5α‐Dihydrotestosterone (DHT) retards wound closure by inhibiting re‐epithelialization

SC Gilliver, JPD Ruckshanthi… - The Journal of …, 2009 - Wiley Online Library
SC Gilliver, JPD Ruckshanthi, MJ Hardman, LAH Zeef, GS Ashcroft
The Journal of Pathology: A Journal of the Pathological Society of …, 2009Wiley Online Library
The ongoing search for explanations as to why elderly males heal acute skin wounds more
slowly than do their female counterparts (and are more strongly disposed to conditions of
chronic ulceration) has identified endogenous oestrogens and androgens as being
respectively enhancers and inhibitors of repair. We previously demonstrated that blocking
the conversion of testosterone to 5α‐dihydrotestosterone (DHT) limits its ability to impair
healing, suggesting that DHT is a more potent inhibitor of repair than is testosterone. The …
Abstract
The ongoing search for explanations as to why elderly males heal acute skin wounds more slowly than do their female counterparts (and are more strongly disposed to conditions of chronic ulceration) has identified endogenous oestrogens and androgens as being respectively enhancers and inhibitors of repair. We previously demonstrated that blocking the conversion of testosterone to 5α‐dihydrotestosterone (DHT) limits its ability to impair healing, suggesting that DHT is a more potent inhibitor of repair than is testosterone. The present study aimed to delineate the central mechanisms by which androgens delay repair. Whilst the contractile properties of neither rat wounds in vivo nor fibroblast‐impregnated collagenous discs in vitro appeared to be influenced by androgen manipulations, the global blockade of DHT biosynthesis markedly accelerated re‐epithelialization of incisional and excisional wounds and reduced local expression of β‐catenin, a key inhibitor of repair. Moreover, DHT retarded the in vitro migration of epidermal keratinocytes following scratch wounding. By contrast, it failed to influence the migratory and proliferative properties of dermal fibroblasts, suggesting that its primary inhibitory effect is upon re‐epithelialization. These novel findings may be of particular significance in the context of chronic ulceration, for which being male is a key risk factor. Copyright © 2008 Pathological Society of Great Britain and Ireland. Published by John Wiley & Sons, Ltd.
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