Effect of dermal tumours on temperature distribution in skin with variable blood flow

Several investigations have been made for the heat flow problems in skin and subdermal tissues under normal physiological and atmospheric conditions. This paper considers the existence of a malignant tumour in the underlying tissues of epidermis of a human body. The surrounding tissues are assumed to have normal physiological functions, namely self-controlled metabolic activity, variable blood flow and perspiration. For the malignant portion the metabolic activity is taken to be continuous and uncontrolled. The effect of this factor is studied on the temperature profiles of the skin.     

The effect of heat conditioning of the primary area before and after induction of hyperalgesia by topical/intradermal capsaicin or by controlled heat injury

The aim of the present study was to test the effect of heat conditioning before and after the induction of hyperalgesia. Three different methods were used for induction of hyperalgesia, topical capsaicin, intradermal capsaicin injection, and a controlled heat injury. The vascular (blood flow and skin temperature) and sensory changes (area of secondary hyperalgesia and ongoing pain) associated with the cutaneous hyperalgesia were compared. Each experiment consisted of two randomized sessions separated by at least 2 days. In one session, pre-conditioning of the skin by heat was performed 30 min before the induction of hyperalgesia using a probe at 45°C for 5 min in the center of the expected primary hyperalgesic area. After the induction of hyperalgesia, heat conditioning was performed twice in the center of the primary hyperalgesic area using a temperature of 2°C above the present individual pain threshold. On the contra-lateral arm, no heat conditioning was applied while hyperalgesia was induced using the same method. This session was evaluated as a control. The preconditioning induced an increased skin temperature in the primary area for both topical capsaicin and the controlled heat injury. Postconditioning caused increased blood flow in the secondary hyperalgesic area for the topical capsaicin method and increased blood flow in the primary hyperalgesic area for the controlled heat injury method. However, conditioning with heat in an attempt to increase the C-fiber input did not have any effect on the ongoing pain ratings and sensory test results in any of the methods. The results of the present study suggest that there is still a need for a better experimental model with more stable allodynia both between sessions and between subjects while at the same time minimizing discomfort to the volunteer.     

Errors in heat flux measurements due to the thermal resistance of heat flux disks

Questions have been raised regarding the effect of the thermal resistance of heat flux transducers (HFTs) on the thermal flux from the skin. A model capable of simulating a large range of "tissue" insulation (variable-R model) was used to study the effect of the underlying tissue insulation on the relative error in heat flux due to the thermal resistance of the HFTs. The data show that the deviation from the true value of heat flux increases as the insulation of the underlying tissue decreases (r = 0.99, P less than 0.001). The underestimation of the heat flux through the skin measured by an HFT is minimal when the device is used on vasoconstricted skin in cool subjects (3-13% error) but becomes important when used during vasodilation in warm subjects (29-35% error) and even more important on metallic-skin mannequins (greater than 60% error).     

Morphogenetic interactions between rotated skin cuffs and underlying stump tissues in regenerating axolotl forelimbs

Rotation of skin cuffs 180° around the longitudinal axis of the underlying tissues in the axolotl forelimb results in a high percentage of multiple regenerates after amputation through the rotated skin. Similar results occur after rotation of only the anteroposterior (A-P) axis of the skin. Rotation of only the proximodistal (Pr-Ds) axis of the skin results in normal regenerates whereas dorsoventral (D-V) axial skin rotation results in single regenerates with some disturbances in symmetry. Rotation of anterior or posterior half cuffs of skin produces results similar to those obtained after A-P rotation of full skin cuffs, and rotation of dorsal or ventral skin halves duplicates the results obtained by rotating full skin cuffs about the D-V axis. Skin cuffs rotated for periods from 6 months to over 2 years before amputation are also capable of causing multiple regenerates to form. No significant difference in the percentage of multiple regenerates was seen after skin rotation and limb amputation through shoulder, upper arm, and forearm levels. X-Radiation (4000 r) of either the skin or underlying tissues before skin rotation resulted in single regenerates after amputation. If a strip of normal skin was turned perpendicularly to the long axis of the irradiated underlying stump tissues, the regenerative response was blocked. In some of the above experiments, regenerates with longitudinally duplicated upper arm and forearm segments appeared. It is postulated that normally both the skin and the underlying limb tissues can influence morphogenesis during regeneration and that they work in harmony. In contrast, rotated skin and the underlying tissues each exert a morphogenetic influence upon the regenerating limb, and the regenerate is not able to integrate these disharmonious influences. This is reflected in the highly abnormal morphology of the regenerates. The nature of the morphogenetic influence disrupted by skin rotation is not yet known.     

Sex chromatin analysis of lymphocytes invading host organs in transfusion-associated graft-versus-host disease

We report a method of sex chromatin analysis of lymphocytes separated from host organs in transfusion-associated graft-versus-host disease (GVHD), which enabled the demonstration of invasion by donor lymphocytes. The lymphocytes examined were separated from deparaffinized tissue blocks of skin, spleen and bone marrow from two female patients with transfusion-associated GVHD by incubation in 0.5% pepsin. The tissues had been removed at autopsy and fixed in formalin. Sex chromatin analysis was performed by fluorescence microscopy on separated lymphocytes stained with 0.005% quinacrine dihydrochloride. By this means Y chromatin-positive (i.e. male) lymphocytes were demonstrated in the skin, spleen and bone marrow of both female patients.     

Sex chromatin analysis of lymphocytes invading host organs in transfusion-associated graft-versus-host disease

We report a method of sex chromatin analysis of lymphocytes separated from host organs in transfusion-associated graft-versus-host disease (GVHD), which enabled the demonstration of invasion by donor lymphocytes. The lymphocytes examined were separated from deparaffinized tissue blocks of skin, spleen and bone marrow from two female patients with transfusion-associated GVHD by incubation in 0.5% pepsin. The tissues had been removed at autopsy and fixed in formalin. Sex chromatin analysis was performed by fluorescence microscopy on separated lymphocytes stained with 0.005% quinacrine dihydrochloride. By this means Y chromatin-positive (i.e. male) lymphocytes were demonstrated in the skin, spleen and bone marrow of both female patients.     

Development of the Mouse Dermal Adipose Layer Occurs Independently of Subcutaneous Adipose Tissue and Is Marked by Restricted Early Expression of FABP4

The laboratory mouse is a key animal model for studies of adipose biology, metabolism and disease, yet the developmental changes that occur in tissues and cells that become the adipose layer in mouse skin have received little attention. Moreover, the terminology around this adipose body is often confusing, as frequently no distinction is made between adipose tissue within the skin, and so called subcutaneous fat. Here adipocyte development in mouse dorsal skin was investigated from before birth to the end of the first hair follicle growth cycle. Using Oil Red O staining, immunohistochemistry, quantitative RT-PCR and TUNEL staining we confirmed previous observations of a close spatio-temporal link between hair follicle development and the process of adipogenesis. However, unlike previous studies, we observed that the skin adipose layer was created from cells within the lower dermis. By day 16 of embryonic development (e16) the lower dermis was demarcated from the upper dermal layer, and commitment to adipogenesis in the lower dermis was signalled by expression of FABP4, a marker of adipocyte differentiation. In mature mice the skin adipose layer is separated from underlying subcutaneous adipose tissue by the panniculus carnosus. We observed that the skin adipose tissue did not combine or intermix with subcutaneous adipose tissue at any developmental time point. By transplanting skin isolated from e14.5 mice (prior to the start of adipogenesis), under the kidney capsule of adult mice, we showed that skin adipose tissue develops independently and without influence from subcutaneous depots. This study has reinforced the developmental link between hair follicles and skin adipocyte biology. We argue that because skin adipocytes develop from cells within the dermis and independently from subcutaneous adipose tissue, that it is accurately termed dermal adipose tissue and that, in laboratory mice at least, it represents a separate adipose depot.     

A canine thermal model for simulating temperature responses of military working dogs

Military working dogs (MWDs) are often required to operate in dangerous or extreme environments, to include hot and humid climate conditions. These scenarios can put MWD at significant risk of heat injury. To address this concern, a two-compartment (core, skin) rational thermophysiological model was developed to predict the temperature of a MWD during rest, exercise, and recovery. The Canine Thermal Model (CTM) uses inputs of MWD mass and length to determine a basal metabolic rate and body surface area. These calculations are used along with time series inputs of environmental conditions (air temperature, relative humidity, solar radiation and wind velocity) and level of metabolic intensity (MET) to predict MWD thermoregulatory responses. Default initial values of core and skin temperatures are set at neutral values representative of an average MWD; however, these can be adjusted to match known or expected individual temperatures. The rational principles of the CTM describe the heat exchange from the metabolic energy of the core compartment to the skin compartment by passive conduction as well as the application of an active control for skin blood flow and to tongue and lingual tissues. The CTM also mathematically describes heat loss directly to the environment via respiration, including panting. Thermal insulation properties of MWD fur are also used to influence heat loss from skin and gain from the environment. This paper describes the CTM in detail, outlining the equations used to calculate avenues of heat transfer (convective, conductive, radiative and evaporative), overall heat storage, and predicted responses of the MWD. Additionally, this paper outlines examples of how the CTM can be used to predict recovery from exertional heat strain, plan work/rest cycles, and estimate work duration to avoid overheating.     

Prediction of temperature profiles in the human skin and subcutaneous tissues

Exact mathematical solutions in terms of confluent hypergeometric and Airy's functions are obtained to study the steady state temperature distributions in human skin and subcutaneous tissues (SST). It is assumed that the skin is exposed to an air environment and heat transfer from the skin occurs by convection, radiation and evaporation. A mathematical model of the SST, accounting for heat conduction, perfusion of the capillary beds and metabolic heat productions of the dermis and subcutaneous tissues, has been solved to obtain interface temperatures for a wide range of environmental temperatures, rates of evaporation of sweat, wind speeds and relative humidities. The solutions provide inter-relationships between interface temperatures, thermal conductivities, metabolic heat production, blood perfusion, thicknesses of various layers of SST and ambient temperature.     

Galerkin's finite element-Laplace transform technique to transient heat migration in human skin and subcutaneous tissues

Galerkin's finite element-Laplace transform technique (GAFELTTE) has been used to study transient temperature distribution in human skin and subcutaneous tissues. This study incorporates heat conduction, heat carried by perfusion of blood in the capillary beds and metabolic heat generation in the tissues. Different values of various quantities have been considered in all three parts, namely epidermis, dermis and subcutaneous tissues, depending on physiological considerations. The GAFELTTE provides interface temperatures for a wide range of the values of skin surface temperatures. These values have been used to obtain temperature profiles in the region considered. Steady-state temperature distribution has been deduced from the solution obtained by GAFELTTE and has been compared with the results obtained by using different methods.     

Body segment differences in surface area, skin temperature and 3D displacement and the estimation of heat balance during locomotion in hominins

The conventional method of estimating heat balance during locomotion in humans and other hominins treats the body as an undifferentiated mass. This is problematic because the segments of the body differ with respect to several variables that can affect thermoregulation. Here, we report a study that investigated the impact on heat balance during locomotion of inter-segment differences in three of these variables: surface area, skin temperature and rate of movement. The approach adopted in the study was to generate heat balance estimates with the conventional method and then compare them with heat balance estimates generated with a method that takes into account inter-segment differences in surface area, skin temperature and rate of movement. We reasoned that, if the hypothesis that inter-segment differences in surface area, skin temperature and rate of movement affect heat balance during locomotion is correct, the estimates yielded by the two methods should be statistically significantly different. Anthropometric data were collected on seven adult male volunteers. The volunteers then walked on a treadmill at 1.2 m/s while 3D motion capture cameras recorded their movements. Next, the conventional and segmented methods were used to estimate the volunteers' heat balance while walking in four ambient temperatures. Lastly, the estimates produced with the two methods were compared with the paired t-test. The estimates of heat balance during locomotion yielded by the two methods are significantly different. Those yielded by the segmented method are significantly lower than those produced by the conventional method. Accordingly, the study supports the hypothesis that inter-segment differences in surface area, skin temperature and rate of movement impact heat balance during locomotion. This has important implications not only for current understanding of heat balance during locomotion in hominins but also for how future research on this topic should be approached.     

Effects of blood flow,curved boundary and environmental conditions on temperature distribution in a two dimensional model of human skin and subcutaneous tissues

A mathematical model for the study of the effects of blood flow, metabolic heat production, various environmental conditions and the presence of a curved boundary on the temperature distribution (TD) in a two dimensional model of human skin and subcutaneous tissues (SST) is presented. Based on physiological properties, the interfaces between epidermis-dermis (IED) and dermis-subcutaneous tissues (IDS) have been considered to be irregular and the regions of these layers have been divided into 109 triangular elements of various sizes which are connected with each other by 70 nodes. The results computed from this thermobiological mathematical model, using Galerkin's finite element technique, have been exhibited graphically. The effects of various environmental conditions, blood flow and metabolic heat production are found to be nonuniform on TD at the nodes situated at the same depth in SST. This nonuniformity in TD almost disappears at the nodes situated in dermis nearest to IDS except for the two of the six combinations, considered in the present study, in which highest values of blood flow and metabolic heat production have been considered. The rate of fall of temperature with respect to thickness (towards the skin surface) is higher at the straight boundary (SB) than at the curved boundary (CB). The temperature increases with respect to width (from SB to CB) in epidermis and dermis but decreases in subcutaneous tissues. This increase or decrease of temperature is more pronounced at the nodes situated near to, or at CB. The trend of these temperature profiles in SST reflects the dependence of TD not only on the environmental conditions and biophysical variables but also on the geometry of SST.     

Measuring the effects of heat wave episodes on the human body’s thermal balance

During the peak of an extensive heat wave episode on 23–25 July 2007, simultaneous thermophysiological measurements were made in two non-acclimated healthy adults of different sex in a suburban area of Greater Athens, Greece. Based on experimental measurements of mean skin temperature and metabolic heat production, heat fluxes to and from the human body were calculated, and the biometeorological index heat load (HL) produced was determined according to the heat balance equation. Comparing experimental values with those derived from theoretical estimates revealed a great heat stress for both individuals, especially the male, while theoretical values underestimated heat stress. The study also revealed that thermophysiological factors, such as mean skin temperature and metabolic heat production, play an important role in determining heat fluxes patterns in the heat balance equation. The theoretical values of mean skin temperature as derived from an empirical equation may not be appropriate to describe the changes that take place in a non-acclimated individual. Furthermore, the changes in metabolic heat production were significant even for standard activity.     

The size of a melanin-based plumage ornament correlates with glucocorticoid receptor concentrations in the skin of that ornament

Glucocorticoid hormones such as corticosterone (CORT) play crucial roles in many physiological processes. CORT''s actions are primarily mediated via binding to two receptors (glucocorticoid receptors (GRs) and mineralocorticoid receptors (MRs)) in different target tissues. CORT receptors can be independently regulated from circulating hormone titres, from tissue to tissue and even within different regions of the same tissue type. Increasing evidence has shown relationships between circulating CORT and melanin-based pigmentation in skin and feathers, yet to our knowledge, there have been no studies of CORT receptors in the skin of melanized ornaments. Male house sparrows (Passer domesticus) have a black, melanized bib, and evidence suggests that bib size is an important intraspecific signal. We examined the relationship between bib area and tissue sensitivity to CORT by quantifying GR and MR in bib skin and in adjacent paler-feathered belly skin (as a control tissue) at different life-history stages using radioligand binding assays. Males with larger bibs relative to their life-history stage had less GR in bib skin, but not belly skin, than males with smaller bibs. These results suggest a connection between the size of a melanin-based ornament and the underlying tissue''s responsiveness to CORT.     

Modulation of skin sensitivity by dynamic and isometric exercise in man

The effect of dynamic cycle ergometer exercise and isometric leg exercise on skin sensitivity was studied in man. Exercise was performed at different loads. Cutaneous sensitivity to innocuous and noxious thermal stimuli was tested using a contact thermostimulator and sensitivity to tactile stimuli was tested using electrical stimuli. During isometric exercise a segmental (the exercising limb), but not a multisegmental, phasic decrease of cutaneous thermal sensitivity to innocuous stimuli was found. At the isometric forces used the effect on tactile and heat pain sensitivity was not significant. During dynamic exercise a multisegmental, load-dependent decrease of sensitivity in all tested sensory modalities was found and this attenuation disappeared gradually after the end of exercise. In contrast to isometric exercise, the decrease of sensitivity produced by dynamic exercise was most evident in tactile sensitivity. The size of the stimulus area (7.9 vs 11.8 cm2) did not have a significant effect on the magnitude of the exercise-induced decrease of cutaneous thermal sensitivity to innocuous stimuli. It was concluded that underlying the modulation of skin sensitivity by dynamic and isometric exercise were mechanisms that were different, at least to a small extent. Isometric exercise produced a segmental modulation of skin sensitivity due to central neuronal mechanisms, independent of exercise-induced stress. Exercise-induced stress could have caused the modulation of skin sensitivity by dynamic exercise.     

Sensory reinnervation and sensibility in skin transplants

Reinnervation and sensibility were investigated in patients previously subjected to split thickness skin transplantation after excision of skin and subcutaneous fat for treatment of malignant melanoma. All patients except one showed poor sensibility and no neurofilament positive sensory nerve fibres were detected. Most patients had heat and pain sensibility but with a higher threshold than on the control side. It is suggested that this heat pain sensibility is mediated from nerve fibres in the underlying tissue. In one patient, however, sensibility was encountered and in this patient neurofilament positive sensory nerve fibres were observed in the dermis and epidermis.     

Ongoing Growth Challenges Fruit Skin Integrity

As a result of continuing volume and hence surface-area growth, the skins of most fruit species suffer ongoing strain throughout development. Maintenance of surface integrity is essential to protect the underlying tissues from desiccation and pathogen attack. Fruit skins are commonly “primary” in structure. They comprise a polymeric cuticle overlying an epidermis and a hypodermis. The cuticle is responsible for the skin's barrier function and the cellular layers for the skin's load-bearing functions. Skin failure can be just of the cuticle layer (microcracking) resulting in barrier impairment or it can involve cuticle and cellular layers (macrocracking) resulting in both barrier and structural impairment. Fruit skin failure is associated with a number of disorders including shriveling, cracking, russeting, and skin spots. All result in reduced market value. Our objective is to review the literature on the strategies adopted by fruit to cope with the challenge of continuing skin expansion. We uncover a multistep strategy to prevent or minimize the risk of fruit skin failure. This comprises: (1) area expansion of the load-bearing skin-cell layer(s) by ongoing cell division and (2) the avoidance of skin stress or strain concentrations by matching patterns of skin-cell division to those of area expansion. Also involved, (3) are the partitioning of cuticle strain into plastic and viscoelastic components at the expense of the elastic one. For this, wax and cutin are deposited in the cuticle during growth. Wax and cutin deposition “fix” the strain in the cuticle. Cutin is preferentially deposited on the inner surface of the cuticle, which fixes the strain, but it leaves the outer cuticle surface more strained. Last, (4) if the primary skin is damaged, the barrier functions are restored by the formation of a “secondary” fruit surface (periderm). Lignin can also be used to strengthen the underlying cells following structural failure.     

Menstrual variations in thermal properties of the human breast.

Menstrual variations in breast skin temperature (Tbr), heat flow (HF), volume (Vol), surface area (A), and core temperature (Tre) have been measured in 13 women. Measurements were made twice weekly on resting subjects throughout one cycle. Twelve of thirteen subjects showed increased Vol and A during the second half of the menstrual cycle; six also showed a minor peak prior to the midcycle rise in Tre. Eight of thirteen subjects had significant peaks in Tbr which preceded the estimated day of ovulation. Breast HF was generally low during the first half of the cycle, rising following estimated ovulation. Analysis of core-to-breast conductance indicates that a decrease in resistance to heat transfer occurs both during the luteal phase and at the Tbr peak. It is hypothesized that the control mechanism underlying the Tbr peak is independent of that controlling the postovulatory increases in Vol, HF, and Tre.     

The effect of shear forces externally applied to skin surface on underlying tissues

The effects of shear forces externally applied to the skin surface on the underlying tissues have been investigated. An analysis of the internal stresses and strains was conducted using a simplified model incorporating elasticity theory. Skin blood flow was measured using laser Doppler flowmetry while variable shear forces over a range of 0–250g were applied to the skin surface. The theoretical model predicts that the application of surface shear forces alters the internal stress distribution and makes the shear and compressive components of stresses increase ahead of the surface force application point. The force resulting from concomitant application of shear and normal force determines the internal maximum stress and strain. Theoretically, the shear force should have the same effects on the underlying tissues as normal force. The experimental investigations revealed that the skin blood flow decreased roughly linearly with the increase of shear forces. When a shear force equal to the normal force was applied, the flux decreased by 45%, nearly equal to the increasing magnitude (41%) of resultant of normal and shear forces.     

Temperatures of skin, subcutaneous tissue, muscle and core in resting men in cold, comfortable and hot conditions

To examine the core-shell model of temperature distribution and the possible role of subcutaneous temperature in heat regulation, comprehensive temperature measurements were made on six nude resting men exposed for 2-3 h to comfort (27 degrees C), cold (15 degrees C) and heat (45 degrees C). Cold produced strong shivering and heat caused heavy sweating. Temperatures were recorded every 10 min from: esophagus, rectum and auditory canal; back muscle and thigh muscle at 20 mm and 40 mm depths; 6 subcutaneous sites; and 16 skin sites. Average temperatures at these 29 sites were tabulated at the ends of comfort, hot and cold and the onsets of sweating and shivering. Body temperature changes were slow to develop, the skin temperatures being fastest, and successively deeper tissues progressively slower. There was occasional after-drop and after-rise. The data were consistent with the core-shell concept. The temperature gradient from subcutaneous tissue to skin, which differed substantially with comfort, the onset of shivering and the onset of sweating, could serve as a regulatory signal. The data are now in computer format and may be of interest to biothermal modelers.