Lipids and Hair Growth

I have discussed the related fat cells, adipose tissue, adipocytes, adipose derived stem cells (ADSC) and stromal vascular fraction (SVF) numerous times on this blog. The connection between hair loss and scalp fat loss has been studied for decades. Now it is time to discuss lipids and hair loss.

Lipids and Hair Growth
The role of lipids in promoting hair growth through HIF-1 signaling pathway. Source: Scientific Reports via Researchgate.

The Role of Lipids in Promoting Hair Growth

In October 2024, Dr. Junji Fukuda and his Fukuda Lab team published an interesting new study that is still in preprint. It is titled:

“The role of lipids in promoting hair growth through HIF-1 signaling pathway.

The researchers found that:

  1. Lipid metabolism was attenuated (i.e., reduced) in the scalp tissues of patients with androgenetic alopecia (AGA).
  2. Lipid supplementation in a culture medium upregulated human hair growth-related genes and promoted the proliferation of dermal papilla cells.
  3. Lipids accelerated the elongation of hair-shaft-like structures in hair follicle organoids.
  4. Lipids promote hair growth through hypoxia-inducible factor 1 (HIF-1) signaling. HIF-1a-mediated trichogenic gene activation via lipid treatment could be a target for treating hair loss.

Note that the impact of lipid metabolism on hair biology has been studied for many years. However, the Fukuda team has made a new discovery in regards to the connection with HIF-1 signaling.

There is significant overlap between fat cells, adipose tissue, adipocytes and lipids, and it can get confusing. According to this source:

“The term “fat” may refer to lipids as well as the cells and tissue that store lipid (ie, adipocytes and adipose tissue). Lipid” is derived from “lipos,” which refers to animal fat or vegetable oil. Adiposity refers to body fat and is derived from “adipo,” referring to fat. Adipocytes and adipose tissue store the greatest amount of body lipids, including triglycerides and free cholesterol.”

Interestingly, the authors mention that abnormalities of lipid metabolism have been reported to be associated with various diseases, including cardiovascular disease. And male-pattern baldness has also been connected to early onset heart disease.

The Unique Characteristics of Balding Scalps

Besides lipid metabolism differences in balding scalps, it is also worth noting that:

Mesenchymal Stem Cell Injections and Hair Growth

Nanfang Hospital, Southern Medical University

In 2015, I discussed new hair multiplication related collaborative work between the University of Manitoba (Canada — led by Dr. Malcolm Xing) and Nanfang Hospital Southern Medical University (China). Researchers from the latter recently published two new hair related studies, one of which analyzes the results of Chinese clinical trials involving mesenchymal stem cell injections for hair growth.

Note that hair follicle derived mesenchymal stem cells (HF-MSCs) include both dermal papilla (DP) cells and dermal sheath (DS) cup cells. Mesenchymal stem cells can also be derived from: adult tissues (bone marrow, peripheral blood, adipose/fat and teeth); and neonatal-birth associated tissues (Wharton’s jelly, placenta, cord blood, umbilical cord and amniotic fluid).

In recent years, mesenchymal stem cells have been in the news a lot due to the rising popularity of mesenchymal stem cell (MSC)-derived exosomes in regenerative medicine applications.

Treating Androgenetic Alopecia with Mesenchymal Stem Cell Injections

Recently, reader “Theo” sent me a link to a new November 2024 study from the Department of Plastic and Aesthetic Surgery, Nanfang Hospital, Southern Medical University. It entails a superior method of isolating human hair follicle dermal papilla cells (DPCs).

More importantly, several of the co-authors of this study also co-authored a September 2024 study titled: “A Clinical Trial of Treating Androgenic Alopecia with Mesenchymal Stem Cell Suspension Derived from Autologous Hair Follicle.” This trial occurred at the Department of Plastic and Aesthetic Surgery, Nanfang Hospital, Southern Medical University (China). The link to the actual 50-person trial that ended in 2022 can be seen here.

Treating Androgenetic Alopecia with Stem Cell Injections
Treating Androgenetic Alopecia with Stem Cell Injections. Source: Plastic and Reconstructive Surgery, September 2024.

The results were encouraging, although the increasing hair count and hair thickening effects lasted for just 3 months. Note that at around 7 months, the treated group still had slightly higher terminal hair counts and mean hair diameters compared to when they started out. If this method is improved, a once-a-year injection session is totally fine by me.

“An increased proportion of terminal hair and hair shaft diameter was observed in the experimental group at 1 month. The effect lasted for 3 months. The hair-thickening effect of advanced miniaturized hair follicles with hair shaft diameter less than 60 µm was more notable than that for above 60 µm. No patient experienced any obvious side effects.”

Mesenchymal Stem Cell Injection Hair Growth
Mesenchymal Stem Cell Injection Hair Growth Increase. Source: Plastic and Reconstructive Surgery, September 2024.
Mesenchymal Stem Cell Injection Hair Diameter Increase
Mesenchymal Stem Cell Injection Hair Diameter Increase. Source: Plastic and Reconstructive Surgery, September 2024.

They also include two images showing before and after (3 months) hair growth results. The left side in the below image is the before photos.

Before and After Stem Cell Hair Growth
Before and After Stem Cell Hair Growth. Source: Plastic and Reconstructive Surgery, September 2024.

Stem Cells and Hair Multiplication

This makes me even more positive about Shiseido’s dermal sheath cup cell hair multiplication procedure that was released in 2024. And perhaps HairClone will finally test its dermal papilla cell injection treatment on humans in the UK in 2025. Also of note, in 2024, Dr. Junji Fukuda of Fukuda Lab announced that “Dermal papilla cell transplantation is about to begin in Japan.“

And several South Korean hair loss companies could test this in humans in 2025 too. In the past, Aderans (Japan) did the same with some success.

Note that similar attempts have been done in animals and humans in the past. Further reading:

In my 2015 interview with Dr. Xing, he said that he had just returned from a trip to Nanfang Hospital and that:

“A team of more than 10 clinical doctors is working on hair loss in the Department of Plastic Surgery, Nanfang Hospital.”

It is always great to see more hair related research and clinical trials taking place in China. Within East Asia, the country has lagged Japan and South Korea in importance when it comes to hair research.