Platelet-Rich Plasma and Micrografts Enriched with Autologous Human Follicle Mesenchymal Stem Cells Improve Hair Re-Growth in Androgenetic Alopecia. Biomolecular Pathway Analysis and Clinical Evaluation.

HF-MSCs PRP PRP hair hair loss hair-regrowth human follicle mesenchymal stem cells micrografts platelet rich plasma stem cells hair

Journal

Biomedicines
ISSN: 2227-9059
Titre abrégé: Biomedicines
Pays: Switzerland
ID NLM: 101691304

Informations de publication

Date de publication:
08 Apr 2019
Historique:
received: 04 03 2019
revised: 27 03 2019
accepted: 05 04 2019
entrez: 11 4 2019
pubmed: 11 4 2019
medline: 11 4 2019
Statut: epublish

Résumé

Platelet rich plasma (PRP) and Micrografts containing human follicle mesenchymal stem cells (HF-MSCs) were tried as a potential treatment for androgenetic alopecia (AGA). However, little to no work has yet to be seen wherein the bio-molecular pathway of HF-MSCs or PRP treatments were analyzed. The aims of this work are to report the clinical effectiveness of HF-MSCs and platelet-rich plasma evaluating and reviewing the most updated information related to the bio-molecular pathway. Twenty-one patients were treated with HF-MSCs injections and 57 patients were treated with A-PRP. The Wnt pathway and Platelet derived-growth factors effects were analyzed. 23 weeks after the last treatment with mean hair thickness increments (29 ± 5.0%) over baseline values for the targeted area. 12 weeks after the last injection with A-PRP mean hair count and hair density (31 ± 2%) increases significantly over baseline values. The increment of Wnt signaling in Dermal Papilla Cells evidently is one of the principal factors that enhances hair growth. Signaling from mesenchymal stem cells and platelet derived growth factors positively influences hair growth through cellular proliferation to prolong the anagen phase (FGF-7), inducing cell growth (ERK activation), stimulating hair follicle development (β-catenin), and suppressing apoptotic cues (Bcl-2 release and Akt activation).

Identifiants

pubmed: 30965624
pii: biomedicines7020027
doi: 10.3390/biomedicines7020027
pmc: PMC6631937
pii:
doi:

Types de publication

Journal Article

Langues

eng

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

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Auteurs

Pietro Gentile (P)

Department of Surgical Sciences, Plastic and Reconstructive Surgery, University of Rome "Tor Vergata", 00173 Rome, Italy. pietrogentile2004@libero.it.

Maria G Scioli (MG)

Department of Biomedicine and Prevention, Institute of Anatomic Pathology, University of Rome "Tor Vergata", 00173 Rome, Italy. scioli@med.uniroma2.it.

Alessandra Bielli (A)

Department of Biomedicine and Prevention, Institute of Anatomic Pathology, University of Rome "Tor Vergata", 00173 Rome, Italy. alessandrabielli@hotmail.it.

Barbara De Angelis (B)

Department of Surgical Sciences, Plastic and Reconstructive Surgery, University of Rome "Tor Vergata", 00173 Rome, Italy. bdeangelisdoc@gmail.com.

Ciro De Sio (C)

Private Plastic Surgeon, 00168 Rome, Italy. dr.cdesio@gmail.com.

Domenico De Fazio (D)

Private Plastic Surgeon, 00168 Rome, Italy. defazioplastic@gmail.com.

Gabriele Ceccarelli (G)

Department of Public Health, Experimental Medicine and Forensic, Human Anatomy Unit, University of Pavia, 27100 Pavia, Italy. gabriele.ceccarelli@unipv.it.
Center for Health Technologies, University of Pavia, 27100 Pavia, Italy. gabriele.ceccarelli@unipv.it.

Angelo Trivisonno (A)

Private Plastic Surgeon, 00168 Rome, Italy. dott.a.trivisonno@gmail.com.

Augusto Orlandi (A)

Department of Biomedicine and Prevention, Institute of Anatomic Pathology, University of Rome "Tor Vergata", 00173 Rome, Italy. orlandi@uniroma2.it.

Valerio Cervelli (V)

Department of Surgical Sciences, Plastic and Reconstructive Surgery, University of Rome "Tor Vergata", 00173 Rome, Italy. valeriocervelli@virgilio.it.

Simone Garcovich (S)

Institute of Dermatology, F. Policlinico Gemelli, IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy. simgarko@yahoo.it.

Classifications MeSH