Cited by 443Hair Growth and DisordersAcne and Rosacea Treatments and EffectsSperm and Testicular Function

Role of Hormones in Pilosebaceous Unit Development

Deplewski, Dianne, Rosenfield, Robert L.·2000·Endocrine Reviews

Abstract

Androgens are required for sexual hair and sebaceous gland development. However, pilosebaceous unit (PSU) growth and differentiation require the interaction of androgen with numerous other biological factors. The pattern of PSU responsiveness to androgen is determined in the embryo. Hair follicle growth involves close reciprocal epithelial-stromal interactions that recapitulate ontogeny; these interactions are necessary for optimal hair growth in culture. Peroxisome proliferator-activated receptors (PPARs) and retinoids have recently been found to specifically affect sebaceous cell growth and differentiation. Many other hormones such as GH, insulin-like growth factors, insulin, glucocorticoids, estrogen, and thyroid hormone play important roles in PSU growth and development. The biological and endocrinological basis of PSU development and the hormonal treatment of the PSU disorders hirsutism, acne vulgaris, and pattern alopecia are reviewed. Improved understanding of the multiplicity of factors involved in normal PSU growth and differentiation will be necessary to provide optimal treatment approaches for these disorders.

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  • 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].”
  • Estrogens suppress lipogenesis and sebaceous gland size in both sexes directly and indirectly by affecting pituitary gonadotropins.

    “Estrogens suppress lipogenesis and the size of sebaceous glands in both sexes directly and indirectly, through affecting the gonadotropins released from the pituitary [106].”

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Authors
Deplewski, D., & Rosenfield, R. L.
Affiliations
University of Chicago (US)
Venue
Endocrine Reviews
Published
2000-08-01
Volume
21
Issue
4
Pages
363-392
ISSN
  • 0163-769X (ISSN-L)
  • 1945-7189
OpenAlex
W2014090584
Cited by
443
References
10
Citations by year
2026: 9 · 2025: 9 · 2024: 12 · 2023: 14 · 2022: 18 · 2021: 26 · 2020: 18 · 2019: 14 · 2018: 11 · 2017: 15 · 2016: 21 · 2015: 20 · 2014: 23 · 2013: 20 · 2012: 21
FWCI
5.53
Type
journal article
Language
en
Open access
closed
Locations
  • Endocrine Reviews (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Urology › Hair Growth and Disorders
  • Health Sciences › Medicine › Dermatology › Acne and Rosacea Treatments and Effects
  • Health Sciences › Medicine › Reproductive Medicine › Sperm and Testicular Function
Keywords
pilosebaceous unit, androgens, hair follicle development, stromal-epithelial interactions, peroxisome proliferator-activated receptors, retinoids, growth hormone, insulin-like growth factor, insulin, glucocorticoids, estrogen, thyroid hormones, hirsutism, acne, hormone therapy
MeSH terms
Acne Vulgaris, Alopecia, Androgens, Female, Hirsutism, Hormones, Humans, Male, Microscopy, Electron, Organ Culture Techniques, Retinoids, Sebaceous Glands, Transcription Factors, Receptors, Cytoplasmic and Nuclear, Hair Follicle

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