Substantial Sex-Dependent Differences in the Response of Human Scalp Hair Follicles to Estrogen Stimulation In Vitro Advocate Gender-Tailored Management.

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Substantial Sex-Dependent Differences in the Response of Human Scalp Hair Follicles to Estrogen Stimulation In Vitro Advocate Gender-Tailored Management of Female Versus Male Pattern Balding  Franziska Conrad, Ulrich Ohnemus, Enikö Bodo, Tamas Biro, Birte Tychsen, Bernhard Gerstmayer, Andreas Bosio, Thomas Schmidt- Rose, Silke Altgilbers, Albrecht Bettermann, Matthias Saathoff, Wilfried Meyer, Ralf Paus  Journal of Investigative Dermatology Symposium Proceedings  Volume 10, Issue 3, Pages 243-246 (December 2005) DOI: 10.1111/j.1087-0024.2005.10115.x Copyright © 2005 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 1 Sex-dependent differences in estrogen receptor type β (ER-β)-like immunoreactivity in human frontotemporal scalp hair follicles. ER-β-like immunoreactivity was found in (A) male microdissected frontotemporal scalp hair follicles predominantly in the matrix keratinocytes (MK), (B) in female hair follicles immunoreactivity was predominantly found in the dermal papilla (DP) fibroblasts (ABC staining, substrat DAB (diaminobenzadine) as chromogen, methylengreene-counterstaining, gray scale, and inverted, original magnification × 100). (C) Quantitative analysis of sex-dependent differences in ER-β-like immunoreactivity in the MK and DP was performed using Scion image (mean intensity), n=36 hair follicles per group, SEM. **0.001≤p≤0.01. Journal of Investigative Dermatology Symposium Proceedings 2005 10, 243-246DOI: (10.1111/j.1087-0024.2005.10115.x) Copyright © 2005 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 2 17-β-estradiol (E2) significantly increases estrogen receptor type β (ER-β)-like immunoreactivity in male frontotemporal scalp hair follicles. Stimulation with E2 (10 nM) on organ-cultured male frontotemporal scalp hair follicles increased the immunoreactivity of ER-β 503 in the dermal papilla fibroblasts. Quantitative analysis using Scion image (mean intensity), SEM, *0.01≤p≤0.05. Journal of Investigative Dermatology Symposium Proceedings 2005 10, 243-246DOI: (10.1111/j.1087-0024.2005.10115.x) Copyright © 2005 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 3 Sex-dependent differences in 17-β-estradiol (E2)-responsive target genes in frontotemporal human scalp hair follicles. Suppression and stimulation of genes in human scalp hair follicles using a skin focus chip/microarray (white: female, black: male) after 48 h culture with E2 (10 nM). Bone morphogenetic protein 7 (BMP7), cysteine-rich 61 (angiogenic inducer), fibroblast growth factor receptor 2 (FGFR2), high endothelial venule protein (HEVIN), nuclear receptor subfamily4, groupA, member1 (NR4A1). For ratio list of all genes see Tables S1 and S2. Journal of Investigative Dermatology Symposium Proceedings 2005 10, 243-246DOI: (10.1111/j.1087-0024.2005.10115.x) Copyright © 2005 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 4 Transforming growth factor-β2 (TGF-β2)-like immunoreactivity expression pattern shows significant differences after 17-β-estradiol (E2) treatment in the lower outer root sheath (ORS) in male and female hair follicles. (A, B) TGF-β2-like immunoreactivity increases significantly in the lower ORS of (A) female scalp hair follicles and declines in the lower ORS of (B) male hair follicles after E2 treatment in vitro. Culture period 48 h (TSA staining, label rhodamine, nuclear counterstaining 4′,6-diamino-2-phenylindole (DAPI), gray scale and inverted, original magnification × 250). (C, D) Quantitative analysis of sex-dependent differences in TGF-β2-like immunoreactivity using Scion image (mean intensity), (C) female, (D) male, E2-treated mean intensity was compared with the non-treated control, n=36 hair follicles per group, SEM, p-value: 0.01<*<0.05, 0.001<**<0.01. Journal of Investigative Dermatology Symposium Proceedings 2005 10, 243-246DOI: (10.1111/j.1087-0024.2005.10115.x) Copyright © 2005 The Society for Investigative Dermatology, Inc Terms and Conditions