TLDR Isotretinoin shrinks sebaceous glands without affecting hair or skin color, unlike etretinate.
The study investigated the effects of isotretinoin and etretinate on the sebaceous glands in male and female hamsters. Isotretinoin, when administered subcutaneously to male hamsters, caused significant reduction in the sebaceous glands of the flank organ without affecting other androgen-dependent structures. In androgen-stimulated female hamsters, isotretinoin prevented the androgen-induced growth of sebaceous glands but did not affect the formation of large pigmented hairs and dermal pigment cells. Etretinate, however, did not inhibit sebaceous gland growth at comparable dosages. The findings suggested that the hamster flank organ could be a useful model for evaluating the sebaceous gland inhibitory activity of retinoids, potentially predicting their therapeutic efficacy in treating acne.
87 citations,
April 1973 in “Endocrinology” The chemicals 17βC and its methyl ester can block the effects of testosterone on hamster skin but not the effects of DHT.
30 citations,
April 2007 in “Dermatologic Clinics” The document concludes that new treatments are needed to better manage acne and reduce side effects related to current therapies.
116 citations,
December 2017 in “International Journal of Women's Dermatology” Adult female acne treatment should be personalized, considering individual preferences and pregnancy, using various topical and oral medications while managing side effects and resistance.
41 citations,
June 2016 in “Reviews in endocrine and metabolic disorders” Hidradenitis suppurativa may be related to hormones and patients often have metabolic disorders; more research is needed to understand this connection.
22 citations,
October 2020 in “Anais Brasileiros de Dermatologia” The Brazilian Society of Dermatology agrees that oral isotretinoin is effective for acne and other skin conditions, and it's safe when monitored, but more research is needed on dosing and duration.
65 citations,
February 2009 in “The journal of investigative dermatology/Journal of investigative dermatology” Anti-acne medications may work by reducing the activity of a protein involved in acne development.