De Novo Formation Of Hair Follicles Without Wounding

HairOnFire

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Pretty wild. Simultaneous activation of the Hedgehog pathway in epithelial and stromal cells produces de novo hair follicle formation, without the need for wounding. Unfortunately, tumors were also produced, although the researchers were able to suppress the tumors while still generating hair follicles.

There's a "plain language" summary at the end:

https://pubmed.ncbi.nlm.nih.gov/32178760/?from_term=hair&from_sort=date&from_page=2&from_pos=7

2020 Mar 17
Coordinated Hedgehog Signaling Induces New Hair Follicles in Adult Skin
Xiaoyan Sun # 1, Alexandra Are # 1, Karl Annusver # 1, Unnikrishnan Sivan # 1, Tina Jacob 1, Tim Dalessandri 1, Simon Joost 1, Anja Füllgrabe 1, Marco Gerling 1, Maria Kasper 1
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Abstract

Hair follicle (HF) development is orchestrated by coordinated signals from adjacent epithelial and mesenchymal cells. In humans this process only occurs during embryogenesis and viable strategies to induce new HFs in adult skin are lacking. Here, we reveal that activation of Hedgehog (Hh) signaling in adjacent epithelial and stromal cells induces new HFs in adult, unwounded dorsal mouse skin. Formation of de novo HFs recapitulated embryonic HF development, and mature follicles produced hair co-occurring with epithelial tumors. In contrast, Hh-pathway activation in epithelial or stromal cells alone resulted in tumor formation or stromal cell condensation respectively, without induction of new HFs. Provocatively, adjacent epithelial-stromal Hh-pathway activation induced de novo HFs also in hairless paw skin, divorced from confounding effects of pre-existing niche signals in haired skin. Altogether, cell-type-specific modulation of a single pathway is sufficient to reactivate embryonic programs in adult tissues, thereby inducing complex epithelial structures even without wounding.

Keywords: adult mouse skin; developmental biology; hair follicle development; hedgehog signalling; lineage tracing; mouse; mouse models; regenerative medicine; stem cells.

Plain Language Summary
We are born with all the hair follicles that we will ever have in our life. These structures are maintained by different types of cells (such as keratinocytes and fibroblasts) that work together to create hair. Follicles form in the embryo thanks to complex molecular signals, which include a molecular cascade known as the Hedgehog signaling pathway. After birth however, these molecular signals are shut down to avoid conflicting messages – inappropriate activation of Hedgehog signaling in adult skin, for instance, leads to tumors. This means that our skin loses the ability to make new hair follicles, and if skin is severely damaged it cannot regrow hair or produce the associated sebaceous glands that keep skin moisturized. Being able to create new hair follicles in adult skin would be both functionally and aesthetically beneficial for patients in need, for example, burn victims. Overall, it would also help to understand if and how it is possible to reactivate developmental programs after birth. To investigate this question, Sun, Are et al. triggered Hedgehog signaling in the skin cells of genetically modified mice; this was done either in keratinocytes, in fibroblasts, or in both types of cells. The experiments showed that Hedgehog signaling could produce new hair follicles, but only when activated in keratinocytes and fibroblasts together. The process took several weeks, mirrored normal hair follicle development and resulted in new hair shafts. The follicles grew on both the back of mice, where hair normally occurs, and even in paw areas that are usually hairless. Not unexpectedly the new hair follicles were accompanied with skin tumors. But, promisingly, treatment with Hedgehog-pathway inhibitor Vismodegib restricted tumor growth while keeping the new follicles intact. This suggests that future work on improving “when and where” Hedgehog signaling is activated may allow the formation of new follicles in adult skin with fewer adverse effects.

© 2020, Sun et al.
 

pegasus2

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You had to post this right when a couple of us are about to experiment with hedgehog signalling. The results in this paper are not surprising. They deleted tumor suppressor Ptch1, so of course tumors were formed. 70% of all basal cell carcinoma cases have deletion or mutation of Ptch1. SAG induced Ptch1 by nearly 4 fold in fetal scalp skin. Interestingly, in this experiment tumors regressed upon application of an shh inhibitor, but de novo hair follicles remained intact.
 
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max310

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What if the patient had rigorous hair transplant that killed all his previous grafts?.
 

Tomtom21

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This was already known years ago. There was a company known as curis that did the same thing. It created new hair follicles with a drug via the same pathway. Basically would cure baldness. However, the project was canned bc it failed to be proven safe in preclinical trials for the same reasons. It was tumorigenic as well. Samumed holds some hope as it more downstream then shh pathway and per the biopsies of the second trial it did create some new follicles.
 

HairOnFire

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This was already known years ago. There was a company known as curis that did the same thing. It created new hair follicles with a drug via the same pathway.

I had forgotten about Curis. But from what I recall, their working theory was that Shh activation transitioned existing hair follicles into the anagen phase. I don't believe they knew at the time that Shh could induce postnatal neogenesis (the study we are discussing here), but I could be wrong.
 

jumpingjackgazz

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u did hair transplant and the transplanted hair fell off ? how ?

I'm in the same case as max310.
I got a 3000 FUE and after 8 years, I would say that 70% of transplanted hairs are gone, and it's still thinning.
Hair Transplant is NOT permanent ! Or at least for a part of us.
Sorry it's not the right place, may be we should create a separate topic for that.
 

Xander94

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I'm in the same case as max310.
I got a 3000 FUE and after 8 years, I would say that 70% of transplanted hairs are gone, and it's still thinning.
Hair Transplant is NOT permanent ! Or at least for a part of us.
Sorry it's not the right place, may be we should create a separate topic for that.
You must have sh*t donor area or poor yield, my maternal grandfather donor was untouched and thick till his 80s.

My father however in his 50s also has thinned out donor and thin hair type.

It depends on your donor genetics and hair type, Ive got thick wavy meditteraenean donor hair from my mother side which is the best
 

jumpingjackgazz

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You must have sh*t donor area or poor yield, my maternal grandfather donor was untouched and thick till his 80s.

My father however in his 50s also has thinned out donor and thin hair type.

It depends on your donor genetics and hair type, Ive got thick wavy meditteraenean donor hair from my mother side which is the best

good for you!
My donor is still good and thick.
On another forum, some ppl are in same situation as mine...
 

John Difool

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Can we go back to the topic of hedgehog signalling please? Or create a discord channel on new therapies and ban all these idiots who are claiming they can save their mane with what's available thru prescription, or by doing surgery?
 

John Difool

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which doctor did you go to ?

The extractions were not done right then.

What are you? A specialist in hair transplant now? Lol

Why are you detracting every new topic with your hair transplant crap? That's doomed to fail as long term your hair around the transplants will fall leaving you with a very diffused scalp and creepy look. So shut your trap and go sell your hair transplant services somewhere else.
 
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