Andrea said:
I mean UVB, climatic conditions, oxidative stress...
In his article "The Uses of Sebum" (British Journal of Dermatology, Vol. 75, 1963), Kligman estimates that the thickness of sebum on the forehead of a very oily subject is only around 0.45 ? (micrometer) thick. The average thickness for other areas of the body with a lower density of sebaceous glands (such as the abdomen) is only around 0.05 ? (5/100 of 1 micrometer). Do you really think such a tiny submicroscopic ultrafilm of sebum is going to play much of a role against UVB, climatic conditions, and oxidative stress?
Andrea said:
Why, Bryan, do you use the word "VIRTUALLY no sebum" about CAIS?
I'm always going to be very cautious when I speak about the levels of sebum produced by various population groups, and acknowledge that there may be _some_ tiny levels of sebum they produce, no matter how insignificant they may be.
Andrea said:
My suspect is that the EXTERNAL level of sebum is NOT an attendible test to check the real activity of sebaceous glands.
In other words the lack or reduced level of sebum on the skin don't mean that the sebaceous glandsare inactive but, MAYBE, that there is a RIGHT production of sebum that goes into follicle and create a healthy hair and soft skin.
Well, we can get pretty silly and theorize/hypothesize all sorts of crazy ideas about how sebum is necessary for hair growth, can't we?
But the real trick is finding scientific information which SUPPORTS those theories. I don't know of any, and I bet you don't, either. For example, people with CAIS (Complete Androgen Insensitivity Syndrome) produce no
detectable levels of sebum (although they may produce a few molecules of it which aren't detectable), yet have luxuriant, flourishing scalp hair growth. Check the following study: "The Androgen Control of Sebum Production. Studies of Subjects with Dihydrotestosterone Deficiency and Complete Androgen Insensitivity", Julianne Imperato-McGinley, Teofilo Gautier, Li-Qun Cai, Benetta Yee, Jane Epstein, Peter Pochi. J Clin Endocrinol Metab 76: 524-528, 1993. Following the chart below is some of the text from the study, describing the experimental setup, subjects, and the results.
Subjects and Methods
Subjects
"Sebum production was evaluated in 12 subjects with inerited male pseudohermaphroditism due to 5a-reductase deficiency (MPH); 9 subjects were part of a large Dominican kindred, and 3 were from New Guinea. The mean age was 27 yr (age range, 19-40). Eight androgen insensitve (AI) subjects were evaluated with a mean age of 45 (age range, 15-78). Six AI subjects had their gonads intact when studied, and 2 subjects were on cyclic estrogen and progesterone replacement therapy after gonadectomy at the time of evaluation. Twenty-two normal adult Dominican males with a mean age of 28 yr (age range, 17-39), and 21 normal adult Dominican females with a mean age of 29.0 yr (age range, 18-37), normal menses, and no history of hirsutism or acne, were evaluated. Preadrenarchal boys and girls were also evaluated. This study group was comprised of 10 normal healthy Dominican boys ranging in age from 2-5 yr (average age was 3.7 yr), and 12 healthy Dominican girls ranging in age from 2-6 yr (average age was 4.3 yr). None of the children had clinical signs of secondary sexual development.
Procedures
"Measurement of sebum production was performed with Sebutape (Hermal Pharmaceutical Laboratories, Oak Hills, NY), a hydrophobic, polymeric film that measures sebum activity through the use of air-filled micropores. When sebum from the skin surface comes in contact with the tape, numerous tiny air cavities previously filled with air become filled with sebum. Consequently, sebum-filled pockets become transparent cavities forming a pattern of sebum droplet deposition.
"The test was performed in the following manner. The forehead of each subject was thoroughly cleaned with alcohol swabs. A Sebutape patch was placed on the forehead for 1 hr. The patch was removed and the amount of sebum measured on a scale of 0-5 using reference patterns provided in the kit. A zero (0) pattern was equol to no sebum production, whereas a five (5) pattern signified highest sebum output. The patches were read by the investigator (LC) who was blinded to the identity of the subjects.
Results
Sebum studies
"Ten normal boys and 12 normal girls between the ages of 2-6 years had no detectable sebum production by this methodology (Fig. 1), and had a sebum score of 0. Similarly, the sebum score of all adult subjects (with or without intact gonads) with complete androgen insensitivity was zero (Table 1) (Fig. 1)...
"The mean score for 21 control adult males was 4.4 +/- 0.6 which was significantly higher than the mean sebum score of 3.3 +/- 1.2, for 21 control adult females (P < 0.05) (Fig. 1).
"The mean sebum score of adult pseudohermaphrodites with 5a-reductase deficiency (4.5 +/- 0.6) was not significantly different from the mean score of normal adult males (4.35 +/- 0.6) (P < 0.05) (Fig. 1)."
Andrea said:
When we touch the "stratus" of sebum there is already an overproduction...
Surely I don't think that sebum is the only factor to have healthy hair but plays a role...
Nah, I don't know of any scientific evidence at all that sebum plays any role in the growth of hair. And the evidence above of people with CAIS with luxuriant hair growth and no sebum production completely contradicts that notion.