Skip to main content

Advertisement

Log in

Evaluation of serum G protein-coupled estrogen receptor 1 (GPER-1) levels in patients with androgenetic alopecia

  • Original Paper
  • Published:
Archives of Dermatological Research Aims and scope Submit manuscript

Abstract

The effect of oestrogens in androgenetic alopecia (AGA) pathophysiology has not been clearly understood. However, they are considered to have a place in the AGA pathogenesis as the androgens do. The effects of estrogen occur via the estrogen receptors alpha and beta, and the recently discovered G protein-coupled estrogen receptor 1 (GPER-1). Aim of this study is to examine serum GPER-1 levels of AGA patients and to evaluate the place of them in AGA pathogenesis for the first time through the literature. 40 AGA patients with clinical AGA stage 2–3–4 diagnoses according to the Hamilton–Norwood classification for males, and AGA stage 2 according to Ludwig system for females and with normal serum dihydroepiandrosterone sulfate, estradiol, total testosterone, progesterone, follicle stimulating hormone and luteinizing hormone were included in the study in addition to 40 healthy controls with similar characteristics by means of age and gender. We received the medical history and performed the physical examinations. We measured serum GPER-1 levels. Serum GPER-1 levels of AGA patients and the control group were 30.43 ± 3.83 ng/mL and 14.18 ± 3.61 ng/mL (mean ± SD), respectively. The levels were detected as significantly increased in AGA group compared with the control group (p = 0.007). No serum GPER-1 level differences were found among female and male patients (p = 0.101). Significantly high levels of serum GPER-1 levels in AGA patients without any relationship between gender and GPER-1 Levels compared with healthy controls reminded us that GPER-1 might have a role in AGA pathogenesis independent from the gender.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Availability of data and material

Data available on request from the authors.

Code availability

IBM SPSS version 22 (IBM SPSS for Windows version 22; IBM Corporation; Armonk, NY, ABD) program.

References

  1. Cai Z, Xie C, Qiao W, Fei X, Guo X, Liu H et al (2017) The role of estrogen membrane receptor (G protein-coupled estrogen receptor 1) in skin inflammation induced by systemic lupus erythematosus serum IgG. Front Immunol 4(8):1723. https://doi.org/10.3389/fimmu.2017.01723 (Erratum in: Front Immunol. 2018 9:1732. PMID: 29255468; PMCID: PMC5722986)

    Article  CAS  Google Scholar 

  2. Eyster KM (2016) The estrogen receptors: an overview from different perspectives. Methods Mol Biol 1366:1–10. https://doi.org/10.1007/978-1-4939-3127-9_1 (PMID: 26585122)

    Article  CAS  PubMed  Google Scholar 

  3. Jacenik D, Zielińska M, Mokrowiecka A, Michlewska S, Malcka-Panas E, Kordek R et al (2019) G protein-coupled estrogen receptor mediates anti-inflammatory action in Crohn’s disease. Sci Rep 9(1):6749. https://doi.org/10.1038/s41598-019-43233-3 (PMID: 31043642; PMCID: PMC6494840)

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Katzer T, Leite Junior A, Beck R, Silva C (2019) Physiopathology and current treatments of androgenetic alopecia: going beyond androgens and anti-androgens. Dermatol Ther 32(5):e13059

    Article  Google Scholar 

  5. Lephart ED (2019) Human scalp hair: Modulation by various factors and hormones do estrogens inhibit or stimulate—a perplexing perspective. J Cosmet Dermatol 18(6):1860–1865

    Article  Google Scholar 

  6. Luo J, Liu D (2020) Does GPER really function as a g protein-coupled estrogen receptor in vivo? Front Endocrinol (Lausanne) 31(11):148. https://doi.org/10.3389/fendo.2020.00148 (PMID: 32296387; PMCID: PMC7137379)

    Article  Google Scholar 

  7. Mizukami Y (2009) In vivo functions of GPR30/GPER-1, a membrane receptor for estrogen: from discovery to functions in vivo. Endocr J 57:0911270363

    Google Scholar 

  8. Natale CA, Li J, Zhang J, Dahal A, Dentchev T, Stanger BZ et al (2018) Activation of G protein-coupled estrogen receptor signaling inhibits melanoma and improves response to immune checkpoint blockade. Elife 16(7):e31770. https://doi.org/10.7554/eLife.31770 (PMID: 29336307; PMCID: PMC5770157)

    Article  Google Scholar 

  9. Notas G, Kampa M, Castanas E (2020) G protein-coupled estrogen receptor in immune cells and its role in immune-related diseases. Front Endocrinol (Lausanne) 11:579420. https://doi.org/10.3389/fendo.2020.579420 (PMID: 33133022; PMCID: PMC7564022)

    Article  Google Scholar 

  10. Oh HS, Smart RC (1996) An estrogen receptor pathway regulates the telogen–anagen hair follicle transition and influences epidermal cell proliferation. Proc Natl Acad Sci USA 93:12525–12530

    Article  CAS  Google Scholar 

  11. Ohnemus U, Uenalan M, Inzunza J, Gustafsson JA, Paus R (2006) The hair follicle as an estrogen target and source. Endocr Rev 27:677–706

    Article  CAS  Google Scholar 

  12. Olsen EA (1999) Hair disorders. In: Freedberg IM, Eisen AZ, Wollf K, Austen KF, Goldsmith LA, Katz SI, Fitzpatrick TB (eds) Dermatology in general medicine, 5th edn. McGraw-Hill Inc, New York, pp 739–740

    Google Scholar 

  13. Paus R (1996) Control of the hair cycle and hair diseases as cycling disorders. Curr Opin Dermatol 3:248–258

    Google Scholar 

  14. Paus R (2006) Therapeutic strategies for treating hair loss: Drug discovery today. Ther Strateg 3:101–110

    Google Scholar 

  15. Prossnitz ER, Barton M (2011) The G-protein-coupled estrogen receptor GPER in health and disease. Nat Rev Endocrinol 7(12):715–726. https://doi.org/10.1038/nrendo.2011.122 (PMID: 21844907; PMCID: PMC3474542)

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Ramos PM, Brianezi G, Martins ACP, Silva MG, Marques MEA, Miot HA (2016) Apoptosis in follicles of individuals with female pattern hair loss is associated with perifollicular microinflammation. Int J Cosmet Sci 38(6):651–654. https://doi.org/10.1111/ics.12341

    Article  CAS  PubMed  Google Scholar 

  17. Su LH, Chen TH (2010) Association of androgenetic alopecia with metabolic syndrome in men: a community-based survey. Br J Dermatol 163(2):371–377. https://doi.org/10.1111/j.1365-2133.2010.09816.x

    Article  PubMed  Google Scholar 

  18. Triplett KD, Pokhrel S, Castleman MJ, Daly SM, Elmore BO, Joyner JA et al (2019) GPER activation protects against epithelial barrier disruption by Staphylococcus aureus α-toxin. Sci Rep 9(1):1343. https://doi.org/10.1038/s41598-018-37951-3 (PMID: 30718654; PMCID: PMC6362070)

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Yip L, Rufaut N, Sinclair R (2011) Role of genetics and sex steroid hormones in male androgenetic alopecia and female pattern hair loss: an update of what we now know. Australas J Dermatol 52(2):81–88

    Article  Google Scholar 

  20. Yip L, Zaloumis S, Irwin D, Severi G, Hopper J, Giles G et al (2009) Gene-wide association study between the aromatase gene (CYP19A1) and female pattern hair loss. Br J Dermatol 161:289–294

    Article  CAS  Google Scholar 

Download references

Acknowledgements

No declaration.

Funding

The authors declared that this study received no financial support.

Author information

Authors and Affiliations

Authors

Contributions

All authors contributed to the study conception and design. Material preparation [by PÖ and EBK], data collection [by MMK] and analysis [by EBK] were performed. The first draft of the manuscript was written by [by PÖ and MMK] and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Mine Müjde Kuş.

Ethics declarations

Conflicts of interest

There is no conflict of interest.

Ethics approval

This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of Kahramanmaraş Sütçü İmam University (Date 26.08.2020/No. 04).

Consent to participate

Informed consent was obtained from all individual participants included in the study.

Consent for publication

Patients signed informed consent regarding publishing their data.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Öztürk, P., Kurutas, E.B. & Kuş, M.M. Evaluation of serum G protein-coupled estrogen receptor 1 (GPER-1) levels in patients with androgenetic alopecia. Arch Dermatol Res 314, 681–685 (2022). https://doi.org/10.1007/s00403-021-02269-0

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00403-021-02269-0

Keywords

Navigation