ArticleFEBS open bio2026
Combined 5-aminolevulinic acid and ferric ammonium citrate treatment promotes hair follicle growth by activating dermal papilla cells.
Article in FEBS open bio, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Although 5-aminolevulinic acid (5-ALA) has shown potential for hair growth in previous studies, the molecular mechanisms remain unclear. In this study, we investigated the combined effect of 5-ALA with ferric ammonium citrate (FAC) in human hair follicle models. At low micromolar concentrations, 5-ALA/FAC treatment increased proliferation of dermal papilla cells, keratinocytes, fibroblasts, and adipose-derived stem cells, and rapidly activated ERK and AKT signaling. This treatment also upregulated hair-inductive genes and restored their suppression by dihydrotestosterone or oxidative stress. In functional assays, 5-ALA/FAC treatment induced hair follicle-like structures in reconstituted skin and enhanced hair shaft elongation in ex vivo organ culture. These findings indicate that 5-ALA/FAC treatment stimulates human hair follicle growth and support its potential as a therapeutic candidate for hair loss.
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