I dont agree on the AR sensitivity part (nor do I disagree - I simply don't know). The thing about diffuse thinning is that DHT only exceeds the threshold level for follicles in the area slightly, while in recession it goes way above threshold level. In diffuse thinning, for some the DHT level already exceeds threshold, for others it doesn't. But I don't know if its because of sensitivity or amount produced.
By the way, after xRedStaRx's explanation I don't know if the avalanche property really exists. Likely not, though.
Likely amount produced first and foremost.
AR transcripts are only inherited from the mother, and we know male pattern baldness comes equally from both sides of the family. Some statistics even show the paternal side has a bigger influence. Not only that, but AR sensitivities should not matter much, seeing as DHT is produced inside the hair follicle so that would be the primary factor.
Gene which encodes AR has been found only on X chromosome so far, but probably there are other genes which also contribute to androgen receptor transcription and so determine sensitivity. Who knows.... So it doesn't mean there aren't other genes, located on autosomal chromosomes and inherited from father side, which can control AR.
Since this research http://www.karger.com/Article/FullText/78584 has yielded that men whose fathers had experienced hair loss were 2.5 times more likely to experience hair loss themselves, regardless of the mother's side of the family., it means there is more then one factor men inherits from his fathers side.
5-ard biolocations in scalp and hormonal profile are inherited from father's side rather then maternal, but I think the level of fibrosis/inflammation trigger, and auto-immune response is also what you inherit from you father and these factors also play huge role in male pattern baldness.
Everyone here agrees that balding resistant hair (donor hair) has less AR sensitivity and less DHT follicular production ? And what happens to hair extracted from back of the head but outside 'safe zone' and transplanted to front. Why this hair follicles thin out in some cases, and why they haven't thinned at their original place ?
http://press.endocrine.org/doi/abs/10.1210/endo.133.2.8344190
"IGF-I may be an important regulator of skin 5 alpha R activity and, thus, may influence DHT formation."
IGF-1 increases 5ar/DHT directly?
Made me think of this dude, although he was thinking along the lines how IGF-1 suppresses SHBG, which in turn increases free T:
http://www.hairlosstalk.com/interact/showthread.php/43442-A-Closer-Look-At-Insulin-amp-IGF-1
this is fascinating, I noticed my hair loss began in a stage in my life where I was basically living off caffeine (upwards of 3 cups of starbucks per day). Stress was also through the roof.There might be a caffeine/stress threshold different for each individual because after I stopped with caffeinated coffees, I noticed my shedding has altogether stopped.
I cannot remember where I read this, so take that for what it is. But if I remember correctly, it's not necessarily over-production of DHT that necessarily leads to hair loss, rather, the sensitivity to it.
I read in a similar study that men who can grow thick beards and men who can't grow any beards have the same levels of testosterone, but have different sensitivities to it.
this is fascinating, I noticed my hair loss began in a stage in my life where I was basically living off caffeine (upwards of 3 cups of starbucks per day). Stress was also through the roof.
In young man, T is more relevant for mood and sexual activity than DHT, I suppose. But problem is in older men, there is not enough T and decrease of DHT is recognized by body.
This is correct, it would be very strange for a man in his twenties to get sexual sides from finasteride.
we -- the deadly ones -- are sufferers of the handicap principle, and have to display our bald head as a sign of bad health/poor sexual provvess, and it is exactly what I see when look at bald people: exhaustion
It remains possible that an as-yet-undetected variant in either a regulatory region affecting the expression level or an intronic variant affecting the splicing pattern of AR might be responsible for Androgenetic Alopecia susceptibility. The latter seems unlikely since we did not detect alternatively spliced transcripts of AR in human hair follicles of seven individuals representing different haplotypes. Previous studies have identified AR regulatory elements up to position −737 of the AR transcription start site (Faber et al. 1991, 1993; Supakar et al. 1993), as well as exonic enhancers in exon 1 (Faber et al. 1993) and exons 4 and 5 (Grad et al. 2001). Our sequencing analysis of 12 individuals with the associated haplotype revealed no variability in these regulatory elements of AR. However, there may be additional regions with regulatory effect that have not yet been fully characterized (Lower et al. 2004). Haplotypes carrying the GGN-24 allele show clearly higher frequencies in individuals without Androgenetic Alopecia than in those with Androgenetic Alopecia (fig. 3B). Since this effect is strikingly weaker in the ACAAAAAGCATTTAAG-24-ATA haplotype than in the other GGN-24–carrying haplotypes (fig. 3B), it is likely that further functionally relevant variability exists that modifies the protective effect of GGN-24–bearing haplotypes.
It is interesting to note that genetic variation in AR, which is located on the X chromosome, cannot explain the resemblance of fathers and sons with respect to the development of Androgenetic Alopecia (Küster and Happle 1984; Ellis et al. 1998), since sons always inherit the X chromosome from their mothers. The fact that family studies of Androgenetic Alopecia have typically stressed the resemblance of fathers and sons is understandable, given the differences in patterns of hair loss between males and females. Our genetic data, however, stress the relative importance of the maternal line in the inheritance of Androgenetic Alopecia, since we estimate an etiological fraction of 0.46 that can be attributed to having [less-than-or-eq, slant]23 GGN repeats within AR. This suggests that the average phenotypic resemblance should be greater between affected males and their maternal grandfathers than between affected males and their fathers. It is likely that the remaining etiological fraction is due to genetic variation at autosomal loci, which could explain the similarity of the Androgenetic Alopecia pattern of fathers and sons. Some autosomal candidate genes have been investigated in the past, including the insulin gene (Ellis et al. 1999), the 5α-reductase genes (Ellis et al. 1998), and the hairless gene (Hillmer et al. 2001, 2002), but none of these has been associated with Androgenetic Alopecia. A systematic linkage-based approach should enable the identification of additional loci.