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The role of estrogen deficiency in skin ageing and wound healing
Abstract
The links between hormonal signalling and lifespan have been well documented in a range of model organisms. For example, in C. elegans or D. melanogaster, lifespan can be modulated by ablating germline cells, or manipulating reproductive history or pregnenolone signalling. In mammalian systems, however, hormonal contribution to longevity is less well understood. With increasing age human steroid hormone profiles change substantially, particularly following menopause in women. This article reviews recent links between steroid sex hormones and ageing, with special emphasis on the skin and wound repair. Estrogen, which substantially decreases with advancing age in both males and females, protects against multiple aspects of cellular ageing in rodent models, including oxidative damage, telomere shortening and cellular senescence. Estrogen's effects are particularly pronounced in the skin where cutaneous changes post-menopause are well documented, and can be partially reversed by classical Hormone Replacement Therapy (HRT). Our research shows that while chronological ageing has clear effects on skin wound healing, falling estrogen levels are the principle mediator of these effects. Thus, both HRT and topical estrogen replacement substantially accelerate healing in elderly humans, but are associated with unwanted deleterious effects, particularly cancer promotion. In fact, much current research effort is being invested in exploring the therapeutic potential of estrogen signalling manipulation to reverse age-associated pathology in peripheral tissues. In the case of the skin the differential targeting of estrogen receptors to promote healing in aged subjects is a real therapeutic possibility.
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“Falling estrogen levels, for instance, may be the principal cause of age-related healing impairment in both males and females (112).”
From Wound repair and regeneration: Mechanisms, signaling, and translation (2014) · cites this paper as [112]
In the citing paper
“Hormones, particularly estrogens and androgens, are contributing factors in aging and have been implicated as regulators of wound healing in experimental models and patients (112, 163, 172, 173).”
From Wound repair and regeneration: Mechanisms, signaling, and translation (2014) · cites this paper as [112]
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Metadata
- Authors
- Emmerson, E., & Hardman, M. J.
- Affiliations
- University of Manchester (GB)
- Corresponding author
- Hardman, Matthew J.
- Venue
- Biogerontology
- Published
- 2011-03-03
- Volume
- 13
- Issue
- 1
- Pages
- 3-20
- ISSN
- 1389-5729 (ISSN-L)
- 1573-6768
- OpenAlex
- W2113848670
- Cited by
- 118
- References
- 416
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 7 · 2023: 11 · 2022: 6 · 2021: 6 · 2020: 4 · 2019: 6 · 2018: 7 · 2017: 10 · 2016: 12 · 2015: 7 · 2014: 14 · 2013: 6 · 2012: 8
- FWCI
- 9.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Biogerontology (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (submittedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Wound Healing and Treatments
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Endocrinology › Estrogen and related hormone effects
- Keywords
- estrogen deficiency, skin aging, wound healing, menopause, hormone replacement therapy, topical estrogen, estrogen receptor, cellular senescence, telomere shortening, oxidative damage, cancer risk
- MeSH terms
- Estrogens, Female, Humans, Menopause, Wound Healing, Skin Aging
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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