Evidence map›Paper›PMID 40217584›Full record

ArticleJournal of clinical medicine2025

Iron Chelators in the Management of Autoimmune-Induced Alopecia: A Focus on Hypoxia-Inducible Factor 1 Modulation and Hair Restoration.

Andrea Pagani, Dominik Thor, Adriana C Panayi, Silvan M Klein, Sebastian Geis, Leonard Knoedler, Samuel Knoedler, Filippo A G Perozzo, Giuseppe Sofo, Rafael Loucas and 2 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Andrea PaganiDepartment of Plastic, Reconstructive, and Aesthetic Surgery, University Hospital of Regensburg, Franz-Josef S. Allee 11, 93053 Regensburg, Germany.
Dominik ThorDepartment of Research and Development, Geneva College of Longevity Science, GCLS, 1204 Geneva, Switzerland.
Adriana C PanayiDepartment of Oral and Maxillofacial Surgery, Charitè-Universitätsmedizin Berlin, 10117 Berlin, Germany.
Silvan M KleinDepartment of Plastic, Reconstructive, and Aesthetic Surgery, University Hospital of Regensburg, Franz-Josef S. Allee 11, 93053 Regensburg, Germany.
Sebastian GeisDepartment of Plastic, Reconstructive, and Aesthetic Surgery, University Hospital of Regensburg, Franz-Josef S. Allee 11, 93053 Regensburg, Germany.
Leonard KnoedlerDepartment of Plastic, Reconstructive, and Aesthetic Surgery, University Hospital of Regensburg, Franz-Josef S. Allee 11, 93053 Regensburg, Germany.
Samuel KnoedlerDepartment of Plastic Surgery and Hand Surgery, Klinikum Rechts der Isar, Technical University of Munich, 80333 Munich, Germany.ORCID 0000-0001-5798-8003
Filippo A G PerozzoDepartment of Plastic and Reconstructive Surgery, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.ORCID 0000-0003-2496-2653
Giuseppe SofoInstituto Ivo Pitanguy, Hospital Santa Casa de Misericordia Rio de Janeiro, Pontificia Universidade Catòlica do Rio de Janeiro, Rio de Janeiro 22453-900, Brazil.
Rafael LoucasDepartment of Plastic, Reconstructive, and Aesthetic Surgery, University Hospital of Regensburg, Franz-Josef S. Allee 11, 93053 Regensburg, Germany.
Lukas PrantlDepartment of Plastic, Reconstructive, and Aesthetic Surgery, University Hospital of Regensburg, Franz-Josef S. Allee 11, 93053 Regensburg, Germany.ORCID 0000-0003-2454-2499
Dominik DuscherDepartment of Plastic, Reconstructive, and Aesthetic Surgery, University Hospital of Regensburg, Franz-Josef S. Allee 11, 93053 Regensburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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 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.

Indexed as

autoimmune-induced alopeciahair restorationHIF-1 alphairon chelators

Identifiers

PMID40217584
PMCPMC11989765

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.