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AGA 治疗中的临床和临床前方法:再生领域当前和新型疗法的综述

英文原题:Clinical and preclinical approach in AGA treatment: a review of current and new therapies in the regenerative field.

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Clinical and preclinical approach in AGA treatment: a review of current and new therapies in the regenerative field.

PubMed 2024/08/15(内容时间) Stem Cell Res Ther Q1 · IF 7.8(JCR 2025)

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中文摘要

雄激素性脱发(AGA)是最常见的脱发类型。其发病率主要与心理因素相关,尽管在受累个体中也观察到黑色素瘤发病率增加。当前基于药物的疗法和物理治疗要么长期效果不佳,要么具有限制其应用的相关副作用。

因此,需要一种新的治疗策略来促进再生增强替代方案。这些聚焦于细胞微环境恢复的治疗选择,可能是解决二氢睾酮对毛囊微环境影响的办法。在这一背景下,新兴的再生疗法如富血小板血浆或富血小板纤维蛋白,以及毛囊干细胞和间充质干细胞为基础的疗法及其衍生物(条件培养基CM或外泌体),正在毛发修复不断发展的格局中脱颖而出。纳米技术也通过设计生物墨水和纳米生物材料引领AGA治疗的发展,这些材料的结构正通过3D生物打印在大量案例中被配置。由于AGA领域先进疗法替代方案的数量不断增加和快速涌现,需要对当前最新进展进行扩展综述。

此外,本综述提供了对当前和新兴AGA疗法的总体见解,旨在为研究人员提供指导,突出最近正在获得关注的尖端治疗。

展开英文摘要原文

Androgenetic alopecia (AGA) is the most prevalent type of hair loss. Its morbility is mainly psychological although an increased incidence in melanoma has also been observed in affected subjects. Current drug based therapies and physical treatments are either unsuccessful in the long term or have relevant side effects that limit their application.

Therefore, a new therapeutic approach is needed to promote regenerative enhancement alternatives. These treatment options, focused on the cellular niche restoration, could be the solution to the impact of dihydrotestosterone in the hair follicle microenvironment. In this context emerging regenerative therapies such as Platelet-rich plasma or Platelet-rich fibrine as well as hair follicle stem cells and mesenchymal stem cell based therapies and their derivatives (conditioned medium CM or exoxomes) are highlighting in the evolving landscape of hair restoration.

Nanotechnology is also leading the way in AGA treatment through the design of bioinks and nanobiomaterials whose structures are being configuring in a huge range of cases by means of 3D bioprinting. Due to the increasing number and the rapid creation of new advanced therapies alternatives in the AGA field, an extended review of the current state of art is needed.

In addition this review provides a general insight in current and emerging AGA therapies which is intented to be a guidance for researchers highlighting the cutting edge treatments which are recently gaining ground.

论文信息

作者
Pozo-Pérez L、Tornero-Esteban P、López-Bran E
单位
Dermatology Department, Clínico San Carlos Hospital, Madrid, Spain. lorena.pozo@salud.madrid.org.Spain
文献类型
综述
期刊
Stem cell research & therapy2024 Aug 15
原文标识
PubMed 39148125 · DOI 10.1186/s13287-024-03801-5