Anatomy books

Saturday, March 30, 2024

Epidermis of skin : microscopic and clinical anatomy

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Epidermis of skin : microscopic and clinical anatomy 

Skin : It has two  layers  

1.      Epidermis

2.     Dermis

Sometimes, hypodermis consider as third layer of skin contain subcutaneous fat.

Epidermis

It  is the superficial layer of skin which is formed by  keratinized stratified squamous epithelium.

Cells of epidermis:  It is composed of four cell types:

1.      Keratinocytes,

2.     Melanocytes,

3.     Langerhans cells, and

4.     Merkel cells.

The keratinocytes are arranged in five layers, and the remaining three cell types are interspersed between them .

 Five layers of the epidermis: deep to superficial

1. Stratum Basale :

A single layer of cuboidal to columnar cells that stand on the basement membrane. This is a region of cell division.

It also contains melanocytes and Merkel cells.

2. Stratum Spinosum: it is composed by many layers of polyhedral prickle cells bearing intercellular bridges. Mitotic activity is also present.

It also contains Langerhans cells and processes of melanocytes.

3. Stratum Granulosum : it is composed by flattened cells which contain keratohyalin granules.

It is absent as a distinct layer in thin skin.

4. Stratum Lucidum A thin, translucent layer that is also absent in thin skin.

5. Stratum Corneum it is composed of squamous cells packed with keratin. Superfi cial squamous cells  are desquamated.

 

        Location of skin cells and functions

Difference between location, functions & development of different skin cells

Cells of skin

Location

Functions

Development

Keratinocytes

New skin cells develop at the bottom layer of your epidermis (stratum basale) and travel up through the other layers as they get older.

It forms barrier against environmental damage by heat, UV radiation, dehydration, pathogenic bacteria, fungi, parasites, and viruses.

Surface ectoderm

Melanocytes

Stratum basale

Melanocytes are well known for their role in skin pigmentation, and their ability to produce and distribute melanin has been studied extensively

Neural crest

Langerhans cells

Stratum spinosum

These cells act as the outermost guard of the cutaneous immune system and are likely to induce the first reactions against pathogens encountered via the skin

Fetal Langerhans cells from Primitive yolk sac in fetal life , in adult Langerhans cells  from fetal monocytes  

Merkel cells

Stratum basale

It is also known as tactile epithelial cells, which is an  oval-shaped mechanoreceptors essential for light touch sensation

Surface ectoderm

Keratinocytes, reach the outermost layer of your epidermis after about a month, where the skin cells shed from your body as new cells develop at the bottom layer.

Albinism

 It is a congenital disorder characterized by the complete or partial absence of melanin pigmentation in the skin, hair,  iris of eye, and eyelashes.

 It is an autosomal recessive/X -linked disorder. 

 Although the melanocytes are present, but genetic mutation results in lack of tyrosinase enzyme, which catalyzes the production of melanin from tyrosine.

People with albinism have skin that is very sensitive to light and sun. Sunburn is one of the most serious complications of albinism.

This allows light to shine through the irises and makes the eyes extremely sensitive to bright light.

Vitiligo

 It is s a clinical condition with presence of spots without melanin in the skin, which occurs due to partial or complete absence of melanocytes.

Monday, March 25, 2024

Carotid triangle of neck

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Carotid triangle

Anterior triangle of neck contains four triangles; Carotid triangle is one of the subdivisions of it. It name occurs according to the content of it. It contains all the 3 carotid arteries, viz. common carotid, internal carotid and external carotid.

Boundary:

Posteriorly: Anterior border of sternocleidomastoid (SCM) muscle

Superiorly: Posterior belly of digastric and stylohyoid muscle

Antero-inferiorly: Superior belly of omo-hyoid muscle

Roof is covered  by the investing layer of deep cervical fascia.

Contents of carotid triangle

Arteries

1.    Common carotid artery

2.    Internal carotid artery

3.    External carotid arteries: origin of five branches of external carotid artery 

·         Superior thyroid artery

·         Ascending pharyngeal artery

·         Occipital, lingual and

·         Facial arteries.

Veins

·         Internal jugular vein and its tributaries : common facial, lingual, pharyngeal, superior thyroid, middle thyroid veins. 

Nerves:  Last three cranial nerves

1.     Vagus nerve

2.    Hypoglossal nerve

3.    spinal accessory,

4.     ansa cervicalis and

5.    cervical part of the sympathetic chain.

·         Lymph nodes: Deep cervical lymph nodes.

·         Others: Carotid sinus and carotid body.

Development of testis

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 Development of testis

1.          Intermediate mesoderm forms the urogenital ridge, a longitudinal elevation at the dorsal body wall of the fetus.
The coelomic epithelium and underlying mesoderm of the urogenital ridge protifelate to form the gonadal ridge.
The coelomic epithelium forms irregular primary sex cords and incorporative primordial germ cells, which migrate from the wall of the yolk sac.
The primary sex
The development of the testis ord extends deep into the medulla to form medullary cords, which lose their connection to the surface epithelium as the thick tunica albuginea forms in between the medullary cord and coelomic epithelium.

2.       Near the hilum medullary cord break up into network of tiny cell stands that form rete testis

3.       By the 4th month of interuterine life medullary cord is continuous with rete testis

4.       The testis or medullary cord contain and primitive germ cells and sustentacular cell of  sertoli cell which derived from the surface epithelium of genital ridge.

5.       Sertoli cell secrete mullarian inhibiting factor (MIF) which degenerate mullarian duct

6.       Interstitial cell of leydig derive from mesenchyme of genital ridge which derived from intermediate mesoderm ,By the 8th week of gestation leydig cell begin to produce testosterone which influence development of genital duct and external genitalia

7.       The testis or medullary cord of testis remain solid cord until puberty , then it become canalize and known seminiferous tubule, the canal of seminiferous tubules are continuous with rete testis which inturn join with efferent ductile. The efferent ductules and other excretory part of male genital system derived from mesonephric or wolffian duct

Development of ovary

 Development of ovary 

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1.        intermediate mesoderm form urogenital ridge, a longitudinal elevation at the dorsal body wall of fetus

2.       The coelomic epithelium and underlying mesoderm of the urogenital ridge proliferate to form the gonada ridge

3.       The coelomic epithelium forms irregular primary sex cords and incorporate primordial germ cells which migrate from the wall of yolk sac

4.       The primary sex cord extends deep to medulla and dissociate into irregular cell clusters which eventually degenerate and replace by vascular stroma, the ovarian medulla.

5.       The surface epithelium of female gonad unlike that of the male continues to proliferate

6.       In the 7th week of development it produces second generation of cords, cortical cords, which penetrate underlying mesenchyme but remain close to the surface do not extend into medulla.

7.       In the 3rd months, the cortical cords get fragmented and form isolated cell cluster.

8.      Each cell cluster consists of a primordial germ cell in the center surrounded by a layer of celomic epithelial cells

9.       The primordial germ cells form oogonia and coelomic epithelial cells form follicular cells. The resulting structure is called primordial follicles which remain confined in the cortex of the ovary

10.   A large number of primordial follicles are formed during fetal life

11.     No new primordial follicles are formed after birth

12.    The further development of  primordial follicles takes place after puberty

13.    Tunica albuginea formed around the testis but in case ovary tunica albuginea is not formed . the surface epithelium of ovary flattens to form a single layer of cells , called germinal epithelium which is continuous with peritoneum

14.    The connective tissue of ovary derived from mesoderm

Sunday, March 24, 2024

Development of male reproductive system

 

Development of male reproductive system

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When fertilization occurs, the genetic makeup of the male gamete (22X or 22Y) determines the sex of the developing embryo.

The process of sex differentiation is complicated and multigenic.
The most significant one is the Y chromosome gene's sex-determining region (SRY), whereas certain autosomal chromosomal genes are also involved in this process.

On the short arm of Y chromosome Yp11, the SRY gene is located. Male development is influenced by the SRY protein, whereas female development is developed in its absence.

Indifferent gonad

Up to 6 weeks of development, gonads are two longitudinal genital ridges, at the dorsal body wall of embryo which develop from intermediate mesoderm.

The genital ridge is formed by coelomic epithelium and underlying mesoderm. The coelomic epithelium forms irregular sex cords in both male and female embryos, and it is not possible to distinguish between male and female gonads at this stage, so this stage of development is known as indifferent gonads.

By the 12-week mark, the male and female structures of the external genitalia can be differentiated.

By the 20th week, the phenotypical differentiation is complete.

Source of development of gonad

  1. Genital ridge: it is formed by the elevation of the intermediate mesoderm, which is covered by the coelomic epithelium. 
  2. Primordial germ cells

The STY gene produces a protein known as a testis-determining factor.

TDF induces the testis to secrete FGF9, which stimulates the mesonephric duct to penetrate the gonadal ridge.

The SRY gene also produces SF1, which stimulates the differentiation of sertoli and leydig cells, which produce testosterone and Mullarrian-inhibiting factor (MIF), respectively.

In the presence of TDF, testosterone, and MIF, the indifferent gonad will produce a male phenotype.

In the absence of TDF, testosterone, and MIF, the indifferent gonad will produce a female phenotype.

Sequence of development of reproductive system

Gonads > then genital duct formation > then formation of external genitalia

Development and migration of primordial germ cells originate from the epiblast, then migrate through the primitive streak to reach the endodermal cell of the yolk sac close to allantois by the 3rd week. During the 4th week of development, they pass through the dorsal mesentery of the hindgut, and by the 5th week of development, they reach near the genital ridges and start to penetrate the genital ridge by the 6th week.

If primordial germ cells have an inductive influence on the development of the gonad, if they fail to reach the genital ridges, the gonad will not develop.

 

Development of gonads

Development of testis

1.          Intermediate mesoderm forms the urogenital ridge, a longitudinal elevation at the dorsal body wall of the fetus.
The coelomic epithelium and underlying mesoderm of the urogenital ridge protifelate to form the gonadal ridge.
The coelomic epithelium forms irregular primary sex cords and incorporative primordial germ cells, which migrate from the wall of the yolk sac.
The primary sex
The development of the testis ord extends deep into the medulla to form medullary cords, which lose their connection to the surface epithelium as the thick tunica albuginea forms in between the medullary cord and coelomic epithelium.

2.       Near the hilum medullary cord break up into network of tiny cell stands that form rete testis

3.       By the 4th month of interuterine life medullary cord is continuous with rete testis

4.       The testis or medullary cord contain and primitive germ cells and sustentacular cell of  sertoli cell which derived from the surface epithelium of genital ridge.

5.       Sertoli cell secrete mullarian inhibiting factor (MIF) which degenerate mullarian duct

6.       Interstitial cell of leydig derive from mesenchyme of genital ridge which derived from intermediate mesoderm ,By the 8th week of gestation leydig cell begin to produce testosterone which influence development of genital duct and external genitalia

7.       The testis or medullary cord of testis remain solid cord until puberty , then it become canalize and known seminiferous tubule, the canal of seminiferous tubules are continuous with rete testis which inturn join with efferent ductile. The efferent ductules and other excretory part of male genital system derived from mesonephric or wolffian duct

 Relative descent of the testis

The testis originally developed within the abdomen but later descent to scrotum due to disproportionate growth of upper abdomen region away from the pelvic region

The gubernaculum testis a fibrous band extend from testis to scrotum pull the testis

The gubernaculum also pull part of peritoneum with it the processus vaginalis which obliterate later except a remnat of peritoneal sac the tunica vaginalis of the testis

12th week , testis reach inguinal region

28th week, inguinal canal

By 33rd week it reach the scrotum  

Genital duct in male

There are two genital ducts, mesonephric and paramesonephric ducts  are present in both sex at the initial period of development

In case male mesonephric duct is developed but paramesonephric duct mostly degenerate, while in case female para mesonephric duct is developed but mesonephric duct mostly degenerate

Gonads influence the development of genital duct and genitalia.

The Sertoli cell secrete mullarian inhibiting factor (MIF) which inhibit the development of paramesonephric or  mullarian duct

Interstitial cell of leydig derive from mesenchyme of genital ridge which derived from intermediate mesoderm ,

By the 8th week of gestation leydig cell begin to produce testosterone which stimulates the mesonephric ducts to form genital ducts .  Structure derived from mesonephric duct : Efferent ductules, epididymis, vas deferens, seminal vesicle and ejaculatory duct

The paramesonephric duct regress due to presence of Mullarian inhibiting factor secreted from the sertoli cell

The remnant of paramesonephric duct in male: Appendix testis , appendix epididymis,

, The remnant of mesonephric duct in male: paradidymis,

 

Development of external genitalia

Indifferent stage

In the 3rd week of development, mesenchymal cells origining in the region of the primitive streak migrate aroung the cloacal membrane to form a pair of slightly elevated cloacal folds , cranially these folds unit and form genital tubercles , caudally the folds are subdivided into urethral folds anteriorly and anal folds posteriorly .  another pair of swellings lateral to it known as genital swellings

A the end of the 6th week of development it is impossible to distinguish between two sexes.

Development of male external genitalia

Under influence of testosterone genital tubercle is elongated known as phallus which pull urethral folds forward

Phallus forms the (glans penis, corpora cavernosa and corpus spongiosum of penis )

Urethral folds form the ventral part of the penis

The genital swelling form the scrotum