Role of 5α-Reductase Inhibitors in Androgen-Stimulated Skin Disorders

    February 2013 in “ PubMed
    Faris Azzouni, Nathalie C. Zeitouni, James L. Mohler
    From the encyclopedia
    Finasteride →

    Frontline, gold standard treatment for combatting androgenic alopecia

    Dutasteride →

    Heavy duty finasteride that comes with higher risks

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    Studysummary This review discusses the pathophysiology of androgen-stimulated skin disorders and key clinical trials of 5α-reductase inhibitors for their treatment, but it does not report new clinical results. Our plain-language summary of this paper — not a Tressless recommendation.
    The document from 2013 reviewed the role of 5α-reductase (5α-R) inhibitors in androgen-stimulated skin disorders. 5α-R isozymes, which are widely expressed in human tissues, play a significant role in conditions such as benign prostate hyperplasia, prostate cancer, androgenic alopecia, acne, and hirsutism. The discovery of 5α-R type 2 deficiency in 1974 led to the development of pharmaceutical agents to inhibit 5α-R isozymes. Two such inhibitors, finasteride and dutasteride, were available for clinical use. While both were approved by the FDA for the treatment of benign prostate hyperplasia, only finasteride was approved for the treatment of male androgenic alopecia. The document reviewed the pathophysiology of androgen-stimulated skin disorders and key clinical trials using 5α-R inhibitors in their treatment.
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