Androgen metabolism in sebaceous glands from subjects with and without acne.
OBJECTIVE
To determine if there are differences in the activity of 17beta-hydroxysteroid dehydrogenase and 5alpha-reductase (responsible for the production of testosterone and dihydrotestosterone, respectively) in sebaceous glands obtained from men and women with and without acne.


METHODS
Single-center examination of androgen levels and sebaceous gland enzyme activity in a cohort of volunteers.


METHODS
Academic referral center.


METHODS
Thirty-four subjects, consisting of 8 women with acne, 10 women without acne, 8 men with acne, and 8 men without acne.


METHODS
Single visit for blood sampling and 2 biopsies of forehead skin.


METHODS
Serum levels of androgens were determined and compared with the activity of 5alpha-reductase and 17beta-hydroxysteroid dehydrogenase in sebaceous glands microdissected from skin samples.


RESULTS
No significant differences in the activity of 5alpha-reductase or 17beta-hydroxysteroid dehydrogenase in sebaceous glands according to the presence of acne were noted in either men or women. The activity of 5alpha-reductase and 17beta-hydroxysteroid dehydrogenase was significantly greater in sebaceous glands from men (n = 16) than women (n = 17). The oxidative activity of 17beta-hydroxysteroid dehydrogenase was 2-fold higher in men than women. Serum levels of dehydroepiandrosterone sulfate, androstenedione, testosterone, and dihydrotestosterone were significantly higher in women with acne than in women without acne. No differences in serum androgen levels were noted in men on the basis of the presence of acne.


CONCLUSIONS
Higher serum androgen levels are associated with the presence of acne in women. A role for locally produced androgens in this process, however, cannot be excluded.
Thiboutot
D
D
Section of Dermatology, Division of Internal Medicine, Pennsylvania State University College of Medicine, Hershey 17033, USA. dthibout@med.hmc.psghs.edu
Gilliland
K
K
Light
J
J
Lookingbill
D
D
D015067:17-Hydroxysteroid Dehydrogenases / Q000378:metabolism*; D013741:3-Oxo-5-alpha-Steroid 4-Dehydrogenase / Q000378:metabolism*; D000152:Acne Vulgaris / Q000201:enzymology*; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D012627:Sebaceous Glands / Q000201:enzymology*
D015067:17-Hydroxysteroid Dehydrogenases; D013741:3-Oxo-5-alpha-Steroid 4-Dehydrogenase