Evidence map›Paper›PMID 41201122›Full record

Observational studyJournal of cosmetic dermatology2025

Hair Repigmentation Outcomes in Patients With Graying Hair Treated With Exosome Therapy: A Cross-Sectional Observational Study.

Suparuj Lueangarun, Patrick Po-Han Huang, Wan-Yi Chou, Elina Theodorakopoulou, Daniela Lemes

Abstract readObservational Study
In one paragraph

Observational study in Journal of cosmetic dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Observational
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

5 authors.

Suparuj LueangarunDepartment of Aesthetic Medicine, College of Integrative Medicine, Dhurakij Pundit University, Bangkok, Thailand.ORCID https://orcid.org/0000-0002-8121-2982
Patrick Po-Han HuangHuang PH Dermatology and Aesthetics, Kaohsiung, Taiwan (ROC).ORCID https://orcid.org/0000-0003-0328-8284
Wan-Yi ChouSincere Dermatology Clinic, Taipei City, Taiwan (ROC).ORCID https://orcid.org/0000-0002-9767-2625
Elina TheodorakopoulouPretty You Dermatology Clinic, Athens, Greece.
Daniela LemesDL Dermatology and Laser Clinic, Rio de Janeiro, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHair graying is an age-associated condition primarily caused by the depletion and dysfunction of melanocyte stem cells within hair follicles. Emerging regenerative strategies, including exosome-based therapies, offer the potential to restore pigmentation by targeting underlying cellular mechanisms.

objectiveTo investigate the clinical outcomes and correlates of hair repigmentation following exosome-based therapy in individuals with gray hair.

methodsThis cross-sectional observational study enrolled 10 patients with visible gray or white hair who were treated with rose stem cell-derived exosomes (RSCEs) using various procedures. Gray hair repigmentation outcomes were assessed using a standardized scale. Statistical correlations between clinical variables and treatment responses were analyzed.

resultsA mean of 4.6 ± 1.3 treatment sessions was performed. Repigmentation was observed after an average of 2.4 ± 0.7 sessions and was maintained for 4.7 ± 1.9 months. The various treatment modalities also demonstrated efficacy in both hair regrowth and hair repigmentation. The mean outcome score was 2.8 ± 0.78, with 60% achieving a higher-grade response (≥ 50% improvement). Shorter duration of graying (p = 0.0363), presence of androgenetic alopecia (AGA) (p = 0.0332), and moderate baseline severity (Stage 2) (p = 0.0133) were significantly associated with better outcomes. No adverse events were reported.

conclusionExosome-based therapy appears to be a safe and promising approach for inducing hair repigmentation in individuals with gray hair using various treatment modalities. Factors such as the presence of AGA, shorter duration of graying, and moderate baseline severity may predict a better response. Larger, controlled studies are warranted to validate these findings and help standardize treatment protocols.

Indexed as

AlopeciaExosomesHair ColorAdultCross-Sectional StudiesFemaleHair FollicleHumansMaleMelanocytesMiddle AgedSeverity of Illness IndexTreatment Outcomeandrogenetic alopeciaexosomesgray hairhair repigmentationrose stem cell exosomes

Identifiers

PMID41201122
PMCPMC12593320

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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.