Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, 1600 NW 10th Avenue, RSMB 2023A, Miami, FL 33136, USA.
Lasers Med Sci. 2013 May;28(3):701-6. doi: 10.1007/s10103-012-1139-7. Epub 2012 Jun 14.
Chemotherapy-induced alopecia (CIA) is one of the most distressing side effects of antineoplastic chemotherapy for which there is no effective interventional approach. A low-level laser (LLL) device, the HairMax LaserComb®, has been cleared by the FDA to treat androgenetic alopecia. Its effects may be extended to other settings; we have demonstrated that LaserComb treatment induced hair regrowth in a mouse model for alopecia areata. In the current study, we tested whether LLL treatment could promote hair regrowth in a rat model for CIA. Chemotherapy agents cyclophosphamide, etoposide, or a combination of cyclophosphamide and doxorubicin were administered in young rats to induce alopecia, with or without LLL treatment. As expected, 7-10 days later, all the rats developed full body alopecia. However, rats receiving laser treatment regrew hair 5 days earlier than rats receiving chemotherapy alone or sham laser treatment (with the laser turned off). The accelerated hair regrowth in laser-treated rats was confirmed by histology. In addition, LLL treatment did not provide local protection to subcutaneously injected Shay chloroleukemic cells. Taken together, our results demonstrated that LLL treatment significantly accelerated hair regrowth after CIA without compromising the efficacy of chemotherapy in our rat model. Our results suggest that LLL should be explored for the treatment of CIA in clinical trials because LLL devices for home use (such as the HairMax LaserComb®) provide a user-friendly and noninvasive approach that could be translated to increased patient compliance and improved efficacy.
化疗引起的脱发(CIA)是抗肿瘤化疗最令人痛苦的副作用之一,目前尚无有效的干预方法。一种低水平激光(LLL)设备,HairMax LaserComb®,已获得 FDA 的批准用于治疗雄激素性脱发。其效果可能会扩展到其他环境;我们已经证明 LaserComb 治疗可在斑秃的小鼠模型中诱导毛发生长。在目前的研究中,我们测试了 LLL 治疗是否可以促进 CIA 大鼠模型中的毛发生长。在年轻大鼠中给予环磷酰胺、依托泊苷或环磷酰胺和多柔比星的组合等化疗药物以诱导脱发,并进行或不进行 LLL 治疗。正如预期的那样,7-10 天后,所有大鼠都出现全身脱发。然而,接受激光治疗的大鼠比单独接受化疗或假激光治疗(激光关闭)的大鼠早 5 天重新长出毛发。激光治疗大鼠的加速毛发生长通过组织学得到证实。此外,LLL 治疗并未为皮下注射的 Shay 白血病细胞提供局部保护。总之,我们的结果表明,LLL 治疗可显著加速 CIA 后的毛发生长,而不会影响我们大鼠模型中化疗的疗效。我们的结果表明,LLL 应该在临床试验中探索用于治疗 CIA,因为家用 LLL 设备(如 HairMax LaserComb®)提供了一种用户友好且非侵入性的方法,可以提高患者的依从性并提高疗效。