00:01
Now we're going to focus on the epidermis,
which is the upper layer of the skin.
00:06
It is derived from the ectoderm germ layer.
00:10
It is indeed the outer layer of the skin.
00:13
And it's defined as stratified squamous
epithelium.
00:17
Stratified means there's different layers.
00:19
And squamous is referring to the type of
cells that we see in the epithelium.
00:24
The epidermis is totally avascular meaning
that there's no blood vessels.
00:30
And it depends on the underlying dermis for
nutrient delivery and waste disposal.
00:37
Now let's look at the epidermis.
00:39
Just zoning on the epidermis.
00:41
And look at the types of cells that we see
within the epidermis.
00:45
Ap the upper layer.
00:46
There are four different cell types.
00:48
Within the epidermis.
00:49
There's keratinocytes which make the major
composition of the of the epidermis.
00:54
That is 95% of the cells are keratinocytes.
00:57
And then we have melanocytes which produce
melanin.
01:01
And we've got merkel cells and Langerhans
cells.
01:04
We're going to talk about each of these
cells in my discussion later.
01:07
So we are now zoning in on the
keratinocytes.
01:12
These are keratinocytes as I mentioned.
01:14
They make 95% of the epidermis.
01:18
The majority of the cells that we see and
they are rich with keratin hence the name
keratinocytes. It means they are full of
keratin.
01:27
They are stacked in layers of increasingly
mature states.
01:31
That's why we also call them stratified.
01:34
It's layers of keratinocytes.
01:39
Now we're moving on to the second cell which
is called melanocytes the melanocytes.
01:45
These are pigment production cells that we
find in the basal layer of the epidermis.
01:55
The third cell type is the merkel cell which
you also find in the epidermis.
01:59
What does it do?
It acts as a A kind of receptor, and it's
part of the basal layer, which is a lower
layer of the epidermis.
02:08
It is associated with dermal nerve fibers.
02:11
And these are the cells that help us to feel
and touch.
02:17
The last cell that I'm going to talk about.
02:19
Within the epidermis are the Langerhans
cells.
02:22
Langerhans cells.
02:24
These are derived from the bone marrow.
02:26
And they are important in the immunological
function of the skin.
02:33
They act as surveillance, checking the
viruses, the bacteria and infection that's
coming to invade the skin right now.
02:43
Let's move on to the layers of the
epidermis.
02:46
We spoke about the different layers of the
skin.
02:49
We covered the different types of the cells
that we see in the epidermis.
02:54
Now we're moving on to the layers of the
skin that is the epidermis.
02:59
We've got the stratum basale, meaning the
basal layer, the stratum spinosum because
you've got spinal cells in this area.
03:08
We also have thirdly the stratum granulosum
because we've got this layer that's got
granules. Hence stratum granulosum.
03:15
And then stratum lucidum is the clear layer
of the epidermis.
03:19
And lastly the upper layer which is the
stratum corneum because it's got cells called
corneocytes. Now let's zoom in on the
stratum basale or germinative layer.
03:32
It's one row of cuboidal cells that is
attached to the basement membrane of the
skin, and the basement membrane separates
the epidermis and the dermis.
03:41
And you can see the stratum basale.
03:45
The second layer is the stratum spinosum or
the squamous layer, the squamous layer.
03:50
Because it contains the squamous cells, it
is the thickest layer with irregular
polyhedral keratinocytes.
03:58
And you can see those cells, you know,
dispersed along the epidermis.
04:04
The third layer is the stratum granulosum
granulosum granular layer.
04:10
Why? Because it is characterized by the
presence of granules within the cytoplasm of
keratohyalin granules, and that gives it the
name stratum granulosum.
04:23
The fourth layer is the stratum lucidum, as
I mentioned.
04:26
Lucidum means clear cell layer.
04:29
This is a thin layer of anuclear cells,
meaning they do not have any nucleus, and the
whole cytoplasm is packed with keratin and
it can only be seen in the thicker skin, that
is, the palms and the soles.
04:44
These are the only areas in the skin where
you have the stratum lucidum, and you can
imagine it's thick.
04:50
We use our hands. We use our feet.
04:51
We need that functional functionality.
04:55
And then the stratum corneum is the horny
layer of the skin.
04:59
It is the most superficial layer and is
composed of dead anucleated flattened
Keratinocytes or squames that are being
sloughed from the surface when your skin
scales or peels off.
05:13
This is a layer that is actually being
removed by the normal physiology of the skin.
05:20
Okay. Now let's see what happens when
there's a disorder of some of these cells
that we've spoken about.
05:28
We spoke about the basal layer.
05:30
So we start from the basal layer.
05:32
When we have an abnormality in the stratum
basale, you get a condition called basal cell
carcinoma, as the name says, basal cell
carcinoma.
05:42
And this cancer tends to occur in white
patients and people with albinism because of
changes that are induced by ultraviolet
rays.
05:54
In black people, it is called pigmented
basal cell carcinoma.
05:59
Because of the pigment that we find in
patients with dark skin.
06:03
We will talk about this later on and explain
how that happens.
06:07
We also spoke about the stratum spinosum,
and what happens when you've got a problem
with the stratum spinosum cells.
06:14
We get a condition called squamous cell
carcinoma.
06:17
And as the name says these are squamous.
06:20
I mentioned that to you. Squamous cells.
06:22
So if you have a defect or a problem then
you have squamous cell carcinoma.
06:28
And this we see again mainly in people with
less pigment that is the white patients or
Caucasian patients as well as patients with
albinism because they lack melanin.
06:40
Stratum corneum also spoke about that as one
of the layers.
06:43
And when there's a defect in the stratum
corneum, which is responsible for making sure
of thermoregulation and the skin barrier of
the skin, we get a condition called atopic
eczema because this area is defective.
06:59
And of course, there are other causes that
are implicated, like genetic types as well as
lipids.