Immunolocalization of 5α-Reductase Isozymes in Acne Lesions and Normal Skin

    September 2000 in “ Archives of dermatology
    Diane Thiboutot, Ellen K. Bayne, Jen Thorne, Kathyrn Gilliland, J. Flanagan, Qing Shao, Jan Light, Klaus F. Helm
    TLDR The study found that the enzyme linked to acne is present in the same areas of both acne-affected and normal skin.
    The study investigated the localization of 5α-reductase isozymes in normal and acne-affected skin using skin biopsies from 11 subjects (8 with acne and 3 without). It found that type 1 5α-reductase was predominantly in sebaceous glands, suggesting it as a potential therapeutic target for acne treatment due to its role in sebum production. Type 2 5α-reductase was localized to the companion layer of hair follicles and the granular layer of the epidermis, but its role in comedones and inflammatory lesions remained unclear. The study concluded that inhibitors of type 1 5α-reductase could be effective in reducing sebum production and treating acne, unlike type 2 inhibitors such as finasteride.
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