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白发:从预防到治疗

Gray Hair: From Preventive to Treatment.

作者信息

Herdiana Yedi

机构信息

Department of Pharmaceutics and Formulation Technology, Faculty of Pharmacy, Universitas Padjadjaran, Sumedang, West Java, Indonesia.

出版信息

Clin Cosmet Investig Dermatol. 2025 Jun 17;18:1475-1494. doi: 10.2147/CCID.S526263. eCollection 2025.

DOI:10.2147/CCID.S526263
PMID:40546989
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12182098/
Abstract

Aging is an inevitable natural process, with gray hair being one of its most visible signs. Hair graying holds psychosocial importance and is an excellent model for studying human pigmentation and aging in an accessible mini-organ. This phenomenon results from decreased melanin production in hair follicles, influenced by genetic, environmental, and lifestyle factors. Gray hair often poses aesthetic concerns and can be accelerated by environmental stressors, lifestyle choices, and nutritional deficiencies. Given the variation in onset and prevalence of gray hair, this study explores the underlying biological factors-namely, genetics, oxidative stress, and hormonal changes-to inform better prevention and treatment strategies. Recent advancements in prevention and treatment, such as topical melanin stimulants, antioxidants, dietary supplements, and low-level laser therapy (LLLT), offer promising approaches to managing gray hair. Understanding gray hair comprehensively-encompassing biological, psychological, and social dimensions-provides valuable insights into the aging process and can enhance overall well-being while addressing the stigma associated with aging. Our comprehensive analysis reveals that while graying correlates with certain health conditions, its primary significance is physiological rather than pathological. This understanding is essential for healthcare providers and the public to approach graying with scientific objectivity rather than social prejudice.

摘要

衰老是一个不可避免的自然过程,白发是其最明显的标志之一。白发具有社会心理重要性,是在一个易于研究的微型器官中研究人类色素沉着和衰老的绝佳模型。这种现象是由毛囊中黑色素生成减少导致的,受遗传、环境和生活方式因素影响。白发常常引发审美问题,环境压力源、生活方式选择和营养缺乏会加速白发的出现。鉴于白发出现的时间和发生率存在差异,本研究探讨潜在的生物学因素,即遗传学、氧化应激和激素变化,以提供更好的预防和治疗策略。预防和治疗方面的最新进展,如局部黑色素刺激剂、抗氧化剂、膳食补充剂和低强度激光疗法(LLLT),为应对白发提供了有前景的方法。全面理解白发,涵盖生物学、心理学和社会层面,能为衰老过程提供有价值的见解,并在解决与衰老相关的污名化问题的同时提高整体幸福感。我们的综合分析表明,虽然白发与某些健康状况相关,但其主要意义是生理性的而非病理性的。这种理解对于医疗保健提供者和公众以科学客观性而非社会偏见看待白发至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/069f/12182098/ffcc328fcb4e/CCID-18-1475-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/069f/12182098/3487d124618c/CCID-18-1475-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/069f/12182098/fc4917694d32/CCID-18-1475-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/069f/12182098/ffcc328fcb4e/CCID-18-1475-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/069f/12182098/3487d124618c/CCID-18-1475-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/069f/12182098/fc4917694d32/CCID-18-1475-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/069f/12182098/ffcc328fcb4e/CCID-18-1475-g0003.jpg

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本文引用的文献

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Unveiling the Link Between Celiac Disease and Premature Graying of Hair: A Case Report and Discussion on the Potential Implications for Diagnosis and Management.揭示乳糜泻与早生白发之间的联系:一例病例报告及对诊断和管理潜在影响的讨论
Cureus. 2024 Jul 28;16(7):e65612. doi: 10.7759/cureus.65612. eCollection 2024 Jul.
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The Effects of Environmental Pollutants and Exposures on Hair Follicle Pathophysiology.环境污染物及暴露对毛囊病理生理学的影响
Skin Appendage Disord. 2024 Aug;10(4):262-272. doi: 10.1159/000537745. Epub 2024 Apr 17.
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Melanocyte stem cells in the skin: Origin, biological characteristics, homeostatic maintenance and therapeutic potential.
皮肤中的黑素细胞干细胞:起源、生物学特性、稳态维持和治疗潜力。
Clin Transl Med. 2024 May;14(5):e1720. doi: 10.1002/ctm2.1720.
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Acitretin-Induced Repigmentation of Gray Hair: A Case Report.阿维A诱导白发再色素沉着:一例报告
Cureus. 2024 Apr 14;16(4):e58261. doi: 10.7759/cureus.58261. eCollection 2024 Apr.
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Melanocytes in regenerative medicine applications and disease modeling.再生医学应用和疾病建模中的黑素细胞。
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Knowledge, Attitude, Reception, and Preventive Practices Towards Skin Photoaging Among the General Population in Jazan, Saudi Arabia.沙特阿拉伯吉赞地区普通人群对皮肤光老化的认知、态度、接受程度及预防措施
Cureus. 2024 Mar 7;16(3):e55710. doi: 10.7759/cureus.55710. eCollection 2024 Mar.
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Melanin granules morphology and distribution in human black hair investigated by focused ion beam scanning electron microscopy: Differences between Asian and Caucasian hair.聚焦离子束扫描电子显微镜研究人黑色毛发中黑色素颗粒的形态和分布:亚洲人与高加索人毛发的差异。
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