{"id":4905,"date":"2019-06-24T15:25:17","date_gmt":"2019-06-24T15:25:17","guid":{"rendered":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/chapter\/12-8-case-study-conclusion-wearing-his-heart-on-his-sleeve-3\/"},"modified":"2023-11-30T18:55:52","modified_gmt":"2023-11-30T18:55:52","slug":"12-8-case-study-conclusion-wearing-his-heart-on-his-sleeve-3","status":"publish","type":"chapter","link":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/chapter\/12-8-case-study-conclusion-wearing-his-heart-on-his-sleeve-3\/","title":{"raw":"10.8\u00a0Case Study Conclusion: Wearing His Heart on His Sleeve","rendered":"10.8\u00a0Case Study Conclusion: Wearing His Heart on His Sleeve"},"content":{"raw":"&nbsp;\r\n\r\n[caption id=\"attachment_3939\" align=\"aligncenter\" width=\"524\"]<img class=\"wp-image-3939\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Larissa-Tattoo4039922685_46bf0bcfe5_c-e1591310011303-2.jpg\" alt=\"10.8.1 Tattoo\" width=\"524\" height=\"207\" \/> <em>Figure 10.8.1 Let's hope this couple lasts as long as this tattoo.<\/em>[\/caption]\r\n\r\n<div>\r\n<h1>Case Study Conclusion: Wearing His Heart on His Sleeve<\/h1>\r\n<\/div>\r\nAre you still wondering whether Ayko, who you read about in the beginning of this chapter, actually got a tattoo of his new girlfriend\u2019s name on his arm? Figure 10.8.1 is your answer! Let\u2019s hope his love for Larissa \u2014 and for the artwork \u2014 lasts as long as his tattoo. According to a <span style=\"font-size: 1em;\">poll conducted for Global TV by Ipsos Reid in 2012, 10% of Canadian<\/span><span style=\"text-align: initial; font-size: 1em;\">\u00a0and 11% of American adults regret getting a tattoo. Although laser tattoo removal is available, it does not always work fully, can cause pain and scarring, and is expensive and time-consuming. Some people who regret a tattoo opt instead (or additionally) to cover it with another tattoo, see Figure 10.8.2 below.<\/span>\r\n\r\n[caption id=\"attachment_3940\" align=\"aligncenter\" width=\"653\"]<img class=\"wp-image-3940\" style=\"color: #373d3f; font-weight: bold; font-size: 1em;\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Tattoo-laser-and-cover-631211_1280-2.jpg\" alt=\"10.8 Tattoo removal\" width=\"653\" height=\"337\" \/> <em>Figure 10.8.2 This man got his carrot tattoo partially removed using a laser, and then covered it with a new tattoo of flowers.<\/em>[\/caption]\r\n\r\nWhy are tattoos essentially permanent? Tattoos are created by inserting a needle containing pigment through the [pb_glossary id=\"5991\"]epidermis[\/pb_glossary] and into the [pb_glossary id=\"5967\"]dermis[\/pb_glossary] of the skin. The pigment is injected into the dermal layer, creating the design. The pigment can remain in the dermal layer for a person\u2019s lifetime for a few reasons. One, unlike the thinner outer epidermal layer, the dermis is not continually shed and replaced, so the pigment generally stays put. Two, the pigments used in tattooing mainly consist of large particles. When you get a tattoo, the penetration of the skin and insertion of foreign particles causes an immune response in which white blood cells attempt to engulf and remove the pigment. Because most of the pigment particles are so large, however, they cannot be removed from the dermis by the immune cells, and the design remains.\r\n\r\nIn laser tattoo removal, pulses from a high-intensity laser are applied to the tattoo and absorbed by the pigments. This breaks up the large pigment particles into particles that are small enough to be removed by the immune system. The pigments may then be excreted out of the body, or moved to other areas of the body, such as the lymph nodes. Different wavelengths of laser energy are often required to remove different colours of pigments, because they absorb different wavelengths of light. Generally, blue and black are the easiest colours to remove. Green, red, and yellow tend to be the hardest to remove. It may take as many as six to ten laser treatments \u2014 with a few weeks of recovery time in between \u2014 to remove a tattoo. Some tattoos can <em>never<\/em>\u00a0be completely removed.\r\n\r\nWhy are mehndi designs (like Ayko\u2019s trial \u201chenna tattoo\u201d) not permanent? Unlike real tattoos, henna paste is applied on the surface of the skin (shown below in Figure 10.8.3), and not injected into the skin with a needle. The dye molecules simply migrate from the paste into the top layer of the epidermis, the [pb_glossary id=\"3549\"]stratum corneum[\/pb_glossary].\r\n<div>\r\n\r\n[caption id=\"attachment_3941\" align=\"aligncenter\" width=\"394\"]<img class=\" wp-image-3941\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/henna-tattoo-abu-dhabi-2.jpg\" alt=\"10.8 Henna Application\" width=\"394\" height=\"296\" \/> <em>Figure 10.8.3 Henna paste being applied to create a mehndi design.<\/em>[\/caption]\r\n\r\n<\/div>\r\nAs you have learned, the [pb_glossary id=\"3549\"]stratum corneum[\/pb_glossary] consists of dead, [pb_glossary id=\"3525\"]keratin[\/pb_glossary]-filled [pb_glossary id=\"3524\"]keratinocytes[\/pb_glossary], which are continually shed and replaced with new cells from the layers below.\u00a0As a result,\u00a0mehndi is not permanent. The design is lost as the cells that contain the dye are shed and replaced.\r\n\r\nAs you read in the beginning of this chapter, mehndi is often applied to the palms of the hands and soles of the feet, which generally results in a darker stain than other areas of the body. This is because the stratum corneum is thicker in these regions, so the dye penetrates through more layers of cells, making the design appear darker. What else is different about the epidermis of the palms and soles? You may recall that these regions are the only place where there is a fifth layer of epidermis \u2014 the [pb_glossary id=\"3548\"]stratum lucidum[\/pb_glossary] \u2014 making the skin in these areas even thicker and tougher.\r\n\r\nHopefully, Ayko thought carefully about the potential emotional and social implications of getting a tattoo \u2014 and learned how difficult they are to remove \u2014 before getting a real one. Health and safety should also be of utmost concern to anyone considering getting a tattoo. As you have learned in this chapter, the skin acts as a barrier against dangerous pathogens and substances. When you penetrate the skin using a needle, it can introduce harmful viruses and bacteria directly into the dermis, where the blood vessels are. Tattoo artists and shops need to take precautions to protect their clients against diseases that can be transmitted through blood (such as HIV and hepatitis), as well as bacterial infections. The tattoo artist should wear disposable gloves and a mask, use new and unopened needles and ink tubes, and properly sterilize other equipment. Even if the artist takes all the proper precautions, there is still a chance that the unopened ink could have been contaminated with [pb_glossary id=\"5799\"]pathogens[\/pb_glossary]\u00a0during the production process. The shop should be aware of any ink recalls. Anyone getting a tattoo should make sure their artist and shop strictly adhere to all local health and safety regulations.\r\n\r\nThe risk of disease is not the only risk from tattoos. The pigments in tattoos may contain heavy metals and other potentially toxic substances.\u00a0 Tattoo parlours are regulated by provincial guidelines in Canada, and these guidelines vary from province to province \u2014 but these guidelines are mainly concerned with sterilization of equipment and don't address anything about pigments.\u00a0 A recent study published in the scientific journal <em>Nature<\/em> (<i>Scientific Reports) <\/i>showed that pigments from tattoos may migrate from a person's tattoos into their lymph nodes.\u00a0 Among the substances that make up the tattoo ink that migrated were aluminum, chromium, iron, nickel and copper - all considered \"toxic\".\r\n\r\nAdditionally, people can sometimes have an allergic reaction to the pigments, or develop scarring or granulomas (small bumps of tissue due to an immune response) around the tattoo. Rarely, people can experience temporary swelling or burning of their tattoos when they get scanned in an MRI machine for a medical procedure. Clearly, people should think carefully about the potential health implications before getting a tattoo.\r\n\r\nFortunately, Ayko found a reputable and safe tattoo artist, and is not experiencing any ill effects from his tattoo. He is happy with his tattoo, at least for now. Tattoos \u2014 and other kinds of decoration of the [pb_glossary id=\"2905\"]integumentary system[\/pb_glossary] \u2014 are forms of artistic, personal, and cultural expression that have been used by many cultures over the course of human history. The system that protects us from the elements, helps us maintain [pb_glossary id=\"5761\"]homeostasis[\/pb_glossary], and mediates our interactions with the outside world also happens to be easily modifiable! Whether it is a haircut, makeup, beard style, nail polish, piercing or a tattoo, humans have a variety of ways of altering our integumentary system, which changes our outward appearance and what we communicate to others.\r\n<div>\r\n<div class=\"textbox textbox--learning-objectives\"><header class=\"textbox__header\">\r\n<h1><span style=\"color: #ffffff;\">Chapter 10 Summary<\/span><\/h1>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n\r\nIn this chapter, you learned about the structures and functions of the organs of the [pb_glossary id=\"2905\"]integumentary system[\/pb_glossary]. Specifically, you learned that:\r\n<ul>\r\n \t<li>The integumentary system consists of the [pb_glossary id=\"3521\"]skin[\/pb_glossary], [pb_glossary id=\"3531\"]hair[\/pb_glossary], and [pb_glossary id=\"5495\"]nails[\/pb_glossary]. Functions of the integumentary system include providing a protective covering for the body, sensing the environment, and helping the body maintain [pb_glossary id=\"5761\"]homeostasis[\/pb_glossary].<\/li>\r\n \t<li>The skin\u2019s main functions include preventing water loss from the body, serving as a barrier to the entry of microorganisms, synthesizing vitamin D, blocking [pb_glossary id=\"3537\"]UV light[\/pb_glossary], and helping to regulate body temperature.<\/li>\r\n \t<li>The skin consists of two distinct layers: a thinner outer layer called the [pb_glossary id=\"5991\"]epidermis[\/pb_glossary], and a thicker\u00a0inner layer called the [pb_glossary id=\"5967\"]dermis[\/pb_glossary].<\/li>\r\n<\/ul>\r\n<ul>\r\n \t<li style=\"list-style-type: none;\">\r\n<ul>\r\n \t<li>The epidermis consists mainly of epithelial cells called [pb_glossary id=\"3524\"]keratinocytes[\/pb_glossary], which produce [pb_glossary id=\"3525\"]keratin[\/pb_glossary]. New keratinocytes form at the bottom of the epidermis. They become filled with keratin and die as they move upward toward the surface of the skin, where they form a protective, waterproof layer.<\/li>\r\n \t<li>The dermis consists mainly of tough [pb_glossary id=\"2815\"]connective tissues[\/pb_glossary]\u00a0that provide strength and stretch, as well as almost all skin structures, including blood vessels, [pb_glossary id=\"3006\"]sensory receptors[\/pb_glossary], [pb_glossary id=\"3572\"]hair follicles[\/pb_glossary], and oil and [pb_glossary id=\"3566\"]sweat glands[\/pb_glossary].<\/li>\r\n<\/ul>\r\n<\/li>\r\n \t<li>Cell types in the epidermis include keratinocytes (which make up 90 per cent of epidermal cells), [pb_glossary id=\"3526\"]melanocytes[\/pb_glossary] that produce [pb_glossary id=\"5845\"]melanin[\/pb_glossary], [pb_glossary id=\"3540\"]Langerhans cells[\/pb_glossary] that fight pathogens in the skin, and [pb_glossary id=\"3527\"]Merkel cells[\/pb_glossary] that respond to light touch.<\/li>\r\n \t<li>In most parts of the body, the epidermis 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>\r\n<\/ul>\r\n<ul>\r\n \t<li style=\"list-style-type: none;\">\r\n<ol>\r\n \t<li>The innermost layer of the epidermis is the [pb_glossary id=\"3542\"]stratum basale[\/pb_glossary], which contains stem cells that divide to form new keratinocytes.<\/li>\r\n \t<li>The next layer is the [pb_glossary id=\"3546\"]stratum spinosum[\/pb_glossary], which is the\u00a0thickest layer, and contains Langerhans cells and spiny keratinocytes.<\/li>\r\n \t<li>This is followed by the [pb_glossary id=\"3547\"]stratum granulosum[\/pb_glossary], in which keratinocytes are filling with keratin and\u00a0beginning\u00a0to die.\r\n<ul>\r\n \t<li>The [pb_glossary id=\"3548\"]stratum lucidum[\/pb_glossary] is next, but only on the palms and soles. It consists of translucent dead keratinocytes.<\/li>\r\n<\/ul>\r\n<\/li>\r\n \t<li>The outermost layer is the [pb_glossary id=\"3549\"]stratum corneum[\/pb_glossary], which consists of flat, dead, tightly packed keratinocytes that form a tough, waterproof barrier for the rest of the epidermis.<\/li>\r\n<\/ol>\r\n<\/li>\r\n \t<li>The\u00a0epidermis\u00a0protects\u00a0underlying tissues from physical damage and pathogens. Melanin in the epidermis absorbs and protects underlying tissues from UV light. The epidermis also prevents loss of water from the body and synthesizes vitamin D.<\/li>\r\n<\/ul>\r\n<ul>\r\n \t<li style=\"list-style-type: none;\">\r\n<ul>\r\n \t<li>[pb_glossary id=\"5845\"]Melanin[\/pb_glossary] is the main pigment that determines the colour of human skin. However, the pigments [pb_glossary id=\"5841\"]carotene[\/pb_glossary] and [pb_glossary id=\"3556\"]hemoglobin[\/pb_glossary] also contribute to skin colour, especially in skin with low levels of melanin.<\/li>\r\n \t<li>The surface of healthy skin normally is covered by vast numbers of [pb_glossary id=\"2588\"]bacteria[\/pb_glossary] representing about one thousand\u00a0species from 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>\r\n<\/ul>\r\n<\/li>\r\n \t<li>The thicker inner layer of the skin \u2014 the [pb_glossary id=\"5967\"]dermis[\/pb_glossary] \u2014 has two layers. The upper [pb_glossary id=\"5843\"]papillary layer[\/pb_glossary] has papillae extending upward into the epidermis and loose connective tissues. The lower [pb_glossary id=\"5847\"]reticular layer[\/pb_glossary] has denser connective tissues and structures, such as glands and [pb_glossary id=\"3572\"]hair follicles[\/pb_glossary]. Glands in the dermis include [pb_glossary id=\"3568\"]eccrine[\/pb_glossary] and [pb_glossary id=\"3569\"]apocrine sweat glands[\/pb_glossary], as well as [pb_glossary id=\"3570\"]sebaceous glands[\/pb_glossary]. Hair follicles are structures where hairs originate.<\/li>\r\n \t<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 [pb_glossary id=\"2756\"]vasodilation[\/pb_glossary] or [pb_glossary id=\"3942\"]vasoconstriction[\/pb_glossary]. 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>\r\n \t<li>[pb_glossary id=\"3531\"]Hair[\/pb_glossary] is a filament that grows from a hair follicle in the dermis of the skin. It consists mainly of tightly packed, dead keratinocytes that are filled with keratin. The human body is almost completely covered with hair follicles.<\/li>\r\n \t<li>Hair helps prevent heat loss from the head and protects its skin from UV light. Hair in the nose filters incoming air, and the eyelashes and eyebrows keep harmful substances out of the eyes. Hair all over the body provides tactile sensory input. The eyebrows also play a role in nonverbal communication.<\/li>\r\n \t<li>The part of a hair that is within the follicle is the [pb_glossary id=\"5837\"]hair root[\/pb_glossary]. This is the only living part of a hair. The part of a hair that is visible above the skin surface is the hair shaft. It consists of dead cells.<\/li>\r\n<\/ul>\r\n<ul>\r\n \t<li style=\"list-style-type: none;\">\r\n<ul>\r\n \t<li>Hair growth begins inside a follicle when stem cells within the follicle divide to produce new keratinocytes.<\/li>\r\n \t<li>A [pb_glossary id=\"5833\"]hair shaft[\/pb_glossary] has three zones: the outermost zone called the [pb_glossary id=\"5831\"]cuticle[\/pb_glossary], the middle zone called the [pb_glossary id=\"5829\"]cortex[\/pb_glossary], and the innermost zone called the [pb_glossary id=\"5827\"]medulla[\/pb_glossary].<\/li>\r\n<\/ul>\r\n<\/li>\r\n \t<li>Genetically controlled, visible characteristics of hair include hair colour, hair texture, and the extent of balding in adult males. Melanin ([pb_glossary id=\"3894\"]eumelanin[\/pb_glossary] and\/or [pb_glossary id=\"3895\"]pheomelanin[\/pb_glossary]) is the pigment that gives hair its colour. Aspects of hair texture include curl pattern, thickness, and consistency.<\/li>\r\n \t<li>Among mammals, humans are nearly unique in having undergone significant loss of body hair during their evolution, probably because sweat evaporates more quickly from less hairy skin. Curly hair also is thought to have evolved at some point during human evolution, perhaps because it provided better protection from UV light.<\/li>\r\n \t<li>Hair has social significance for human beings, being an indicator of biological sex, age, and ethnic ancestry. Human hair also has cultural significance. For example, hairstyle may be an indicator of social group membership.<\/li>\r\n \t<li>[pb_glossary id=\"5495\"]Nails[\/pb_glossary]\u00a0consist of sheets of dead, keratin-filled keratinocytes. The keratin in nails makes them hard but flexible. They help protect the ends of the fingers and toes, enhance the sense of touch in the fingertips, and may be used as tools.<\/li>\r\n \t<li>A nail has three main parts: the [pb_glossary id=\"3912\"]nail root[\/pb_glossary], which is under the epidermis; the [pb_glossary id=\"5613\"]nail plate[\/pb_glossary], which is the visible part of the nail; and the [pb_glossary id=\"3916\"]free margin[\/pb_glossary], which is the distal edge of the nail. Other structures under or around a nail include the [pb_glossary id=\"3914\"]nail bed[\/pb_glossary], [pb_glossary id=\"3917\"]cuticle[\/pb_glossary], and [pb_glossary id=\"3915\"]nail fold[\/pb_glossary].<\/li>\r\n \t<li>A nail grows from a deep layer of living epidermal tissues, called the nail matrix, 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 epidermis.<\/li>\r\n \t<li>Fingernails grow faster than toenails. Actual rates of growth depend on many factors, such as age, sex, and season.<\/li>\r\n \t<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. 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>\r\n \t<li>Skin [pb_glossary id=\"5605\"]cancer[\/pb_glossary] is a disease in which skin cells grow out of control. It is caused mainly by excessive exposure to UV light, which damages DNA.<\/li>\r\n \t<li>There are three common types of skin cancer: [pb_glossary id=\"3927\"]basal cell carcinoma[\/pb_glossary], [pb_glossary id=\"3931\"]squamous cell carcinoma[\/pb_glossary], and [pb_glossary id=\"3933\"]melanoma[\/pb_glossary]. Carcinomas are more common and unlikely to metastasize. Melanoma is rare and likely to metastasize. It causes most skin cancer deaths.<\/li>\r\n \t<li>Besides exposure to UV light, risk factors for skin cancer include having light coloured skin, having many moles, and a family history of skin cancer, among several others.<\/li>\r\n<\/ul>\r\nNow that you have learned about the organs on surface of the body, read the next chapter to travel inside and learn about the skeletal system, which protects and supports us internally, among other functions.\r\n\r\n<\/div>\r\n<\/div>\r\n<div class=\"textbox textbox--exercises\"><header class=\"textbox__header\">\r\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">Chapter 10 Review<\/span><\/h1>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n<ol>\r\n \t<li>Describe one way in which the integumentary system works with another organ system to carry out a particular function.<\/li>\r\n \t<li>[h5p id=\"590\"]<\/li>\r\n \t<li>Describe two types of waterproofing used in the integumentary system. Include the types of molecules and where they are located.<\/li>\r\n \t<li>Explain why nails enhance touch sensations.<\/li>\r\n \t<li>Why do you think light coloured skin is a risk factor for skin cancer?<\/li>\r\n \t<li>Describe the similarities between how the epidermis, hair, and nails all grow.<\/li>\r\n \t<li>What does the whitish crescent-shaped area at the base of your nails (toward your hands) represent? What is its function?<\/li>\r\n \t<li>What is one difference between human hair and the hair of non-human primates?<\/li>\r\n \t<li>Describe the relationship between skin and hair.<\/li>\r\n \t<li>What kind of skin cancer is a cancer of a type of stem cell?<\/li>\r\n \t<li>For the skin and hair, describe one way in which they each protect the body against pathogens.<\/li>\r\n \t<li>If sweat glands are in the dermis, how is sweat released to the surface of the body?<\/li>\r\n \t<li>Explain why you think that physicians usually insist that patients remove any nail polish before having surgery.<\/li>\r\n \t<li>Describe generally how the brain gets touch information from the skin.<\/li>\r\n<\/ol>\r\n<\/div>\r\n<\/div>\r\n<h2>Attributions<\/h2>\r\n<strong>Figure 10.8.1<\/strong>\r\n\r\n<a href=\"https:\/\/www.flickr.com\/photos\/micaeltattoo\/4039922685\" rel=\"cc:attributionURL\">Larissa Tattoo4039922685_46bf0bcfe5_c<\/a> by <a class=\"owner-name truncate\" title=\"Go to Micael Faccio's photostream\" href=\"https:\/\/www.flickr.com\/photos\/micaeltattoo\/\" data-track=\"attributionNameClick\">Micael Faccio<\/a> on <a href=\"http:\/\/Flickr.com\">Flickr<\/a> 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.\r\n\r\n<strong>Figure 10.8.2<\/strong>\r\n\r\n<a href=\"https:\/\/pixabay.com\/photos\/tattoo-laser-removal-laser-631211\/\" rel=\"cc:attributionURL\">Tattoo laser and cover-631211_1280<\/a> [photo] by \u00a0<a class=\"hover_opacity\" href=\"https:\/\/pixabay.com\/ja\/users\/Herco-765227\/\">Herco Roelofs <\/a>\u00a0on <a href=\"http:\/\/pixabay.com\">Pixabay<\/a> is used under the <a href=\"https:\/\/pixabay.com\/ja\/service\/license\/\">Pixabay License<\/a> (https:\/\/pixabay.com\/ja\/service\/license\/).\r\n\r\n<strong>Figure 10.8.3<\/strong>\r\n\r\n<a href=\"https:\/\/www.pxfuel.com\/en\/free-photo-jpwaz\" rel=\"cc:attributionURL\">henna-tattoo-abu-dhabi<\/a> by <a href=\"https:\/\/pixabay.com\/de\/users\/mariefrance-492632\/\">MarieFrance<\/a> on <a href=\"http:\/\/pixabay.com\">Pixabay<\/a> is used under the <a href=\"https:\/\/pixabay.com\/ja\/service\/license\/\">Pixabay License<\/a> (https:\/\/pixabay.com\/ja\/service\/license\/).\r\n\r\n<\/div>\r\n<h2>References<\/h2>\r\n<p class=\"hanging-indent\">Global News Staff. (2017, September 15). Health: \u2018Toxic\u2019 tattoo ink particles can travel to your lymph nodes: study. Globalnews.ca. https:\/\/globalnews.ca\/news\/3746925\/tattoo-ink-safety-lymph-nodes\/<\/p>\r\n<p class=\"hanging-indent\">Ipsos Reid. (2012). \"Two in ten Canadians (22%), Americans (21%)\r\nhave a tattoo; One in ten tattooed Canadians (10%), Americans (11%) regret it\" [News release]. Ipsos.com. https:\/\/www.ipsos.com\/sites\/default\/files\/publication\/2012-01\/5490.pdf<\/p>\r\n<p class=\"hanging-indent\">Rideout, K. (2010, July). Comparison of guidelines and regulatory frameworks for personal services establishments. National Collaborating Centre for Environmental Health. https:\/\/www.ncceh.ca\/sites\/default\/files\/PSE_Guidelines_Comparison_Table_July%202010.pdf<\/p>\r\n<p class=\"hanging-indent\">Schreiver, I., Hesse, B., Seim, C.\u00a0<i>et al.<\/i>\u00a0Synchrotron-based \u03bd-XRF mapping and \u03bc-FTIR microscopy enable to look into the fate and effects of tattoo pigments in human skin.\u00a0<em>Scientific Reports <\/em><em>7<\/em>,11395. https:\/\/doi.org\/10.1038\/s41598-017-11721-z<\/p>\r\n&nbsp;","rendered":"<p>&nbsp;<\/p>\n<figure id=\"attachment_3939\" aria-describedby=\"caption-attachment-3939\" style=\"width: 524px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-3939\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Larissa-Tattoo4039922685_46bf0bcfe5_c-e1591310011303-2.jpg\" alt=\"10.8.1 Tattoo\" width=\"524\" height=\"207\" \/><figcaption id=\"caption-attachment-3939\" class=\"wp-caption-text\"><em>Figure 10.8.1 Let&#8217;s hope this couple lasts as long as this tattoo.<\/em><\/figcaption><\/figure>\n<div>\n<h1>Case Study Conclusion: Wearing His Heart on His Sleeve<\/h1>\n<\/div>\n<p>Are you still wondering whether Ayko, who you read about in the beginning of this chapter, actually got a tattoo of his new girlfriend\u2019s name on his arm? Figure 10.8.1 is your answer! Let\u2019s hope his love for Larissa \u2014 and for the artwork \u2014 lasts as long as his tattoo. According to a <span style=\"font-size: 1em;\">poll conducted for Global TV by Ipsos Reid in 2012, 10% of Canadian<\/span><span style=\"text-align: initial; font-size: 1em;\">\u00a0and 11% of American adults regret getting a tattoo. Although laser tattoo removal is available, it does not always work fully, can cause pain and scarring, and is expensive and time-consuming. Some people who regret a tattoo opt instead (or additionally) to cover it with another tattoo, see Figure 10.8.2 below.<\/span><\/p>\n<figure id=\"attachment_3940\" aria-describedby=\"caption-attachment-3940\" style=\"width: 653px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-3940\" style=\"color: #373d3f; font-weight: bold; font-size: 1em;\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Tattoo-laser-and-cover-631211_1280-2.jpg\" alt=\"10.8 Tattoo removal\" width=\"653\" height=\"337\" \/><figcaption id=\"caption-attachment-3940\" class=\"wp-caption-text\"><em>Figure 10.8.2 This man got his carrot tattoo partially removed using a laser, and then covered it with a new tattoo of flowers.<\/em><\/figcaption><\/figure>\n<p>Why are tattoos essentially permanent? Tattoos are created by inserting a needle containing pigment through the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_5991\">epidermis<\/a> and into the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_5967\">dermis<\/a> of the skin. The pigment is injected into the dermal layer, creating the design. The pigment can remain in the dermal layer for a person\u2019s lifetime for a few reasons. One, unlike the thinner outer epidermal layer, the dermis is not continually shed and replaced, so the pigment generally stays put. Two, the pigments used in tattooing mainly consist of large particles. When you get a tattoo, the penetration of the skin and insertion of foreign particles causes an immune response in which white blood cells attempt to engulf and remove the pigment. Because most of the pigment particles are so large, however, they cannot be removed from the dermis by the immune cells, and the design remains.<\/p>\n<p>In laser tattoo removal, pulses from a high-intensity laser are applied to the tattoo and absorbed by the pigments. This breaks up the large pigment particles into particles that are small enough to be removed by the immune system. The pigments may then be excreted out of the body, or moved to other areas of the body, such as the lymph nodes. Different wavelengths of laser energy are often required to remove different colours of pigments, because they absorb different wavelengths of light. Generally, blue and black are the easiest colours to remove. Green, red, and yellow tend to be the hardest to remove. It may take as many as six to ten laser treatments \u2014 with a few weeks of recovery time in between \u2014 to remove a tattoo. Some tattoos can <em>never<\/em>\u00a0be completely removed.<\/p>\n<p>Why are mehndi designs (like Ayko\u2019s trial \u201chenna tattoo\u201d) not permanent? Unlike real tattoos, henna paste is applied on the surface of the skin (shown below in Figure 10.8.3), and not injected into the skin with a needle. The dye molecules simply migrate from the paste into the top layer of the epidermis, the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3549\">stratum corneum<\/a>.<\/p>\n<div>\n<figure id=\"attachment_3941\" aria-describedby=\"caption-attachment-3941\" style=\"width: 394px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-3941\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/henna-tattoo-abu-dhabi-2.jpg\" alt=\"10.8 Henna Application\" width=\"394\" height=\"296\" \/><figcaption id=\"caption-attachment-3941\" class=\"wp-caption-text\"><em>Figure 10.8.3 Henna paste being applied to create a mehndi design.<\/em><\/figcaption><\/figure>\n<\/div>\n<p>As you have learned, the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3549\">stratum corneum<\/a> consists of dead, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3525\">keratin<\/a>-filled <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3524\">keratinocytes<\/a>, which are continually shed and replaced with new cells from the layers below.\u00a0As a result,\u00a0mehndi is not permanent. The design is lost as the cells that contain the dye are shed and replaced.<\/p>\n<p>As you read in the beginning of this chapter, mehndi is often applied to the palms of the hands and soles of the feet, which generally results in a darker stain than other areas of the body. This is because the stratum corneum is thicker in these regions, so the dye penetrates through more layers of cells, making the design appear darker. What else is different about the epidermis of the palms and soles? You may recall that these regions are the only place where there is a fifth layer of epidermis \u2014 the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3548\">stratum lucidum<\/a> \u2014 making the skin in these areas even thicker and tougher.<\/p>\n<p>Hopefully, Ayko thought carefully about the potential emotional and social implications of getting a tattoo \u2014 and learned how difficult they are to remove \u2014 before getting a real one. Health and safety should also be of utmost concern to anyone considering getting a tattoo. As you have learned in this chapter, the skin acts as a barrier against dangerous pathogens and substances. When you penetrate the skin using a needle, it can introduce harmful viruses and bacteria directly into the dermis, where the blood vessels are. Tattoo artists and shops need to take precautions to protect their clients against diseases that can be transmitted through blood (such as HIV and hepatitis), as well as bacterial infections. The tattoo artist should wear disposable gloves and a mask, use new and unopened needles and ink tubes, and properly sterilize other equipment. Even if the artist takes all the proper precautions, there is still a chance that the unopened ink could have been contaminated with <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_5799\">pathogens<\/a>\u00a0during the production process. The shop should be aware of any ink recalls. Anyone getting a tattoo should make sure their artist and shop strictly adhere to all local health and safety regulations.<\/p>\n<p>The risk of disease is not the only risk from tattoos. The pigments in tattoos may contain heavy metals and other potentially toxic substances.\u00a0 Tattoo parlours are regulated by provincial guidelines in Canada, and these guidelines vary from province to province \u2014 but these guidelines are mainly concerned with sterilization of equipment and don&#8217;t address anything about pigments.\u00a0 A recent study published in the scientific journal <em>Nature<\/em> (<i>Scientific Reports) <\/i>showed that pigments from tattoos may migrate from a person&#8217;s tattoos into their lymph nodes.\u00a0 Among the substances that make up the tattoo ink that migrated were aluminum, chromium, iron, nickel and copper &#8211; all considered &#8220;toxic&#8221;.<\/p>\n<p>Additionally, people can sometimes have an allergic reaction to the pigments, or develop scarring or granulomas (small bumps of tissue due to an immune response) around the tattoo. Rarely, people can experience temporary swelling or burning of their tattoos when they get scanned in an MRI machine for a medical procedure. Clearly, people should think carefully about the potential health implications before getting a tattoo.<\/p>\n<p>Fortunately, Ayko found a reputable and safe tattoo artist, and is not experiencing any ill effects from his tattoo. He is happy with his tattoo, at least for now. Tattoos \u2014 and other kinds of decoration of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2905\">integumentary system<\/a> \u2014 are forms of artistic, personal, and cultural expression that have been used by many cultures over the course of human history. The system that protects us from the elements, helps us maintain <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_5761\">homeostasis<\/a>, and mediates our interactions with the outside world also happens to be easily modifiable! Whether it is a haircut, makeup, beard style, nail polish, piercing or a tattoo, humans have a variety of ways of altering our integumentary system, which changes our outward appearance and what we communicate to others.<\/p>\n<div>\n<div class=\"textbox textbox--learning-objectives\">\n<header class=\"textbox__header\">\n<h1><span style=\"color: #ffffff;\">Chapter 10 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>In this chapter, you learned about the structures and functions of the organs of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2905\">integumentary system<\/a>. Specifically, you learned that:<\/p>\n<ul>\n<li>The integumentary system consists of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3521\">skin<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3531\">hair<\/a>, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_5495\">nails<\/a>. Functions of the integumentary system include providing a protective covering for the body, sensing the environment, and helping the body maintain <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_5761\">homeostasis<\/a>.<\/li>\n<li>The skin\u2019s main functions include preventing water loss from the body, serving as a barrier to the entry of microorganisms, synthesizing vitamin D, blocking <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3537\">UV light<\/a>, and helping to regulate body temperature.<\/li>\n<li>The skin consists of two distinct layers: a thinner outer layer called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_5991\">epidermis<\/a>, and a thicker\u00a0inner layer called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_5967\">dermis<\/a>.<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>The epidermis consists mainly of epithelial cells called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3524\">keratinocytes<\/a>, which produce <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3525\">keratin<\/a>. New keratinocytes form at the bottom of the epidermis. They become filled with keratin and die as they move upward toward the surface of the skin, where they form a protective, waterproof layer.<\/li>\n<li>The dermis consists mainly of tough <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2815\">connective tissues<\/a>\u00a0that provide strength and stretch, as well as almost all skin structures, including blood vessels, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3006\">sensory receptors<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3572\">hair follicles<\/a>, and oil and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3566\">sweat glands<\/a>.<\/li>\n<\/ul>\n<\/li>\n<li>Cell types in the epidermis include keratinocytes (which make up 90 per cent of epidermal cells), <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3526\">melanocytes<\/a> that produce <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_5845\">melanin<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3540\">Langerhans cells<\/a> that fight pathogens in the skin, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3527\">Merkel cells<\/a> that respond to light touch.<\/li>\n<li>In most parts of the body, the epidermis 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<\/ul>\n<ul>\n<li style=\"list-style-type: none;\">\n<ol>\n<li>The innermost layer of the epidermis is the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3542\">stratum basale<\/a>, which contains stem cells that divide to form new keratinocytes.<\/li>\n<li>The next layer is the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3546\">stratum spinosum<\/a>, which is the\u00a0thickest layer, and contains Langerhans cells and spiny keratinocytes.<\/li>\n<li>This is followed by the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3547\">stratum granulosum<\/a>, in which keratinocytes are filling with keratin and\u00a0beginning\u00a0to die.\n<ul>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3548\">stratum lucidum<\/a> is next, but only on the palms and soles. It consists of translucent dead keratinocytes.<\/li>\n<\/ul>\n<\/li>\n<li>The outermost layer is the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_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<\/ol>\n<\/li>\n<li>The\u00a0epidermis\u00a0protects\u00a0underlying tissues from physical damage and pathogens. Melanin in the epidermis absorbs and protects underlying tissues from UV light. The epidermis also prevents loss of water from the body and synthesizes vitamin D.<\/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_4905_5845\">Melanin<\/a> is the main pigment that determines the colour of human skin. However, the pigments <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_5841\">carotene<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3556\">hemoglobin<\/a> 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_4905_2588\">bacteria<\/a> representing about one thousand\u00a0species from 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<\/li>\n<li>The thicker inner layer of the skin \u2014 the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_5967\">dermis<\/a> \u2014 has two layers. The upper <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_5843\">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_4905_5847\">reticular layer<\/a> has denser connective tissues and structures, such as glands and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3572\">hair follicles<\/a>. Glands in the dermis include <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3568\">eccrine<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3569\">apocrine sweat glands<\/a>, as well as <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3570\">sebaceous glands<\/a>. Hair follicles are 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 <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2756\">vasodilation<\/a> or <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3942\">vasoconstriction<\/a>. 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<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3531\">Hair<\/a> is a filament that grows from a hair follicle in the dermis of the skin. It consists mainly of tightly packed, dead keratinocytes that are filled with keratin. The human body is almost completely covered with hair follicles.<\/li>\n<li>Hair helps prevent heat loss from the head and protects its skin from UV light. Hair in the nose filters incoming air, and the eyelashes and eyebrows keep harmful substances out of the eyes. Hair all over the body provides tactile sensory input. The eyebrows also play a role in nonverbal communication.<\/li>\n<li>The part of a hair that is within the follicle is the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_5837\">hair root<\/a>. This is the only living part of a hair. The part of a hair that is visible above the skin surface is the hair shaft. It consists of dead cells.<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>Hair growth begins inside a follicle when stem cells within the follicle divide to produce new keratinocytes.<\/li>\n<li>A <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_5833\">hair shaft<\/a> has three zones: the outermost zone called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_5831\">cuticle<\/a>, the middle zone called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_5829\">cortex<\/a>, and the innermost zone called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_5827\">medulla<\/a>.<\/li>\n<\/ul>\n<\/li>\n<li>Genetically controlled, visible characteristics of hair include hair colour, hair texture, and the extent of balding in adult males. Melanin (<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3894\">eumelanin<\/a> and\/or <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3895\">pheomelanin<\/a>) is the pigment that gives hair its colour. Aspects of hair texture include curl pattern, thickness, and consistency.<\/li>\n<li>Among mammals, humans are nearly unique in having undergone significant loss of body hair during their evolution, probably because sweat evaporates more quickly from less hairy skin. Curly hair also is thought to have evolved at some point during human evolution, perhaps because it provided better protection from UV light.<\/li>\n<li>Hair has social significance for human beings, being an indicator of biological sex, age, and ethnic ancestry. Human hair also has cultural significance. For example, hairstyle may be an indicator of social group membership.<\/li>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_5495\">Nails<\/a>\u00a0consist of sheets of dead, keratin-filled keratinocytes. The keratin in nails makes them hard but flexible. They help protect the ends of the fingers and toes, enhance the sense of touch in the fingertips, and may be used as tools.<\/li>\n<li>A nail has three main parts: the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3912\">nail root<\/a>, which is under the epidermis; the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_5613\">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_4905_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_4905_3914\">nail bed<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3917\">cuticle<\/a>, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3915\">nail fold<\/a>.<\/li>\n<li>A nail grows from a deep layer of living epidermal tissues, called the nail matrix, 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 epidermis.<\/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>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. 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<li>Skin <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_5605\">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 DNA.<\/li>\n<li>There are three common types of skin cancer: <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3927\">basal cell carcinoma<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3931\">squamous cell carcinoma<\/a>, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_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 many moles, and a family history of skin cancer, among several others.<\/li>\n<\/ul>\n<p>Now that you have learned about the organs on surface of the body, read the next chapter to travel inside and learn about the skeletal system, which protects and supports us internally, among other functions.<\/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 10 Review<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>Describe one way in which the integumentary system works with another organ system to carry out a particular function.<\/li>\n<li>\n<div id=\"h5p-590\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-590\" class=\"h5p-iframe\" data-content-id=\"590\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Chapter 10 Review Quiz\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Describe two types of waterproofing used in the integumentary system. Include the types of molecules and where they are located.<\/li>\n<li>Explain why nails enhance touch sensations.<\/li>\n<li>Why do you think light coloured skin is a risk factor for skin cancer?<\/li>\n<li>Describe the similarities between how the epidermis, hair, and nails all grow.<\/li>\n<li>What does the whitish crescent-shaped area at the base of your nails (toward your hands) represent? What is its function?<\/li>\n<li>What is one difference between human hair and the hair of non-human primates?<\/li>\n<li>Describe the relationship between skin and hair.<\/li>\n<li>What kind of skin cancer is a cancer of a type of stem cell?<\/li>\n<li>For the skin and hair, describe one way in which they each protect the body against pathogens.<\/li>\n<li>If sweat glands are in the dermis, how is sweat released to the surface of the body?<\/li>\n<li>Explain why you think that physicians usually insist that patients remove any nail polish before having surgery.<\/li>\n<li>Describe generally how the brain gets touch information from the skin.<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 10.8.1<\/strong><\/p>\n<p><a href=\"https:\/\/www.flickr.com\/photos\/micaeltattoo\/4039922685\" rel=\"cc:attributionURL\">Larissa Tattoo4039922685_46bf0bcfe5_c<\/a> by <a class=\"owner-name truncate\" title=\"Go to Micael Faccio's photostream\" href=\"https:\/\/www.flickr.com\/photos\/micaeltattoo\/\" data-track=\"attributionNameClick\">Micael Faccio<\/a> on <a href=\"http:\/\/Flickr.com\">Flickr<\/a> 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 10.8.2<\/strong><\/p>\n<p><a href=\"https:\/\/pixabay.com\/photos\/tattoo-laser-removal-laser-631211\/\" rel=\"cc:attributionURL\">Tattoo laser and cover-631211_1280<\/a> [photo] by \u00a0<a class=\"hover_opacity\" href=\"https:\/\/pixabay.com\/ja\/users\/Herco-765227\/\">Herco Roelofs <\/a>\u00a0on <a href=\"http:\/\/pixabay.com\">Pixabay<\/a> is used under the <a href=\"https:\/\/pixabay.com\/ja\/service\/license\/\">Pixabay License<\/a> (https:\/\/pixabay.com\/ja\/service\/license\/).<\/p>\n<p><strong>Figure 10.8.3<\/strong><\/p>\n<p><a href=\"https:\/\/www.pxfuel.com\/en\/free-photo-jpwaz\" rel=\"cc:attributionURL\">henna-tattoo-abu-dhabi<\/a> by <a href=\"https:\/\/pixabay.com\/de\/users\/mariefrance-492632\/\">MarieFrance<\/a> on <a href=\"http:\/\/pixabay.com\">Pixabay<\/a> is used under the <a href=\"https:\/\/pixabay.com\/ja\/service\/license\/\">Pixabay License<\/a> (https:\/\/pixabay.com\/ja\/service\/license\/).<\/p>\n<\/div>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">Global News Staff. (2017, September 15). Health: \u2018Toxic\u2019 tattoo ink particles can travel to your lymph nodes: study. Globalnews.ca. https:\/\/globalnews.ca\/news\/3746925\/tattoo-ink-safety-lymph-nodes\/<\/p>\n<p class=\"hanging-indent\">Ipsos Reid. (2012). &#8220;Two in ten Canadians (22%), Americans (21%)<br \/>\nhave a tattoo; One in ten tattooed Canadians (10%), Americans (11%) regret it&#8221; [News release]. Ipsos.com. https:\/\/www.ipsos.com\/sites\/default\/files\/publication\/2012-01\/5490.pdf<\/p>\n<p class=\"hanging-indent\">Rideout, K. (2010, July). Comparison of guidelines and regulatory frameworks for personal services establishments. National Collaborating Centre for Environmental Health. https:\/\/www.ncceh.ca\/sites\/default\/files\/PSE_Guidelines_Comparison_Table_July%202010.pdf<\/p>\n<p class=\"hanging-indent\">Schreiver, I., Hesse, B., Seim, C.\u00a0<i>et al.<\/i>\u00a0Synchrotron-based \u03bd-XRF mapping and \u03bc-FTIR microscopy enable to look into the fate and effects of tattoo pigments in human skin.\u00a0<em>Scientific Reports <\/em><em>7<\/em>,11395. https:\/\/doi.org\/10.1038\/s41598-017-11721-z<\/p>\n<p>&nbsp;<\/p>\n<div class=\"glossary\"><span class=\"screen-reader-text\" id=\"definition\">definition<\/span><template id=\"term_4905_5991\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_5991\"><div tabindex=\"-1\"><p>The outer layer of skin that consists mainly of epithelial cells and lacks nerve endings, blood vessels, and other structures.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_5967\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_5967\"><div tabindex=\"-1\"><p>The inner layer of skin that is made of tough connective tissue and contains blood vessels, nerve endings, hair follicles, and glands.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_3549\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3549\"><div tabindex=\"-1\"><p>A joint in which the opposing bony surfaces are covered with a layer of hyaline cartilage or fibrocartilage and in which some degree of free movement is possible.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_3525\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3525\"><div tabindex=\"-1\"><p>Respiration using electron acceptors other than molecular oxygen. Although oxygen is not the final electron acceptor, the process still uses a respiratory electron transport chain.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_3524\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3524\"><div tabindex=\"-1\"><p>Acquired Immunodeficiency Syndrome - a chronic, potentially life-threatening condition caused by the human immunodeficiency virus (HIV). By damaging your immune system, HIV interferes with your body's ability to fight infection and disease.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_3548\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3548\"><div tabindex=\"-1\"><p>Mutations acquired by a cell that can be passed to future cells arising from the mutated cell in the course of cell division.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_5799\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_5799\"><div tabindex=\"-1\"><p>A microorganism which causes disease.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_2905\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_2905\"><div tabindex=\"-1\"><p>Created by:\u00a0CK-12\/Adapted by Christine Miller<\/p>\n<div id=\"h5p-32\">\n<div class=\"h5p-content\" data-content-id=\"32\"><\/div>\n<\/div>\n<p><em>Figure 4.2.1 Human cells viewed with a very powerful tool called a scanning electron microscope.<\/em><\/p>\n<div>\n<h1>Amazing Cells<\/h1>\n<\/div>\n<p>What are these incredible objects? Would it surprise you to learn that they are all human <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2223\">cells<\/a>? Cells are actually too small to see with the unaided eye. It is visible here in such detail because it is being viewed with a very powerful\u00a0tool called a scanning electron microscope.\u00a0Cells may be small in size, but they are\u00a0<em>extremely<\/em>\u00a0important to life. Like all other living things, you are made of cells. Cells are the basis of life, and without cells, life as we know it would not exist. You will learn more about these amazing building blocks of life in this section.<\/p>\n<div>\n<h1>What Are Cells?<\/h1>\n<\/div>\n<p>If you look at living matter with a\u00a0microscope\u00a0\u2014 even a simple light microscope \u2014 you will see that it consists of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2223\">cells<\/a>. Cells are the basic units of the structure and function of living things. They are the smallest units that can carry out the processes of life. All organisms are made up of one or more cells, and all cells have many of the same structures and carry out the same basic life processes. Knowing the structure of cells and the processes they carry out is necessary to an understanding of life itself.<\/p>\n<div>\n<figure id=\"attachment_226\" aria-describedby=\"caption-attachment-226\" style=\"width: 421px\" class=\"wp-caption alignright\"><img class=\" wp-image-226\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Robert-Hookes-Diagrams.jpg\" alt=\"Diagram shows sketches from the lab journal of Robert Hooke. It includes a sketch of cork as it appeared under the microscope, a sketch of the cork tree branch his sample came from, and a sketch of the microscope apparatus he used.\" width=\"421\" height=\"247\"><figcaption id=\"caption-attachment-226\" class=\"wp-caption-text\"><em>Figure 4.2.2 Robert Hooke sketched the cork cells as they appeared under a simple light microscope.<\/em><\/figcaption><\/figure>\n<h2>Discovery of Cells<\/h2>\n<\/div>\n<p>The first time the word\u00a0<em>cell<\/em>\u00a0was used to refer to these tiny units of life was in 1665 by a British scientist named <a href=\"https:\/\/en.wikipedia.org\/wiki\/Robert_Hooke\">Robert Hooke<\/a>.\u00a0Hooke was one of the earliest scientists to study living things under a\u00a0microscope. The microscopes of his day were not very strong, but Hooke was still able to make an important discovery. When he looked at a thin slice of cork under his microscope, he was surprised to see what looked like a honeycomb. Hooke made the drawing in the figure\u00a0to the right\u00a0to show what he saw. As you can see, the cork was made up of many tiny units. Hooke called these units\u00a0<em>cells<\/em>\u00a0because they resembled cells in a monastery.<\/p>\n<div>\n<p><span style=\"text-align: initial;font-size: 1em\">Soon after Robert Hooke discovered cells in cork, <a href=\"https:\/\/en.wikipedia.org\/wiki\/Antonie_van_Leeuwenhoek\">Anton van Leeuwenhoek<\/a> in Holland made other important discoveries using a microscope. Leeuwenhoek made his own microscope\u00a0<\/span>lenses<span style=\"text-align: initial;font-size: 1em\">, and he was so good at it that his microscope was more powerful than other microscopes of his day. In fact, Leeuwenhoek\u2019s microscope was almost as strong as\u00a0<\/span><em style=\"text-align: initial;font-size: 1em\">modern\u00a0<\/em><span style=\"text-align: initial;font-size: 1em\">light microscopes.\u00a0Using his microscope, Leeuwenhoek was the first person to observe human cells and\u00a0<\/span>bacteria<span style=\"text-align: initial;font-size: 1em\">.<\/span><\/p>\n<\/div>\n<div>\n<h2>Cell Theory<\/h2>\n<\/div>\n<p>By the early 1800s, scientists had observed cells of many different organisms. These observations led two German scientists named <a href=\"https:\/\/en.wikipedia.org\/wiki\/Theodor_Schwann\">Theodor Schwann<\/a> and <a href=\"https:\/\/en.wikipedia.org\/wiki\/Matthias_Jakob_Schleiden\">Matthias Jakob Schleiden<\/a> to propose\u00a0cells as\u00a0the basic building blocks of all living things. Around 1850, a German doctor named <a href=\"https:\/\/en.wikipedia.org\/wiki\/Rudolf_Virchow\">Rudolf Virchow<\/a> was studying cells under a microscope, when he happened to see them dividing and forming new cells. He realized that living cells produce new cells through division. Based on this realization, Virchow proposed that living cells arise only from other living cells.<\/p>\n<p>The ideas of all three scientists \u2014 Schwann, Schleiden, and Virchow \u2014 led to <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2302\">cell theory<\/a>, which is one of the fundamental\u00a0theories\u00a0unifying all of biology.<\/p>\n<p>Cell theory states that:<\/p>\n<ul>\n<li>All organisms are made of one or more cells.<\/li>\n<li>All the life functions of organisms occur within cells.<\/li>\n<li>All cells come from existing cells.<\/li>\n<\/ul>\n<div>\n<h2>Seeing Inside Cells<\/h2>\n<\/div>\n<p>Starting with Robert Hooke in the 1600s, the microscope opened up an amazing new world \u2014\u00a0a\u00a0world of life at the level of the cell. As microscopes continued to improve, more discoveries were made about the cells of living things, but by the late 1800s, light microscopes had reached their limit. Objects much smaller than cells (including the structures inside cells) were too small to be seen with even the strongest light microscope.<\/p>\n<figure id=\"attachment_228\" aria-describedby=\"caption-attachment-228\" style=\"width: 357px\" class=\"wp-caption alignleft\"><img class=\"wp-image-227\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Electron-Microscope-image-of-a-cell.jpg\" alt=\"\" width=\"357\" height=\"285\"><figcaption id=\"caption-attachment-228\" class=\"wp-caption-text\"><em>Figure 4.2.3 An electron microscope produced this image of the structures inside of a cell.<\/em><\/figcaption><\/figure>\n<p>Then, in the 1950s, a new type of microscope was invented. Called the\u00a0electron\u00a0microscope, it used a beam of electrons instead of light to observe extremely small objects. With an electron microscope, scientists could finally see the tiny structures inside cells. They could even see individual molecules and atoms. The electron microscope had a huge impact on biology. It allowed scientists to study organisms at the level of their molecules, and it led to the emergence of the molecular biology field. With the electron microscope, many more cell discoveries were made.<\/p>\n<div>\n<h2>Structures Shared By All Cells<\/h2>\n<\/div>\n<p>Although cells are diverse, all cells have certain parts in common. These parts include a\u00a0plasma membrane, cytoplasm, ribosomes, and\u00a0DNA.<\/p>\n<figure id=\"attachment_228\" aria-describedby=\"caption-attachment-228\" style=\"width: 447px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-228\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Basic-Components-of-a-cell.png\" alt=\"Image shows a diagram of a cell containing the four basic components of a cell: a plasma membrane, DNA, ribosomes and a cytoplasm.\" width=\"447\" height=\"344\"><figcaption id=\"caption-attachment-228\" class=\"wp-caption-text\"><em>Figure 4.2.4 Every cell consists of at least a plasma membrane, DNA, ribosomes and a cytoplasm.<\/em><\/figcaption><\/figure>\n<ol>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_1996\">plasma membrane<\/a><\/strong>\u00a0(a type of\u00a0cell membrane) is a thin coat of\u00a0lipids\u00a0that surrounds a cell. It forms the physical boundary between the cell and its environment. You can think of it as the \u201cskin\u201d of the cell.<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_1963\">Cytoplasm<\/a><\/strong>\u00a0refers to all of the cellular material inside of the\u00a0plasma membrane. Cytoplasm is made up of a watery substance called cytosol, and it contains other cell structures, such as ribosomes.<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2074\">Ribosomes<\/a><\/strong>\u00a0are the structures in the cytoplasm\u00a0in which\u00a0proteins\u00a0are made.<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_277\">DNA<\/a><\/strong>\u00a0is a\u00a0nucleic acid\u00a0found in cells. It contains the genetic instructions that cells need to make\u00a0proteins.<\/li>\n<\/ol>\n<p>These four parts are common to\u00a0<em>all<\/em>\u00a0cells, from organisms as different as\u00a0bacteria\u00a0and human beings. How did all known organisms come to have such similar cells? The similarities show that all life on Earth has a common evolutionary history.<\/p>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">4.2 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_4905_2223\">Cells<\/a> are the basic units of structure and function in living things. They are the smallest units that can carry out the processes of life.<\/li>\n<li>In the 1600s, Hooke was the first to observe cells from an organism (cork). Soon after, microscopist van Leeuwenhoek observed many other living cells.<\/li>\n<li>In the early 1800s, Schwann and Schleiden theorized that cells are the basic building blocks of all living things. Around 1850, Virchow\u00a0observed\u00a0cells dividing. To previous learnings, he added that living cells arise only from other living cells. These ideas led to <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2302\">cell theory<\/a>, which states that all organisms are made of cells, that all life functions occur in cells, and that all cells come from other cells.<\/li>\n<li>It wasn't until the 1950s that scientists could see what was inside the cell. The invention of the\u00a0electron\u00a0microscope allowed them to see\u00a0organelles\u00a0and other structures smaller than cells.<\/li>\n<li>There is\u00a0variation in cells, but all cells have a plasma membrane, cytoplasm, ribosomes, and\u00a0DNA. These similarities show that all life on Earth has a common ancestor in the distant past.<\/li>\n<\/ul>\n<div>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">4.2 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>Describe cells.<\/li>\n<li>Explain how cells were discovered.<\/li>\n<li>Outline\u00a0the\u00a0development\u00a0of cell theory.<\/li>\n<li>\n<div id=\"h5p-33\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-33\" class=\"h5p-iframe\" data-content-id=\"33\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Cells\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Identify the structures shared by all cells.<\/li>\n<li>Proteins are made on _____________ .<\/li>\n<li>\n<div id=\"h5p-34\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-34\" class=\"h5p-iframe\" data-content-id=\"34\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Contributors to Cell Theory\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Robert Hooke sketched what looked like honeycombs \u2014 or repeated circular or square units \u2014 when he observed plant cells under a microscope.\n<ol type=\"\">\n<li>What is each unit?<\/li>\n<li>Of the shared parts of all cells, what makes up the outer surface of each unit?<\/li>\n<li>Of the shared parts of all cells, what makes up the inside of each unit?<\/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\">4.2 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/www.youtube.com\/watch?v=8IlzKri08kk<\/p>\n<p style=\"text-align: center\">Introduction to Cells: The Grand Cell Tour, by The Amoeba Sisters, 2016.<\/p>\n<\/div>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 4.2.1<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/phil.cdc.gov\/Details.aspx?pid=18129\">A white blood cell (WBC) known as a neutrophil<\/a> by National Institute of Allergy and Infectious Diseases (NIAID) on the CDC\/ Public Health Image Library (PHIL) Photo ID# 18129. is in the <a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain).<\/li>\n<li><a href=\"https:\/\/www.flickr.com\/photos\/niaid\/5950870236\/\">Healthy Human T Cell\u00a0<\/a> by <a class=\"owner-name truncate\" title=\"Go to NIAID's photostream\" href=\"https:\/\/www.flickr.com\/photos\/niaid\/\" data-track=\"attributionNameClick\">NIAID<\/a> on <a href=\"http:\/\/flickr.com\">Flickr<\/a>. is used under a\u00a0<a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\/\">CC BY 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/2.0\/) license.<\/li>\n<li><a href=\"https:\/\/www.flickr.com\/photos\/niaid\/29228845335\/\">Human natural killer cell<\/a> by <a class=\"owner-name truncate\" title=\"Go to NIAID's photostream\" href=\"https:\/\/www.flickr.com\/photos\/niaid\/\" data-track=\"attributionNameClick\">NIAID<\/a> on <a href=\"http:\/\/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.<\/li>\n<li><a href=\"https:\/\/www.flickr.com\/photos\/zeissmicro\/14255918978\">Human blood with red blood cells, T cells (orange) and platelets (green)<\/a> by <a class=\"owner-name truncate\" title=\"Go to ZEISS Microscopy's photostream\" href=\"https:\/\/www.flickr.com\/photos\/zeissmicro\/\" data-track=\"attributionNameClick\">ZEISS Microscopy<\/a> 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.<\/li>\n<li><a href=\"https:\/\/www.flickr.com\/photos\/zeissmicro\/14256058429\">Developing nerve cells\u00a0<\/a> by <a class=\"owner-name truncate\" title=\"Go to ZEISS Microscopy's photostream\" href=\"https:\/\/www.flickr.com\/photos\/zeissmicro\/\" data-track=\"attributionNameClick\">ZEISS Microscopy<\/a> on <a href=\"http:\/\/flickr.com\">Flickr<\/a>. is used under a\u00a0<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.<\/li>\n<\/ul>\n<p><strong>Figure 4.2.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Hooke-Microscope-cork.jpg\" rel=\"cc:attributionURL\">Hooke-microscope-cork<\/a> by Robert Hooke (1635-1702) [uploaded by <a title=\"User:Alejandro Porto\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Alejandro_Porto\">Alejandro Porto]<\/a> on Wikimedia Commons is released into the <a class=\"mw-redirect\" title=\"Public domain\" href=\"https:\/\/commons.wikimedia.org\/wiki\/Public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain).<\/p>\n<p><strong>Figure 4.2.3<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Chlamydomonas_TEM_07.jpg\" rel=\"cc:attributionURL\">Electron Microscope image of a cell<\/a> by Dartmouth Electron Microscope Facility, Dartmouth College on Wikimedia Commons is released into the <a class=\"mw-redirect\" title=\"Public domain\" href=\"https:\/\/commons.wikimedia.org\/wiki\/Public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain).<\/p>\n<p><strong>Figure 4.2.4<\/strong><\/p>\n<p>Basic-Components-of-a-cell by Christine Miller is used under a\u00a0 <a href=\"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/\" rel=\"license\">CC0 1.0<\/a> (https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/) license.<\/p>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">Amoeba Sisters. (2016, November 1). Introduction to cells: The grand cell tour. YouTube. https:\/\/www.youtube.com\/watch?v=8IlzKri08kk&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">National Institute of Allergy and Infectious Diseases (NIAID). (2011). A white blood cell (WBC) known as a neutrophil, as it was in the process of ingesting a number of spheroid shaped, methicillin-resistant, Staphylococcus aureus (MRSA) bacteria [digital image]. CDC\/ Public Health Image Library (PHIL) Photo ID# 18129. https:\/\/phil.cdc.gov\/Details.aspx?pid=18129.<\/p>\n<p class=\"hanging-indent\">Wikipedia contributors. (2020, June 24). Antonie van Leeuwenhoek. In\u00a0<i>Wikipedia<\/i>.\u00a0 https:\/\/en.wikipedia.org\/w\/index.php?title=Antonie_van_Leeuwenhoek&amp;oldid=964339564<\/p>\n<p class=\"hanging-indent\">Wikipedia contributors. (2020, May 25). Matthias Jakob Schleiden. In\u00a0<i>Wikipedia. <\/i>\u00a0https:\/\/en.wikipedia.org\/w\/index.php?title=Matthias_Jakob_Schleiden&amp;oldid=958819219<\/p>\n<p class=\"hanging-indent\">Wikipedia contributors. (2020, June 4). Rudolf Virchow. In\u00a0<i>Wikipedia,. <\/i>\u00a0https:\/\/en.wikipedia.org\/w\/index.php?title=Rudolf_Virchow&amp;oldid=960708716<\/p>\n<p class=\"hanging-indent\">Wikipedia contributors. (2020, May 16). Theodor Schwann. In\u00a0<i>Wikipedia. <\/i>\u00a0https:\/\/en.wikipedia.org\/w\/index.php?title=Theodor_Schwann&amp;oldid=956919239<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_5761\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_5761\"><div tabindex=\"-1\"><p>The ability of an organism to maintain constant internal conditions despite external changes.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_3521\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3521\"><div tabindex=\"-1\"><p>visible part of a nail that is external to the skin<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_3531\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3531\"><div tabindex=\"-1\"><p>a colorless cell that circulates in the blood and body fluids and is involved in counteracting foreign substances and disease; a white (blood) cell. There are several types, all amoeboid cells with a nucleus, including lymphocytes, granulocytes, monocytes, and macrophages.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_5495\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_5495\"><div tabindex=\"-1\"><p>accessory organ of the skin made of sheets of dead keratinocytes at the distal ends of the fingers and toes<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_3537\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3537\"><div tabindex=\"-1\"><p>The space occurring between two or more membranes. In cell biology, it's most commonly described as the region between the inner membrane and the outer membrane of a mitochondrion or a chloroplast.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_2815\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_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_4905_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_4905_2655\">epidermis<\/a><\/strong>. The dermis consists mainly of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2815\">connective tissues<\/a>. It also contains most skin structures, such as <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_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_4905_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_4905_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_4905_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_4905_2936\">glands<\/a> and hair <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_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_4905_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_4905_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_4905_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_4905_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_4905_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_4905_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_4905_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_4905_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_4905_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_4905_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_4905_2937\">hypothalamus<\/a> of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_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_4905_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_4905_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_4905_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_4905_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_4905_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_4905_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_4905_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_4905_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_4905_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_4905_3006\">sensory receptors<\/a>\u00a0and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_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_4905_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_4905_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_4905_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_4905_3006\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3006\"><div tabindex=\"-1\"><p>Created by CK-12 Foundation\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_4487\" aria-describedby=\"caption-attachment-4487\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4487\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/vampire_PNG32-1.png\" alt=\"14.5.1\" width=\"400\" height=\"316\"><figcaption id=\"caption-attachment-4487\" class=\"wp-caption-text\"><em>Figure 14.5.1 \"I want to suck your blood.\"<\/em><\/figcaption><\/figure>\n<div>\n<h1>Vampires<\/h1>\n<\/div>\n<p>From Bram Stoker\u2019s famous novel about Count Dracula, to films such as <em>Van Helsing<\/em> and the <em>Twilight<\/em> Saga<em>,<\/em> fantasies featuring vampires (like the one in Figure 14.5.1) have been popular for decades. Vampires, in fact, are found in centuries-old myths from many cultures. In such myths, vampires are generally described as creatures that drink blood \u2014 preferably of the human variety \u2014 for sustenance. Dracula, for example, is based on Eastern European folklore about a human who attains immortality (and eternal damnation) by drinking the blood of others.<\/p>\n<div>\n<h1>What Is Blood?<\/h1>\n<\/div>\n<figure id=\"attachment_4489\" aria-describedby=\"caption-attachment-4489\" style=\"width: 397px\" class=\"wp-caption alignleft\"><img class=\"wp-image-4489 size-full\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Blood-centrifugation-scheme-1.png\" alt=\"14.5.2 Components of Blood\" width=\"397\" height=\"530\"><figcaption id=\"caption-attachment-4489\" class=\"wp-caption-text\">Figure 14.5.2 If blood is centrifuged (spun at high speed), it separates into its major components based on density, as shown here: plasma, leukocytes (white blood cells) and platelets, and erythrocytes (red blood cells). All blood normally contains these components in about the same proportions.<\/figcaption><\/figure>\n<p>The average adult body contains between 4.7 and 5.7 litres of blood. More than half of that amount is fluid. Most of the rest of that amount consists of blood cells. The relative amounts of the various components in blood are illustrated in Figure 14.5.2. The components are also described in detail below.<\/p>\n<div>\n<p><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2702\"><strong>Blood<\/strong><\/a><span style=\"text-align: initial;font-size: 1em\">\u00a0is a fluid connective tissue that circulates throughout the body through blood vessels of the cardiovascular system. What makes blood so special that it features in widespread myths? Although blood accounts for less than 10% of human body weight, it is quite literally the elixir of life. As blood travels through the vessels of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3835\">cardiovascular system<\/a>, it delivers vital substances (such as nutrients and oxygen) to all of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3573\">cells<\/a>, and carries away their metabolic wastes. It is no exaggeration to say that without blood, cells could not survive. Indeed, without the oxygen carried in blood, cells of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3823\">brain<\/a> start to die within a matter of minutes.<\/span><\/p>\n<h1>Functions of Blood<\/h1>\n<\/div>\n<p>Blood performs many important functions in the body. Major functions of blood include:<\/p>\n<ul>\n<li>Supplying tissues with oxygen, which is needed by all cells for <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3785\">aerobic cellular respiration<\/a>.<\/li>\n<li>Supplying cells with nutrients, including <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3359\">glucose<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3615\">amino acids<\/a>, and fatty acids.<\/li>\n<li>Removing metabolic wastes from cells, including carbon dioxide, urea, and lactic acid.<\/li>\n<li>Helping to defend the body from <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3707\">pathogens<\/a> and other foreign substances.<\/li>\n<li>Forming clots to seal broken blood vessels and stop bleeding.<\/li>\n<li>Transporting <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3569\">hormones<\/a> and other messenger molecules.<\/li>\n<li>Regulating the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_4330\">pH<\/a> of the body, which must be kept within a narrow range (7.35 to 7.45).<\/li>\n<li>Helping regulate body temperature (through <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3942\">vasoconstriction<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2756\">vasodilation<\/a>).<\/li>\n<\/ul>\n<div>\n<h1>Blood\u00a0Plasma<\/h1>\n<\/div>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_4395\">Plasma<\/a><\/strong> is the liquid component of human blood. It makes up about 55% of blood by volume. It is about 92% water, and contains many dissolved substances. Most of these substances are <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3721\">protein<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\">, but plasma also contains trace amounts of glucose, mineral ions, hormones, carbon dioxide, and other substances. In addition, plasma contains blood cells. When the cells are removed from plasma, as in Figure 14.5.2 above, the remaining liquid is clear but yellow in colour.<\/span><\/p>\n<div>\n<h1>Blood Cells<\/h1>\n<\/div>\n<p>The cells in blood include <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_4398\">erythrocytes<\/a>, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3531\">leukocytes<\/a>, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_4399\">thrombocytes<\/a>. These different types of blood cells are shown in the photomicrograph (Figure 14.5.3) and described in the sections that follow.<\/p>\n<figure id=\"attachment_4490\" aria-describedby=\"caption-attachment-4490\" style=\"width: 402px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4490\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/SEM_blood_cells-1.jpg\" alt=\"14.5.3 SEM Blood Cells\" width=\"402\" height=\"500\"><figcaption id=\"caption-attachment-4490\" class=\"wp-caption-text\"><em>Figure 14.5.3 Highly magnified blood cells in this image include doughnut-shaped red blood cells, rough-surfaced white blood cells, and small disc-shaped platelets.<\/em><\/figcaption><\/figure>\n<h2>Erythrocytes<\/h2>\n<p>The most numerous cells in blood are\u00a0red blood cells<strong>,<\/strong>\u00a0also called <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_4398\">erythrocyte<\/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\">. One microlitre of blood contains between 4.2 and 6.1 million red blood cells, and red blood cells make up about 25% of all the cells in the human body. The cytoplasm of a mature erythrocyte is almost completely filled with hemoglobin, the iron-containing protein that binds with oxygen and gives the cell its red colour. In order to provide maximum space for hemoglobin, mature erythrocytes lack a cell <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3705\">nucleus<\/a> and most <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3465\">organelle<\/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\">. They are little more than sacks of hemoglobin.<\/span><\/p>\n<p>Erythrocytes also carry proteins called antigens that determine blood type. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2703\">Blood type<\/a> is a genetic characteristic. The best known human blood type systems are the ABO and Rhesus systems.<\/p>\n<ul>\n<li>In the ABO system, there are two common antigens, called antigen A and antigen B. There are four ABO blood types, A (only A antigen), B (only B antigen), AB (both A and B antigens), and O (neither A nor B antigen). The ABO antigens are illustrated in Figure 14.5.4.<\/li>\n<li>In the Rhesus system, there is just one common antigen. A person may either have the antigen (Rh+) or lack the antigen (Rh-).<\/li>\n<\/ul>\n<figure id=\"attachment_4491\" aria-describedby=\"caption-attachment-4491\" style=\"width: 856px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4491\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/ABO_blood_type.svg_-1-2.png\" alt=\"14.5.4 ABO Blood Group\" width=\"856\" height=\"550\"><figcaption id=\"caption-attachment-4491\" class=\"wp-caption-text\"><em>Figure 14.5.4 Each of the ABO blood types is characterized by different glycoproteins on red blood cells.<\/em><\/figcaption><\/figure>\n<p>Blood type\u00a0is important for medical reasons. A person who needs a blood transfusion must receive blood of a compatible type. Blood that is compatible lacks antigens that the patient's own blood also lacks. For example, for a person with type A blood (no B antigen), compatible types include any type of blood that lacks the B antigen. This would include type A blood or type O blood, but not type AB or type B blood. If incompatible blood is transfused, it may cause a potentially life-threatening reaction in the patient\u2019s blood.<\/p>\n<h2>Leukocytes<\/h2>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3531\">Leukocyte<\/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\">\u00a0(also called white blood cells)<\/span><span style=\"text-align: initial;font-size: 1em\"> are cells in blood that defend the body against invading microorganisms and other threats. There are far fewer leukocytes than red blood cells in blood. There are normally only about 1,000 to 11,000 white blood cells per microlitre of blood. Unlike erythrocytes, leukocytes have a nucleus. White blood cells are part of the body\u2019s immune system. They destroy and remove old or abnormal cells and cellular debris, as well as attack pathogens and foreign substances. There are five main types of white blood cells, which are described in Table 14.5.1: neutrophils, eosinophils, basophils, lymphocytes, and monocytes. The five types differ in their specific immune functions.<\/span><\/p>\n<table class=\"grid\" style=\"width: 100%;height: 159px\">\n<caption>Table 14.5.1: Major Types of White Blood Cells<\/caption>\n<tbody>\n<tr style=\"height: 59px\">\n<th scope=\"col\">Type of Leukocyte<\/th>\n<th scope=\"col\">Per cent of All Leukocytes<\/th>\n<th scope=\"col\">Main Function(s)<\/th>\n<\/tr>\n<tr style=\"height: 14px\">\n<td>Neutrophil<\/td>\n<td>62%<\/td>\n<td>Phagocytize (engulf and destroy) bacteria and fungi in blood.<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td>Eosinophil<\/td>\n<td>\u00a0 2%<\/td>\n<td>Attack and kill large parasites; carry out allergic responses.<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td>Basophil<\/td>\n<td>\u00a0less than 1%<\/td>\n<td>Release histamines in inflammatory responses.<\/td>\n<\/tr>\n<tr style=\"height: 30px\">\n<td>Lymphocyte<\/td>\n<td>30%<\/td>\n<td>Attack and destroy virus-infected and tumor cells; create lasting immunity to specific pathogens.<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td>Monocyte<\/td>\n<td>\u00a0 5%<\/td>\n<td>Phagocytize pathogens and debris in tissues.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Thrombocytes<\/h2>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_4399\">Thrombocyte<\/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\"> also called platelets, are actually cell fragments. Like erythrocytes, they lack a nucleus and are more numerous than white blood cells. There are about 150 thousand to 400 thousand thrombocytes per microlitre of blood.<\/span><\/p>\n<p>The main function of thrombocytes is blood clotting, or <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_4492\">coagulation<\/a>.<\/strong>\u00a0This is the process by which blood changes from a\u00a0liquid\u00a0to a gel, forming a plug in a damaged blood vessel. If blood clotting is successful, it results in\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_4493\">hemostasis<\/a><\/strong>, which is the cessation of blood loss from the damaged vessel. A blood clot consists of both platelets and proteins, especially the protein fibrin. You can see a scanning electron microscope photomicrograph of a blood clot in Figure 14.5.5.<\/p>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_4494\" aria-describedby=\"caption-attachment-4494\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4494\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Blood_clot_in_scanning_electron_microscopy-1.jpg\" alt=\"14.5.5 Blood Clot\" width=\"400\" height=\"271\"><figcaption id=\"caption-attachment-4494\" class=\"wp-caption-text\"><em>Figure 14.5.5 Erythrocytes become trapped in a coagulating clot so they cannot escape through a break in a blood vessel.<\/em><\/figcaption><\/figure>\n<figure id=\"attachment_4496\" aria-describedby=\"caption-attachment-4496\" style=\"width: 311px\" class=\"wp-caption alignleft\"><img class=\" wp-image-4496\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Blausen_0740_Platelets-1.png\" alt=\"14.5.6 Activated Thrombocytes\" width=\"311\" height=\"311\"><figcaption id=\"caption-attachment-4496\" class=\"wp-caption-text\"><em>Figure 14.5.6 The shape of platelets (thrombocytes) after they are activated helps them to stick together and form a plug for a damaged blood vessel.<\/em><\/figcaption><\/figure>\n<p>Coagulation begins almost instantly after an injury occurs to the endothelium of a blood vessel. Thrombocytes become activated and change their shape from spherical to star-shaped, as shown in Figure 14.5.6. This helps them aggregate with one another (stick together) at the site of injury to start forming a plug in the vessel wall. Activated thrombocytes also release substances into the blood that activate additional thrombocytes and start a sequence of reactions leading to fibrin formation. Strands of fibrin crisscross the platelet plug and strengthen it, much as rebar strengthens concrete.<\/p>\n<figure id=\"attachment_4651\" aria-describedby=\"caption-attachment-4651\" style=\"width: 675px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4651\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Platelet_Party_900x-1.png\" alt=\"Platelet Party\" width=\"675\" height=\"821\"><figcaption id=\"caption-attachment-4651\" class=\"wp-caption-text\"><em>Figure 14.5.7 Image by Nick Seluk\/ <a href=\"http:\/\/theAwkwardYeti.com\">theAwkwardYeti.com<\/a>. (c) Used with permission.<\/em><\/figcaption><\/figure>\n<h2>Formation and Degradation of Blood Cells<\/h2>\n<p>Blood is considered a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2815\">connective tissue<\/a>, because blood cells form inside\u00a0bones. All three types of blood cells are made in red marrow within the medullary cavity of bones in a process called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3961\">hematopoiesis<\/a><\/strong>. Formation of blood cells occurs by the proliferation of stem cells in the marrow. These stem cells are self-renewing \u2014 when they divide, some of the daughter cells remain stem cells, so the pool of stem cells is not used up. Other daughter cells follow various pathways to differentiate into the variety of blood cell types. Once the cells have differentiated, they cannot divide to form copies of themselves.<\/p>\n<p>Eventually, blood cells die and must be replaced through the formation of new blood cells from proliferating stem cells. After blood cells die, the dead cells are phagocytized (engulfed and destroyed) by white blood cells, and removed from the\u00a0circulation. This process most often takes place in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_4497\">spleen<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2989\">liver<\/a>.<\/p>\n<div>\n<h1>Blood Disorders<\/h1>\n<\/div>\n<p>Many human disorders primarily affect the blood. They include cancers,\u00a0genetic disorders, poisoning by toxins, infections, and nutritional deficiencies.<\/p>\n<ul>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_4498\">Leukemia<\/a><\/strong> is a group of cancers of the blood-forming tissues in the bone marrow. It is the most common type of cancer in children, although most cases occur in adults. Leukemia is generally characterized by large numbers of abnormal leukocytes. Symptoms may include excessive bleeding and bruising, fatigue, fever, and an increased risk of infections. Leukemia is thought to be caused by a combination of genetic and environmental factors.<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_4499\">Hemophilia<\/a><\/strong>\u00a0refers to any of several\u00a0genetic disorders\u00a0that cause dysfunction in the blood clotting process. People with hemophilia are prone to potentially uncontrollable bleeding, even with otherwise inconsequential injuries. They also commonly suffer bleeding into the spaces between\u00a0joints, which can cause crippling.<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_4500\">Carbon monoxide poisoning<\/a><\/strong> occurs when inhaled carbon monoxide (in fumes from a faulty home furnace or car exhaust, for example) binds irreversibly to the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3556\">hemoglobin<\/a> in erythrocytes. As a result, oxygen cannot bind to the red blood cells for transport throughout the body, and this can quickly lead to suffocation. Carbon monoxide is extremely dangerous, because it is colourless and odorless, so it cannot be detected in the air by human senses.<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_4501\">HIV<\/a><\/strong> is a virus that infects certain types of leukocytes and interferes with the body\u2019s ability to defend itself from pathogens and other causes of illness. HIV infection may eventually lead to <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3523\">AIDS<\/a> (acquired immunodeficiency syndrome). AIDS is characterized by rare infections and cancers that people with a healthy immune system almost never acquire.<\/li>\n<li><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3449\">Anemia<\/a><\/strong> is a disorder in which the blood has an inadequate volume of erythrocytes, reducing the amount of oxygen that the blood can carry, and potentially causing weakness and fatigue. These and other signs and symptoms of anemia are shown in Figure 14.5.8. Anemia has many possible causes, including excessive bleeding, inherited disorders (such as sickle cell hemoglobin), or nutritional deficiencies (iron, folate, or B12). Severe anemia may require transfusions of donated blood.<\/li>\n<\/ul>\n<figure id=\"attachment_4502\" aria-describedby=\"caption-attachment-4502\" style=\"width: 623px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-4502\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Symptoms_of_anemia.svg_-1.png\" alt=\"14.5.7 Symptoms of Anemia\" width=\"623\" height=\"587\"><figcaption id=\"caption-attachment-4502\" class=\"wp-caption-text\"><em>Figure 14.5.8 Anemia has wide-ranging effects on the human body because oxygen is essential for normal functioning of cells in every organ system.<\/em><\/figcaption><\/figure>\n<div>\n<h1>Feature: Myth vs. Reality<\/h1>\n<\/div>\n<p>Donating blood saves lives. In fact, with each blood donation, as many as <em>three<\/em> lives may be saved. According to Government Canada, up to 52% of Canadians have reported that they or a family member have needed blood or blood products at some point in their lifetime. Many donors agree that the\u00a0feeling that comes from knowing you have saved lives is well worth the short amount of time it takes to make a blood donation. Nonetheless, only a minority of potential donors actually donate blood. There are many myths about blood donation that may help explain the small percentage of donors. Knowing the facts may reaffirm your decision to donate if you are already a donor \u2014 and if you aren\u2019t a donor already, getting the facts may help you decide to become one.<\/p>\n<table class=\"grid\" style=\"border-collapse: collapse;width: 100%;height: 347px\" border=\"0\">\n<tbody>\n<tr>\n<th scope=\"col\"><span style=\"color: #ff0000\">Myth<\/span><\/th>\n<th scope=\"col\"><span style=\"color: #008000\">Reality<\/span><\/th>\n<\/tr>\n<tr style=\"height: 47px\">\n<td>\"Your blood might become contaminated with an infection during the donation.\"<\/td>\n<td>There is no risk of contamination because only single-use, disposable catheters, tubing, and other equipment are used to collect blood for a donation.<\/td>\n<\/tr>\n<tr style=\"height: 31px\">\n<td>\"You are too old (or too young) to donate blood.\"<\/td>\n<td>There is no upper age limit on donating blood, as long as you are healthy. The minimum age\u00a0is 16 years.<\/td>\n<\/tr>\n<tr style=\"height: 47px\">\n<td>\"You can\u2019t donate blood if you have high blood pressure.\"<\/td>\n<td>As long as your\u00a0blood pressure\u00a0is below 180\/100 at the time of donation, you can give blood. Even if you take blood pressure medication to keep your blood pressure below this level, you can donate.<\/td>\n<\/tr>\n<tr style=\"height: 31px\">\n<td>\"You can\u2019t give blood if you have high cholesterol.\"<\/td>\n<td>Having high cholesterol does not affect your ability to donate blood. Taking cholesterol-lowering medication also does not disqualify you.<\/td>\n<\/tr>\n<tr style=\"height: 31px\">\n<td>\"You can\u2019t donate blood if you have had a flu shot.\"<\/td>\n<td>Having a flu shot has no effect on your ability to donate blood. You can even donate on the same day that you receive a flu shot.<\/td>\n<\/tr>\n<tr style=\"height: 31px\">\n<td>\"You can\u2019t donate blood if you take medication.\"<\/td>\n<td>As long as you are healthy, in most cases, taking medication does not preclude you from donating blood.<\/td>\n<\/tr>\n<tr style=\"height: 31px\">\n<td>\"Your blood isn\u2019t needed if it\u2019s a common blood type.\"<\/td>\n<td>All types of blood are in constant demand.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">14.5 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_4905_2702\">Blood<\/a> is a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_4402\">fluid connective tissue<\/a> that circulates throughout the body in the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3835\">cardiovascular system<\/a>. Blood supplies tissues with oxygen and\u00a0nutrients\u00a0and removes their metabolic wastes. Blood helps defend the body from <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3707\">pathogens<\/a>\u00a0and other threats, transports <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3569\">hormones<\/a> and other substances, and helps keep the body\u2019s <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_4330\">pH<\/a> and temperature in homeostasis.<\/li>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_4395\">Plasma<\/a> is the liquid component of blood, and it makes up more than half of blood by volume. It consists of water and many dissolved substances. It also contains blood cells, including erythrocytes, leukocytes and thrombocytes.<\/li>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_4398\">Erythrocytes<\/a>, (also known as red blood cells) are the most numerous cells in blood. They consist mostly of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3556\">hemoglobin<\/a>, which carries oxygen. Erythrocytes also carry <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2704\">antigens<\/a>\u00a0that determine <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2703\">blood type<\/a>.<\/li>\n<li>Leukocytes (also referred to as white blood cells) are less numerous than erythrocytes and are part of the body\u2019s immune system. There are several different types of leukocytes that differ in their specific immune functions. They protect the body from abnormal cells, microorganisms, and other harmful substances.<\/li>\n<li>Thrombocytes (also called platelets) are cell fragments that play important roles in blood clotting, or coagulation. They stick together at breaks in blood vessels to form a clot and stimulate the production of fibrin, which strengthens the clot.<\/li>\n<li>All blood cells form by proliferation of stem cells in red bone marrow in a process called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3961\">hematopoiesis<\/a>. When blood cells die, they are phagocytized by leukocytes and removed from the circulation.<\/li>\n<li>Disorders of the blood include <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_4498\">leukemia<\/a>, which is\u00a0cancer\u00a0of the bone-forming cells; <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_4499\">hemophilia<\/a>, which is any of several genetic blood-clotting disorders; <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_4500\">carbon monoxide poisoning<\/a>, which prevents erythrocytes from binding with oxygen and causes suffocation; <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_4501\">HIV<\/a> infection, which destroys certain types of leukocytes and can cause <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3523\">AIDS<\/a>; and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3449\">anemia<\/a>, in which there are not enough erythrocytes to carry adequate oxygen to body tissues.<\/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\">14.5 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>What is blood? Why is blood considered a connective tissue?<\/li>\n<li>Identify four physiological roles of blood in the body.<\/li>\n<li>Describe plasma and its components.<\/li>\n<li>\n<div id=\"h5p-398\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-398\" class=\"h5p-iframe\" data-content-id=\"398\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"14.5 Quiz\"><\/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\">14.5 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/youtu.be\/e-5wqwp64MM<\/p>\n<p style=\"text-align: center\">Joe Landolina: This gel can make you stop bleeding instantly, TED, 2014.<\/p>\n<p>https:\/\/youtu.be\/hgp8LtwFSBA<\/p>\n<p style=\"text-align: center\">Can Synthetic Blood Help The World's Blood Shortage? Science Plus, 2016.<\/p>\n<p>https:\/\/youtu.be\/1Qfmkd6C8u8<\/p>\n<p style=\"text-align: center\">How bones make blood - Melody Smith, TED-Ed, 2020.<\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 14.5.1<\/strong><\/p>\n<p><a href=\"http:\/\/pngimg.com\/download\/35873\" rel=\"cc:attributionURL\">vampire_PNG32<\/a> from <a href=\"http:\/\/pngimg.com\">pngimg.com<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/\" rel=\"license\">CC BY-NC 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/) license.<\/p>\n<p><strong>Figure 14.5.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Blood-centrifugation-scheme.png\" rel=\"cc:attributionURL\">Blood-centrifugation-scheme<\/a> by <a class=\"extiw\" title=\"wikipedia:User:KnuteKnudsen\" href=\"https:\/\/en.wikipedia.org\/wiki\/User:KnuteKnudsen\">KnuteKnudsen<\/a>\u00a0at\u00a0<a class=\"extiw\" title=\"wikipedia:\" href=\"https:\/\/en.wikipedia.org\/wiki\/\">English Wikipedia<\/a> 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 14.5.3<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:SEM_blood_cells.jpg\" rel=\"cc:attributionURL\">SEM_blood_cells<\/a> by Bruce Wetzel and Harry Schaefer (Photographers)\/ <a href=\"https:\/\/visualsonline.cancer.gov\/details.cfm?imageid=2129\">NCI AV-8202-3656<\/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\/en:Public_domain).<\/p>\n<p><strong>Figure 14.5.4<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:ABO_blood_type.svg\" rel=\"cc:attributionURL\">ABO_blood_type.svg<\/a> by <a class=\"new\" title=\"User:InvictaHOG (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:InvictaHOG&amp;action=edit&amp;redlink=1\">InvictaHOG<\/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\/en:Public_domain).<\/p>\n<p><strong>Figure 14.5.5<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Blood_clot_in_scanning_electron_microscopy.jpg\" rel=\"cc:attributionURL\">Blood_clot_in_scanning_electron_microscopy<\/a> by Janice Carr from CDC\/ Public Health Image LIbrary <a href=\"https:\/\/phil.cdc.gov\/Details.aspx?pid=7308\">(PHIL) ID #7308<\/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\/en:Public_domain).<\/p>\n<p><strong>Figure 14.5.6<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Blausen_0740_Platelets.png\" rel=\"cc:attributionURL\">Blausen_0740_Platelets<\/a> by <a title=\"User:BruceBlaus\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus<\/a> <span style=\"text-align: initial;font-size: 1em\">on Wikimedia Commons is used under a <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><br \/>\nFigure 14.5.7<\/strong><\/p>\n<p><a href=\"https:\/\/theawkwardstore.com\/products\/platelet-party-id-badge-reel\" rel=\"cc:attributionURL\">Platelet_Party_900x<\/a>\u00a0by Awkward Yeti (used with permission of the author) \u00a9\u00a0<a href=\"https:\/\/choosealicense.com\/no-license\/\" rel=\"license\">All Rights Reserved<\/a><\/p>\n<p><strong>Figure 14.5.8<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Symptoms_of_anemia.svg\" rel=\"cc:attributionURL\">Symptoms_of_anemia.svg<\/a> by <a class=\"extiw\" title=\"en:User:Mikael H\u00e4ggstr\u00f6m\" href=\"https:\/\/en.wikipedia.org\/wiki\/User:Mikael_H%C3%A4ggstr%C3%B6m\">Mikael H\u00e4ggstr\u00f6m<\/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\/en:public_domain).<\/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\">Blood, organ and tissue donation. (2020, April 28). Government of Canada. https:\/\/www.canada.ca\/en\/public-health\/services\/healthy-living\/blood-organ-tissue-donation.html#a3<\/p>\n<p class=\"hanging-indent\">Canadian Blood Services. (n.d.). There is an immediate need for blood as demand is rising. https:\/\/www.blood.ca<\/p>\n<p class=\"hanging-indent\"><span style=\"text-align: initial;font-size: 1em\">Science Plus. (2016, March 2). Can synthetic blood help the world's blood shortage? <\/span><span style=\"text-align: initial;font-size: 1em\">https:\/\/www.youtube.com\/watch?v=hgp8LtwFSBA&amp;feature=youtu.be<\/span><\/p>\n<p class=\"hanging-indent\">TED. (2014, November 20). Joe Landolina: This gel can make you stop bleeding instantly. YouTube. https:\/\/www.youtube.com\/watch?v=e-5wqwp64MM&amp;feature=youtu.be<\/p>\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>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_3572\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3572\"><div tabindex=\"-1\"><p>The movement of water or other solvent through a plasma membrane from a region of low solute concentration to a region of high solute concentration.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_3566\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3566\"><div tabindex=\"-1\"><p>Long chains of hydrocarbons with a carboxyl group and a methyl group at opposite ends.  Can be either saturated, containing mostly single bonds between adjacent carbons, or unsaturated, containing many double bonds between adjacent carbons.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_3526\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3526\"><div tabindex=\"-1\"><p>Respiration using electron acceptors other than molecular oxygen. Although oxygen is not the final electron acceptor, the process still uses a respiratory electron transport chain.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_5845\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_5845\"><div tabindex=\"-1\"><p>A brown pigment produced by melanocytes in the skin that gives skin most of its color and prevents UV light from penetrating the skin.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_3540\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3540\"><div tabindex=\"-1\"><p>A cardiac muscle cell. The cell is striated, containing thick and thin proteins arranged linearly. These filaments are composed, like other striated muscle cells, largely of actin and myosin. The cell has an abundant supply of mitochondria that supply the energy needed by the cell for regular muscular contraction.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_3527\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3527\"><div tabindex=\"-1\"><p>A threadlike structure of nucleic acids and protein found in the nucleus of most living cells, carrying genetic information in the form of genes.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_3542\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3542\"><div tabindex=\"-1\"><p>The process by which a parent cell divides into two or more daughter cells. Cell division usually occurs as part of a larger cell cycle.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_3546\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3546\"><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_4905_3547\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3547\"><div tabindex=\"-1\"><p>Mutations acquired by a cell that can be passed to future cells arising from the mutated cell in the course of cell division.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_5841\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_5841\"><div tabindex=\"-1\"><p>A pigment in the epidermis that gives skin a yellowish tint, especially in skin with low levels of melanin.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_3556\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3556\"><div tabindex=\"-1\"><p>The way in which scientists and researchers use a systematic approach to answer questions about the world around us.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_2588\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_2588\"><div tabindex=\"-1\"><p>Created by CK-12 Foundation\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_4378\" aria-describedby=\"caption-attachment-4378\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-4378\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/aircraft-1583871_1920-1.jpg\" alt=\"14.1.1 Airplane Exercise\" width=\"400\" height=\"226\"><figcaption id=\"caption-attachment-4378\" class=\"wp-caption-text\"><em>Figure 14.1.1 Got to keep that blood moving!<\/em><\/figcaption><\/figure>\n<div>\n<h1>Case Study: Flight Risk<\/h1>\n<\/div>\n<p>Nineteen-year-old Malcolm is about to take his first plane flight. Shortly after he boards the plane and sits down, a man in his late sixties sits next to him in the aisle seat. About half an hour after the plane takes off, the pilot announces that she is turning the seat belt light off, and that it is safe to move around the cabin.<\/p>\n<p>The man in the aisle seat \u2014 who has introduced himself to Malcolm as Willie \u2014 immediately unbuckles his seat belt and paces up and down the aisle a few times before returning to his seat. After about 45 minutes, Willie gets up again, walks some more, then sits back down and does some foot and leg exercises. After the third time Willie gets up and paces the aisles, Malcolm asks him whether he is walking so much to accumulate steps on a pedometer or fitness tracking device. Willie laughs and says no. He is actually trying to do something even more important for his health \u2014 prevent a blood clot from forming in his legs.<\/p>\n<p>Willie explains that he has a chronic condition: <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_4219\">heart failure<\/a>. Although it sounds scary, his condition is currently well-managed, and he is able to lead a relatively normal lifestyle. However, it <em>does<\/em> put him at risk of developing other serious health conditions, such as deep vein thrombosis (DVT), which is when a blood clot occurs in the deep veins, usually in the legs. Air travel \u2014\u00a0and\u00a0other situations where a person has to sit for a long period of time \u2014 increases the risk of DVT. Willie\u2019s doctor said that he is healthy enough to fly, but that he should walk frequently and do leg exercises to help avoid a blood clot.<\/p>\n<p>As you read this chapter, you will learn about the heart, blood vessels, and blood that make up the cardiovascular system, as well as disorders of the cardiovascular system, such as heart failure. At the end of the chapter you will learn more about why DVT occurs, why Willie has to take extra precautions when he flies, and what can be done to lower the risk of DVT and its potentially deadly consequences.<\/p>\n<div class=\"textbox textbox--learning-objectives\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">Chapter Overview: Cardiovascular System<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>In this chapter, you will learn about the cardiovascular system, which transports substances throughout the body. Specifically, you will learn about:<\/p>\n<ul>\n<li>The major components of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_3835\">cardiovascular system<\/a>: the heart, blood vessels, and blood.<\/li>\n<li>The functions of the cardiovascular system, including transporting needed substances (such as oxygen and nutrients) to the cells of the body, and picking up waste products.<\/li>\n<li>How blood is oxygenated through the pulmonary circulation, which transports blood between the heart and lungs.<\/li>\n<li>How blood is circulated throughout the body through the systemic circulation.<\/li>\n<li>The components of blood \u2014 including plasma, red blood cells, white blood cells, and platelets \u2014 and their specific functions.<\/li>\n<li>Types of blood vessels \u2014 including arteries, veins, and capillaries \u2014 and their functions, similarities, and differences.<\/li>\n<li>The structure of the heart, how it pumps blood, and how contractions of the heart are controlled.<\/li>\n<li>What blood pressure is and how it is regulated.<\/li>\n<li>Blood disorders, including anemia, HIV, and leukemia.<\/li>\n<li>Cardiovascular diseases (including heart attack, stroke, and angina), and the risk factors and precursors \u2014 such as high blood pressure and atherosclerosis \u2014 that contribute to them.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox shaded\">\n<p>As you read the chapter, think about the following questions:<\/p>\n<ol>\n<li>What is heart failure?Why\u00a0do you think it increases the risk of DVT?<\/li>\n<li>What is a blood clot? What are possible health consequences of blood clots?<\/li>\n<li>Why do you think sitting for long periods of time increases the risk of DVT? Why does walking and exercising the legs help reduce this risk?<\/li>\n<\/ol>\n<\/div>\n<h2>Attribution<\/h2>\n<p><strong>Figure 14.1.1<\/strong><\/p>\n<p><a href=\"https:\/\/pixabay.com\/photos\/aircraft-interior-seats-1583871\/\" rel=\"cc:attributionURL\">aircraft-1583871_1920<\/a> [photo] by <a href=\"https:\/\/pixabay.com\/users\/olivier89-3075816\/?utm_source=link-attribution&amp;utm_medium=referral&amp;utm_campaign=image&amp;utm_content=1583871\" rel=\"dc:creator\">olivier89<\/a> from <a href=\"http:\/\/pixabay.com\">Pixabay<\/a> is used under the <a href=\"https:\/\/pixabay.com\/de\/service\/license\/\">Pixabay License<\/a> (https:\/\/pixabay.com\/de\/service\/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_4905_5843\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_5843\"><div tabindex=\"-1\"><p>The upper layer of the dermis with papillae extending upward into the epidermis.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_5847\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_5847\"><div tabindex=\"-1\"><p>The lower layer of the dermis that gives the dermis strength and elasticity and contains many dermal structures such as glands and hair follicles.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_3568\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3568\"><div tabindex=\"-1\"><p>An antibody, also known as an immunoglobulin, is a large, Y-shaped protein produced mainly by plasma cells that is used by the immune system to neutralize pathogens such as pathogenic bacteria and viruses.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_3569\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3569\"><div tabindex=\"-1\"><p>A hormone is a signaling molecule produced by glands in multicellular organisms that target distant organs to regulate physiology and behavior.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_3570\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3570\"><div tabindex=\"-1\"><p>A hormone is a signaling molecule produced by glands in multicellular organisms that target distant organs to regulate physiology and behavior.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_2756\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_2756\"><div tabindex=\"-1\"><p>Created by:\u00a0CK-12\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_287\" aria-describedby=\"caption-attachment-287\" style=\"width: 333px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-1795\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/SMores-scaled.jpg\" alt=\"Image shows a photo of the ingredients for smores sitting on a table. In the background, a campfire is burning.\" width=\"333\" height=\"500\"><figcaption id=\"caption-attachment-287\" class=\"wp-caption-text\"><em>Figure 4.10.1 Ready to make s'mores!<\/em><\/figcaption><\/figure>\n<div>\n<h1>Bring on the S'mores!<\/h1>\n<\/div>\n<p>This inviting camp fire can be used for both\u00a0heat\u00a0and light. Heat and light are two\u00a0forms of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2340\">energy<\/a>\u00a0that are released when a fuel like wood is burned. The\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2223\">cells\u00a0<\/a>of living things also get\u00a0energy\u00a0by \"burning.\" They \"burn\" <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_1945\">glucose<\/a> in\u00a0a\u00a0process called<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2305\"> cellular respiration<\/a>.<\/p>\n<div>\n<h1>What Is Cellular Respiration?<\/h1>\n<\/div>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2305\">Cellular respiration<\/a><\/strong>\u00a0is the process by which living\u00a0cells\u00a0break down <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_1945\">glucose<\/a> molecules and release\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2340\">energy<\/a>. The process is similar to burning, although it doesn\u2019t produce light or intense\u00a0heat\u00a0as a campfire does. This is because cellular respiration releases the energy in glucose\u00a0<em>slowly\u00a0<\/em>and<em>\u00a0<\/em>in many small steps. It uses the\u00a0energy\u00a0released to form molecules of\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2072\">ATP<\/a><\/strong>, the energy-carrying molecules that\u00a0cells\u00a0use to power biochemical processes. In this way, cellular respiration is an example of energy coupling: glucose is broken down in an exothermic reaction, and then the energy from this reaction powers the endothermic reaction of the formation of ATP.\u00a0 Cellular respiration involves many\u00a0chemical reactions, but they can all be summed up with this chemical equation:<\/p>\n<p style=\"text-align: center\"><strong>C<sub>6<\/sub>H<sub>12<\/sub>O<sub>6<\/sub>\u00a0 6O<sub>2<\/sub>\u00a0\u2192 6CO<sub>2<\/sub>\u00a0 6H<sub>2<\/sub>O Chemical Energy (in ATP)<\/strong><\/p>\n<p>In words, the equation shows that glucose (C<sub>6<\/sub>H<sub>12<\/sub>O<sub>6<\/sub>)\u00a0and oxygen (O<sub>2<\/sub>)\u00a0react to form carbon dioxide (CO<sub>2<\/sub>) and\u00a0water\u00a0(H<sub>2<\/sub>O), releasing energy in the process. Because oxygen is required for cellular respiration, it is an\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_1796\"><strong>aerobic<\/strong><\/a> process.<\/p>\n<p>Cellular respiration occurs in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2223\">cells<\/a> of all living things, both autotrophs and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_1716\">heterotrophs<\/a>. All of them burn <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_1945\">glucose<\/a> to form <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2072\">ATP<\/a>. The reactions of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2305\">cellular respiration<\/a> can be grouped into three stages: glycolysis, the Krebs cycle (also called the citric acid cycle), and electron transport. Figure 4.10.2 gives an overview of these three stages, which are also described in detail below.<\/p>\n<figure id=\"attachment_287\" aria-describedby=\"caption-attachment-287\" style=\"width: 720px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-1797\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Carbohydrate_Metabolism-scaled.jpg\" alt=\"Image shows a diagram of the four stages in cellular respiration: Glycolysis, transition reaction, Kreb's cycle, and the electron transport system.\" width=\"720\" height=\"1122\"><figcaption id=\"caption-attachment-287\" class=\"wp-caption-text\"><em>Figure 4.10.2 Cellular respiration takes place in the stages shown here. The process begins with a molecule of glucose, which has six carbon atoms. What happens to each of these atoms of carbon?<\/em><\/figcaption><\/figure>\n<div>\n<p>&nbsp;<\/p>\n<\/div>\n<div>\n<h1>Cellular Respiration Stage I:\u00a0Glycolysis<\/h1>\n<\/div>\n<p>The first stage of cellular respiration is\u00a0<strong>glycolysis<\/strong>,\u00a0which happens\u00a0in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2319\">cytosol<\/a> of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_1963\">cytoplasm<\/a>.<\/p>\n<h2>Splitting Glucose<\/h2>\n<p>The word\u00a0<em>glycolysis<\/em>\u00a0literally means \u201cglucose splitting,\u201d which is exactly what happens in this stage.\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2345\">Enzymes<\/a>\u00a0split a molecule of glucose into two molecules of pyruvate (also known as pyruvic acid). This occurs in several steps, as summarized in the\u00a0following\u00a0diagram.<\/p>\n<figure id=\"attachment_287\" aria-describedby=\"caption-attachment-287\" style=\"width: 784px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-282\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Glycolysis.png\" alt=\"\" width=\"784\" height=\"523\"><figcaption id=\"caption-attachment-287\" class=\"wp-caption-text\"><em>Figure 4.10.3 Glycolysis is a complex ten-step reaction that ultimately converts glucose into two molecules of pyruvate.\u00a0This releases energy, which is transferred to ATP. How many ATP molecules are made during this stage of cellular respiration?<\/em><\/figcaption><\/figure>\n<h2>Results of Glycolysis<\/h2>\n<p>Energy is needed at the start of glycolysis to split the glucose molecule into two pyruvate molecules which go on to stage II of cellular respiration. The energy needed to split glucose is provided by two molecules of ATP; this is called the energy investment phase. As glycolysis proceeds, energy is released, and the energy is used to make four molecules of ATP; this is the energy harvesting phase. As a result, there is a <em>net gain<\/em> of two ATP molecules during glycolysis. During this stage, high-energy electrons are also transferred to molecules of NAD \u00a0to produce two molecules of NADH, another energy-carrying molecule. NADH is used in stage III of cellular respiration to make more ATP.<\/p>\n<h2>Transition Reaction<\/h2>\n<p>Before pyruvate can enter the next stage of cellular respiration it needs to be modified slightly.\u00a0 The transition reaction is a very short reaction which converts the two molecules of pyruvate to two molecules of acetyl CoA, carbon dioxide, and two high energy electron pairs convert NAD to NADH.\u00a0 The carbon dioxide is released, the acetyl CoA moves to the mitochondria to enter the Kreb's Cycle (stage II), and the NADH carries the high energy electrons to the Electron Transport System (stage III).<\/p>\n<figure id=\"attachment_287\" aria-describedby=\"caption-attachment-287\" style=\"width: 747px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-283\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Transition-Reaction-4-10-14.png\" alt=\"In the transition reaction, two molecules of pyruvate are converted to two molecules of acetyl coA and two molecules of carbon dioxide. The acetyl CoA moves to the Kreb's cycle, the carbon dioxide diffuses out of the cell, and two hydrogen atoms are carried on NADH to the ETS.\" width=\"747\" height=\"485\"><figcaption id=\"caption-attachment-287\" class=\"wp-caption-text\"><em>Figure 4.10.14: During the Transition Reaction, pyruvate is converted to acetyl CoA and carbon dioxide.<\/em><\/figcaption><\/figure>\n<div>\n<h2>Structure of the Mitochondrion<\/h2>\n<\/div>\n<figure id=\"attachment_287\" aria-describedby=\"caption-attachment-287\" style=\"width: 496px\" class=\"wp-caption alignleft\"><img class=\"wp-image-284\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Mitochondrion.png\" alt=\"Image shows a diagram of a mitochondria. Several structures are labelled including cristae, matrix, DNA, intermembrane space, inner membrane, outer membrane, and ATP synthase particles.\" width=\"496\" height=\"341\"><figcaption id=\"caption-attachment-287\" class=\"wp-caption-text\"><em>Figure 4.10.5 Labelled mitochondrion structure. <\/em><\/figcaption><\/figure>\n<p>Before you read about the last two stages of cellular respiration, you need to know more about the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2383\">mitochondrion<\/a>, where these two stages take place. A diagram of a mitochondrion is shown in Figure 4.10.5.<\/p>\n<div>\n<p>The structure of a mitochondrion is defined by an inner and outer membrane. This structure plays an important role in aerobic respiration.<\/p>\n<\/div>\n<p>As you can see from the figure, a mitochondrion has an inner and outer membrane. The space between the inner and outer membrane is called the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2181\">intermembrane space<\/a><\/strong>. The space enclosed by the inner membrane is called the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_1812\">matrix<\/a><\/strong>. The second stage of cellular respiration (the Krebs cycle) takes place in the matrix. The third stage (electron\u00a0transport)\u00a0happens on\u00a0the inner membrane.<\/p>\n<div>\n<h1>Cellular Respiration Stage II: The\u00a0Krebs Cycle<\/h1>\n<\/div>\n<p>Recall that glycolysis produces two molecules of pyruvate (pyruvic acid), which are then converted to acetyl CoA during the short transition reaction. These molecules enter the matrix of a mitochondrion, where they start the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_1805\">Krebs cycle<\/a> <\/strong>(also known as the Citric Acid Cycle). The reason this stage is considered a cycle is because a molecule called oxaloacetate is present at both the beginning and end of this reaction and is used to break down the two molecules of acetyl CoA.\u00a0 The reactions that occur next are shown in Figure 4.10.6.<\/p>\n<figure id=\"attachment_287\" aria-describedby=\"caption-attachment-287\" style=\"width: 835px\" class=\"wp-caption alignnone\"><img class=\"wp-image-285\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/krebs-cycle.png\" alt=\"Image shows a diagram of the reactants and products of the Krebs Cycle. Two molecules of acetyl CoA are converted to 4 carbon dioxide which are released as cellular waste, 2 ATP which are used in the cell for energy, and 8 NADH and 2 FADH2, both of which travel to the ETS.\" width=\"835\" height=\"510\"><figcaption id=\"caption-attachment-287\" class=\"wp-caption-text\"><em>Figure 4.10.6 Reactants and products of the Krebs Cycle.<\/em><\/figcaption><\/figure>\n<div>\n<p><span style=\"font-size: 1.424em;font-weight: bold\">Steps of the Krebs Cycle<\/span><\/p>\n<\/div>\n<p>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_1805\">Krebs cycle<\/a> itself actually begins when acetyl-CoA combines with a four-carbon molecule called OAA (oxaloacetate) (see Figure 4.10.6). This produces citric acid, which has six carbon atoms. This is why the Krebs cycle is also called the citric acid cycle.<\/p>\n<p>After citric acid forms, it goes through a series of reactions that release energy. The energy is captured in molecules of NADH, ATP, and FADH<sub>2<\/sub>, another energy-carrying\u00a0coenzyme. Carbon dioxide is also released as a waste product of these reactions.<\/p>\n<p>The final step of the Krebs cycle <em>regenerates<\/em> OAA, the molecule that began the Krebs cycle. This molecule is needed for the next turn through the cycle. Two turns are needed because glycolysis produces <em>two<\/em> pyruvic acid molecules when it splits glucose.<\/p>\n<h2>Results of the Glycolysis, Transition Reaction and Krebs Cycle<\/h2>\n<p>After glycolysis, transition reaction, and the Krebs cycle, the glucose molecule has been broken down completely. All six of its carbon atoms have combined with oxygen to form carbon dioxide. The energy from its\u00a0chemical bonds\u00a0has been stored in a total of 16 energy-carrier molecules. These molecules are:<\/p>\n<ul>\n<li>4 ATP (2 from glycolysis, 2 from Krebs Cycle)<\/li>\n<li>12 NADH (2 from glycolysis, 2 from transition reaction, and 8 from Krebs cycle)<\/li>\n<li>2 FADH<sub>2 <\/sub>(both from the Krebs cycle)<\/li>\n<\/ul>\n<p>The events of cellular respiration up to this point are\u00a0<span style=\"font-size: 1em\"><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_993\">exergonic reactions<\/a><\/span><span style=\"text-align: initial;font-size: 1em\">- they are releasing energy that had been stored in the bonds of the glucose molecule.\u00a0 This energy will be transferred to the third and final stage of cellular respiration: the Electron Transport System, which is an <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2022\">endergonic reaction<\/a>.\u00a0 Using an exothermic reaction to power an endothermic reaction is known as <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2643\">energy coupling<\/a>.<\/span><\/p>\n<div>\n<h1>Cellular Respiration Stage III:\u00a0Electron Transport Chain<\/h1>\n<\/div>\n<figure id=\"attachment_287\" aria-describedby=\"caption-attachment-287\" style=\"width: 489px\" class=\"wp-caption alignright\"><img class=\"wp-image-286\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/ETC.png\" alt=\"Image shows the reactants and products of the electron transport chain. In this stage, 32 adenosine diphosphate and 32 inorganic phosphates combine to form 32 ATP. In addition, hydrogen and oxygen combine to form 6 molecules of water.\" width=\"489\" height=\"277\"><figcaption id=\"caption-attachment-287\" class=\"wp-caption-text\"><em>Figure 4.10.7. Reactants and products of the electron transport chain.<\/em><\/figcaption><\/figure>\n<p><span style=\"text-align: initial;font-size: 1em\"><span style=\"text-align: initial;font-size: 1em\">\u00a0ETC, the final stage in cellular respiration produces 32 ATP.\u00a0\u00a0<\/span><\/span>The Electron Transport Chain is the final stage of cellular respiration. In this stage, energy being transported by NADH and FADH<sub>2<\/sub>\u00a0is transferred to ATP.\u00a0 In addition, oxygen acts as the final proton acceptor for the hydrogens released from all the NADH and FADH<sub>2<\/sub>, forming water.\u00a0 Figure 4.10.8 shows the reactants and products of the ETC.<\/p>\n<h2>Transporting Electrons<\/h2>\n<p>The <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_1974\">Electron transport chain<\/a><\/strong> is the third stage of cellular respiration and is illustrated in Figure 4.10.8. During this stage, high-energy electrons are released from NADH and FADH<sub>2<\/sub>, and they move along electron-transport chains on the inner membrane of the mitochondrion.\u00a0An electron-transport chain is a series of molecules that transfer electrons from molecule to molecule by\u00a0chemical reactions. Some of the energy from the electrons is used to pump hydrogen ions (H ) across the inner membrane, from the matrix into the intermembrane space. This\u00a0ion\u00a0transfer creates an\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_1817\">electrochemical gradient<\/a>\u00a0that drives the synthesis of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2072\">ATP<\/a>.<\/p>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_287\" aria-describedby=\"caption-attachment-287\" style=\"width: 811px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-287\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/The_Electron_Transport_Chain.jpg\" alt=\"\" width=\"811\" height=\"558\"><figcaption id=\"caption-attachment-287\" class=\"wp-caption-text\"><em>Figure 4.10.8 Electron-transport chains on the inner membrane of the mitochondrion carry out the last stage of cellular respiration.<\/em><\/figcaption><\/figure>\n<div>\n<p><span style=\"font-size: 1.424em;font-weight: bold\">Making ATP<\/span><\/p>\n<\/div>\n<p>As shown in Figure 4.10.8, the pumping of hydrogen ions across the inner membrane creates a greater concentration of the ions in the intermembrane space than in the matrix. This gradient causes the ions to flow back across the membrane into the matrix, where their concentration is lower. ATP synthase acts as a channel protein, helping the hydrogen ions cross the membrane. It also acts as an enzyme, forming ATP from ADP and inorganic phosphate in a process called oxidative phosphorylation. After passing through the electron-transport chain, the \u201cspent\u201d electrons combine with oxygen to form water.<\/p>\n<div>\n<h1>How Much ATP?<\/h1>\n<\/div>\n<p>You have seen how the three stages of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2502\">aerobic respiration<\/a> use the energy in glucose to make <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2072\">ATP<\/a>. How much ATP is produced in all three stages combined? Glycolysis produces two ATP molecules, and the Krebs cycle produces two more. Electron transport begins with several molecules of NADH and FADH<sub>2<\/sub>\u00a0from the Krebs cycle and transfers their energy into as many as 34 more ATP molecules. All told, then, up to 38 molecules of ATP can be produced from just one molecule of glucose in the process of cellular respiration.<\/p>\n<div>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">4.10 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_4905_2305\">Cellular respiration<\/a> is the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_1796\">aerobic<\/a> process by which living cells break down <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_1945\">glucose<\/a> molecules, release energy, and form molecules of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_2072\">ATP<\/a>.\u00a0Generally speaking, this three-stage process involves glucose and oxygen reacting to form carbon dioxide and\u00a0water.<\/li>\n<li>The first stage of cellular respiration, called glycolysis, takes place in the cytoplasm. In this step,\u00a0enzymes\u00a0split a molecule of glucose into two molecules of pyruvate, which releases energy that is transferred to ATP.\u00a0 Following glycolysis, a short reaction called the transition reaction converts the pyruvate into two molecules of acetyl CoA.<\/li>\n<li>The organelle called a mitochondrion is the site of the other two stages of cellular respiration. The mitochondrion has an inner and outer membrane separated by an intermembrane space, and the inner membrane encloses a space called the matrix.<\/li>\n<li>The second stage of cellular respiration, called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_1805\">Krebs cycle<\/a>, takes place in the matrix of a mitochondrion. During this stage, two turns through the cycle result in all of the carbon atoms from the two pyruvate molecules forming carbon dioxide and the energy from their\u00a0chemical bonds\u00a0being stored in a total of 16 energy-carrying molecules (including two from glycolysis and two from transition reaction).<\/li>\n<li>The third and final stage of cellular respiration, called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4905_1974\">electron transport<\/a>, takes place on the inner membrane of the mitochondrion. Electrons are transported from molecule to molecule down an electron-transport chain. Some of the energy from the electrons is used to pump hydrogen ions\u00a0across the membrane, creating an\u00a0electrochemical gradient\u00a0that drives the synthesis of many more molecules of ATP.<\/li>\n<li>In all three stages of cellular respiration combined, as many as 38 molecules of ATP are produced from just one molecule of glucose.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">4.10 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>What is the purpose of cellular respiration? Provide a concise summary of the process.<\/li>\n<li>State what happens during glycolysis.<\/li>\n<li>Describe the structure of a mitochondrion.<\/li>\n<li>What molecule is present at both the beginning and end of the Krebs cycle?<\/li>\n<li>What happens during the electron transport stage of cellular respiration?<\/li>\n<li>How many molecules of ATP can be produced from one molecule of glucose during all three stages of cellular respiration combined?<\/li>\n<li>Do plants undergo cellular respiration? Why or why not?<\/li>\n<li>Explain why the process of cellular respiration described in this section is considered aerobic.<\/li>\n<li>Name three energy-carrying molecules involved in cellular respiration.<\/li>\n<li>\n<div id=\"h5p-26\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-26\" class=\"h5p-iframe\" data-content-id=\"26\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"3.7 True\/False\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Which stage of aerobic cellular respiration produces the most ATP?<\/li>\n<li>\n<div id=\"h5p-25\">\n<div class=\"h5p-content\" data-content-id=\"25\"><\/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\">4.10 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/www.youtube.com\/watch?time_continue=2&amp;amp;v=00jbG_cfGuQ&amp;amp;feature=emb_logo<\/p>\n<p style=\"text-align: center\">ATP &amp; Respiration: Crash Course Biology #7, CrashCourse, 2012.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=4Eo7JtRA7lg&amp;amp;t=3s<\/p>\n<p style=\"text-align: center\">Cellular Respiration and the Mighty Mitochondria, The Amoeba Sisters, 2014.<\/p>\n<\/div>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 4.10.1<\/strong><\/p>\n<p><a href=\"https:\/\/unsplash.com\/photos\/bU7vx56Fn50\" rel=\"cc:attributionURL\">Smores<\/a> by <a href=\"https:\/\/unsplash.com\/@jruscello\">Jessica Ruscello<\/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 4.10.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:2509_Carbohydrate_Metabolism.jpg\" rel=\"cc:attributionURL\">Carbohydrate_Metabolism<\/a> by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/24-2-carbohydrate-metabolism\">OpenStax College<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong>Figure 4.10.3<\/strong><\/p>\n<p>Glycolysis by Christine Miller 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 4.10.4<\/strong><\/p>\n<p>Transition Reaction by Christine Miller 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 4.10.5<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Animal_mitochondrion_diagram_en.svg\" rel=\"cc:attributionURL\">Mitochondrion<\/a>\u00a0by Mariana Ruiz Villarreal [<a title=\"User:LadyofHats\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:LadyofHats\">LadyofHats<\/a>] on Wikimedia Commons is released into the <a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain).<\/p>\n<p><strong>Figure 4.10.6<\/strong><\/p>\n<p>Krebs cycle by Christine Miller 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 4.10.7<\/strong><\/p>\n<p>Electron Transport Chain (ETC) by Christine Miller 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 4.10.8<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:2508_The_Electron_Transport_Chain.jpg\" rel=\"cc:attributionURL\">The_Electron_Transport_Chain<\/a> by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/24-2-carbohydrate-metabolism\">OpenStax College<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<\/div>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">CrashCourse. (2012, March 12). ATP &amp; Respiration: Crash Course Biology #7. YouTube. https:\/\/www.youtube.com\/watch?time_continue=2&amp;amp;v=00jbG_cfGuQ&amp;amp;feature=emb_logo<\/p>\n<p class=\"hanging-indent\"><span class=\"os-title-label\"><span class=\"search-highlight text\" data-timestamp=\"1593971709033\" data-highlight-id=\"be4d62de-64ba-45d3-9e0a-94a6f01c99c3\" data-highlighted=\"true\"><span class=\"search-highlight text focus\" data-timestamp=\"1593971124968\" data-highlight-id=\"cf2748f4-996a-4532-916c-452da1001e7f\" 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). <\/span>Figure\u00a0<\/span><\/span><span class=\"os-number\"><span class=\"search-highlight text\" data-timestamp=\"1593971709033\" data-highlight-id=\"be4d62de-64ba-45d3-9e0a-94a6f01c99c3\" data-highlighted=\"true\">24.8<\/span><\/span><span class=\"os-divider\">\u00a0<\/span><span id=\"15064\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text\" data-timestamp=\"1593971709033\" data-highlight-id=\"be4d62de-64ba-45d3-9e0a-94a6f01c99c3\" data-highlighted=\"true\">Electron Transport Chain [digital image]<\/span><\/span><span class=\"os-caption\"><span class=\"search-highlight text last\" data-timestamp=\"1593971709033\" data-highlight-id=\"be4d62de-64ba-45d3-9e0a-94a6f01c99c3\" data-highlighted=\"true\">. In <em>Anatomy &amp; Physiology, Connexions<\/em> (Section ). OpenStax.\u00a0 https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/24-2-carbohydrate-metabolism<\/span><\/span><\/p>\n<p class=\"hanging-indent\"><span class=\"os-title-label\"><span class=\"search-highlight text focus\" data-timestamp=\"1593971124968\" data-highlight-id=\"cf2748f4-996a-4532-916c-452da1001e7f\" 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 <\/span><\/span><span class=\"os-number\"><span class=\"search-highlight text focus\" data-timestamp=\"1593971124968\" data-highlight-id=\"cf2748f4-996a-4532-916c-452da1001e7f\" data-highlighted=\"true\">24.9<\/span><\/span><span class=\"os-divider\">\u00a0<\/span><span id=\"83491\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text focus\" data-timestamp=\"1593971124968\" data-highlight-id=\"cf2748f4-996a-4532-916c-452da1001e7f\" data-highlighted=\"true\">Carbohydrate Metabolism [digital image]<\/span><\/span><span class=\"os-caption\"><span class=\"search-highlight text last focus\" data-timestamp=\"1593971124968\" data-highlight-id=\"cf2748f4-996a-4532-916c-452da1001e7f\" data-highlighted=\"true\">. <\/span><\/span>In <em>Anatomy &amp; Physiology, Connexions<\/em> (Section 24.2). OpenStax.\u00a0 https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/24-2-carbohydrate-metabolism<\/p>\n<p class=\"hanging-indent\">The Amoeba Sisters. (2014, October 22). Cellular Respiration and the Mighty Mitochondria. YouTube. https:\/\/www.youtube.com\/watch?v=4Eo7JtRA7lg&amp;amp;t=3s<\/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_4905_3942\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3942\"><div tabindex=\"-1\"><p>The transfer of genetic variation from one population to another. If the rate of gene flow is high enough, then two populations are considered to have equivalent allele frequencies and therefore effectively be a single population.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_5837\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_5837\"><div tabindex=\"-1\"><p>The part of a hair that is located within the hair follicle and consists of living keratinocytes.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_5833\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_5833\"><div tabindex=\"-1\"><p>A part of a hair that is visible above the surface of the skin and consists of dead keratinocytes.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_5831\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_5831\"><div tabindex=\"-1\"><p>The outermost part of the hair shaft. It is formed from dead cells, overlapping in layers, which form scales that strengthen and protect the hair shaft.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_5829\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_5829\"><div tabindex=\"-1\"><p>Located between the hair cuticle and medulla and is the thickest hair layer. It also contains most of the hair's pigment, giving the hair its color. The pigment in the cortex is melanin, which is also found in skin.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_5827\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_5827\"><div tabindex=\"-1\"><p>The innermost layer of the hair shaft. This nearly invisible layer is the most soft and fragile, and serves as the pith or marrow of the hair.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_3894\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3894\"><div tabindex=\"-1\"><p>The body system which acts as a chemical messenger system comprising feedback loops of the hormones released by internal glands of an organism directly into the circulatory system, regulating distant target organs. In humans, the major endocrine glands are the thyroid gland and the adrenal glands.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_3895\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3895\"><div tabindex=\"-1\"><p>A division of the autonomic nervous system that controls digestive functions.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_3912\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3912\"><div tabindex=\"-1\"><p>A metabolic process that produces chemical changes in organic substrates through the action of enzymes. In biochemistry, it is narrowly defined as the extraction of energy from carbohydrates in the absence of oxygen.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_5613\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_5613\"><div tabindex=\"-1\"><p>visible part of a nail that is external to the skin<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_3916\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3916\"><div tabindex=\"-1\"><p>A loop system wherein the system responds to a perturbation. The response may be in the same direction (as in positive feedback) or in the opposite direction (as in negative feedback). A feedback mechanism may be observed at the level of cells, organisms, ecosystems, or the biosphere.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_3914\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3914\"><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_4905_3917\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3917\"><div tabindex=\"-1\"><p>The fusion of haploid gametes, egg and sperm, to form the diploid zygote.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_3915\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3915\"><div tabindex=\"-1\"><p>A loop system wherein the system responds to a perturbation. The response may be in the same direction (as in positive feedback) or in the opposite direction (as in negative feedback). A feedback mechanism may be observed at the level of cells, organisms, ecosystems, or the biosphere.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_5605\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_5605\"><div tabindex=\"-1\"><p>A group of diseases involving abnormal cell growth with the potential to invade or spread to other parts of the body.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_3927\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3927\"><div tabindex=\"-1\"><p>A genetic mutation caused by a deletion or insertion in a DNA sequence that shifts the way the sequence is read.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_3931\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3931\"><div tabindex=\"-1\"><p>A mature haploid male or female germ cell which is able to unite with another of the opposite sex in sexual reproduction to form a zygote.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4905_3933\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4905_3933\"><div tabindex=\"-1\"><p>The process whereby a haploid cell (n) is formed from a diploid cell (2n) through meiosis and cell differentiation. Gametogenesis in the male is known as spermatogenesis and produces spermatozoa. Gametogenesis in the female is known as oogenesis and result in the formation of ova.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><\/div>","protected":false},"author":32,"menu_order":8,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":"cc-by-nc"},"chapter-type":[48],"contributor":[],"license":[55],"class_list":["post-4905","chapter","type-chapter","status-publish","hentry","chapter-type-numberless","license-cc-by-nc"],"part":4853,"_links":{"self":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters\/4905","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/users\/32"}],"version-history":[{"count":4,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters\/4905\/revisions"}],"predecessor-version":[{"id":6457,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters\/4905\/revisions\/6457"}],"part":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/parts\/4853"}],"metadata":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters\/4905\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/media?parent=4905"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapter-type?post=4905"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/contributor?post=4905"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/license?post=4905"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}