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The epidermis is the thin, outer layer of the skin that is visible to the eye and works to provide protection to the body. It does not contain any blood vessels and is, therefore, dependent on the dermis, the layer of the skin underneath it, to provide access to nutrients and dispose of waste.
Keratinocytes are the most common type of cell in the epidermis and are responsible for the synthesis of the protein keratin. These cells exist in progressive stages of differentiation from the deepest to the superficial layers of cells. They originate from the basal layer, which is the deepest layer of the epidermis, and gradually move up to the outside layer of the epidermis. Here they are shed from the skin and replaced by new maturing cells.
Melanocytes are another type of cell in the epidermis, which are present throughout the basal layer of the epidermis. These cells are responsible for the production of melanin, which contributes to the color of the skin of the individual. It also helps to protect the body from ultraviolet radiation present in sunlight that can damage the DNA of the skin cells.
Langerhans cells produced in the bone marrow are also present in the epidermis and work to detect foreign substances and infections, as a part of the immune system of the skin. These cells are also thought to be involved in the development of skin allergies.
Merkel cells originate from neural crest cells and are responsible for the perception of gentle touch. They are present in the epidermis in specific areas of the skin, such as the nail beds and genitalia.
The epidermis consists of stratified, squamous epithelial cells. There are four layers of the epidermis, according to the maturation of the cells:
The stratum germinativum is the innermost layer, which adjoins the dermal layer of skin, and where the keratinocyte cells originate. The stratum corneum is the outermost layer, which is relatively waterproof and prevents the entry of bacteria, viruses and other foreign substances into the body.
The thickness of the epidermis depends on the level of protection required by that area of the body. For example, the palms of the hands and the soles of the feet have a significantly thicker layer of keratin in the epidermis, up to 2.3 mm. This protects the body from the high impact to which these areas of the body are subject. In contrast, the thickness of the epidermis on the eyelids is approximately 0.05 mm thick.
All layers of the skin, including the epidermis, are responsible for the protection of the body, including internal organs, muscles, nerves, and blood vessels. Some roles of the epidermis include:
As there is no direct blood supply to the epidermis, it relies on the underlying layer of skin, the dermis, for the supply of nutrients and disposal of waste products. This occurs via a process of diffusion through the dermoepidermal junction, which lies just below the stratum germinativum of the epidermis.
Reviewed from Liji Thomas, MD.