Category Archives: Dermal Papilla Cells

Bioengineering Approaches to Hair Regeneration: Kageyama

Recently, Yokohama National University (Japan)’s Dr. Tatsuto Kageyama published a very lengthy and detailed paper in a Japanese scientific journal called Journal of the Society of Bioengineering. Dr. Kageyama works at the renowned Fukuda Lab in Japan, which is led by Dr. Junji Fukuda. The actual paper is in Japanese and is titled: “Bioengineering approaches for hair follicle regeneration.

I have translated it and will break out the main details in this post. Besides discussing his team’s scientific approach to hair regrowth, Mr. Kageyama also outlines their overall progress and future plans (though he gives on exact dates for clinical trials). Make sure to check out the diverse range of Google Scholar citations for Mr. Kageyama. In most of his important hair growth related papers, he is a co-author with Dr. Fukuda and others.

Previously, I also mentioned that Ayaka Nanmo, Tatsuto Kageyama and Junji Fukuda are co-founders of a new company named TrichoSeeds. It aims to provide “hair regeneration medicine.”

Bioengineering Approaches for Hair Regeneration

To start off, Mr. Kageyama outlines the three main methods of hair regeneration that his team at Fukuda Lab is working on:

  1. Mesenchymal cell transplantation. Reactivates existing weakened hair follicles by injecting mesenchymal stem cells.
  2. Hair follicle primordium transplantion. See their pending patent on hair follicle primordia.
  3. Hair follicle regeneration. The creation of brand new hair follicles in those who have none left. See their January 2024 study on the large-scale preparation of hair follicle germs (HFGs). The transplantation of HFGs in mice resulted in highly efficient “de novo” hair follicle regeneration.
Bioengineering Approaches to Hair Regeneration
Bioengineering Approaches to Hair Regeneration. Journal of the Society of Bioengineering Volume 102, Issue 4 (2024). Tatsuto Kageyama.

I am most excited about the first method for now since it will come to market first. Especially in aging Japan, where autologous regenerative medicine treatments are going to be speed tracked to in-clinic use. In fact in my recent post titled “A Visit to Fukuda Lab“, Dr. Junji Fukuda had the following quote:

“Dermal papilla cell transplantation is about to begin in Japan.“

If you have a reasonable amount of your own scalp hair remaining, this mesenchymal stem cell injection treatment sounds very promising. The diagram below that Mr. Kageyma published in his new paper is extremely detailed.

Techniques for Culturing Dermal Papilla Cells

Mr. Kageyama discusses his team’s three unique approaches to culturing dermal papilla cells. I covered these methods in various posts and updates related to Dr. Junji Fukuda’s published papers over the past decade.

The conventional dermal papilla culturing method (number 1 below) is similar to Shiseido’s work, which Mr. Kageyama discusses briefly. He says that it has limited effectiveness, since the hair regeneration ability of the cells is reduced during the process of growing mesenchymal cells in a culture dish.

  1. Conventional culturing.
  2. Gel bead culture.
  3. Electrical stimulation culture.
  4. Startified culture.
Mesenchymal Stem Cell Culturing Hair Growth
Mesenchymal stem cell culturing and injection of derma papilla cells for hair growth. Journal of the Society of Bioengineering Volume 102, Issue 4 (2024). Tatsuto Kageyama.

Hair Regeneration by Transplantation of Hair Follicle Primordia

In this second key approach, the aim is to increase the total number of existing hairs. Dr. Kageyama also discusses the work of Dr. Takashi Tsuji and his team in this section of the paper.

The gist of this technology is the mixing of epithelial cells and mesenchymal cells into a single aggregate. This in turn results in the formation of hair follicle primordia (hair seeds), which can then be transplanted into thinning areas of the scalp. The Fukuda team has already succeeeded in the large-scale preparation of hair follicle
primordia.

At present, the team is conducting experiments in transplanting human hair follicle primordia into mice and improving the regeneration efficiency. At present, there is no guarantee that hair follicle will regenerate from the transplanted seeds. It is also difficult to control the direction of new hair growth with this approach.

Hair Follicle Regeneration

The third and final approach entails the creation of brand new hair follicles for transplantation. i.e., hair multiplication. The Fukuda Lab team has managed to develop a culturing technique for regenerating hair follicles in vitro. The discussion here is fairly technical, so I will just quote (and hope that the translation is accurate):

“Focusing on the self-organization process of epithelial cells and mesenchymal cells, we regenerate mature hair follicles with high efficiency (>99%) by controlling the spatial arrangement pattern of aggregates that form in the early stage of culture. Controlling the spatial arrangement of epithelial cells and mesenchymal cells in the aggregate on the second day of culture from a dumbbell shape to a core-shell shape was the key to in vitro hair regeneration. The production method is very simple, such as adding approximately 2% Matrigel to the culture medium when seeding epithelial cells and mesenchymal cells.”

Hair Follicle Regeneration In Vitro
Hair Follicle Regeneration In Vitro. Journal of the Society of Bioengineering Volume 102, Issue 4 (2024). Tatsuto Kageyama.

Future Plans

The team plans to continue its work in all three approaches to hair regeneration. i.e., transplantation of mesenchymal cells,
transplantation of hair follicle primordia, and transplantation of regenerated hair follicles. Moreover, they have succeeded in constructing microtweezers that can grasp, cryopreserve, and eject hair follicle primordia. They are also working with robotics experts to develop a fully automated transplantation robot.

Epibiotech Hair Loss Cell Therapy Trials

Thanks to readers “Ben” and “Theo” for the regular updates on Epibiotech (South Korea). Note that Stemore was renamed to Epibiotech in 2021. Since then, the new company has been in the news almost every month. Note that besides EPI-001, Epibiotech has several other hair loss products in its pipeline that I have listed at the bottom of this post. The top half is all recent updates.

Update: May 9, 2024

Epibiotech Receives Funding to Begin Clinical Trials

Epibiotech just received approval for government funding for its pending Phase 1/2a clinical trials. I expect these trials to begin before the end of 2024.

Per CEO Seong Jong-hyuk, this is the first clinical trial in the world to conduct an autologous cell therapy for hair loss using hair papilla cells. I am not sure if this is true, since Intercytex completed Phase 1 trials on its dermal papilla expansion and transplantation (vie injection) process several decades ago.

Moreover, the Fukuda Lab team in Japan recently announced that dermal papilla cell transplantation is about to begin in Japan. And perhaps Han Bio and HairClone have both further advanced their dermal papilla cell expansion related technology as of 2024.

New Epibiotech Video:

Update: April 23, 2023

Epibiotech has succeeded in growing hair in pigs via the injection of human dermal papilla cells (hDPCs). I discuss the details of this significant development in my post on pigs and hair growth.

Update: February 9, 2023

New Epibiotech CEO Interview

A very detailed new interview with Epibiotech CEO Sung Jong-hyeok. The translated title states that a powerful new drug for the fundamental treatment of hair loss is coming. However, Phase 2 trials are yet to begin for their main EPI-001 product. Key quote and photo below. Note that they are working on several different ways to tackle hair loss.

“There are many companies worldwide that conduct research on hair loss. But we are confident that Epibiotech is the only company that is developing various modality treatments based on cells, antibodies, and low-molecular compounds (chemicals) and that is conducting the most in-depth research.”

“In addition to the currently leading dermal papilla cell-based new hair loss drug, it is discovering and developing new hair loss treatment targets such as CXCL12 neutralizing antibody and RIPK1 inhibitor.”

Epibiotech EPI-001 Hair Growth
Epibiotech EPI-001 hair growth in mice, Before and after comparison to Minoxidil and Finasteride.

Update: January 20, 2023

Epibiotech and Novelty Nobility sign an agreement to develop an antibody treatment for hair loss. Epibiotech plans to add any new antibodies discovered by Novelty Nobility to its own hair loss treatment protocol.

Update: November 22, 2022

A new paper from the CEO on cell therapy for hair regeneration that necessitated my writing an entire blog post.

Update: September 9, 2022

Epibiotech and Humedix to Jointly Develop Hair Loss Treatment

Thanks to reader “Theo” for the below two recent updates. On September 7, Epibiotech and Humedix announced a new partnership. The two companies will collaborate to further develop Epibiotech’s hair loss treatment. Humedix seems to be a reputable cosmetics sector player, with significant experience in manufacturing injection and platform technology.

Moreover, according to the press release, Humedix is also developing:

“Spheroid culture technology through 3D culture of dermal papilla cells and a scaffold using biopolymer materials such as bio-ink related. The goal is to expand the business into the cell therapy field by combining 3D bioprinting technology and biopolymer application technology.”

In the article, Epibiotech is described as having expertise in four key areas:

  • Hair papilla cell isolation and cultivation technology.
  • Induced pluripotent stem cell manufacturing technology.
  • Organoid-based hair follicle cell differentiation technology.
  • Gene editing technology.

Also of interest, in August 2022 Epibiotech hired two new staff members to its leadership team. One of them is described as a vice president of the Ministry of Food and Drug Safety. He is an expert in the medical product field and a regulatory approval review specialist.

Other Recent Updates

Epibiotech CEO Sung Jong-hyeok seems to give numerous documented presentations at local conferences, universities and more. Some recent highlights:

  • Update: July 12, 2022 — Epibotech human clinical trials to commence with a year. Another article from earlier this month states that a dermal papilla cell pipeline, was completed in June 2022. The company “will apply for an IND in the second half of the year and enter Phase 1 clinical trials in 2023″. Also of note, preclinical work confirmed very good efficacy. One month after transplantation of human dermal papilla cells into pig skin, the number of hairs increased by 40% and the hair thickness by 30%.
  • Update: April 29, 2022 — Epibiotech announced on April 29, 2022 that it would expand the EPI-001 autologous DPC (dermal hair papilla cell) therapy to off-the-shelf allogeneic treatment.
  • Update: April 21, 2022 — Scientists from Epi Biotech were involved in an interesting new paper. Its conclusion: “Silencing the CXCL12/CXCR4 signaling pathway can be developed for novel hair growth stimulation.”
  • Update: October 5, 2021 — Epibiotech has started producing non-clinical samples of its dermal papilla cell therapy EPI-001 at its cell therapy production center.
Epibiotech Hair Cell Multiplication
Epibiotech hair multiplication via dermal papilla cells. Source: Company website.

Epibiotech New Hair Loss Facility

  • On June 3rd 2021, Epibiotech and T&R Biotech announced a partnership to develop a hair loss treatment involving pluripotent stem cells. According to T&R Biotech’s CEO:

“Epibiotech’s dermal papilla cell differentiation technology and our pluripotent stem cell line will create a combination with high synergetic effect.”

  • On May 31, 2021, Epibiotech and its CEO Jong-Hyuk Sung announced the construction of a new production facility at its Songdo headquarters. This GMP facility will be used to produce “2,000 self-made dermal papilla cell therapy products annually”.

Epibiotech’s platform technology page is all over the place and a bit confusing. It includes dermal papilla cell separation and culture technology as well as gene editing based hair follicle stem cell production.

Note that CEO Jong Hyuk Sung is a professor at Yonsei University. This company was originally founded in 2015.

  • On April 30, 2021, Epibiotech signed an agreement with Professor Hyung-beom Kim of Yonsei University to develop a hair loss treatment using gene editing technology.

All of this seems a bit too fast and crazy.

However, as I outlined in my recent post on Han Bio, South Korea is becoming a world center for hair loss cure research. On par with the US and Japan if media articles are to be believed.

Renaming from Stemore

I e-mailed Epibiotech to inquire about their technology and their May 1, 2021 renaming from Stemore. Below is part of the reply (with minor corrections) from Dr. Nahyun Choi, the company’s director of research:

“The name STEMORE, used previously, was based on a focus on research on hair loss using stem cells when the company was founded. However, our company is now researching and developing not only stem cells, but also various hair cells. This includes dermal papilla cells, and an expanded pipeline to low molecular substances and whitening agents. Therefore, the scope of the research and development was extended to hair and skin. So the company name was changed to Epibiotech after the foreword of epidermal cells.”

Epibiotech Pipeline

According to the company’s pipeline page, they are working on three hair loss products.

  1. The main focus is on EPI-001, the autologous dermal papilla hair cell therapy treatment (with paracrine effect). It is scheduled to enter Phase 2 clinical trials in 2024. They have added EPI-008 in this category too.
  2. The EPI-002 RIPK1 inhibiter (gel or ointment) will also enter Phase 3 trials in 2024.
  3. EPI-005 CXCL12 inhibitor.
  4. EPI-007 Wnt signaling modulator (with paracrine effect). Seems to now have disappeared.
  5. They previously also showed EPI-003, an oral PGD2 inhibitor product. It was supposed to finish Phase 2 clinical trials in early 2025. Now it seems to be have been removed from the above list.