Skin Regeneration, Wound Healing and Hair Growth

Two recent papers published important new findings in regards to wound healing and skin regeneration.

Wound healing via skin regeneration is often accompanied by hair follicle regeneration. Or even by brand new hair follicle neogenesis (e.g., Follica). Note that this hair growth after wounding phenomenon was even researched in the 1950s and 1960s.

On a related note, thousands of hair loss sufferers around the world are trying out at-home microneedling and dermarolling. Many of them have seen significant success, although one has to be careful with this type of scalp self-injury. On our hair loss chat, the most interesting recent discussion is around wounding depth levels.

Human embryonic and neonatal skin has the potential to regenerate after wounding. This includes fully functioning hair follicles. However, adult skin no longer has such regenerative capabilities. Researchers have been trying for years to find ways to coax salamander-like regenerative powers in humans. If not for whole limbs, at least for hair growing skin to cover baldness for our sake.

New Studies on Skin Regeneration and Wound Healing

1) In September 2020, a team that included Dr. Jeff Biernaskie published a study on the regenerative potential of dermal fibroblasts during wound healing. They identified a specific population of progenitor cells that reside within the dermis and which aid in wound healing.

Skin Regeneration Regulators
Skin Regeneration Regulators. Source: Bernaskie Lab GitHub.

The research is shared on GitHub. Also see Biernaskie Lab. According to the findings, Runx1, retinoic acid, and Hic1 control mesenchymal regenerative capabilities.

According to this summary, Dr. Biernaskie (whose work I have covered in the past) said that they have shown the following:

“You can alter the wound environment with drugs, or modify the genetics of these progenitor cells directly. Both are sufficient to change their behavior during wound healing. And that can have really quite impressive effects on healing that includes regeneration of new hair follicles, glands and fat within the wounded skin.” 

“It suggests that the adult wound-responsive cells do in fact harbor a latent regenerative capacity, it just simply needs to be unmasked.”

2) Also in September 2020, a new study from the University of Washington identified Wnt transcription factor Lymphoid enhancer-binding factor 1 (LEF1) as the key factor in adult skin regeneration.

LEF1 gene expression in fibroblasts has the potential in adult skin to repair itself like the skin of a newborn baby. This skin  can also grow new hair follicles.

Interview with lead author Dr. Ryan Driskell.

“We identified a genetic factor that allows adult skin to repair itself like the skin of a newborn baby.”

Hair, Skin and Wounding Interconnected Research

While researching for this post, I could not believe the number of diverse past posts that I have written on this blog that have focused on skin regeneration, wound healing and hair formation.

Regenerating hair follicle after wounding.
Wound induced single hair follicle neogenesis in a bald old man.

Renowned hair loss researchers such as Dr. George Cotsarelis, Dr. Luis Garza, Dr. Elaine Fuchs and Dr. Mayumi Ito have all also conducted frequent research on skin regeneration. I have discussed their work in past posts if you search for their names.

My gut feeling is that whenever there is a fully effective cure for hair loss, there is a strong likelihood that there will also be a cure for quality skin regeneration.

The authors of the second study that I linked to earlier have started a new site called The site’s mission is to provide a platform for scientists to easily query large datasets that focus on skin wounding and scarring repair.

For further information, see the Driskell Laboratory site at Washington State University.

Skin Gun and Spray-On Skin

It seems like the technology to repair skin has improved significantly during the past decade. There is an especially unmet need when it comes to treating skin that has been burnt badly.

One of the technologies that I used to very curious about is the skin gun that was widely hyped in 2011. I have not heard much about this in recent years. RenovaCare acquired the technology in 2013. The company’s skin gun and spray-on stem cells for wound healing are trademarked under the names SkinGun™ and CellMist™.

ISHRS 28th World Congress is Virtual

Update: October 18, 2020

— ISHRS Conference 2020: Twitter Account:

Final Program Guide.

Lots of other items of interest in there besides the big three presentations that I outlined earlier.

  • Shiseido’s Dr. Jiro Kishimoto’s presentation seems to include results of their earlier clinical study and is titled:

“Autologous Cell-Based Therapy for Male and Female Pattern Hair Loss using Dermal Sheath Cup Cells.”

  • Dr. Young Sil Kim from South Korea will make an interesting presentation related to his study on ADSC and hair growth from May 2020.

“The application of the ADSC‐CE topical solution has enormous potential for hair regrowth in patients with AGA.”

A few other presentations entail using fat cells (microfat and nanofat) for hair growth.

  • The most unusual title award goes to: “Hair Follicle Stem Cells Activation with Polylactic Co Caprolactone Based Subdermal Implants in Androgenetic Alopecia.” — Dr. Salome Vadachkoria from Georgia.

October 7, 2020

28th ISHRS World Congress

I have covered the annual ISHRS Congress ever since starting this blog in 2013. The International Society of Hair Restoration Surgery (ISHRS) used to call these annual gatherings “Meetings” rather than “Congresses”.

Note that the biennial World Congress for Hair Research has been postponed till 2022.

The 28th ISHRS World Congress will run from October 17th, 2020 through October 25th, 2020. The ISHRS Instagram has more details. Due to Covid-19, this year’s conference is virtual (online). When I first heard this news, I was not expecting much at all.

However, the unforeseen bonus for us is that the ISHRS is already releasing very good content almost daily on its Youtube channel. In the past, we never got any decent content before the beginning of these meetings. Moreover, videos from the conferences were not even published online after the fact.

For several of the World Congress for Hair Research Events, people even crowdfunded “Scientific Event Horizon” to attend and film some of the sessions. I even donated one time when he went to Asia. I am grateful to him for delivering us the great content and learning how to film while on-site. Also a special thanks to “Hello User“.

Christiano, Plikus and Terskikh

The leading speakers are all well known to blog readers. Especially the 1st and 3rd below.

  • Dr. Angela Christiano — “Hair Follicle Bioengineering Producing Human Hair Follicles In Vitro Using 3D Printing Technology”.
  • Dr. Maksim Plikus — “Groups of Hair Follicles Regenerating as a Spreading Wave”. See my past post on Dr. Plikus’ and others findings on hair follicle communication across the whole body.
  • Dr. Alexey Terskikh — “Hair Regeneration: Using induced pluripotent stem cells (iPSC) derived from dermal papilla cells with a 3D biodegradable scaffold.” I interviewed Dr. Terskikh in  2017 and he promised me another one last year. However, due to pending plans related to Stemson Therapeutics, he delayed the interview. He has not responded to requests this year. Luckily, we still get a chance to hear him tomorrow in a special event.

ISHRS Conference 2020 Announcement:

ISHRS 28th World Congress
ISHRS 28th World Congress via Twitter.