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Iron Chelators in the Management of Autoimmune-Induced Alopecia: A Focus on Hypoxia-Inducible Factor 1 Modulation and Hair Restoration
Pagani, Andrea, Thor, Dominik, Panayi, Adriana C.
, Klein, Silvan M., Geis, Sebastian, Knoedler, Leonard
, Knoedler, Samuel
, Perozzo, Filippo A. G., Sofo, Giuseppe, Loucas, Rafael, Prantl, Lukas
and Duscher, Dominik
(2025)
Iron Chelators in the Management of Autoimmune-Induced Alopecia: A Focus on Hypoxia-Inducible Factor 1 Modulation and Hair Restoration.
Journal of Clinical Medicine 14 (7), p. 2133.
Date of publication of this fulltext: 18 Jun 2025 08:39
Article
DOI to cite this document: 10.5283/epub.76891
Abstract
Autoimmune-induced alopecia, such as alopecia areata, involves immune-mediated damage to hair follicles, leading to significant hair loss. Emerging therapies that stabilize hypoxia-inducible factor 1-alpha (HIF-1α) show promise in counteracting follicular degradation and supporting hair regrowth. This communication highlights the potential of iron chelators, specifically deferoxamine (DFO) and ...
Autoimmune-induced alopecia, such as alopecia areata, involves immune-mediated damage to hair follicles, leading to significant hair loss. Emerging therapies that stabilize hypoxia-inducible factor 1-alpha (HIF-1α) show promise in counteracting follicular degradation and supporting hair regrowth. This communication highlights the potential of iron chelators, specifically deferoxamine (DFO) and deferiprone (DFP), to stabilize HIF-1α by reducing iron availability, thereby promoting vascularization, cellular proliferation, and a regenerative environment in the hair follicle niche. Clinical trials with iron chelators demonstrated improvements in hair density, thickness, and elasticity, as well as a reduction in hair loss by up to 66.8% over six months. These findings underscore the therapeutic potential of iron chelators in autoimmune alopecia management. Future research should explore the synergistic use of iron chelators with immune-modulating therapies, positioning them as viable options in the evolving field of alopecia treatment.
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| Item type | Article | ||||
| Journal or Publication Title | Journal of Clinical Medicine | ||||
| Publisher: | MDPI | ||||
|---|---|---|---|---|---|
| Volume: | 14 | ||||
| Number of Issue or Book Chapter: | 7 | ||||
| Page Range: | p. 2133 | ||||
| Date | 21 March 2025 | ||||
| Institutions | Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Plastische-, Hand- und Wiederherstellungschirurgie | ||||
| Identification Number |
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| Keywords | autoimmune-induced alopecia; iron chelators; HIF-1 alpha; hair restoration | ||||
| Dewey Decimal Classification | 600 Technology > 610 Medical sciences Medicine | ||||
| Status | Published | ||||
| Refereed | Yes, this version has been refereed | ||||
| Created at the University of Regensburg | Yes | ||||
| URN of the UB Regensburg | urn:nbn:de:bvb:355-epub-768911 | ||||
| Item ID | 76891 |
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