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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 ; Duscher, Dominik

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.



Involved Institutions


Details

Item typeArticle
Journal or Publication TitleJournal of Clinical Medicine
Publisher:MDPI
Volume:14
Number of Issue or Book Chapter:7
Page Range:p. 2133
Date21 March 2025
InstitutionsMedicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Plastische-, Hand- und Wiederherstellungschirurgie
Identification Number
ValueType
10.3390/jcm14072133DOI
Keywordsautoimmune-induced alopecia; iron chelators; HIF-1 alpha; hair restoration
Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgYes
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-768911
Item ID76891

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