Tackling Chemotherapy-Induced Alopecia

    Dilip Gude
    TLDR Chemotherapy-induced hair loss is a major concern, but various treatments show promise in preventing and reversing it.
    Chemotherapy-induced alopecia (CIA) was a significant concern for patients, with 47% of female patients finding it the most traumatic aspect of treatment and 8% potentially declining chemotherapy due to fear of hair loss. CIA typically resulted from dystrophic anagen effluvium and was usually reversible, though some regimens could cause permanent alopecia. Various treatments and preventive measures were explored, including scalp cooling, topical minoxidil, and inhibitors of cyclin-dependent kinase 2 (CDK2). Experimental models showed promising results with laminin-511-rich protein extracts, alpha lipoic acid derivatives, PTH-CBD, and immunomodulators like AS101. Additionally, immunophilin ligands such as cyclosporine A and FK 506 demonstrated potential in preventing hair loss and promoting hair growth.
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