Study Of Gene Expression Alteration In Male Androgenetic Alopecia

arnoldd

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Michel L, Reygagne P, Benech P, et al. Study of gene expression alteration in male androgenetic alopecia: evidence of predominant molecular signalling pathways. Br J Dermatol 2017;177:1322-36.

BACKGROUND: Male androgenetic alopecia (Androgenetic Alopecia) is the most common form of hair loss in men. It is characterized by a distinct pattern of progressive hair loss starting from the frontal area and the vertex of the scalp. Although several genetic risk loci have been identified, relevant genes for Androgenetic Alopecia remain to be defined.

OBJECTIVES: To identify biomarkers associated with Androgenetic Alopecia.

METHODS: Molecular biomarkers associated with premature Androgenetic Alopecia were identified through gene expression analysis using cDNA generated from scalp vertex biopsies of hairless or bald men with premature Androgenetic Alopecia, and healthy volunteers.

RESULTS: This monocentric study reveals that genes encoding mast cell granule enzymes, inflammatory mediators and immunoglobulin-associated immune mediators were significantly overexpressed in Androgenetic Alopecia. In contrast, underexpressed genes appear to be associated with the Wnt/beta-catenin and bone morphogenic protein/transforming growth factor-beta signalling pathways.

Although involvement of these pathways in hair follicle regeneration is well described, functional interpretation of the transcriptomic data highlights different events that account for their inhibition.

In particular, one of these events depends on the dysregulated expression of proopiomelanocortin, as confirmed by polymerase chain reaction and immunohistochemistry. In addition, lower expression of CYP27B1 in patients with Androgenetic Alopecia supports the notion that changes in vitamin D metabolism contributes to hair loss.

CONCLUSIONS: This study provides compelling evidence for distinct molecular events contributing to alopecia that may pave the way for new therapeutic approaches.


here the full article : http://onlinelibrary.wiley.com/doi/10.1111/bjd.15577/full
 

InBeforeTheCure

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thank you Arnoldd for the study,
but I don´t see genes related to DHT and 5 AR's....., curious ;)

Furthermore, we found that SRD5A2, encoding steroid 5α-reductase 2, was upregulated in Androgenetic Alopecia (Table 4, P < 0·01). This enzyme, known to suppress hair growth activity and to be highly active in balding HF,[51] is involved in the conversion of testosterone into DHT. Interestingly, DHT was reported to activate the interaction between β-catenin and androgen receptor.[52] Such an interaction leads to suppression of the transcriptional activity of β-catenin, in line with the inhibition of the Wnt signalling pathway by androgens in dermal papilla cells.[30]
 

GotHair?

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Furthermore, we found that SRD5A2, encoding steroid 5α-reductase 2, was upregulated in Androgenetic Alopecia (Table 4, P < 0·01). This enzyme, known to suppress hair growth activity and to be highly active in balding HF,[51] is involved in the conversion of testosterone into DHT. Interestingly, DHT was reported to activate the interaction between β-catenin and androgen receptor.[52] Such an interaction leads to suppression of the transcriptional activity of β-catenin, in line with the inhibition of the Wnt signalling pathway by androgens in dermal papilla cells.[30]
Wait isn't this what we already knew. I'm srry I'm not proficient enough in this genes. Is SRD5A2 basically 5α-reductase 2 or is it a receptor that regulates 5α-reductase 2? Is FInasteride affecting 5α-reductase 2 or is it affecting SRD5A2?
 

InBeforeTheCure

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Wait isn't this what we already knew. I'm srry I'm not proficient enough in this genes. Is SRD5A2 basically 5α-reductase 2 or is it a receptor that regulates 5α-reductase 2? Is FInasteride affecting 5α-reductase 2 or is it affecting SRD5A2?

Yeah, SRD5A2 is 5α-reductase type 2 - the target of finasteride.
 

Armando Jose

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Furthermore, we found that SRD5A2, encoding steroid 5α-reductase 2, was upregulated in Androgenetic Alopecia (Table 4, P < 0·01). This enzyme, known to suppress hair growth activity and to be highly active in balding HF,[51] is involved in the conversion of testosterone into DHT. Interestingly, DHT was reported to activate the interaction between β-catenin and androgen receptor.[52] Such an interaction leads to suppression of the transcriptional activity of β-catenin, in line with the inhibition of the Wnt signalling pathway by androgens in dermal papilla cells.[30]
Yes, you are right but there is more to investigate, an example
https://www.ncbi.nlm.nih.gov/pubmed/14502380
Probably, SRD5A2 is not present in scalp hairs from healthy individuals
The 5alpha-reductase type 1, but not type 2, gene is expressed in anagen hairs plucked from the vertex area of the scalp of hirsute women and normal individuals.
 

arnoldd

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we all know the role of dht in androgenetic alopecia. but from this study the new discovery is that immune system play a large
part too.
its not casual that all immune supressors drugs like corticoids or cyclosporine regrowth hairs.

in my opinion it's the dht that trigger the reaction, than there is a mast cell explosion and release of mediators that inihbit hair growth and leads to calcification and fibrosis
 

ZenHead

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"We may suggest that prostaglandin D2 synthesized from prostaglandin H2 by PTGDS, and previously found to be highly expressed in Androgenetic Alopecia,[26] could inhibit HF regeneration through binding to the Gpr44 receptor.[27] Altogether, our results reinforce the involvement of mast cells in Androgenetic Alopecia."

And again, more evidence of PGD2 binding to the Gpr44 (DP2) receptor inhibiting hair growth. Elevated DHT in the scalp -> Mast cells release excessive PGD2 -> chronic inflammation -> hair growth inhibition. The WNT pathway also plays a huge role in this, but I'm not exactly sure how it ties in to the inflammation due to mast cells PGD2 release.
 

ZenHead

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IMHO rancidity of sebum can make chronic inflammation,..., and then more problems
Absolutely. As I'm sure you know sebum contains tons of DHT, leading to inflammation. Ideally eliminating DHT from the scalp is the most effective treatment. But for those of us, such as myself who cannot tolerate 5ar2 inhibitiors (finasteride/dutasteride), PGD2 receptor DP2 blockers are the next best thing we have, sort of a "shortcut" around the inflammatory effects of DHT. Hard to say if they are as effective as 5ar2 inhibitors, but we will see soon enough
 

arnoldd

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The problem its that there are some others mediators affecting hair growth. If pgd2 was the only we would prevent hair loss with ibuprofen or aspirin..
 

Min0

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we all know the role of dht in androgenetic alopecia. but from this study the new discovery is that immune system play a large
part too.
its not casual that all immune supressors drugs like corticoids or cyclosporine regrowth hairs.

in my opinion it's the dht that trigger the reaction, than there is a mast cell explosion and release of mediators that inihbit hair growth and leads to calcification and fibrosis
explains why my head starts itching when i take vitamin D (which is good for the immune system).
i lost a shitload of hair in the year that i took vit D.
 

ZenHead

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The problem its that there are some others mediators affecting hair growth. If pgd2 was the only we would prevent hair loss with ibuprofen or aspirin..
Aspirin inhibits The COX enzyme which is necessary for the synthesis of all prostaglandins. So, you eliminate the bad (PGD2) BUT also eliminate the prostaglandins associated with growth (PGE2, PGE1). The goal is to prevent PGD2 from binding to the DP2 receptor, and increase PGE1 and PGE2 to induce neogenesis.
 

Vinc2097

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Absolutely. As I'm sure you know sebum contains tons of DHT, leading to inflammation. Ideally eliminating DHT from the scalp is the most effective treatment. But for those of us, such as myself who cannot tolerate 5ar2 inhibitiors (finasteride/dutasteride), PGD2 receptor DP2 blockers are the next best thing we have, sort of a "shortcut" around the inflammatory effects of DHT. Hard to say if they are as effective as 5ar2 inhibitors, but we will see soon enough

and about what you just said (eliminating sebum without fina/duta) , what are the best treatments you propose (oral, topical)
 

ZenHead

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and about what you just said (eliminating sebum without fina/duta) , what are the best treatments you propose (oral, topical)
Seti has decreased my sebum for sure. Nizoral is also great for removing built up sebum on the scalp, but not reducing its production. for that you need an oral drug like seti or finasteride/dutasteride.
 

Vinc2097

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Seti has decreased my sebum for sure. Nizoral is also great for removing built up sebum on the scalp, but not reducing its production. for that you need an oral drug like seti or finasteride/dutasteride.

i'm fucked..... seti looks like a pain in the *** : so hard to get it in canada and terribly expensive (i am a student on debt)....
 
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