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Your immune system helps grow hair? New ideas about balding

Your immune system helps grow hair? New ideas about balding
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Researchers have found that a type of immune cell that is normally associated with inflammation (or regulatory T cells) plays a role in hair growth, stimulating follicles via stem cells in the skin. In animal studies, the mice that didn’t have these immune cells could not regenerate hair, suggesting that T cells not functioning correctly could be causing hair loss. This could also play a role in other forms of balding in both men and women. (More information on our hair loss treatments for men and women.)

What is a regulatory T cell?
A regulatory T cell is an immune cell that, until now, was thought to be involved in inflammation and regulating our immune tolerance. That is, helping to decide whether something is harmful or harmless. Prior to this study, it was believed that stem cells were the only element responsible for the hair follicle regenerating, however it now appears that regulatory T cells are also essential.

If you take away these immune cells – or at least their proper functioning – your hair won’t grow. Problems with regulatory T cells can result in autoimmune disorders, where the immune system turns on the body, attacking itself, or in allergies to harmless agents, such as peanuts.

Regulatory T cells were thought to generally live in our lymph nodes, which is why when you get ‘swollen glands’ you know you are fighting a bug. More often now, however, these immune cells are being found in other parts of the body performing functions unique to that area. This includes in the skin.

Understanding how hair follicles work
Generally, hair follicles continually regenerate. When a hair falls out, the whole hair follicle has to grow back. In baldness, either the hair follicle grows back more slowly, grows back smaller, or the follicle doesn’t grow back at all.

During the research, the team discovered some interesting things about hair follicles. For example, during the growth of a hair follicle during its regeneration cycle, the number of active regulatory T cells increased threefold. When they depleted mouse skin of regulatory T cells, it was discovered that this prevents hair regeneration only within three days, but if done after follicle regeneration has already begun, it has no impact on the growth of the hair.

The signal pathway that says ‘grow!’ to a hair follicle stem cell is special, called a Notch. Regulatory T cells in the skin – compared with other parts of the body – have a lot of Notch that travels this pathway, telling the stem cell to get growing the hair follicle. This seems to be the teamwork in action – the Notch signal from the T cell tells the stem cell what to do, so without the T cell Notch signal, nothing happens. When the researchers removed lots of these T cells from the mouse skin, then added artificial Notch, signals were restored and the hair follicle started to grow.

This is exciting in terms of figuring out what makes hair grow and finding novel ways of telling a hair follicle to get growing.

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