Intracrinology and The Skin
Abstract
The skin, the largest organ in the human body, is composed of a series of androgen-sensitive components that all express the steroidogenic enzymes required to transform dehydroepiandrosterone (DHEA) into dihydrotestosterone (DHT). In fact, in post-menopausal women, all sex steroids made in the skin are from adrenal steroid precursors, especially DHEA. Secretion of this precursor steroid by the adrenals decreases progressively from the age of 30 years to less than 50% of its maximal value at the age of 60 years. DHEA applied topically or by the oral route stimulates sebaceous gland activity, the changes observed being completely blocked in the rat by a pure antiandrogen while a pure antiestrogen has no significant effect, thus indicating a predominant or almost exclusive androgenic effect. In human skin, the enzyme that transforms DHEA into androstenedione is type 1 3β-hydroxysteroid dehydrogenase (type 1 3β-HSD) as revealed by RNase protection and immunocytochemistry. The conversion of androstenedione into testosterone is then catalyzed in the human skin by type 5 17β-HSD. All the epidermal cells and cells of the sebaceous glands are labelled by type 5 17β-HSD. This enzyme is also present at a high level in the hair follicles. Type 1 is the 5α-reductase isoform responsible in human skin for the conversion of testosterone into DHT. In the vagina, on the other hand, DHEA exerts mainly an estrogenic effect, this effect having been demonstrated in the rat as well as in post-menopausal women. On the other hand, in experimental animals as well as in post-menopausal women, DHEA, at physiological doses, does not affect the endometrial epithelium, thus indicating the absence of DHEA-converting enzymes in this tissue, and avoiding the need for progestins when DHEA is used as hormone replacement therapy.
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Human skin predominantly expresses the 3βHSD1 isoform.
“Human skin expresses predominantly the 3βHSD1 isoform [97].”
From Steroidogenesis in the skin: Implications for local immune functions (2013) · cites this paper as [97]
Skin-located formation of estrone from circulating androstenedione can be the main site of estrogen biosynthesis in postmenopausal women, obese individuals, and elderly men.
“The skin-located formation of E1 from circulating androstenedione can be the main site of estrogen biosynthesis in postmenopausal women, obese individuals and elderly men.”
From Steroidogenesis in the skin: Implications for local immune functions (2013) · cites this paper as [97]
Intracrine estrogen production in peripheral tissues in women is around 75% premenopausal and almost 100% postmenopausal, with minor adrenal and ovarian contribution.
“The intracrine production of estrogens in peripheral tissues in women is around 75% in premenopausal and almost 100% in postmenopausal women, with a minor contribution from adrenal and ovarian T and androstenedione [97].”
From Steroidogenesis in the skin: Implications for local immune functions (2013) · cites this paper as [97]
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- Authors
- Labrie, F., Luu-The, V., Labrie, C., Pelletier, G., & El-Alfy, M.
- Affiliations
- Centre hospitalier de l'Université Laval (CA)
- Venue
- Hormone Research in Paediatrics
- Publisher
- S. Karger AG
- Published
- 2000
- Volume
- 54
- Issue
- 5-6
- Pages
- 218-229
- ISSN
- 1663-2818 (ISSN-L)
- 1663-2826
- OpenAlex
- W2026197777
- Cited by
- 128
- References
- 10
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 3 · 2019: 3 · 2018: 3 · 2017: 3 · 2016: 4 · 2015: 8 · 2014: 6 · 2013: 5 · 2012: 8
- FWCI
- 3.10
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Hormone Research in Paediatrics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Estrogen and related hormone effects
- Keywords
- intracrinology, skin, dehydroepiandrosterone, dihydrotestosterone, androgen metabolism, steroidogenic enzymes, 17β-hydroxysteroid dehydrogenase type 5, 5α-reductase, sebaceous glands, epidermis, hair follicle, postmenopausal women, hormone replacement therapy, androgen receptor antagonists, antiestrogens
- MeSH terms
- Androgens, Animals, Dehydroepiandrosterone, Endocrinology, Endometrium, Enzymes, Estrogens, Female, Humans, Skin, Skin Physiological Phenomena, Steroids, Vagina
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