This is promising and direct. Hair restoration will soon become a thing that works exceedingly well. It is still using surgery, but a lot better than current practice.
It is still a long way from induced natural scalp restoration which is not yet a thing, with a long history of failure.
On the other hand, research is also heating up and we may well be closer than obvious. We could use a surprise here.
June 25th, 2019
The 3D-printed structure can for the first time grow human hair follicles entirely in a laboratory dish(Credit: Christiano lab/Columbia University Irving Medical Center)View gallery - 2 images
An exciting breakthrough from Columbia University researchers demonstrates a new way to grow human hair follicles using 3D printed molds. This is the first time human hair follicle cells have been grown completely in lab conditions, opening up a potentially unlimited source of hair follicles for future hair restoration surgical procedures.
Over the last few decades hair transplantation surgery has rapidly evolved, becoming more sophisticated and successful, however the process has still fundamentally relied on hair follicles being redistributed from one part of the body to another. Growing human hair follicles in laboratory conditions has proved challenging for researchers, ultimately limiting the efficacy of hair restoration surgery, especially in patients without hair already present that can be grafted.
This new breakthrough brings together a couple of recent innovations. First, the researchers created a unique plastic mold using 3D printers. The moulds are designed to resemble a natural micro-environment stimulating hair follicle growth through tiny extensions just half a millimeter wide.
"Previous fabrication techniques have been unable to create such thin projections, so this work was greatly facilitated by innovations in 3D printing technology," explains first author on the study, Erbil Abaci.
The second innovation demonstrated in the research showed a cocktail of novel growth factors found can effectively stimulate hair growth. After human skin was grown around the 3D-printed mold, the researchers seeded the device with hair follicle cells from volunteers. One of the key stimulating ingredients in the growth factor cocktail used by the researchers is a molecule designed to inhibit a pathway called JAK-STAT. Prior study revealed this recently discovered pathway keeps hair stem cells dormant, and newly developed inhibitors can reawaken this dormant pathway, kickstarting hair follicle growth.
The overall process is claimed to be able to grow hair follicles at a rate that would ultimately allow for an unlimited supply of follicles, without the need for hair grafts from donors.
"What we've shown is that we can basically create a hair farm: a grid of hairs that are patterned correctly and engineered so they can be transplanted back into that same patient's scalp," says Angela Christiano, lead author on the research.
More work is needed to optimize and commercialize the process before it becomes clinically available, but the implications of the innovation are incredibly broad. Not only will this development help men seeking solutions to their thinning hair, but the method will allow for more rapid clinical testing of hair growth drugs, using the system to engineer large volumes of human hair follicles for experiments. Christiano also suggests the innovation will help a large array of different patients needing hair restoration surgery.
"[The new method] expands the availability of hair restoration to all patients--including the 30 million women in the United States who experience hair thinning and young men whose hairlines are still receding," says Christiano. "Hair restoration surgery would no longer be limited by the number of donor hairs."
The JAK inhibitor research was published in the journal Cell Stem Cell.
The 3D-printed mold research was published in the journal Nature Communications.