Adipose-Derived Stem Cells and Hair Growth

Stem Cells

The human stem cell is one of nature’s most impressive creations. These super building blocks of life can differentiate into various other specialized cells or into yet other identical stem cells.  If they remain in an undifferentiated state, stem cells still go through numerous cycles of cell division.

There are two main types of stem cells:

  1. Embryonic stem cells that are derived from human embryos.
  2. Adult stem cells that are derived from living adults.

The latter are significantly less controversial than the former when it comes to medical research.  Adult stem cells are further divided into three main types based on source:

  1. Bone Marrow (requiring extraction from a bone).
  2. Adipose Tissue (i.e., lipid or fat cells, requiring extraction via liposuction).
  3. Blood (requiring extraction via a blood draw).

Adipose-Derived Stem Cells (ADSCs) and Hair Growth

Adipose-derived stem cells (ADSCs) are the focus of this post, since they have been the subject of numerous research papers in the hair growth field.  One can find summaries of a multitude of papers related to ADSCs and hair on PubMed.

When I read it a year or two ago, I found this 2012 paper from Japan quite interesting and encouraging due to its findings that ADSC condition medium resulted in hair growth in all 25 test patients!

However, at the time, I assumed that these results were most likely just a modest improvement on those from PRP. Moreover, it seemed to me that Histogen was doing something similar to ADSC injections into human scalps, but in a considerably superior way (with access to far more funding) via its Hair Stimulating Complex.

However, Histogen’s progress has not moved along as fast as hoped, while PRP results are in all likelihood not as significant or consistent as those from ADSC injections based on more studies that I have read on ADSC in the past few months.  It also makes intuitive sense that stem cells would give better results than just plasma.

The latest of these studies just came out a week ago and is a must read.  This one is yet again from Japan, and a full version is available here.  Both this 2015 study and the one that I posted earlier in this post from 2012 have the same two lead authors:  Dr. Hirotaro Fukuoka and Dr. Hirotaka Suga.  These two doctors are conducting their work at the Department of Plastic and Reconstructive Surgery at Kyorin University in Tokyo, Japan.

The conclusion of this latest study is worth quoting:

Treatment using adipose-derived stem cell-conditioned medium appears highly effective for alopecia and may represent a new therapy for hair regeneration.

It is also interesting that ADSCs contain IGF-1, covered in my last post.  One more important quote related to growth factors:

Adipose-derived stem cell-conditioned medium is rich in growth factors such as vascular endothelial growth factor, hepatocyte growth factor, platelet-derived growth factor, and insulin-like growth factor 1.

Kythera and Replicel Updates

Replicel’s latest presentation from BioAsia 2015 in Japan is out.  I was not planning on writing much about Replicel for a few months, but it seems like they keep making interesting presentations almost every month with some new information each time. Moreover, people in the hair loss chat on this site keep asking about Replicel.

At the start of the presentation, I liked reading the quote from Japanese prime minister Shinzo Abe that was made in early 2014:

Japan is on the leading edge in regenerative medicine. We will make it possible to generate cells at private-sector factories.

Page 16-19 has most of the RCH-01 and 6-month hair growth related information.  12-month results with higher doses and frequency will likely lead to better outcomes as has been conjectured in the past.  The last part of the presentation has more details on Japan’s regenerative medicine reforms (via Abenomics related policy changes) and early-to-market reforms.

More interesting to me was this week’s news regarding Kythera Biopharmaceuticals’ ATX-101 injectable drug that reduces double chins receiving unanimous backing from an independent panel of experts.  It is thus likely that the FDA will approve this product in the next several months, and if effective, it could in some cases become a better alternative to liposuction.  In fact ATX-101 (brand name Kybella) would be the first ever drug to be approved by the FDA to reduce localized fat deposits.  This company’s stock price movement is definitely worth following.

The main reason I found this news interesting is because just over a month ago, Kythera Biopharmaceuticals acquired global rights to Setipiprant, a PGD2 antagonist.  According the company’s highly informative 2013 annual report and per various parts of the company’s website, it seems like hair and fat are two of the main areas in which Kythera will be focusing on in the coming years, with an overall focus on the human face.  The company has a long-term goal of becoming a major player in the aesthetics industry.

For those interested, Kythera has an investor conference call and webcast later today at 4:30 pm ET.