example, by attracting phagocytes or triggering the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4868\">complement system<\/a>.<\/li>\n<li>After an adaptive immune response occurs, long-lasting <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4904\">memory B cells and memory T cells<\/a> may remain to confer immunity to the specific pathogen that caused the adaptive immune response. These memory cells are ready to activate an immediate response if they are exposed to the same antigen again in the future.<\/li>\n<li>Immunity may be active or passive. Active immunity occurs when the immune system has been presented with antigens that elicit an adaptive immune response. This may occur naturally as the result of an infection, or artificially as the result of immunization. Active immunity may last for years or even for life.<\/li>\n<li>Passive immunity occurs without an adaptive immune response by the transfer of antibodies or activated T cells. This may occur naturally between a mother and her fetus or her nursing infant, or it may occur artificially by injection. Passive immunity lasts only as long as the antibodies or activated T cells remain alive in the body, generally just weeks or months.<\/li>\n<li>Many pathogens have evolved mechanisms to evade the adaptive immune system. For example, human immunodeficiency virus (<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_4501\">HIV<\/a>) evades the adaptive immune system by frequently changing its antigens and by forming its outer envelope from the host\u2019s cell membrane.<\/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\">17.5 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>What is the adaptive immune system?<\/li>\n<li>Define immunity.<\/li>\n<li>\n<div id=\"h5p-202\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-202\" class=\"h5p-iframe\" data-content-id=\"202\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"11.5 Quiz\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>How are lymphocytes activated?<\/li>\n<li>Identify two common types of T cells and their functions.<\/li>\n<li>How do activated B cells help defend against pathogens?<\/li>\n<li>How does passive immunity differ from active immunity?\u00a0How may passive immunity occur?<\/li>\n<li>What are two ways that active immunity may come about?<\/li>\n<li>What ways of evading the human adaptive immune system evolved in human immunodeficiency virus (HIV)?<\/li>\n<li>Why do vaccinations expose\u00a0a person to a version of a pathogen?<\/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\">17.5 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/youtu.be\/rb7TVW77ZCs<\/p>\n<p style=\"text-align: center\">How do vaccines work? - Kelwalin Dhanasarnsombut, TED-Ed, 2015.<\/p>\n<p>https:\/\/youtu.be\/yqUFy-t4MlQ<\/p>\n<p style=\"text-align: center\">How we conquered the deadly smallpox virus - Simona Zompi, TED-Ed, 2013.<\/p>\n<p>https:\/\/youtu.be\/5THf6gTNqO8<\/p>\n<p style=\"text-align: center\">Why Do We Need A New Flu Shot Every Year? Seeker, 2015.<\/p>\n<p>https:\/\/youtu.be\/X-rC78MKZvw<\/p>\n<p style=\"text-align: center\">An HIV Vaccine: Mapping Uncharted Territory, NIAID, 2016.<\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<h2>Attributions<\/h2>\n<p><strong>Figure 17.5.1<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Killer_T_cells_surround_a_cancer_cell.png\" rel=\"cc:attributionURL\">Killer_T_cells_surround_a_cancer_cell<\/a> by Alex Ritter, Jennifer Lippincott Schwartz and Gillian Griffiths at the <a href=\"https:\/\/visualsonline.cancer.gov\/details.cfm?imageid=11852\">National Institutes of Health\/ Visuals Online<\/a> on Wikimedia Commons is in 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 17.5.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:T_cell_activation.svg\" rel=\"cc:attributionURL\">T_cell_activation.svg<\/a> by <a title=\"User:Rehua\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Rehua\">Rehua<\/a> (derivative work) on Wikimedia Commons is in 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).\u00a0(Original image: <a title=\"File:T cell activation.png\" href=\"https:\/\/commons.wikimedia.org\/wiki\/File:T_cell_activation.png\">T_cell_activation.png<\/a>:\u00a0 from <a class=\"external text\" href=\"http:\/\/www.niaid.nih.gov\/publications\/immune\/the_immune_system.pdf\" rel=\"nofollow\">The Immune System - NIH Publication No. 03\u20135423<\/a>)<\/p>\n<p><strong style=\"text-align: initial;font-size: 1em\">Figure 17.5.3<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Figure_42_02_04.png\" rel=\"cc:attributionURL\">Cytotoxic T Cell function<\/a>\u00a0by <a href=\"https:\/\/cnx.org\/contents\/GFy_h8cu@10.53:etZobsU-@6\/Adaptive-Immune-Response\">CNX OpenStax<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" rel=\"license\">CC BY 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/4.0) license.<\/p>\n<p><strong>Figure 17.5.4<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:B_cell_activation.svg\" rel=\"cc:attributionURL\">B_cell_activation.svg<\/a> by <a title=\"User:Fred the Oyster\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Fred_the_Oyster\">Fred the Oyster<\/a> on Wikimedia Commons is in 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). (Original from <a class=\"external text\" href=\"http:\/\/www.niaid.nih.gov\/publications\/immune\/the_immune_system.pdf\" rel=\"nofollow\">The Immune System - NIH Publication No. 03\u20135423<\/a>)<\/p>\n<p><strong>Figure 17.5.5<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Antibody.svg\" rel=\"cc:attributionURL\">Antibody.svg<\/a> by <a title=\"User:Fvasconcellos\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Fvasconcellos\">Fvasconcellos<\/a>\u00a0 on Wikimedia Commons is in 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). (Original black and white image from the National Human Genome Research Institute's <a href=\"https:\/\/www.genome.gov\/genetics-glossary\">Talking Genetics Glossary<\/a>)<\/p>\n<p><strong>Figure 17.5.7<\/strong><\/p>\n<p><a href=\"https:\/\/www.health.mil\/News\/Articles\/2020\/05\/01\/CDC-maintains-childhood-immunization-guidelines-during-COVID-19\" rel=\"cc:attributionURL\">immunizations<\/a> by U.S. Air Force photo by Airman 1st Class Destinee Dougherty from Military Health System website, Health.mil, is in the <a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain).<\/p>\n<p>&nbsp;<\/p>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">HealthLinkBC. (2018). B.C. immunization schedules. \u00a0Gov.BC.CA. \u00a0https:\/\/www.healthlinkbc.ca\/tools-videos\/bc-immunization-schedules<\/p>\n<p class=\"hanging-indent\">Mayo Clinic Staff. (n.d.). Measles [online article]. MayoClinic.org. https:\/\/www.mayoclinic.org\/diseases-conditions\/measles\/symptoms-causes\/syc-20374857<\/p>\n<p class=\"hanging-indent\">Mayo Clinic Staff. (n.d.). Mumps [online article]. MayoClinic.org. https:\/\/www.mayoclinic.org\/diseases-conditions\/mumps\/symptoms-causes\/syc-20375361<\/p>\n<p class=\"hanging-indent\">Mayo Clinic Staff. (n.d.). Polio [online article]. MayoClinic.org. https:\/\/www.mayoclinic.org\/diseases-conditions\/polio\/symptoms-causes\/syc-20376512<\/p>\n<p class=\"hanging-indent\">Mayo Clinic Staff. (n.d.). Smallpox [online article]. MayoClinic.org. https:\/\/www.mayoclinic.org\/diseases-conditions\/smallpox\/symptoms-causes\/syc-20353027<\/p>\n<p class=\"hanging-indent\">NIAID. (2016, August 11). An HIV vaccine: Mapping uncharted territory. YouTube. https:\/\/www.youtube.com\/watch?v=X-rC78MKZvw&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">OpenStax. (2016, March 23). Figure 4 Na\u00efve\u00a0<mtext class=\"q-match\">CD4<\/mtext><sup>+<\/sup>\u00a0T cells engage MHC II molecules on antigen-presenting cells (APCs) and become activated. Clones of the activated helper T cell, in turn, activate B cells and CD8<sup>+<\/sup> T cells, which become cytotoxic T cells. Cytotoxic T cells kill infected cells [digital image].\u00a0In <em>OpenStax, Biology<\/em> (Section 42.2). OpenStax CNX. https:\/\/cnx.org\/contents\/GFy_h8cu@10.53:etZobsU-@6\/Adaptive-Immune-Response<\/p>\n<p class=\"hanging-indent\">Seeker. (2015, September 2). Why do we need a new flu shot every year? YouTube. https:\/\/www.youtube.com\/watch?v=5THf6gTNqO8<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2015, January 12). How do vaccines work? - Kelwalin Dhanasarnsombut. YouTube. https:\/\/www.youtube.com\/watch?v=rb7TVW77ZCs&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2013, October 28). How we conquered the deadly smallpox virus - Simona Zompi. YouTube. https:\/\/www.youtube.com\/watch?v=yqUFy-t4MlQ&amp;feature=youtu.be<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4717_2817\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4717_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_4717_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_4717_3521\">skin<\/a>. They are made of sheets of dead <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_2003\">Nails<\/a>\u00a0are accessory organs of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_3521\">skin<\/a>, consisting of sheets of dead, keratin-filled <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_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_4717_3912\">nail root<\/a> (which is under the epidermis), the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_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_4717_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_4717_3914\">nail bed<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_3917\">cuticle<\/a>, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_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_4717_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_4717_2890\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4717_2890\"><div tabindex=\"-1\"><p id=\"x-ck12-NDJmYTczYjUzYjNkNmFjNDNhMGRmYWU0YWJjZmQzMzY.-0ah\">Created by CK-12\/Adapted by Christine Miller<\/p>\n<p>As you read in the beginning of this chapter, new parents Samantha and Aki left their pediatrician\u2019s office still unsure whether or not to vaccinate baby James. Dr. Rodriguez gave them a list of reputable sources where they could look up information about the safety of vaccines,\u00a0including\u00a0the Centers for Disease Control and Prevention (CDC). Samantha and Aki read that the consensus within the scientific community is that there is no link between vaccines and autism. They find a long list of studies published in peer-reviewed scientific journals that disprove any link. Additionally, some of the studies are \u201cmeta-analyses\u201d that analyzed the findings from many individual studies. The new parents are reassured by the fact that many different researchers, using a large number of subjects in numerous well-controlled and well-reviewed studies, all came to the same conclusion.<\/p>\n<figure id=\"attachment_2260\" aria-describedby=\"caption-attachment-2260\" style=\"width: 300px\" class=\"wp-caption alignright\"><img class=\"wp-image-2260\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/avel-chuklanov-DUmFLtMeAbQ-unsplash-scaled-2.jpg\" alt=\"\" width=\"300\" height=\"200\"><figcaption id=\"caption-attachment-2260\" class=\"wp-caption-text\"><em>Figure 1.8.1 Do your research!<\/em><\/figcaption><\/figure>\n<p id=\"x-ck12-MWQzNDU3ZWI2Y2U1ODJhYjNhODU5MWRkYTc4YzI0YTQ.-jpt\">Samantha also went back to the web page that originally scared her about the safety of vaccines. She found that the author was not a medical doctor or scientific researcher, but rather a self-proclaimed \u201cchild wellness expert.\u201d He sold books and advertising on his site, some of which were related to claims of vaccine injury. She realized that he was both an unqualified and potentially biased source of information.<\/p>\n<p id=\"x-ck12-Mzc1ZWJjM2E0MTllZDM2ZTU5ZDYzZjI3YTFiYjIzYTk.-sry\">Samantha also realized that some of his arguments were based on correlations between autism and vaccines, but, as the saying goes, \u201ccorrelation does not imply causation.\u201d For instance, the recent rise in autism rates may have occurred during the same time period as an increase in the number of vaccines given in childhood, but Samantha could think of many other environmental and social factors that have also changed during this time period. There are just too many variables to come to the conclusion that vaccines, or anything else, are the cause of the rise in autism rates based on that type of argument alone. Also, she learned that the age of onset of autism symptoms happens to typically be around the time that the MMR vaccine is first given, so the apparent association in the timing may just be a coincidence.<\/p>\n<p id=\"x-ck12-NDI2ZDk3MTRkZTk4ODdjNGRmNjFkZTA2NWVmZDRjMjQ.-crs\">Finally, Samantha came across news about\u00a0 a measles outbreak in Vancouver, British Columbia in the winter of 2019. Measles wasn\u2019t just a disease of the past! She learned that measles and whooping cough, which had previously been rare thanks to widespread vaccinations, are now on the rise, and that people choosing not to vaccinate their children seems to be one of the contributing factors. She realized that it is important to vaccinate her baby against these diseases, not only to protect him from their potentially deadly effects, but also to protect others in the population.<\/p>\n<p id=\"x-ck12-YzI1YTFhNDI3MTVkOGYzYjljZTNiOTE0NWYxNTNhNjI.-ets\">In their reading, Samantha and Aki learn that scientists do not yet know the causes of autism, but they feels reassured by the abundance of data that disproves any link with vaccines. Both parents think that the potential benefits of protecting their baby\u2019s health against deadly diseases outweighs any unsubstantiated claims about vaccines. They will be making an appointment to get baby James his shots soon.<\/p>\n<div class=\"textbox textbox--learning-objectives\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">Chapter 1 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p id=\"x-ck12-NjMwMjU4MjIwNDc5OWNjOGU4YWY1N2Y5NGM2OGNjMWU.-hbt\">In this chapter, you learned about some of the same concepts that helped Samantha and Aki make an informed decision. Specifically:<\/p>\n<ul id=\"x-ck12-YjJiMzQyYTM5NjU2OGQyYzlmN2U2YjdkMWIzYTdhOGQ.-yap\">\n<li>Science is a distinctive way of gaining knowledge about the natural world that is based on the use of evidence to logically test ideas. As such, science is\u00a0a\u00a0process,\u00a0as well as\u00a0a body of knowledge.<\/li>\n<li>A scientific theory, such as the germ theory of disease, is the highest level of explanation in science. A theory is a broad explanation for many phenomena that is widely accepted because it is supported by a great deal of evidence.<\/li>\n<li>The scientific\u00a0investigation is the cornerstone of science as a process. A scientific investigation is a systematic approach to answering questions about the physical and natural world. An investigation may be observational or experimental.<\/li>\n<li>A scientific experiment is a type of scientific investigation in which the researcher manipulates variables under controlled conditions to test expected outcomes. Experiments are the gold standard for scientific investigations and can establish causation between variables.<\/li>\n<li>Nonexperimental scientific investigations such as observational studies and modeling may be undertaken when experiments are impractical, unethical, or impossible. Observational studies generally can establish correlation \u2014 but not causation \u2014 between variables.<\/li>\n<li>A pseudoscience, such as astrology, is a field that is presented as scientific but that does not adhere to scientific standards and methods. Other misuses of science include deliberate hoaxes, frauds, and fallacies made by researchers.<\/li>\n<li>Strict guidelines must be followed when using human subjects in scientific research. Among the most important protections is the requirement for informed consent.<\/li>\n<\/ul>\n<p id=\"x-ck12-ZjkwMmVhNTI0YzVjODU2OGEyNjNkZDI4YjAwNGE1MTM.-grg\">Now that you know about the nature and process of science, you can apply these concepts in the next chapter to the study of human biology.<\/p>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">Chapter 1 Review<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li id=\"x-ck12-MzhmMWVhNTkyNTM3NzIwMTNjZmQ5YmMwNGYzMmYwNTY.-fvj\">\n<div id=\"h5p-11\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-11\" class=\"h5p-iframe\" data-content-id=\"11\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Scientific Method and &quot;Doing&quot; Science\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Why does a good hypothesis have to be falsifiable?<\/li>\n<li id=\"x-ck12-ZWNiZGI2YTgwM2FlMTkxYmM1NjQ1YjE3YzdhYzc4MzI.-ko2\">Name one scientific law.<\/li>\n<li>Name one scientific theory.<\/li>\n<li>Give an example of a scientific idea that was later discredited.<\/li>\n<li>A statistical measurement called a P-value is often used in science to determine whether or not a difference between two groups is actually significant or simply due to chance. A P-value of 0.03 means that there is a 3% chance that the difference is due to chance alone. Do you think a P-value of 0.03 would indicate that the difference is likely to be significant? Why or why not?<\/li>\n<li>Why is it important that scientists communicate their findings to others? How do they usually do this?<\/li>\n<li>What is a \u201ccontrol group\u201d in science?<\/li>\n<li>In a scientific experiment, why is it important to only change one variable at a time?<\/li>\n<li>Which is the <em style=\"text-align: initial;font-size: 1em\">dependent variable<\/em><span style=\"text-align: initial;font-size: 1em\"> \u2013 the variable that is manipulated or the variable that is being affected by the change?<\/span><\/li>\n<li><span style=\"text-align: initial;font-size: 1em\">You see an ad for a \u201cmiracle supplement\u201d called NQP3 that claims the supplement will reduce belly fat. They say it works by reducing the hormone cortisol and by providing your body with missing unspecified \u201cnutrients\u201d, but they do not cite any peer-reviewed clinical studies. They show photographs of three people who appear slimmer after taking the product. A board-certified plastic surgeon endorses the product on television. Answer the following questions about this product.<\/span><\/li>\n<\/ol>\n<p id=\"x-ck12-ZTkxNDRjODFiZjIwODEzNjc5MjYwMWZmN2U2ZDkyMzk.-o4e\" class=\"x-ck12-indent\" style=\"padding-left: 30px\">a. Do you think that because a doctor endorsed the product, it really works? Explain your answer.<\/p>\n<p id=\"x-ck12-NTgwZmIwM2ExNjcwOGFkM2E5N2RjZDUzMDQwZDkzMWU.-7mz\" class=\"x-ck12-indent\" style=\"padding-left: 30px\">b. What are two signs that these claims could actually be pseudoscience instead of true science?<\/p>\n<p id=\"x-ck12-NTliOGZkOGFlM2YzZjE5NzM2YWEwNmUzYTUxNTEzZjI.-spq\" class=\"x-ck12-indent\" style=\"padding-left: 30px\">c. Do you think the photographs are good evidence that the product works? Why or why not?<\/p>\n<p id=\"x-ck12-Yjc0YTIxZGZkNzYyZTkyYzYwNGNjMTM2ODg5OWRkNmI.-aiy\" class=\"x-ck12-indent\" style=\"padding-left: 30px\">d. If you wanted to do a strong scientific study of whether this supplement does what it claims, what would you do? Be specific about the subjects, data collected, how you would control variables, and how you would analyze the data.<\/p>\n<p id=\"x-ck12-Zjg5MjRhOTIzY2FhZTVmYjhkODFmODQ3YjAzOWMxOGU.-604\" class=\"x-ck12-indent\" style=\"padding-left: 30px\">e. What are some ways that you would ensure that the subjects in your experiment in part d are treated ethically and according to human subjects protections regulations?<\/p>\n<\/div>\n<\/div>\n<h2 id=\"x-ck12-YzhkZDM1NjIyZWY2OTkxNDVlODQ3NzVmZGJkNzkyYmY.-wlj\">Attribution<\/h2>\n<p><strong>Figure 1.8.1<\/strong><\/p>\n<p>[<a href=\"https:\/\/unsplash.com\/photos\/DUmFLtMeAbQ\">Photo of person sitting in front of personal computer<\/a>] by <a href=\"https:\/\/unsplash.com\/@chuklanov\">Avel Chuklanov<\/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<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4717_2891\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4717_2891\"><div tabindex=\"-1\"><p>Created by CK-12\/Adapted by Christine Miller<\/p>\n<h1>The Thinker<\/h1>\n<figure id=\"attachment_109\" aria-describedby=\"caption-attachment-109\" style=\"width: 188px\" class=\"wp-caption alignright\"><img class=\"wp-image-104\" title=\"Auguste Rodin [CC0]\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/The-thinker-225x300.jpg\" alt=\"The Thinker (French: Le Penseur) is a bronze sculpture by Auguste Rodin, usually placed on a stone pedestal. The work shows a nude male figure of over life-size sitting on a rock with his chin resting on one hand as though deep in thought, often used as an image to represent philosophy.\" width=\"188\" height=\"250\"><figcaption id=\"caption-attachment-109\" class=\"wp-caption-text\"><em>Figure 2.2.1 The Thinker by Auguste Rodin.<\/em><\/figcaption><\/figure>\n<p>You've probably seen this famous statue created by the French sculptor <a href=\"https:\/\/en.wikipedia.org\/wiki\/Auguste_Rodin\">Auguste Rodin<\/a>. Rodin's skill as a sculptor is especially evident here because the statue \u2014 which is made of bronze \u2014 looks so lifelike. How does a bronze statue\u00a0differ from a living,\u00a0breathing\u00a0human being or other living organism? What is life? What does it mean to be alive? Science has answers to these questions.<\/p>\n<div>\n<h1>Characteristics of Living Things<\/h1>\n<\/div>\n<p>To be classified as a living thing, most scientists agree that an object must have all seven of the traits listed below. Humans share these characteristics with other living things.<\/p>\n<ol>\n<li>Homeostasis<\/li>\n<li>Organization<\/li>\n<li>Metabolism<\/li>\n<li>Growth<\/li>\n<li>Adaptation<\/li>\n<li>Response to stimuli<\/li>\n<li>Reproduction<\/li>\n<\/ol>\n<h2>Homeostasis<\/h2>\n<p>All living things are able to maintain a more-or-less constant internal environment. Regardless of the conditions around them, they can keep things relatively stable on the inside. The condition in which a system is maintained in a more-or-less steady state is called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2350\"><strong>homeostasis<\/strong><\/a>.\u00a0Human beings, for example, maintain a stable internal body\u00a0temperature. If you go outside when the air temperature is below\u00a0freezing, your body doesn't freeze. Instead, by shivering and other means, it maintains a stable internal temperature.<\/p>\n<figure id=\"attachment_109\" aria-describedby=\"caption-attachment-109\" style=\"width: 534px\" class=\"wp-caption aligncenter\"><img class=\"size-full wp-image-105\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Homeostasis-of-body-temperature.png\" alt=\"\" width=\"534\" height=\"363\"><figcaption id=\"caption-attachment-109\" class=\"wp-caption-text\"><em>Figure 2.2.2 Homeostasis of body temperature.<\/em><\/figcaption><\/figure>\n<div>\n<h2><span style=\"font-size: 1.266em\">Organization<\/span><\/h2>\n<\/div>\n<p>Living things have multiple levels of organization. Their molecules are organized into one or more\u00a0cells. A\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2223\"><strong>cell<\/strong><\/a> is the basic unit of the structure and function of living things. Cells are the building blocks of living organisms. An average adult human being, for example, consists of trillions of cells. Living things may appear very different from one another on the outside, but their cells are very similar. Compare the human cells and onion cells in Figures 2.2.3 and 2.2.4. What similarities do you see?<\/p>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_109\" aria-describedby=\"caption-attachment-109\" style=\"width: 296px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-106\" title=\"Joseph Elsbernd [CC BY-SA 2.0 (https:\/\/creativecommons.org\/licenses\/by-sa\/2.0)]\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Cheek-Cells-300x200.jpg\" alt=\"Shows the image through a microscope of human cheek cells. The cells are oval in shape and light blue, with a darker blue spot close to the centre. The light blue shows the cell membrane and cytoplasm and the darker blue shows the nucleus of the cell.\" width=\"296\" height=\"197\"><figcaption id=\"caption-attachment-109\" class=\"wp-caption-text\"><em>Figure 2.2.3 Human cheek cells.<\/em><\/figcaption><\/figure>\n<div>\n<figure id=\"attachment_107\" aria-describedby=\"caption-attachment-107\" style=\"width: 297px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-107\" title=\"kaibara87 [CC BY 2.0 (https:\/\/creativecommons.org\/licenses\/by\/2.0)]\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Onion-Cells-300x200.jpg\" alt=\"Shows an image through a microscope of onion cells. The cells are packed together and are rectangular in shape. Their cell walls and nuclei are stained a darker blue and the cytoplasm is whitish.\" width=\"297\" height=\"197\"><figcaption id=\"caption-attachment-107\" class=\"wp-caption-text\"><em>Figure 2.2.4 Onion cells.<\/em><\/figcaption><\/figure>\n<\/div>\n<h2>Metabolism<\/h2>\n<p>All living things can use\u00a0energy. They\u00a0require\u00a0energy\u00a0to maintain internal conditions (homeostasis), to grow, and to execute other processes.\u00a0Living\u00a0cells\u00a0use\u00a0the \"machinery\" of\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2368\"><strong>metabolism<\/strong><\/a>,\u00a0which is the building up and breaking down of chemical compounds.\u00a0Living things can transform\u00a0energy\u00a0by building up large molecules from smaller ones. This form of metabolism is called\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2282\"><strong>anabolism<\/strong>.<\/a> Living things can also break down, or decompose, large organic molecules into smaller ones. This form of metabolism is called\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2299\"><strong>catabolism<\/strong><\/a>.<\/p>\n<p>Consider\u00a0weight\u00a0lifters\u00a0who\u00a0eat high-protein\u00a0diets. A\u00a0protein\u00a0is a large molecule made up of several small\u00a0amino acids. When we eat\u00a0proteins, our\u00a0digestive system\u00a0breaks\u00a0them down\u00a0into\u00a0amino acids\u00a0(catabolism), so that they are small enough to be absorbed\u00a0by\u00a0the\u00a0digestive system\u00a0and into the\u00a0blood. From there,\u00a0amino acids\u00a0are transported to\u00a0muscles, where they are converted back to\u00a0proteins\u00a0(anabolism).<\/p>\n<figure id=\"attachment_109\" aria-describedby=\"caption-attachment-109\" style=\"width: 300px\" class=\"wp-caption alignright\"><img class=\"wp-image-108 size-medium\" title=\"Photo by Jakob Owens on Unsplash\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Baby-300x200.jpg\" alt=\"Image shows a man and woman holding hands with a toddler between them. All three are walking down a grassy path in their bare feet.\" width=\"300\" height=\"200\"><figcaption id=\"caption-attachment-109\" class=\"wp-caption-text\"><em>Figure 2.2.5 Humans grow and develop.<\/em><\/figcaption><\/figure>\n<h2>Growth<\/h2>\n<p>All living things have the capacity for growth. Growth is an increase in size that occurs when there is a higher rate of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2282\"><strong>anabolism<\/strong><\/a> than <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2299\"><strong>catabolism<\/strong><\/a>. A human infant, for example,\u00a0has changed\u00a0dramatically in size by the time it reaches\u00a0adulthood, as is apparent from the image\u00a0below. In what other ways do we change as we grow from\u00a0infancy\u00a0to\u00a0adulthood?<\/p>\n<div>\n<p>A human infant has a lot of growing to do before adulthood.<\/p>\n<\/div>\n<h2>\u00a0Adaptations and Evolution<\/h2>\n<p>An\u00a0<a href=\"https:\/\/en.wikipedia.org\/wiki\/Adaptation\">adaptation<\/a>\u00a0is a characteristic that helps living things survive and reproduce in a given environment. It comes about because living things have the ability to change over time in response to\u00a0the environment. A change in the characteristics of living things over time is called\u00a0<a href=\"https:\/\/en.wikipedia.org\/wiki\/Evolution\" target=\"_blank\" rel=\"noopener noreferrer\">evolution<\/a>.\u00a0It\u00a0develops in a\u00a0population\u00a0of organisms\u00a0through random genetic\u00a0mutations and\u00a0natural selection.<\/p>\n<h2>Response to Stimuli<\/h2>\n<p>All living things detect changes in their environment and respond to them. These stimuli can be internal or external, and the response can take many forms, from the\u00a0movement\u00a0of a unicellular organism\u00a0in response to\u00a0external chemicals (called <a href=\"https:\/\/en.wikipedia.org\/wiki\/Chemotaxis\" target=\"_blank\" rel=\"noopener noreferrer\">chemotaxis<\/a>) to complex reactions involving all the\u00a0senses\u00a0of a\u00a0multicellular organism. A response is often expressed by motion; for example, the leaves of a plant turning toward the\u00a0sun\u00a0(called <a href=\"https:\/\/en.wikipedia.org\/wiki\/Phototropism\" target=\"_blank\" rel=\"noopener noreferrer\">phototropism<\/a>).<\/p>\n<p>Click through the images below: the venus fly trap, the cat, and the flower are all showing response to a stimuli.<\/p>\n<div id=\"h5p-12\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-12\" class=\"h5p-iframe\" data-content-id=\"12\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Response to Stimuli\"><\/iframe><\/div>\n<\/div>\n<p><em>Figure 2.2.6 Examples of responses to environmental stimuli.\u00a0<\/em><\/p>\n<h2>Reproduction<\/h2>\n<p>All living things are capable of\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2414\"><strong>reproduction<\/strong><\/a>, the process by which living things give rise to offspring. Reproduction may be as simple as a single cell dividing to form two daughter cells, which is how\u00a0bacteria\u00a0reproduce. Reproduction in human beings and many other organisms, of course, is much more complicated. Nonetheless, whether a living thing is a human being or a bacterium, it is normally capable of reproduction.<\/p>\n<h3>\n<div id=\"h5p-13\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-13\" class=\"h5p-iframe\" data-content-id=\"13\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"7 Characteristics of Living Things\"><\/iframe><\/div>\n<\/div>\n<\/h3>\n<h1>Feature: Myth vs. Reality<\/h1>\n<p><strong>Myth:<\/strong>\u00a0Viruses are living things.<\/p>\n<p><strong>Reality:<\/strong>\u00a0The traditional scientific view of <a href=\"https:\/\/en.wikipedia.org\/wiki\/Virus\" target=\"_blank\" rel=\"noopener noreferrer\">viruses<\/a> is that they originate from bits of\u00a0DNA\u00a0or\u00a0RNA shed from the cells of living things, but that they are not living things\u00a0<em>themselves<\/em>. Scientists have long argued that viruses are not living things because they do not\u00a0exhibit\u00a0most of the defining traits of living organisms. A single\u00a0virus, called a virion, consists of a set of genes (DNA\u00a0or RNA) inside a protective\u00a0protein\u00a0coat, called a capsid. Viruses have organization, but they are not cells, and they do not possess the cellular \"machinery\" that living things use to carry out life processes. As a result, viruses cannot undertake metabolism, maintain homeostasis, or grow.<\/p>\n<figure id=\"attachment_109\" aria-describedby=\"caption-attachment-109\" style=\"width: 256px\" class=\"wp-caption alignleft\"><img class=\"wp-image-109 size-medium\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Bacteriophage-256x300.jpg\" alt=\"Transmission electron micrograph of multiple bacteriophages attached to a bacterial cell wall; the magnification is approximately 200,000\" width=\"256\" height=\"300\"><figcaption id=\"caption-attachment-109\" class=\"wp-caption-text\"><em>Figure 2.2.7 Transmission electron micrograph of multiple bacteriophages attached to a bacterial cell wall; the magnification is approximately 200,000.<\/em><\/figcaption><\/figure>\n<p>They do not seem to respond to their environment, and they can reproduce only by invading and using \"tools\" inside host cells to produce more virions. The only traits viruses seem to share with living things is the ability to evolve adaptations to their environment. In fact, some viruses evolve so quickly that it is difficult to design drugs and vaccines against them! That's why maintaining protection from the viral disease influenza, for example, requires a new flu vaccine each year.<\/p>\n<p>Within the last decade, new discoveries in virology (the study of viruses) suggest that this traditional view about viruses may be incorrect, and that the \"myth\" that viruses are living things may be the reality. Researchers have discovered giant viruses that contain more genes than cellular life forms, such as\u00a0bacteria. Some of the genes code for\u00a0proteins\u00a0needed to build new viruses,\u00a0which suggests\u00a0that these giant viruses may be able\u00a0\u2014\u00a0or were once able\u00a0\u2014\u00a0to reproduce without a host cell. Some of the strongest evidence that viruses are living things comes from studies of their proteins, which show that viruses and cellular life share a common ancestor in the distant past. Viruses may have once existed as primitive cells, but at some point they lost their cellular nature\u00a0and became\u00a0modern viruses that require host cells to reproduce. This idea is not so far-fetched when you consider that many other\u00a0species require a host to complete their\u00a0life cycle.<\/p>\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\">2.2 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>To be classified as a living thing, most scientists agree that an object must exhibit seven characteristics.\u00a0Humans share these traits with all other living things.<\/li>\n<li>All living things:\n<ul>\n<li>Can maintain a more-or-less constant internal environment, which is called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2350\"><strong>homeostasis<\/strong><\/a>.<\/li>\n<li>Have multiple levels of organization and consist of one or more <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2223\"><strong>cells<\/strong><\/a>.<\/li>\n<li>Can use energy and are capable of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2368\"><strong>metabolism<\/strong><\/a>.<\/li>\n<li>Grow and develop.<\/li>\n<li>Can <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2088\"><strong>evolve<\/strong><\/a> adaptations to their environment.<\/li>\n<li>Can detect and respond to environmental stimuli.<\/li>\n<li>Are capable of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_2414\"><strong>reproduction<\/strong><\/a>, which is the process by which living things give rise to offspring.<\/li>\n<\/ul>\n<\/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\">2.2 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>Identify the seven traits that most scientists agree are shared by all living things.<\/li>\n<li>What is homeostasis? What is one way humans fulfill this criterion of living things?<\/li>\n<li>Define reproduction and describe two different examples.<\/li>\n<li>Assume that you found an object that looks like a dead twig. You wonder if it might be a stick insect. How could you ethically determine if it is a living thing?<\/li>\n<li>Describe viruses and which traits they do and do not share with living things. Do you think viruses should be considered living things? Why or why not?<\/li>\n<li>People who are biologically unable to reproduce are certainly still considered alive. Discuss why this situation does not invalidate the criteria that living things must be capable of reproduction.<\/li>\n<li>What are the two types of metabolism\u00a0described here. What are their differences?<\/li>\n<li>What are some similarities between the cells\u00a0of different organisms? If you are not familiar with the specifics of cells, simply describe the similarities you see in the pictures above.<\/li>\n<li>What are two processes in a living thing that use energy?<\/li>\n<li>Give an example of a response to stimuli in humans.<\/li>\n<li>Do unicellular organisms (such as bacteria) have an internal environment that they maintain through homeostasis? Why or why not?<\/li>\n<li>Evolution occurs through natural\u00a0____________ .<\/li>\n<li>If alien life is found on other planets, do you think the aliens\u00a0will have cells? Discuss your answer.<\/li>\n<li>Movement in response to an external chemical is called ___________, while movement towards light is called ___________ .<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">2.2 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/www.youtube.com\/watch?v=cQPVXrV0GNA&amp;t=354s<\/p>\n<p style=\"text-align: center\">Characteristics of Life, Ameoba Sisters, 2017.<\/p>\n<\/div>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 2.2.1<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:The_Thinker_MET_131262.jpg\">The Thinker MET 131262<\/a>, by <a href=\"https:\/\/en.wikipedia.org\/wiki\/Auguste_Rodin\">Auguste Rodin<\/a>, 1910, from the <a href=\"https:\/\/www.metmuseum.org\/art\/collection\/search\/191811\">Metropolitan Museum of Art<\/a>, is in the <a href=\"http:\/\/public domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain).<\/p>\n<p><strong>Figure 2.2.2<\/strong><\/p>\n<p><a href=\"https:\/\/cnx.org\/contents\/GFy_h8cu@10.8:BP24ZReh@7\/Homeostasis\">Homeostasis: Figure 4<\/a>, by <a href=\"https:\/\/cnx.org\/contents\/GFy_h8cu@10.8:BP24ZReh@7\/Homeostasis\">OpenStax College, Biology<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\">CC BY 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/4.0) license. Download for free at http:\/\/cnx.org\/contents\/04fdb865-17a1-43d8-bb33-36f821ddd119@7.<\/p>\n<p><strong>Figure 2.2.3<\/strong><\/p>\n<p><a href=\"https:\/\/www.flickr.com\/photos\/codonaug\/6936088946\">Human cheek cells<\/a>, by <a class=\"owner-name truncate\" title=\"Go to Joseph Elsbernd's photostream\" href=\"https:\/\/www.flickr.com\/photos\/codonaug\/\">Joseph Elsbernd,<\/a> 2012, on <a href=\"https:\/\/www.flickr.com\/\">Flickr<\/a>, is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/2.0\/\">CC BY-SA 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/2.0\/) license.<\/p>\n<p><strong>Figure 2.2.4<br \/>\n<\/strong><\/p>\n<p><a href=\"https:\/\/www.flickr.com\/photos\/kaibara\/3839720754\/\">Onion cells 2<\/a>, by <a class=\"owner-name truncate\" title=\"Go to Umberto Salvagnin's photostream\" href=\"https:\/\/www.flickr.com\/photos\/kaibara\/\">Umberto Salvagnin<\/a>, 2009, on <a href=\"https:\/\/www.flickr.com\/\">Flickr<\/a>, 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 2.2.5<\/strong><\/p>\n<p><a href=\"https:\/\/unsplash.com\/photos\/M0M-FR2iedk\">Photo (family)<\/a> by <a href=\"https:\/\/unsplash.com\/@jakobowens1\">Jakob Owens<\/a> on <a href=\"https:\/\/unsplash.com\/license\">Unsplash<\/a> is used under the <a href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/p>\n<p><strong>Figure 2.2.6<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/commons.wikimedia.org\/w\/index.php?curid=1553455\">Trap of Dionaea muscipula<\/a> by <a title=\"User:Che\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Che\">che<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/2.5\/deed.en\">CC BY-SA 2.5<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/2.5\/deed.en) license.<\/li>\n<li><a href=\"https:\/\/pxhere.com\/en\/photo\/999103\">Plants leaning towards the sunlight<\/a> from <a href=\"http:\/\/pxhere.com\">Pxhere<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/\">CC0 1.0<\/a> universal<br \/>\npublic domain dedication license (https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/).<\/li>\n<li><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Surprised_young_cat.JPG\">Surprised young cat<\/a>\u00a0by\u00a0<a title=\"User:Watchduck\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Watchduck\">Watchduck<\/a> (a.k.a. Tilman Piesk) 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.<\/li>\n<\/ul>\n<p><strong>Figure 2.2.7<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Phage.jpg\">Bacteriophages<\/a>, by <a href=\"https:\/\/en.wikipedia.org\/wiki\/User:Graham_Beards\">Dr. Graham Beards<\/a>, is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0) license.<\/p>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">Ameoba Sisters. (2017, October 26). Characteristics of life. YouTube. https:\/\/www.youtube.com\/watch?v=cQPVXrV0GNA&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">OpenStax. (2016, March 23). Figure 4 The body is able to regulate temperature in response to signals from the nervous system. In <em>OpenStax, Biology <\/em>(Section 33.3). OpenStax CNX. http:\/\/cnx.org\/contents\/185cbf87-c72e-48f5-b51e-f14f21b5eabd@10.8.<\/p>\n<p class=\"hanging-indent\">Wikipedia contributors. (2020, June 14). Adaptation. <em>Wikipedia<\/em>. https:\/\/en.wikipedia.org\/w\/index.php?title=Adaptation&amp;oldid=962556016<\/p>\n<p class=\"hanging-indent\">Wikipedia contributors. (2020, June 21). Auguste Rodin. <i>Wikipedia.<\/i>\u00a0https:\/\/en.wikipedia.org\/w\/index.php?title=Auguste_Rodin&amp;oldid=963668399<\/p>\n<p class=\"hanging-indent\">Wikipedia contributors. (2020, June 22). Chemotaxis. <em>Wikipedia.<\/em> https:\/\/en.wikipedia.org\/w\/index.php?title=Chemotaxis&amp;oldid=963884872<\/p>\n<p class=\"hanging-indent\">Wikipedia contributors. (2020, June 22). Evolution. <em>Wikipedia<\/em>. https:\/\/en.wikipedia.org\/w\/index.php?title=Evolution&amp;oldid=963929880<\/p>\n<p class=\"hanging-indent\">Wikipedia contributors. (2020, June 20). Phototropism. <em>Wikipedia<\/em>. https:\/\/en.wikipedia.org\/w\/index.php?title=Phototropism&amp;oldid=963567791<\/p>\n<p class=\"hanging-indent\">Wikipedia contributors. (2020, June 22). Virus. <em>Wikipedia<\/em>. https:\/\/en.wikipedia.org\/w\/index.php?title=Virus&amp;oldid=963829311<\/p>\n<p>&nbsp;<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4717_2818\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_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_4717_3933\">Melanoma<\/a><\/strong> occurs in <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_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_4717_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_4717_3537\">UV light<\/a>, which damages <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_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_4717_3927\">basal cell carcinoma<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_3931\">squamous cell carcinoma<\/a>, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4717_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. 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