Substance P, TNF-a and IFN-y- The secrets behind BAY-1158061’s incredible hair growth?

FollicleGuardian

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Many of you are familiar with the incredible hair loss antibody BAY-1158061. The negative with it is that it’s incredibly hard to make use of the prolactin target until this gets to market. There has to be a way to replicate this I thought. So naturally I started researching why prolactin inhibition can be so powerful for alopecia. And what I found was interesting…


Substance P, TNF alpha and Interferon Gamma


Substance P levels correlates with Prolactin levels in the scalp. The more Subtance P (SP) a person has, the less of an effect Prolactin has on your hair follicle. SP works as an antagonist of prolactin. I then found a study showing that «SP induced significant hair growth (anagen) in the back skin of telogen mice». An interesting coincidence. So I further researched this obscure peptides actual function. Turns out it activates «Mast cells». And what do mast cells do?

You guessed right, they stimulate hair growth.

By inhibiting these cells you significantly inhibited anagen induction. Problems with anagen induction was the exact theory that famous Dr. Rassman has about Androgenetic Alopecia. He has stated that people with Androgenetic Alopecia might have a genetic deficiency of signals that induces new anagen entry.

Do people with Androgenetic Alopecia have more SP degrading enzyme, or perhaps less Substance P to counteract the Prolactin?

Futhermore I discovered a patent that describes the use of SP analogs used for Androgenetic Alopecia. They state:

  • «The inventors have discovered that Substance P (SP) stimulates hair regrowth and/or retards hair loss.»
  • «Successful treatment results in an increase in the number of hairs, rather than in the length of hairs.»
(The company behind the patent got bankrupt even before starting development of this treatment.)



TNF-alpha

TNF-alpha is an inflammatory cytokine. Prolactin increases TNF-a in monocytes. And vice versa TNF-alpha increases the human prolactin gene expression through NFK-b. It’s a bad circle. In terms of TNF-a and hair growth:

«Experiments in cultured human hair follicles by Hoffmann et al. showed that TNF-α completely abrogated hair growth.»

And,

«TNF-α induced the formation of a club-like hair follicle, similar to catagen morphology of the hair bulb.»

Lastly TNF-α also inhibits keratinocyte growth.



Interferon Gamma

IFN-y, or Interferon Gamma is a cytokine (cell signalling molecule). It is increased by prolactin. Interferon-gamma is a potent inducer of catagen-like changes in cultured human anagen hair follicles. It should also be mentioned that IFN-γ just as TNF-a also inhibited keratinocyte growth.



So, what can we do about this? (not medical advice, purely theoretical speculation)

  • Substance P hydrogel
  • Target TNF-a
  • Target INF-y
  • Target Substance P degrading enzyme
  • Target prolactin itself (BAY antibody or PRL antagonists)
  • Substance P analogs


https://pubmed.ncbi.nlm.nih.gov/7518880/

https://patents.google.com/patent/US20060153789

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3221206/

https://www.sciencedirect.com/science/article/pii/S0306987717310411

https://academic.oup.com/endo/artic...rce=trendmd-widget&itm_campaign=trendmd-pilot


https://pubmed.ncbi.nlm.nih.gov/15840090/
 

FollicleGuardian

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Thanks :)
 

Armando Jose

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Problems with anagen induction was the exact theory that famous Dr. Rassman has about Androgenetic Alopecia. He has stated that people with Androgenetic Alopecia might have a genetic deficiency of signals that induces new anagen entry.
yes, it s real a deficiency of signals, but why genetic? The question could be, why this issue only in certains areas over the scalp?
 

RagnarLothbrok

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I have a close relative on interferon immunotherapy for cancer... That sh*t is too strong almost like a bomb on your system. Insane sides. Would be nice to find a small mollecule from this tho
 

FollicleGuardian

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I have a close relative on interferon immunotherapy for cancer... That sh*t is too strong almost like a bomb on your system. Insane sides. Would be nice to find a small mollecule from this tho
Oh sh*t, does not sound good
 

pegasus2

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Just so everybody knows, SP will probably cause hair loss, and INF-y is dangerous to inhibit. TNF-a inhibition may cause hair loss too. It's an interesting post though.
 

FollicleGuardian

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Just so everybody knows, SP will probably cause hair loss, and INF-y is dangerous to inhibit. TNF-a inhibition may cause hair loss too. It's an interesting post though.
It seems to be a matter of the right balance. Too much TNF-a-> hair loss. Too little-> hair loss. Same with SP. And INF-y, yeah probably too dangerous.
 

bluecyclone

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Many of you are familiar with the incredible hair loss antibody BAY-1158061. The negative with it is that it’s incredibly hard to make use of the prolactin target until this gets to market. There has to be a way to replicate this I thought. So naturally I started researching why prolactin inhibition can be so powerful for alopecia. And what I found was interesting…


Substance P, TNF alpha and Interferon Gamma


Substance P levels correlates with Prolactin levels in the scalp. The more Subtance P (SP) a person has, the less of an effect Prolactin has on your hair follicle. SP works as an antagonist of prolactin. I then found a study showing that «SP induced significant hair growth (anagen) in the back skin of telogen mice». An interesting coincidence. So I further researched this obscure peptides actual function. Turns out it activates «Mast cells». And what do mast cells do?

You guessed right, they stimulate hair growth.

By inhibiting these cells you significantly inhibited anagen induction. Problems with anagen induction was the exact theory that famous Dr. Rassman has about Androgenetic Alopecia. He has stated that people with Androgenetic Alopecia might have a genetic deficiency of signals that induces new anagen entry.

Do people with Androgenetic Alopecia have more SP degrading enzyme, or perhaps less Substance P to counteract the Prolactin?

Futhermore I discovered a patent that describes the use of SP analogs used for Androgenetic Alopecia. They state:

  • «The inventors have discovered that Substance P (SP) stimulates hair regrowth and/or retards hair loss.»
  • «Successful treatment results in an increase in the number of hairs, rather than in the length of hairs.»
(The company behind the patent got bankrupt even before starting development of this treatment.)



TNF-alpha

TNF-alpha is an inflammatory cytokine. Prolactin increases TNF-a in monocytes. And vice versa TNF-alpha increases the human prolactin gene expression through NFK-b. It’s a bad circle. In terms of TNF-a and hair growth:

«Experiments in cultured human hair follicles by Hoffmann et al. showed that TNF-α completely abrogated hair growth.»

And,

«TNF-α induced the formation of a club-like hair follicle, similar to catagen morphology of the hair bulb.»

Lastly TNF-α also inhibits keratinocyte growth.



Interferon Gamma

IFN-y, or Interferon Gamma is a cytokine (cell signalling molecule). It is increased by prolactin. Interferon-gamma is a potent inducer of catagen-like changes in cultured human anagen hair follicles. It should also be mentioned that IFN-γ just as TNF-a also inhibited keratinocyte growth.



So, what can we do about this? (not medical advice, purely theoretical speculation)

  • Substance P hydrogel
  • Target TNF-a
  • Target INF-y
  • Target Substance P degrading enzyme
  • Target prolactin itself (BAY antibody or PRL antagonists)
  • Substance P analogs


https://pubmed.ncbi.nlm.nih.gov/7518880/

https://patents.google.com/patent/US20060153789

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3221206/

https://www.sciencedirect.com/science/article/pii/S0306987717310411

https://academic.oup.com/endo/artic...rce=trendmd-widget&itm_campaign=trendmd-pilot


https://pubmed.ncbi.nlm.nih.gov/15840090/
What about Prolactin medication such as Dostinex (Cabergoline) I forget the name but someone had a solid list of ancillaries for people starting Finasteride to prevent/limit sides. I believe he had a natural AI supplement (Alchemy AI) Cabergoline for libido, Vitamin D...
 

FollicleGuardian

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What about Prolactin medication such as Dostinex (Cabergoline) I forget the name but someone had a solid list of ancillaries for people starting Finasteride to prevent/limit sides. I believe he had a natural AI supplement (Alchemy AI) Cabergoline for libido, Vitamin D...
That only lowers systemic prolactin. We need to target the prolactin made locally in the hair folllicle. It’s independent from the serum level.
 

fellow1

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Hey in regards to TNF, studies are quite contradictory. Look at this. TNF alpha inhibitors induce alopecia.


The observation that our patient developed AA in the setting of TNF-alpha depletion may provide insights into the complex immune signals involved in this disease. We propose that TNF-alpha is not a necessary component for the inflammation seen in AA. It is however possible that TNF-alpha blockade can cause a dysregulation of cytokines leading to triggering of inflammation and hair loss.
 

Dimitri001

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So there's no way to use any of the angles Follicle Guardian mentioned in the OP? It seemed promising.
 

FollicleGuardian

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Yes it’s very contradictory
 

EndlessPossibilities

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I saw that study. What is useful is they basically stated that skin prolactin is not under the control of dopamine and also substance P is inflammatory. It will make u itch like crazy. If substance p was the natural solution. Full hair headed dudes would be itching like crazy.

I am most curious about what causes the tissue prolactin release In the first place.
 

RagnarLothbrok

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Hey in regards to TNF, studies are quite contradictory. Look at this. TNF alpha inhibitors induce alopecia.

These alopecia induced cases are on the immunosupressive gene tree (areata) which is completely different to Androgenetic Alopecia. Missed this thread but people were mixing Androgenetic Alopecia and areata studies which is completely pointless because they don't have any overlap in gene expression, so its normal this poster found contradictions.

Androgenetic Alopecia = progressive hair minituarization (thinning) until irrecovereable
AA = there is no hair minituarization at all.
 
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