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用人毛囊来源的自体干细胞治疗女性雄激素性脱发的短期临床评估

Short-Term Clinical Assessment of Treating Female Androgenetic Alopecia with Autologous Stem Cells Derived from Human Hair Follicles.

作者信息

Krefft-Trzciniecka Katarzyna, Piętowska Zuzanna, Pakiet Alicja, Nowicka Danuta, Szepietowski Jacek C

机构信息

Department of Dermatology, Venereology and Allergology, Wrocław Medical University, 50-368 Wrocław, Poland.

出版信息

Biomedicines. 2024 Jan 11;12(1):153. doi: 10.3390/biomedicines12010153.

Abstract

BACKGROUND

Androgenetic alopecia (AGA) is the most common form of alopecia, but treatment options are limited. This study evaluated clinical improvement in hair condition in women with AGA six months after a single injection of autologous cell micrografts (ACMs) containing hair follicle stem cells and dermal papilla cells.

METHODS

Twenty-three women with clinically and dermoscopy-confirmed AGA were included. Five 2.5 mm punch biopsies were taken from the skin of each patient with the Regenera device. The cell suspension was prepared with the Rigeneracons device and then injected into the hormone-dependent hairy zone of the scalp.

RESULTS

A significant improvement was observed on the visual analog scale (VAS) when comparing pre- and post-procedure photos ( < 0.001). The change in VAS scores was moderately negatively correlated with baseline ferritin concentration and positively with iron concentration. Improved outcomes were associated with higher baseline levels of sex hormone-binding globulin and 17α-hydroxyprogesterone. Neither testosterone nor DHT showed a significant correlation with VAS scores.

CONCLUSIONS

The ACM procedure was shown to be both safe and effective, yielding satisfying results six months after a single treatment session. Future investigations should aim to gather evidence that enables the development of a cost-effective approach while minimizing treatment burden and costs.

摘要

背景

雄激素性脱发(AGA)是最常见的脱发形式,但治疗选择有限。本研究评估了单次注射含有毛囊干细胞和真皮乳头细胞的自体细胞微移植(ACM)六个月后,AGA女性患者头发状况的临床改善情况。

方法

纳入23名经临床和皮肤镜检查确诊为AGA的女性。使用Regenera设备从每位患者的皮肤上取5块2.5毫米的打孔活检组织。用Rigeneracons设备制备细胞悬液,然后注射到头皮的激素依赖性毛发生长区域。

结果

比较术前和术后照片时,视觉模拟量表(VAS)显示有显著改善(<0.001)。VAS评分的变化与基线铁蛋白浓度呈中度负相关,与铁浓度呈正相关。改善的结果与较高的基线性激素结合球蛋白和17α-羟孕酮水平相关。睾酮和双氢睾酮(DHT)与VAS评分均无显著相关性。

结论

ACM手术被证明是安全有效的,单次治疗六个月后可产生令人满意的结果。未来的研究应旨在收集证据,以开发一种具有成本效益的方法,同时尽量减少治疗负担和成本。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd8/10813176/3f93cd8e7cea/biomedicines-12-00153-g001.jpg

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