Category Archives: Adipose-Derived Stem Cells (ADSC)

Adipose-Derived Stem Cell Constituent Extract

It has been a while since I wrote a post related to adipose-derived stem cells (ADSCs) and hair growth. Adipose cells are also called fat cells.

Adipose‐Derived Stem Cell Constituent Extract

A potentially groundbreaking new study from South Korea was published yesterday. Thanks to Chris and Joe who both e-mailed me with links. This study concluded that adipose‐derived stem cell constituent extract (ADSC‐CE) helps hair regrowth in patients with androgenetic alopecia.

Adipose-derived stem cell constituent extract (ADSC-CE) and hair growth.
Adipose-derived stem cell constituent extract (ADSC‐CE) treatment increased hair count and hair thickness in the study. © 2020 Tak/Lee/Cho/Kim — Stem Cells Translational Medicine, published by Wiley Periodicals, Inc. on behalf of AlphaMed Press.

According to the authors, this is the first time that ADSC‐CE and its benefits on hair growth have been demonstrated via a a randomized, double‐blind, vehicle‐controlled clinical trial. Many other past studies have shown the benefits of ADSC (often via intradermal injections) on male and female pattern hair loss sufferers.

This latest study was widely covered in the media, including by the Daily Mail and New Atlas. The trial was conducted at Busan (Pusan) National University Yangsan Hospital and led by Dr. Sang Yeoup Lee. The actual trial was completed in 2016, so I am not sure why results were delayed till 2020.

The study was published in the journal Stem Cells Translational Medicine. The famous Dr. Anthony Atala is editor-in-chief of this journal. He is quoted as saying that this treatment offers hope to hair loss sufferers.

ADSC-CE Before and After Hair Growth.
ADSC-CE hair growth photo at 8 weeks and 16 weeks. One of the four results presented in the study.

Hair counts (+28.1%) and hair diameter (+14.2%) both increased substantially in 34 patients who completed the study. Original patient enrollment was 29 men and nine women. Encouragingly, these results persisted 16 weeks post treatment, with no major side effects. The treatment entailed twice‐daily self‐application of an ADSC‐CE topical solution all over the scalp.

The authors assumed that ADSC‐CE is likely to penetrate scalp tissue more than existing products that are manufactured using conditioned media (ADSC‐CM).

Adipose (Fat) Cells and Hair Growth

A lot evidence on the benefits of fat cell injections upon hair has been accumulating over the past decade. Even as far back as 1954, there was a study published suggesting a connection between scalp thickness, fat loss and balding.

I have written around 10 posts in the past that cover ADSC and closely related subjects, although none in the past couple of years.

For example:

  • See my past post on Stromal Vascular Fraction (SVF) enhanced adipose transplantation and the STRAAND clinical trials.
  • And on Advanced adipose-derived stem cell protein extract (AAPE).
  • Also see my past posts on Kerastem and the company’s STYLE clinical trials.
  • I have also analyzed important work from Dr. Valerie Horsley’s lab regarding adipocytes and their essential role in hair follicle regeneration. Last year, I also discussed fat layer loss and tightness in balding scalps.

AAPE: Advanced Adipose-Derived Stem Cell Protein Extract

I was originally planning to add the content of this related and important post within my prior post on adipose-derived stem cells (ADSCs), but that post became too lengthy in and of itself.

One would assume that, typically, when a person wants to add ADSCs to his/her hair, the cells are originally taken from that person’s own body (e.g., from the abdomen where there are significant quantities of fat cells present). Such a procedure is considered to be an autologous transplantation that is in all likelihood safe, since one is essentially just moving one’s own cells from one area of the body to another.

In fact there are already many doctors and surgeons offering such a procedure. Note that some often use the terms adipose-derived stromal vascular fraction (SVF), which actually only contains anywhere from 2-10 percent adipose-derived stem cells. There might be legal issues in the US that make SVF less controversial (it is classified as a surgical procedure so escapes the jurisdiction of the FDA). The New England Center for Hair is an example of a place in the US offering SVF based stem cell treatment to regrow hair.

AAPE

However, the two key Japanese studies that I mentioned in my prior post covered procedures that utilized a product called Advanced Adipose-Derived Stem Cell Protein Extract (AAPE), a registered trademark. It is made by a South Korean company called Prostemics (via ABio Materials).

AAPE Hair Growth
AAPE for Hair Growth. Adipose-Derived Stem Cell Conditioned Media from Prostemics (via ABio Materials) of South Korea.

I was unaware that it would be possible to purchase such a product legally, since the AAPE product contains protein extracts derived from other people’s adipose cells. However, it seems like this is all legal and according to a quote from the above linked page:

In Japan, over 200 clinics are using AAPE with a clinical hair program for hair regrowth. The brand AAPE is approved by dermatologists and medical professionals from Korea, Japan and USA.

There are various places from which one can purchase AAPE (largely Asia based companies), but I would not trust this kind of experimentation unless a well known hair transplant surgeon is willing to buy this product and work with you. It also seems like some companies produce their own AAPE-type products too, but buyer beware and these products might be illegal to import in many parts of the world. I would certainly not risk using any of this stuff on myself for now.

Here is a video about AAPE:

ADSC versus AAPE

I would assume that results from actual entirely ADSC (so not counting the SVF method mentioned earlier) based autologous hair transplantation will be significantly superior to those from AAPE, but such entirely ADSC cell based procedures are probably not legal in the US at the moment. There are already clinics outside the US doing such ADSC procedures.

For example, the late Dr. Rhett Bosnich used to offer an “amplified PRP” procedure at clinics in Australia and Thailand that included a small amount of abdominal fat extraction. I think that a lot of doctors who offer PRP will also start adding some adipose-derived stem cells to their procedure.

Who knows what all these guys really do once they extract your fat cells and put them into their centrifuge and final concoction Probably not worth paying much more than one pays for PRP for such procedures at the moment.

Addendum: I recently read an interesting comment that in an ironic reversal of history, the rich will finally start helping the poor by risking their lives first in the near future. How so? The rich will be the first ones who will be able to afford to buy expensive often experimental new anti-aging treatments and the like. Will we see the same in the hair loss world? i.e., rich people travelling to various countries for expensive possible risky unapproved cell based treatments to regrow hair? Then the poor will follow suit after a decade when the procedures become much cheaper and declared to be fully safe?