Evidence map›Paper›PMID 41561359›Full record

ReviewJPRAS open2026

Exosomes in trichology: A literature review.

Kar Wai Alvin Lee, Olena Sydorchuk, Jong Keun Song, Sa Rang Lee, Eunwoo Yu, Sea Hwan Kim, Tae-Hyun Kim, Han Ah Reum Song, Seung Yong Shim, You-Kyoung Cho and 3 more

Abstract readReview
In one paragraph

Review in JPRAS open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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

13 authors.

Kar Wai Alvin LeeEverKeen Medical Centre, Hong Kong, Hong Kong.
Olena SydorchukSIDOR Inc., Seoul, Korea.
Jong Keun SongPixelab Plastic Surgery Clinic, Seoul, Korea.
Sa Rang LeeDepartment of Statistics, University of Iowa, Iowa, USA.
Eunwoo YuBBBJ Orthopedic Clinic, Seoul, Korea.
Sea Hwan KimKorea National Hospital, Seoul, Korea.
Tae-Hyun KimBundang CHA Medical Center, Seoul, Korea.
Han Ah Reum SongYou and I Clinic, Seoul, Korea.
Seung Yong ShimYou and I Clinic, Seoul, Korea.
You-Kyoung ChoCHA University School of Medicine, Pocheon, Korea.
Han Earl LeeOpening Plastic Surgery Clinic, Korea.
Arash JalaliOne Clinic, Vancouver, Canada.
Kyu-Ho YiDivision in Anatomy and Developmental Biology, Department of Oral Biology, Human Identificaton Research Institute, BK21 FOUR Project, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Exosomes, nano-sized extracellular vesicles derived from various cell types, have emerged as a promising therapeutic modality in trichology. These vesicles deliver bioactive molecules, such as growth factors, cytokines, and microRNAs, that regulate key cellular processes, including proliferation, differentiation, and signaling, which are critical for hair follicle regeneration. Aim: This review synthesizes findings from preclinical and clinical studies published on the applications of exosomes for treating hair loss conditions such as androgenetic alopecia (AGA), alopecia areata (AA), and chemotherapy-induced alopecia (CIA). Methods: A comprehensive literature search was conducted using databases including MEDLINE, PubMed and Ovid databases for relevant studies published on clinical trials, diagnosis and treatment. Some papers were further reviewed using a double-blinding approach, sample size, control usage, randomization usage and objective endpoint measurements. All studies were classified according to the Oxford Center for evidence-based medicine evidence hierarchy. Results: Preclinical studies demonstrate that exosomes derived from mesenchymal stem cells (MSCs), adipose stem cells (ASCs), dermal papilla cells (DPCs) and plant sources enhance dermal papilla cell (DPC) proliferation, activate signaling pathways such as Wnt/β-catenin, VEGF, and PI3K/AKT, and promote the transition of hair follicles from the telogen to anagen phase. Clinical data, although limited, show promising results, with improvements in hair density, thickness, and follicular health. Systematic reviews and case series have highlighted the favorable safety profile of exosome-based therapies, with minimal adverse effects reported. Conclusion: Exosome therapy is a promising, minimally invasive approach for AGA, AA, and CIA, supported by robust preclinical biology but preliminary and heterogeneous clinical data. Progress to routine practice will require adequately powered, multicenter randomized trials with standardized outcomes, along with harmonized manufacturing and regulatory frameworks (GMP-compliant production, batch-level quality control) to ensure reproducibility and safety.

Indexed as

Alopecia areataAndrogenetic alopeciaExosomesHair follicle regenerationHair restorationTrichology

Identifiers

PMID41561359
PMCPMC12814429

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.