Exosomes de cellules stromales mésenchymateuses, injection unique de 3 mL
1 étude, 30 participants · Alopécie androgénétique · Hommes
Une injection unique de 3 mL d'exosomes de cellules stromales mésenchymateuses s'accompagne d'une hausse de densité chez des hommes atteints d'alopécie androgénétique : de 149,7 à 157 cheveux par cm² en 12 semaines (Ersan 2024), sans aucun effet indésirable rapporté (0 sur 30). Cette série de cas de 30 hommes n'a pas de groupe témoin et sa fiabilité est limitée : ce n'est qu'un indice, à confirmer.
Piste explorée
Ce traitement n'a été mesuré que dans une seule étude par critère : il n'existe pas encore assez d'essais pour en tirer une conclusion. Les résultats ci-dessous sont des indices, à lire avec leurs limites.
Les résultats
Critères mesurés dans une seule étude : chaque ligne est un résultat isolé.
Efficacité
- Densité capillaire totale149,7 → 153,6 cheveux par cm²
Voir la citation
pared to pre-treatment (p\0.05). The mean hair density increased from 149.7 ± 13.7 hairs/cm2 at pre-treatment to 153.6 ± 16.8 hairs/cm2 at the 4th week (p = 0.043) and further to 157 ± 18.3 hairs/cm2 at the 12th week (p = 0.002).
Citation complémentaire (inclusion)
This prospective study included 30 male patients, aged between 22 and 65, with hair type III–VI according to the Norwood-Hamilton scale. They agreed not to change their hairstyleandwouldnotundergoanyhaircareortreatment
Citation complémentaire (methode)
vertex points) were taken. After the imaging, the applica- tionwasperformed:Atotalof3 mLofexosomes(2 mLto the frontal and 1 mL to the vertex region) was injected using the napage technique (1010 extracellular vesicles in 1 mL). Patients were observed for possibleside effects for 1 h after the procedure. Patients were instructed not to wash their hair and avoid heavy activities for 1 day after
Citation complémentaire (population)
To ensure measurements from the same point during con- trols, some topographic points were determined. For 2 points in the frontal region, the points within 5 cm of the hairline at the left and right mid-pupil lines were consid- ered,andfortheonepointatthevertex,2 cmmedialtothe hair whorl was taken as the basis. An area of 1 cm2 from each of the mentioned areas was selected, and 9 40 magnificationimagesofthoseareasweretakenwithdigital dermatoscopy (MoleMax HD, Derma Medical Systems, Austria). These dermatoscopic images recorded hair den- sities(haircount/cm2)withTrichoscan(TrichoLabGmbH, Germany).Theaveragevaluesof3regions(2frontaland1
Ersan M, Ozer E, Akin O et al.. Effectiveness of exosome treatment in androgenetic alopecia: outcomes of a prospective study. Aesthetic Plastic Surgery 2024, DOI 10.1007/s00266-024-04332-3. Citation sous licence CC-BY.
- Densité capillaire totale149,7 → 157 cheveux par cm²
Voir la citation
pared to pre-treatment (p\0.05). The mean hair density increased from 149.7 ± 13.7 hairs/cm2 at pre-treatment to 153.6 ± 16.8 hairs/cm2 at the 4th week (p = 0.043) and further to 157 ± 18.3 hairs/cm2 at the 12th week (p = 0.002).
Citation complémentaire (inclusion)
This prospective study included 30 male patients, aged between 22 and 65, with hair type III–VI according to the Norwood-Hamilton scale. They agreed not to change their hairstyleandwouldnotundergoanyhaircareortreatment
Citation complémentaire (methode)
vertex points) were taken. After the imaging, the applica- tionwasperformed:Atotalof3 mLofexosomes(2 mLto the frontal and 1 mL to the vertex region) was injected using the napage technique (1010 extracellular vesicles in 1 mL). Patients were observed for possibleside effects for 1 h after the procedure. Patients were instructed not to wash their hair and avoid heavy activities for 1 day after
Citation complémentaire (population)
To ensure measurements from the same point during con- trols, some topographic points were determined. For 2 points in the frontal region, the points within 5 cm of the hairline at the left and right mid-pupil lines were consid- ered,andfortheonepointatthevertex,2 cmmedialtothe hair whorl was taken as the basis. An area of 1 cm2 from each of the mentioned areas was selected, and 9 40 magnificationimagesofthoseareasweretakenwithdigital dermatoscopy (MoleMax HD, Derma Medical Systems, Austria). These dermatoscopic images recorded hair den- sities(haircount/cm2)withTrichoscan(TrichoLabGmbH, Germany).Theaveragevaluesof3regions(2frontaland1
Ersan M, Ozer E, Akin O et al.. Effectiveness of exosome treatment in androgenetic alopecia: outcomes of a prospective study. Aesthetic Plastic Surgery 2024, DOI 10.1007/s00266-024-04332-3. Citation sous licence CC-BY.
Tolérance
- Incidence d'un effet indésirable, toutes natures confondues0 % (0 sur 30)
Voir la citation
completed the study and the follow-up period with no dropouts. No side effects or complications were observed immediately after exosome injection or during follow-up.
Citation complémentaire (inclusion)
This prospective study included 30 male patients, aged between 22 and 65, with hair type III–VI according to the Norwood-Hamilton scale. They agreed not to change their hairstyleandwouldnotundergoanyhaircareortreatment
Citation complémentaire (methode)
vertex points) were taken. After the imaging, the applica- tionwasperformed:Atotalof3 mLofexosomes(2 mLto the frontal and 1 mL to the vertex region) was injected using the napage technique (1010 extracellular vesicles in 1 mL). Patients were observed for possibleside effects for 1 h after the procedure. Patients were instructed not to wash their hair and avoid heavy activities for 1 day after
Ersan M, Ozer E, Akin O et al.. Effectiveness of exosome treatment in androgenetic alopecia: outcomes of a prospective study. Aesthetic Plastic Surgery 2024, DOI 10.1007/s00266-024-04332-3. Citation sous licence CC-BY.
Les études
- Ersan 2024 · Série de cas, risque de biais élevé. Effectiveness of exosome treatment in androgenetic alopecia: outcomes of a prospective study