A complex, localized system within the skin composed of cells that synthesize, metabolize, and respond to a wide array of hormones, neurotransmitters, and growth factors. This system functions semi-autonomously to maintain skin homeostasis, regulate cell proliferation, and mediate the skin’s response to systemic hormonal changes and environmental stressors. It is an often-overlooked component of the body’s overall endocrine network.
Origin
This concept is a relatively modern development in dermatological endocrinology, moving beyond the skin merely being a target for circulating hormones to recognizing it as a full-fledged peripheral endocrine organ. Key discoveries include the skin’s ability to synthesize active Vitamin D and locally produce sex steroids like androgens and estrogens. This recognition emphasizes the skin’s active role in systemic health.
Mechanism
The skin possesses the full enzymatic machinery for steroidogenesis, allowing it to convert inactive precursors into active hormones like dihydrotestosterone (DHT) and estradiol, which then act locally through specific nuclear receptors. The system also includes the cutaneous HPA axis, which locally produces and responds to stress hormones like cortisol. This intricate local regulation is crucial for processes such as wound healing, hair growth, sebaceous gland activity, and maintaining the skin’s barrier function against environmental threats.
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