2019
DOI: 10.1002/sctm.19-0301
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Tissue engineering strategies for human hair follicle regeneration: How far from a hairy goal?

Abstract: The demand for an efficient therapy for alopecia disease has fueled the hair research field in recent decades. However, despite significant improvements in the knowledge of key processes of hair follicle biology such as genesis and cycling, translation into hair follicle replacement therapies has not occurred. Great expectation has been recently put on hair follicle bioengineering, which is based on the development of fully functional hair follicles with cycling activity from an expanded population of hair‐ind… Show more

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Cited by 45 publications
(47 citation statements)
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References 90 publications
(188 reference statements)
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“…To the present time, stem cell based tissue engineering has emerged as the most thriving approach to achieve de novo HF neogenesis, including stem cell transplantation, stem cell‐derived conditioned medium and stem cell derived exosomes. [ 48,49 ] Recent studies have provided encouraging outcomes to therapeutic potential of stem‐cell based approaches to hair loss management, such as bioengineered follicle germ rearranged from embryonic derived follicle cells [ 50 ] and effective 3D‐printing of skin substitutes with human HFs. [ 51 ] However, despite recent progress in the field, each one of them has its own limitations that need to be overcome, thus clinical applications of tissue engineering strategies for hair loss are still absent.…”
Section: Discussionmentioning
confidence: 99%
“…To the present time, stem cell based tissue engineering has emerged as the most thriving approach to achieve de novo HF neogenesis, including stem cell transplantation, stem cell‐derived conditioned medium and stem cell derived exosomes. [ 48,49 ] Recent studies have provided encouraging outcomes to therapeutic potential of stem‐cell based approaches to hair loss management, such as bioengineered follicle germ rearranged from embryonic derived follicle cells [ 50 ] and effective 3D‐printing of skin substitutes with human HFs. [ 51 ] However, despite recent progress in the field, each one of them has its own limitations that need to be overcome, thus clinical applications of tissue engineering strategies for hair loss are still absent.…”
Section: Discussionmentioning
confidence: 99%
“…Although we used accessible cell types as a proof of concept study, cell sources should ideally be of human origin and most preferably autologous to cells in clinical setting. Hence, human DP cells 40 and dermal sheath cup cells 41 from patient’s own hair follicles would be the most promising candidates. Regarding epithelial cell sources, hair follicle stem cells located in the bulge region reportedly possess de novo hair generation ability 42 .…”
Section: Resultsmentioning
confidence: 99%
“…However, enzymatic method would disrupt specified extracellular matrix microenvironment, which is fundamental for maintaining hair inductive features. Therefore, lots of effort has been made to find out an alternative in vitro expansion procedure to preserve hair inductive ability of DPCs [49].…”
Section: Isolation and Culture Methods Of Dpcsmentioning
confidence: 99%
“…The co-culture of human dermal papilla with keratinocytes is costly and requires the establishment of a cell bank and accurate quality control tests for safety. The co-culture of DPCs with the exogenous Wnt protein is associated with potential problems and the stability of the Wnt gene expression during the cell culture expansion [49, 50].…”
Section: Effective Methods For Maintaining the Potential Hair Inductimentioning
confidence: 99%
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