Fibroblasts and Hair Regrowth: Advanced Restoration Solutions

Regenerative medicine is transforming hair restoration by tapping into the body’s natural healing processes to stimulate new hair growth. Unlike traditional treatments that mainly slow hair loss, regenerative approaches focus on repairing and regenerating hair follicles, resulting in thicker and healthier hair.

In every hair follicle, a complex interaction between epithelial and mesenchymal cells is crucial for hair growth and retention, with fibroblast cells playing a pivotal role. Epithelial cells form the structural foundation surrounding the follicle, while mesenchymal cells, located at the core, possess the remarkable ability to differentiate into multiple cell types. However, it is the fibroblasts, through the secretion of collagen, that maintain the connective tissue architecture, providing the necessary support to anchor hair follicles securely to the scalp.

As practitioners, you’re well aware that age and other factors diminish fibroblast activity, leading to the weakening of the tissue matrix surrounding hair follicles. The result is less structural integrity, which often manifests in progressive hair thinning and, eventually, permanent hair loss at the follicular level. This decline in fibroblast function is a critical factor in the onset of permanent alopecia.

However, advancements in the field, notably Claire Higgins’ 2013 research, have demonstrated the potential to stimulate the regeneration of hair follicles by processing and reintroducing dermal papilla cells. By leveraging the regenerative capacity of fibroblasts, there is now a viable pathway to not only halt hair loss but to promote new follicle development. This approach opens up exciting possibilities for practitioners to offer cutting-edge, biologically-based treatments that address the underlying cellular deficiencies driving hair loss.

With these insights into fibroblast biology, practitioners are equipped to guide patients through innovative treatments aimed at rebuilding follicular structures and stimulating hair regrowth. By targeting fibroblasts and enhancing their ability to regenerate connective tissue, we can offer more effective and long-lasting solutions for hair rejuvenation.

This knowledge empowers practitioners to offer advanced, fibroblast-centered therapies that support hair regrowth, providing clients with superior outcomes based on the latest regenerative science.

Introducing Dermomine

Dermomine is an autologous micrografting kit, which harvests cells from the dermal layer (papilla) of the skin and processes them, so a live culture can be injected into tissue. When targeting hair restoration, Dermomine works by harvesting and processing tissue from the head that is rich in fibroblast cells and other mesenchymal cells, and reintroduces them to the scalp. Due to genetics, autoimmune diseases and age, the body slows down (or stops) production of these cells on the head, making individuals lose hair. Dermomine reverses this effect by reintroducing a healthy colony of fibroblasts and progenitor cells that, when combined with PRP, provides a compelling option for hair restoration

One treatment of dermomine, 3 months apart

Before After

Another patient after one treatment, 3 months apart

Before After

CD Markers in Hair Regrowth

When examining hair regrowth and regeneration, several key markers are crucial for the process. These include:

  • CD200+: Hair Follicle Epithelial Stem Cells: These cells are involved in managing autoimmunity within hair follicles.
  • CD44+: Hair Follicle-Derived Mesenchymal Stem Cells: These cells are vital for stimulating hair growth.
  • CK15+: Bulge Area Cells: These cells help regulate the early stages of keratinocyte differentiation, influencing whether a cell develops into hair or skin.
  • CD34: This marker is found on Hematopoietic Stem Cells (HSCs) located in the outer root sheath of the anagen hair follicle.

Dermomine:

  • CD34: 0.2%
  • CD44: 67.2%
  • CD45: 5.9%
  • CD200: 68.0%
  • CK15: 52.0%
  • Viability: 94.8%

These markers demonstrate how Dermomine has all the components needed to not only stimulate hair regrowth, but deal with the root cause of hair loss. When combined with PRP or PRF, clinicians will be dealing with the root cause of the problem by introducing cultures of fibroblasts, whilst securing their growth and proliferation with growth factors inherent to PRP treatments. While PRP and PRF are known for their effectiveness, a single session of a combined Dermomine treatment might achieve what would take 3-4 sessions of PRP or PRF alone.

References

Microenvironmental reprogramming by three-dimensional culture enables dermal papilla cells to induce de novo human hair-follicle growth.

Claire A. Higgins, James C. Chen, Jane E. Cerise, Colin A. B. Jahoda, and Angela M. Christiano

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