Chinese Journal of Dermatology ›› 2025, Vol. 58 ›› Issue (7): 671-675.doi: 10.35541/cjd.20240619

• Reviews • Previous Articles     Next Articles

Role of stem cells in scalp aging and related therapeutic strategies

Ding Weiyun1, Lin Jinran1, Liu Qingmei1, Zhang Yue1, Yang Kai1, Ni Chunya2, Wu Wenyu1,2   

  1. 1Department of Dermatology,Huashan Hospital,Shanghai Institute of Dermatology,Fudan University,Shanghai 200040, China; 2Department of Dermatology, Jing'an District Central Hospital, Shanghai 200040, China
  • Received:2024-11-14 Revised:2025-05-20 Online:2025-07-15 Published:2025-07-03
  • Contact: Wu Wenyu E-mail:wenyu_wu@fudan.edu.cn
  • Supported by:
    Clinical Research Plan of Shanghai Hospital Development Center Foundation (SHDC22022302); Key Specialty Research Centre of Shanghai Health Commission (2023ZZ02018); Jing'an District Discipline Development Education Program (2024PY01)

Abstract: 【Abstract】 Changes in hair follicle stem cells (HFSCs) can affect scalp aging and hair growth. With increasing age, HFSCs exhibit a decrease in quiescence maintenance and self-renewal capacity, as well as differentiation potential, leading to shortened hair growth cycles and even hair loss. This review summarizes recent research advances in the multifactorial interactions underlying hair loss, including the regulatory mechanisms of HFSC quiescence, the impact of aging on HFSC function, and aging of the stem cell microenvironment. Additionally, this review discusses the relationship between stem cells and hair shafts, and the mechanisms of action of stem cells in scalp aging, including alterations in signaling pathways, chromatin remodeling, and epigenetic regulation, etc. Furthermore, stem cell-based therapeutic strategies are summarized, such as the use of stem cells or their secreting exosomes, modulation of the stem cell microenvironment, and pharmacological interventions.

Key words: Hair follicle, Aging, Alopecia, Scalp, Hair regeneration, Epigenetics, Apoptosis, Exosomes