Ramdasi Sushilkumar, Tiwari Shashi Kant
ImmorCell Life Sciences LLP, Panchsheel Park, New Delhi, India.
J Stem Cells. 2016;11(4):201-211.
Hair loss can have major psychological impact on affected population belonging to varied ethnic background. Hair is a mini organ in itself and serves many distinguishing functions ranging from maintaining body temperature to promoting social interactions. Major cause of hair loss is androgenic alopecia. Hair follicles possess receptor for androgen. However, DHT (Dihydrotestosterone) in excess results into shrinkage of hair follicle affecting hair growth adversely. The present review is focused on etiology of hair loss, traditional treatment approach and their limitations with side effects with special emphasis on unique properties of stem cells, favourable growth factors secreted by stem cells and strategies to enhance favourable growth factor/cytokine production for hair loss therapeutics. We discussed in details the present available treatment options for hair loss like drugs (Finasteride and Minoxidil), follicular hair transplant, laser therapy and serum therapy. These treatment options have their own disadvantages and side effects with appropriate alerts from regulatory authorities. The side effects of these modalities cannot be ignored and demands alternate therapy approach with less or no side effects. We feel that the stem cell therapy is advancing and is a promising modality in near future owing to its advantages and promising outcomes. This review article discusses possible stem cell therapy for hair regrowth and its advantages. We focused on use of conditioned media derived from stem cells instead of using stem cells directly for the therapy.
脱发会对不同种族背景的受影响人群产生重大心理影响。头发本身就是一个微小器官,具有多种独特功能,从维持体温到促进社交互动。脱发的主要原因是雄激素性脱发。毛囊拥有雄激素受体。然而,过量的双氢睾酮(DHT)会导致毛囊萎缩,对头发生长产生不利影响。本综述聚焦于脱发的病因、传统治疗方法及其局限性与副作用,特别强调干细胞的独特特性、干细胞分泌的有利生长因子以及增强用于脱发治疗的有利生长因子/细胞因子产生的策略。我们详细讨论了目前可用的脱发治疗选择,如药物(非那雄胺和米诺地尔)、毛囊移植、激光疗法和血清疗法。这些治疗选择都有各自的缺点和副作用,监管机构也发布了相应警示。这些治疗方式的副作用不容忽视,需要替代疗法,其副作用更少或没有副作用。我们认为,由于干细胞疗法的优势和良好前景,它正在不断发展,在不久的将来是一种很有前景的治疗方式。这篇综述文章讨论了可能用于促进头发生长的干细胞疗法及其优势。我们重点关注使用源自干细胞的条件培养基,而非直接使用干细胞进行治疗。