Human skin: an independent peripheral endocrine organ
Abstract
The historical picture of the endocrine system as a set of discrete hormone-producing organs has been substituted by organs regarded as organized communities in which the cells emit, receive and coordinate molecular signals from established endocrine organs, other distant sources, their neighbors, and themselves. In this wide sense, the human skin and its tissues are targets as well as producers of hormones. Although the role of hormones in the development of human skin and its capacity to produce and release hormones are well established, little attention has been drawn to the ability of human skin to fulfil the requirements of a classic endocrine organ. Indeed, human skin cells produce insulin-like growth factors and -binding proteins, propiomelanocortin derivatives, catecholamines, steroid hormones and vitamin D from cholesterol, retinoids from diet carotenoids, and eicosanoids from fatty acids. Hormones exert their biological effects on the skin through interaction with high-affinity receptors, such as receptors for peptide hormones, neurotransmitters, steroid hormones and thyroid hormones. In addition, the human skin is able to metabolize hormones and to activate and inactivate them. These steps are overtaken in most cases by different skin cell populations in a coordinated way indicating the endocrine autonomy of the skin. Characteristic examples are the metabolic pathways of the corticotropin-releasing hormone/propiomelanocortin axis, steroidogenesis, vitamin D, and retinoids. Hormones exhibit a wide range of biological activities on the skin, with major effects caused by growth hormone/insulin-like growth factor-1, neuropeptides, sex steroids, glucocorticoids, retinoids, vitamin D, peroxisome proliferator-activated receptor ligands, and eicosanoids. At last, human skin produces hormones which are released in the circulation and are important for functions of the entire organism, such as sex hormones, especially in aged individuals, and insulin-like growth factor-binding proteins. Therefore, the human skin fulfils all requirements for being the largest, independent peripheral endocrine organ.
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The pilosebaceous unit has the necessary tools to use sex steroid precursors for transformation into more potent sex hormones.
“The pilosebaceous unit has all the necessary tools to utilize sex steroid precursors for the transformation to more potent sex hormones [91, 92].”
From Steroidogenesis in the skin: Implications for local immune functions (2013) · cites this paper as [91]
In skin, androgens act through androgen receptors to trigger signaling cascades.
“In skin, androgens mediate their effects through interaction with the androgen receptors (AR) triggering cascades of networks [91, 106, 187–189].”
From Steroidogenesis in the skin: Implications for local immune functions (2013) · cites this paper as [91]
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Natural Retinoids:Metabolism and Transport in Human Epidermal Cells1
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Oikarinen, A., Oikarinen, H., Meeker, C. A., et al. (1987) · Acta Dermato Venereologica · doi:10.2340/0001555567461468 · Cited by 14 · see citing works
Barreca, A., Larizza, D., Damonte, G., Arvigo, M., Ponzani, P., Cesarone, A., Curto, F. L., Severi, F. M., Giordano, G., & Minuto, F. M. (1997) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.82.4.3874 · Cited by 13 · see citing works
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Acne and sebaceous gland function
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Steroidogenesis in the skin: Implications for local immune functions
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Cortisol synthesis in epidermis is induced by IL-1 and tissue injury
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Environmental Air Pollutants Affecting Skin Functions with Systemic Implications
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Hennebert, O., Chalbot, S., Alran, S., & Morfin, R. (2007) · The Journal of Steroid Biochemistry and Molecular Biology · doi:10.1016/j.jsbmb.2007.03.026 · Cited by 79 · see citing works
Skin steroidogenesis in health and disease
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Self-citationEarly seizure onset and dysplastic lesion extent independently disrupt cognitive networks
Korman, B., Krsek, P., Duchowny, M., Maton, B., Pacheco-Jacome, E., & Rey, G. (2013) · Neurology · doi:10.1212/wnl.0b013e3182a1aa2a · Cited by 57 · see citing works
- Authors
- Zouboulis, C. C.
- Affiliations
- Freie Universität Berlin (DE)
- Corresponding author
- Zouboulis, Christos C.
- Venue
- Hormone Research in Paediatrics
- Publisher
- S. Karger AG
- Published
- 2000
- Volume
- 54
- Issue
- 5-6
- Pages
- 230-242
- ISSN
- 1663-2818 (ISSN-L)
- 1663-2826
- OpenAlex
- W2100794705
- Cited by
- 183
- References
- 113
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 1 · 2023: 5 · 2022: 5 · 2021: 7 · 2020: 1 · 2019: 5 · 2018: 6 · 2017: 5 · 2016: 6 · 2015: 8 · 2014: 3 · 2013: 7 · 2012: 5
- FWCI
- 1.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Hormone Research in Paediatrics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Health Sciences › Medicine › Urology › Hair Growth and Disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › melanin and skin pigmentation
- Keywords
- insulin-like growth factor, IGF binding proteins, catecholamines, steroidogenesis, vitamin D, retinoids, eicosanoids, hormone receptors, hormone metabolism, corticotropin-releasing factor, glucocorticoids, sex steroids, peroxisome proliferator-activated receptors, neuropeptides, skin aging
- MeSH terms
- Endocrine Glands, Hormones, Humans, Receptors, Cell Surface, Skin Physiological Phenomena
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.
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