ABSTRACT

The sebaceous glands exude lipids by disintegration of entire cells, a process

known as holocrine secretion. The life span of a sebocyte from cell division to

holocrine secretion is approximately 21 to 25 days (1). Because of the constant

state of renewal and secretion of the sebaceous gland, individual cells within the

same gland are engaged in different metabolic activities dependent on their

differentiation state (2). The stages of this process are evident in the histology of

the gland (3). The outermost cells, basal cell layer membrane, are small,

nucleated, and devoid of lipid droplets. This layer contains the dividing cells that

replenish the gland as cells are lost in the process of lipid excretion. As cells are

displaced into the center of the gland, they begin to produce lipid, which

accumulates in droplets. Eventually, the cells become greatly distended with

lipid droplets with the nuclei and other subcellular structures disappearing. As

the cells approach the sebaceous duct, they disintegrate and release their con-

tents. Only neutral lipids reach the skin surface. Proteins, nucleic acids, and the

membrane phospholipids are digested and most likely recycled during the dis-

integration of the cells.