Enhancement of In Vitro Hair Shaft Elongation in Follicles Stored in Buffers That Prevent Follicle Cell Apoptosis

    January 2004 in “ Dermatologic Surgery
    Walter Krugluger, Karl Moser, Claudia Moser, Katharina Laciak, Joerg Hugeneck
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    TLDR Storing hair follicles in special buffers with added protective substances can increase hair growth and reduce cell death.
    In 2004, a study found that hair follicle micrografts stored in HEPES-buffered DMEM exhibited greater in vitro hair shaft elongation (HSE) than those stored in PBS (28.4% vs. 2.3%). The addition of aminoguanidine (AMG) or 14,15-epoxy-eicosatrienoic acid (14,15-EET) to the DMEM further increased HSE (33.9% and 32.8%, respectively). Micrografts in PBS experienced higher apoptotic cell death (ACD), while AMG significantly reduced serum-induced ACD. The study suggested that using storage buffers with ACD inhibitors could improve the viability and outcome of hair micrograft transplantation by reducing ACD and maintaining physiological metabolic pathways. The results indicated that pH changes and free radical generation are key factors in ACD of stored micrografts, and that AMG and 14,15-EET can reduce ACD by inhibiting key enzymes. These findings may have clinical implications for hair restoration surgery, although clinical trials are necessary to confirm the effects on follicle cell viability and graft survival.
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