Cortisol and tunnel formation in hidradenitis suppurativa

The role of cortisol synthesis in pathogenesis of Hidradenitis suppurativa tunnels

NIH-funded research University of Miami School of Medicine · NIH-11181318

This project looks at whether low local cortisol activity in skin contributes to the formation and inflammation of tunnels in people with hidradenitis suppurativa.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Miami School of Medicine NIH-funded
Lab location1 site (Coral Gables, United States)
Project IDNIH-11181318 on NIH RePORTER

What this research studies

You would hear that researchers compared tissue from HS tunnels, nearby lesional skin, and matched healthy skin to find that cortisol production and glucocorticoid signaling are much lower inside tunnels. The team grew a new 3D organ‑like skin model using cells taken from patients' tunnels that recreates the tunnel structure seen in people. Using these patient-derived models and tissue samples, they will study how restoring local cortisol signaling affects keratinocyte inflammation and tunnel behavior. The work combines patient tissue analysis, molecular profiling, and experiments in the 3D human skin model to guide possible new treatments.

Who could benefit from this research

Good fit: People with hidradenitis suppurativa, especially those who have chronic draining tunnels and are willing to provide tissue samples or attend clinic visits, would be ideal candidates to engage with this research.

Not a fit: People without HS tunnels (for example, milder early-stage HS or other skin conditions) are less likely to benefit directly from this tunnel-focused work.

Why it matters

Potential benefit: If successful, this work could point to new treatments that restore local cortisol signaling to reduce tunnel inflammation and improve quality of life for people with HS.

How similar studies have performed: While corticosteroids can lower inflammation in HS, targeting suppressed local cortisol synthesis and glucocorticoid receptor signaling within tunnels is a relatively new and largely untested approach.

Where this research is happening

Coral Gables, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-10 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.