Minoxidil and Male-Pattern Alopecia: A Potential Role for a Local Regulator of Sebum Secretion with Vasoconstrictive Effects?

    November 1999 in “ Medical Hypotheses
    Sven Kurbel, Beatrica Kurbel, Dubravka Žanić-Matanić
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    TLDR Minoxidil, a common hair loss treatment, might work by counteracting a hormone that reduces hair growth and promotes hair loss.
    In 1999, Kurbel et al. proposed a theory about the role of minoxidil, a common treatment for male-pattern alopecia. They suggested that minoxidil might counteract a vasoconstrictive mediator of hair loss, possibly Endothelin-1 (ET-1), which could be secreted by the sebaceous gland, a part of the hair follicle influenced by sex hormones. They theorized that testosterone could increase ET-1 secretion in men during puberty, potentially affecting nearby blood vessels, reducing hair growth, and promoting hair loss. The study concluded that if ET-1 does play this role, then an ET-1 antagonist, such as bosentane, might also promote hair growth. However, this was a theoretical study and did not involve any human or animal subjects.
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