Mobilizing Transit-Amplifying Cell-Derived Ectopic Progenitors Prevents Hair Loss from Chemotherapy or Radiation Therapy

    March 2023
    Weixin Huang, Shiau Ting Lai, Hsien-Yi Chiu, Michael Chang, Maksim V. Plikus, Chih‐Chieh Chan, You-Tzung Chen, Po‐Nien Tsao, Tsung‐Lin Yang, Hsuan-Shu Lee, Peter Chi, Sung‐Jan Lin
    TLDR Activating certain hair follicle cells could prevent hair loss from cancer treatments.
    The study "Data from Mobilizing Transit-Amplifying Cell-Derived Ectopic Progenitors Prevents Hair Loss from Chemotherapy or Radiation Therapy" reveals that hair follicles (HFs) can mobilize ectopic progenitors from distinct transit-amplifying cells (TAC) compartments for regeneration in response to the severity of damage induced by ionizing radiation (IR). After low-dose IR, keratin 5+ basal hair bulb progenitors, not bulge stem cells (SCs), were activated to replenish matrix cells and regenerate all layers of HFs. After high-dose IR, surviving outer root sheath cells acquired an SC-like state and fueled HF regeneration. The study also found that IR induced hair loss and suppressed WNT signaling in a p53- and dose-dependent manner. Enhancing WNT signaling mitigated the suppressive effect of p53 and boosted ectopic progenitor proliferation after genotoxic injury, thereby preventing both IR- and cyclophosphamide-induced alopecia. This suggests that targeted activation of TAC-derived progenitor cells for anagen HF repair could potentially prevent hair loss from chemotherapy and radiotherapy.
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