Scalp Microbiome Alterations in Androgenetic Alopecia: Patterns and Emerging Mechanistic Insights
March 2026
in “
International Journal of Dermatology
”
androgenetic alopecia scalp microbiome Cutibacterium acnes Malassezia sebum composition immune pathways hair follicle miniaturization triglycerides palmitic acid lipophilic microbes pro-inflammatory cytokines follicular stem cell apoptosis ketoconazole lipid-modulating interventions AGA scalp bacteria scalp yeast scalp oil immune response hair thinning fatty acids inflammatory proteins hair root cell death Nizoral fat-regulating treatments
Studysummary In this study, researchers observed that patients with androgenetic alopecia show differences in scalp microbial communities compared to the general population, including an increase in Cutibacterium acnes, particularly in males, which may interact with lipid and immune pathways to contribute to hair follicle miniaturization.
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