Modern approaches to the treatment of androgenetic alopecia and alopecia areata

Authors

DOI:

https://doi.org/10.18413/rrpharmacology.12.1069

Abstract

Introduction: Alopecia, whether as an independent pathological condition or as a manifestation of other diseases, is a pressing medical and social issue. Hair loss can lead to serious psychological problems and significantly reduce people’s quality of life.

Materials and Methods: In preparing this article, we reviewed over 120 scientific papers on the PubMed, Scopus, and Web of Science platforms using the keywords “alopecia”, “androgenetic alopecia”, and “alopecia areata”.

Results and Discussion: The review revealed that a wide variety of pharmacological, instrumental, and invasive treatments for both androgenetic alopecia and alopecia areata currently exist, targeting various components of its pathogenesis: minoxidil, 5-alpha reductase inhibitors, therapeutic antibodies, anti-inflammatory and immunosuppressive drugs, Janus kinase inhibitors, growth factor therapy, plasma therapy, microneedling, laser therapy, and surgical treatments. Furthermore, numerous scientific studies were identified aimed at developing new and improving existing therapeutic strategies, including gene therapy, stem cell therapy, high-tech nanoparticles, and many others.

Conclusion: The need to halt the progression of alopecia and achieve optimal hair restoration to improve patients’ quality of life dictates the need for effective treatment approaches for various types of alopecia in modern medicine. Given that current therapeutic methods, despite their diversity, do not always achieve the expected effect, further in-depth research into the etiology, pathogenesis, clinical presentation, and diagnostic criteria of this dermatological disease is required to develop more effective treatment strategies.

Graphical Abstract

Keywords:

androgenetic alopecia, alopecia areata, treatment strategies

References

Abdi P, Awad C, Anthony MR, Farkouh C, Kenny B, Maibach HI, Ogunyemi B (2023) Efficacy and safety of combinational therapy using topical minoxidil and microneedling for the treatment of androgenetic alopecia: a systematic review and meta-analysis. Archives of dermatological research 315(10): 2775–2785. https://doi.org/10.1007/s00403-023-02688-1 [PubMed]

Afzal G, Ahmed N, Zahoor F, Malik T, Farooq O (2024) Efficacy of platelet-rich plasma versus 5% topical monixidil for the treatment of androgenetic alopecia. Journal of the College of Physicians and Surgeons--Pakistan 34(1): 11–15. https://doi.org/10.29271/jcpsp.2024.01.11[PubMed]

Ahmed KMA, Kozaa YA, Abuawwad MT, Al-Najdawi AI, Mahmoud YW, Ahmed AM, Taha MJJ, Fadhli T, Giannopoulou A (2025) Evaluating the efficacy and safety of combined microneedling therapy versus topical Minoxidil in androgenetic alopecia: a systematic review and meta-analysis. Archives of Dermatological Research 317(1): 528. https://doi.org/10.1007/s00403-025-04032-1 [PubMed] [PMC]

Ait Ourhroui M, Hassam B, Khoudri I (2010) Treatment of alopecia areata with prednisone in a once-monthly oral pulse. Annales de Dermatologie et de Vénéréologie 137(8–9): 514–518. https://doi.org/10.1016/j.annder.2010.06.002 [PubMed]

Almohanna HM, Ahmed AA, Tsatalis JP, Tosti A (2019) The role of vitamins and minerals in hair loss: a review. Dermatology and Therapy 9(1): 51–70. https://doi.org/10.1007/s13555-018-0278-6 [PubMed] [PMC]

Avci P, Gupta GK, Clark J, Wikonkal N, Hamblin MR (2014) Low-level laser (light) therapy (LLLT) for treatment of hair loss. Lasers in Surgery and Medicine 46(2): 144–151. https://doi.org/10.1002/lsm.22170 [PubMed] [PMC]

Bashmaluh NV, Nikolaeva TV, Polyakova VS, Sharapova NV (2023) Effect of miliacin on the structural and functional characteristics of skin appendages of C57BL/6 mice in an experimental model of androgenetic alopecia. Modern Problems of Science and Education [Sovremennye Problemy Nauki i Obrazovaniya] 6. https://doi.org/10.17513/spno.33160 [in Russian]

Blair HA (2023) Ritlecitinib: First approval. Drugs 83(14): 1315–1321. https://doi.org/10.1007/s40265-023-01928-y [PubMed] [PMC]

Bran EL, Pérez LP, Esteban PT, Morales MLG (2025) Hair growth stimulated by allogenic adipose-derived stem cells supplemented with ATP in a mouse model of dihydrotestosterone-induced androgenetic alopecia. Stem Cell Research & Therapy 16(1): 292. https://doi.org/10.1186/s13287-025-04372-9 [PubMed] [PMC]

Carmina E, Lobo RA (2003) Treatment of hyperandrogenic alopecia in women. Fertility and Sterility 79(1): 91–95. https://doi.org/10.1016/s0015-0282(02)04551-x [PubMed]

Castro AR, Logarinho E (2020) Tissue engineering strategies for human hair follicle regeneration: How far from a hairy goal? Stem Cells Translational Medicine 9(3): 342–350. https://doi.org/10.1002/sctm.19-0301 [PubMed] [PMC]

Castro RF, Azzalis LA, Feder D, Perazzo FF, Pereira EC, Junqueira VB, Rocha KC, Machado CD, Paschoal FC, Gnann LA, Fonseca FL (2012) Safety and efficacy analysis of liposomal insulin-like growth factor-1 in a fluid gel formulation for hair-loss treatment in a hamster model. Clinical and Experimental Dermatology 37(8): 909–912. https://doi.org/10.1111/j.1365-2230.2012.04441.x [PubMed]

Cervantes J, Perper M, Wong LL, Eber AE, Villasante Fricke AC, Wikramanayake TC, Jimenez JJ (2018) Effectiveness of platelet-rich plasma for androgenetic Alopecia: A review of the literature. Skin Appendage Disorders 4(1): 1–11. https://doi.org/10.1159/000477671[PubMed] [PMC]

Chen H, Ma X, Zhang M, Liu Z (2022) Injectable and biofunctionalized fibrin hydrogels co-embedded with stem cells induce hair follicle genesis. Regenerative Biomaterials 10: rbac086. https://doi.org/10.1093/rb/rbac086 [PubMed] [PMC]

Chen X, Yan P, Zhang W, He X, Jiang R, Li Y, Sun J, Jiang J (2022) Bioengineered polyester nanoparticles for the synergistic treatment of androgenic alopecia via the suppression of 5α-reductase and knockdown of androgen receptor. Frontiers in Bioengineering and Biotechnology 10: 1033987. https://doi.org/10.3389/fbioe.2022.1033987 [PubMed] [PMC]

Chen Y, Zhu Q, Zhou Y, Zhou W, Chen Y (2025) Multifunctional nanomedicine targeting the ‘seed-and-soil’ of hair follicles via simultaneous alleviation of oxidative stress and activation of autophagy for androgenetic alopecia therapy. Materials Today Bio 34: 102145. https://doi.org/10.1016/j.mtbio.2025.102145 [PubMed] [PMC]

Clinical Guidelines. Androgenetic Alopecia. https://nadc.ru/upload/iblock/426/НАДК_Общество%20трихологов_проект%20КР%20Андрогенная%20алопеция.pdf [in Russian]

Cohen SB, Tanaka Y, Mariette X, Curtis JR, Lee EB, Nash P, Winthrop KL, Charles-Schoeman C, Thirunavukkarasu K, DeMasi R, Geier J, Kwok K, Wang L, Riese R, Wollenhaupt J (2017) Long-term safety of tofacitinib for the treatment of rheumatoid arthritis up to 8.5 years: integrated analysis of data from the global clinical trials. Annals of the Rheumatic Diseases 76(7): 1253–1262. https://doi.org/10.1136/annrheumdis-2016-210457 [PubMed] [PMC]

Correia M, Lopes J, Lopes D, Melero A, Makvandi P, Veiga F, Coelho JFJ, Fonseca AC, Paiva-Santos AC (2023) Nanotechnology-based techniques for hair follicle regeneration. Biomaterials 302: 122348. https://doi.org/10.1016/j.biomaterials.2023.122348 [PubMed]

Dargie H J, Dollery C T, Daniel J (1977) Minoxidil in resistant hypertension. Lancet 2(8037): 515–518 https://doi.org/10.1016/S0140-6736(77)90660-2 [PubMed]

Darwin E, Heyes A, Hirt PA, Wikramanayake TC, Jimenez JJ (2018) Low-level laser therapy for the treatment of androgenic alopecia: a review. Lasers in Medical Science 33(2): 425–434. https://doi.org/10.1007/s10103-017-2385-5 [PubMed]

Das S, Ghorami RC, Chatterjee T, Banerjee G (2010) Comparative assessment of topical steroids, topical tretenoin (0.05%) and dithranol paste in alopecia areata. Indian Journal of Dermatology 55(2): 148–149. https://doi.org/10.4103/0019-5154.62747 [PubMed] [PMC]

David E, Shokrian N, Del Duca E, Meariman M, Dubin C, Hawkins K, Andrews E, Sikand S, Singer G, Oemar B, Estrada Y, Bose S, Pulsinelli J, Mahling P, Da Rosa JC, Ungar B, Peeva E, Guttman-Yassky E (2025) A phase 2a trial of brepocitinib for cicatricial alopecia. Journal of the American Academy of Dermatology 92(3): 427–434. https://doi.org/10.1016/j.jaad.2024.09.073 [PubMed]

De Oliveira AFQ, Arcanjo FPN, Rodrigues MRP, Rosa E Silva AA, Hall PR (2023) Use of autologous platelet-rich plasma in androgenetic alopecia in women: a systematic review and meta-analysis. The Journal of Dermatological Treatment 34(1): 2138692. https://doi.org/10.1080/09546634.2022.2138692 [PubMed]

Deng W, Zhang Y, Wang W, Song A, Mukama O, Huang J, Han X, Deng S, Lin Z, Habimana JDD, Huang R, Peng K, Ni B, Zhang S, Yan X, Li J, Wu LP, Li Z (2021) Hair follicle-derived mesenchymal stem cells decrease alopecia areata mouse hair loss and reduce inflammation around the hair follicle. Stem Cell Research & Therapy 12(1): 548. https://doi.org/10.1186/s13287-021-02614-0 [PubMed] [PMC]

DeVillez RL, Jacobs JP, Szpunar CA, Warner ML (1994) Androgenetic alopecia in the female. Treatment with 2% topical minoxidil solution. Archives of Dermatology 130(3): 303–307. https://jamanetwork.com/journals/jamadermatology/article-abstract/555638 [PubMed]

Dhillon RS, Schwarz EM, Maloney MD (2012) Platelet-rich plasma therapy – future or trend? Arthritis Research & Therapy 14(4): 219. https://doi.org/10.1186/ar3914 [PubMed] [PMC]

Dhurat R, Sukesh M, Avhad G, Dandale A, Pal A, Pund P (2013) A randomized evaluator blinded study of effect of microneedling in androgenetic alopecia: a pilot study. International Journal of Trichology 5(1): 6–11. https://doi.org/10.4103/0974-7753.114700 [PubMed] [PMC]

Dhurat R, Sharma A, Rudnicka L, Kroumpouzos G, Kassir M, Galadari H, Wollina U, Lotti T, Golubovic M, Binic I, Grabbe S, Goldust M (2020) 5-Alpha reductase inhibitors in androgenetic alopecia: Shifting paradigms, current concepts, comparative efficacy, and safety. Dermatologic Therapy 33(3): e13379. https://doi.org/10.1111/dth.13379 [PubMed]

Ding YW, Li Y, Zhang ZW, Dao JW, Wei DX (2024) Hydrogel forming microneedles loaded with VEGF and Ritlecitinib/polyhydroxyalkanoates nanoparticles for mini-invasive androgenetic alopecia treatment. Bioactive Materials 38: 95–108. https://doi.org/10.1016/j.bioactmat.2024.04.020 [PubMed] [PMC]

Dompe C, Moncrieff L, Matys J, Grzech-Leśniak K, Kocherova I, Bryja A, Bruska M, Dominiak M, Mozdziak P, Skiba THI, Shibli JA, Angelova Volponi A, Kempisty B, Dyszkiewicz-Konwińska M (2020) Photobiomodulation-underlying mechanism and clinical applications. Journal of Clinical Medicine 9(6): 1724. https://doi.org/10.3390/jcm9061724 [PubMed] [PMC]

El-Khalawany M, Rageh MA, Elnokrashy I, Ibrahim SMA (2023) Efficacy of autologous stromal vascular fraction injection in the treatment of androgenic alopecia Archives of Dermatological Research 315(5): 1269–1276. https://doi.org/10.1007/s00403-022-02501-5 [PubMed] [PMC]

English RS Jr, Ruiz S, DoAmaral P (2022) Microneedling and its use in hair loss disorders: A systematic review. Dermatology and Therapy 12(1): 41–60. https://doi.org/10.1007/s13555-021-00653-2 [PubMed] [PMC]

Gerkowicz A, Bartosińska J, Krakowski P, Karpiński R, Krasowska D, Raczkiewicz D, Kwasny M, Krasowska D (2024) Red LED light therapy for telogen effluvium in the course of long COVID in patients with and without androgenetic alopecia. Annals of Agricultural and Environmental Medicine 31(2): 239–247. https://doi.org/10.26444/aaem/177238 [PubMed]

Ghassemi M, Yazdanian N, Behrangi E, Jafari M, Goodarzi A (2022) Comparison of efficacy, safety and satisfaction of latanoprost versus minoxidil, betamethasone and in combination in patients with alopecia areata: A blinded multiple group randomized controlled trial. Dermatologic Therapy 35(12): e15943. https://doi.org/10.1111/dth.15943 [PubMed]

Główka E, Wosicka-Frąckowiak H, Hyla K, Stefanowska J, Jastrzębska K, Klapiszewski Ł, Jesionowski T, Cal K (2014) Polymeric nanoparticles-embedded organogel for roxithromycin delivery to hair follicles. European Journal of Pharmaceutics and Biopharmaceutics 88(1): 75–84. https://doi.org/10.1016/j.ejpb.2014.06.019 [PubMed]

Gnann LA, Castro RF, Azzalis LA, Feder D, Perazzo FF, Pereira EC, Rosa PC, Junqueira VB, Rocha KC, Machado CD, Paschoal FC, de Abreu LC, Valenti VE, Fonseca FL (2013) Hematological and hepatic effects of vascular epidermal growth factor (VEGF) used to stimulate hair growth in an animal model. BioMed Central Dermatology 13: 15. https://doi.org/10.1186/1471-5945-13-15 [PubMed] [PMC]

Gnedeva K, Vorotelyak E, Cimadamore F, Cattarossi G, Giusto E, Terskikh VV, Terskikh AV (2015) Derivation of hair-inducing cell from human pluripotent stem cells. Public Library of Science one 10(1): e0116892. https://doi.org/10.1371/journal.pone.0116892 [PubMed] [PMC]

Goldin J, Zito PM, Raggio BS (2025) Hair Transplantation. Treasure Island (Florida), StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK547740/ [PubMed]

Gonzalez ME, Browning J, Smith S, Plotka A, Zhu JD, Parvatini S, Huh Y, Wolk R (2025) A phase 1, open-label study of the pharmacokinetics of ritlecitinib in children aged 6-12 years with alopecia areata. Pediatric Dermatology 42(4): 742–746. https://doi.org/10.1111/pde.15895[PubMed] [PMC]

Goren A, McCoy J, Situm M, Dhurat R, Krychman M, Kovacevic M, Sharma A, Bolanca Z (2019) Controversies in the treatment of androgenetic alopecia: The history of finasteride. Dermatologic Therapy 32(2): e12647 https://doi.org/10.1111/dth.12647 [PubMed]

Gupta AK, Foley KA (2017) A critical assessment of the evidence for low-level laser therapy in the treatment of hair loss. Dermatologic Surgery 43(2): 188–197. https://doi.org/10.1097/DSS.0000000000000904 [PubMed]

Gupta AK, Venkataraman M, Talukder M, Bamimore MA (2022) Relative efficacy of minoxidil and the 5-α reductase inhibitors in androgenetic alopecia treatment of male patients: A network meta-analysis. Journal of the American Medical Association Dermatology 158(3): 266–274. https://doi.org/10.1001/jamadermatol.2021.5743 [PubMed] [PMC]

Gupta AK, Bamimore MA, Williams G, Talukder M (2025) Comparative efficacy of minoxidil and 5-alpha reductase inhibitors monotherapy for male pattern hair loss: Network meta-analysis study of current empirical evidence. Journal of Cosmetic Dermatology 24(7): e70320. https://doi.org/10.1111/jocd.70320 [PubMed] [PMC]

Gupta P, Verma KK, Khandpur S, Bhari N. (2019) Weekly azathioprine pulse versus betamethasone oral mini-pulse in the treatment of moderate-to-severe alopecia areata. Indian Journal of Dermatology 64(4): 292–298. https://doi.org/10.4103/ijd.IJD_481_16 [PubMed] [PMC]

Han JH, Kwon OS, Chung JH, Cho KH, Eun HC, Kim KH (2004) Effect of minoxidil on proliferation and apoptosis in dermal papilla cells of human hair follicle. Journal of Dermatological Science 34(2): 91–98. https://doi.org/10.1016/j.jdermsci.2004.01.002[PubMed]

Hebert A, Thiboutot D, Gold LS, Cartwright M, Gerloni M, Fragasso E, Mazzetti A (2020) Efficacy and safety of topical clascoterone cream, 1%, for treatment in patients with facial acne: Two phase 3 randomized clinical trials. Journal of the American Medical Association Dermatology 156(6): 621–630. https://doi.org/10.1001/jamadermatol.2020.0465 [PubMed] [PMC]

Herz-Ruelas ME, Alvarez-Villalobos NA, Millan-Alanis JM, de Leon-Gutierrez H, Ocampo-Garza SS, Gomez-Flores M, Grimalt R (2020) Efficacy of intralesional and oral dutasteride in the treatment of androgenetic alopecia: A systematic review. Skin Appendage Disorders 6(6): 338–345. https://doi.org/10.1159/000510697 [PubMed] [PMC]

Husein-ElAhmed H, Steinhoff M (2022) Efficacy and predictive factors of cyclosporine A in alopecia areata: a systematic review with meta-analysis. The Journal of Dermatological Treatment 33(3): 1643–1651. https://doi.org/10.1080/09546634.2021.1886230 [PubMed]

Ibrahim SA, Esawy AM, Abdelshafy AS (2019) Treatment of chronic extensive alopecia areata by diphenylcyclopropenone alone versus in combination with anthralin. Dermatologic Therapy 32(5): e13010. https://doi.org/10.1111/dth.13010 [PubMed]

Ingrassia JP, Maqsood MH, Gelfand JM, Weber BN, Bangalore S, Lo Sicco KI, Garshick MS (2024) Cardiovascular and venous thromboembolic risk with jak inhibitors in immune-mediated inflammatory skin diseases: A systematic review and meta-analysis. Journal of the American Medical Association Dermatology 160(1): 28–36. https://doi.org/10.1001/jamadermatol.2023.4090 [PubMed] [PMC]

Jia L, Xiong J, Guo R, Li Y, Jiang H (2022a) A сomprehensive review of microneedling as a potential treatment option for androgenetic alopecia. Aesthetic Plastic Surgery 46(6): 2979–2994. https://doi.org/10.1007/s00266-022-03042-y [PubMed]

Jia L, Xiong J, Guo R, Li Y, Jiang H (2022b) Effects of microneedling with 5% minoxidil topical solution combination therapy in treatment of androgenetic alopecia. Journal of Cosmetic Dermatology 21(11): 5665–5671. https://doi.org/10.1111/jocd.15263 [PubMed]

Jin SE, Kim J, Sung JH (2024) Recent approaches of antibody therapeutics in androgenetic alopecia. Frontiers in Pharmacology 15: 1434961. https://doi.org/10.3389/fphar.2024.1434961 [PubMed] [PMC]

Joulai Veijouye S, Yari A, Heidari F, Sajedi N, Ghoroghi Moghani F, Nobakht M (2017) Bulge region as a putative hair follicle stem cells niche: A brief review. Iranian Journal of Public Health 46(9): 1167–1175. [PubMed] [PMC]

Kanti V, Hillmann K, Kottner J, Stroux A, Canfield D, Blume-Peytavi U (2015) Effect of minoxidil topical foam on frontotemporal and vertex androgenetic alopecia in men: a 104-week open-label clinical trial. Journal of the European Academy of Dermatology and Venereology 30(7): 1183–1189. https://doi.org/10.1111/jdv.13324 [PubMed]

Kanti V, Messenger A, Dobos G, Reygagne P, Finner A, Blumeyer A, Trakatelli M, Tosti A, Del Marmol V, Piraccini BM, Nast A, Blume-Peytavi U (2018) Evidence-based (S3) guideline for the treatment of androgenetic alopecia in women and in men – short version. Journal of the European Academy of Dermatology and Venereology 32(1): 11–22. https://doi.org/10.1111/jdv.14624 [PubMed]

Kieling L, Konzen AT, Zanella RK, Valente DS (2024) Is autologous platelet-rich plasma capable of increasing hair density in patients with androgenic alopecia? A systematic review and meta-analysis of randomized clinical trials. Anais Brasileiros de Dermatologia 99(6): 847–862. https://doi.org/10.1016/j.abd.2024.01.002 [PubMed] [PMC]

King B, Soung J, Tziotzios C, Rudnicka L, Joly P, Gooderham M, Sinclair R, Mesinkovska NA, Paul C, Gong Y, Anway SD, Tran H, Wolk R, Zwillich SH, Lejeune A (2024) Integrated safety analysis of ritlecitinib, an Oral JAK3/TEC family kinase inhibitor, for the treatment of alopecia areata from the ALLEGRO clinical trial program. American Journal of Clinical Dermatology 25(2): 299–314. https://doi.org/10.1007/s40257-024-00846-3 [PubMed] [PMC]

Ko JM, Mayo TT, Bergfeld WF, Dutronc Y, Yu G, Ball SG, Somani N, Craiglow BG (2023) Clinical outcomes for uptitration of baricitinib therapy in patients with severe alopecia areata: A pooled analysis of the BRAVE-AA1 and BRAVE-AA2 trials. Journal of the American Medical Association Dermatology 159(9): 970–976. https://doi.org/10.1001/jamadermatol.2023.2581[PubMed] [PMC]

Kostina DA, Shcheblykina OV, Peresypkina AA, Molchanov VV, Arkhipov VV, Zhernakova NI, Simokhina VS, Zhu C, Gudyrev OS (2025) Assessment of the severity of delayed changes in the state of the neuromuscular system during correction of local cold injury of III-IV degree with pCMV-VEGF165 plasmid preparation in an experiment. Research Results in Pharmacology 11(1): 90–98. https://doi.org/10.18413/rrpharmacology.11.550

Kozlowska U, Blume-Peytavi U, Kodelja V, Sommer C, Goerdt S, Jablonska S, Orfanos CE (1998a) Vascular endothelial growth factor expression induced by proinflammatory cytokines (interleukin 1 alpha, beta) in cells of the human pilosebaceous unit. Dermatology 196(1): 89–92. https://doi.org/10.1159/000017878 [PubMed]

Kozlowska U, Blume-Peytavi U, Kodelja V, Sommer C, Goerdt S, Majewski S, Jablonska S, Orfanos CE (1998b) Expression of vascular endothelial growth factor (VEGF) in various compartments of the human hair follicle. Archives of Dermatological Research 290(12): 661–668. https://doi.org/10.1007/s004030050370 [PubMed]

Kim J, Song SY, Sung JH (2025) Recent advances in drug development for hair loss. International Journal of Molecular Sciences 26(8): 3461. https://doi.org/10.3390/ijms26083461 [PubMed] [PMC]

Kumar MK, Inamadar AC, Palit A (2018) A randomized controlled, single-observer blinded study to determine the efficacy of topical minoxidil plus microneedling versus topical minoxidil alone in the treatment of androgenetic alopecia. Journal of Cutaneous and Aesthetic Surgery 11(4): 211–216. https://doi.org/10.4103/JCAS.JCAS_130_17 [PubMed] [PMC]

Kwon O, Senna MM, Sinclair R, Ito T, Dutronc Y, Lin CY, Yu G, Chiasserini C, McCollam J, Wu WS, King B (2023) Efficacy and safety of baricitinib in patients with severe alopecia areata over 52 weeks of continuous therapy in two phase III trials (BRAVE-AA1 and BRAVE-AA2). American Journal of Clinical Dermatology 24(3): 443–451. https://doi.org/10.1007/s40257-023-00764-w [PubMed] [PMC]

Lachgar S, Charveron M, Gall Y, Bonafe JL (1998) Minoxidil upregulates the expression of vascular endothelial growth factor in human hair dermal papilla cells. The British Journal of Dermatology 138(3): 407–411. https://doi.org/10.1046/j.1365-2133.1998.02115.x [PubMed]

Lachgar S, Moukadiri H, Jonca F, Charveron M, Bouhaddioui N, Gall Y, Bonafe JL, Plouët J (1996) Vascular endothelial growth factor is an autocrine growth factor for hair dermal papilla cells. The Journal of Investigative Dermatology 106(1): 17–23. https://doi.org/10.1111/1523-1747.ep12326964 [PubMed]

Liu C, Zhao H, Zhang Y, Wu W (2022) Clinical observation of basic fibroblast growth factor (bFGF) combined with minoxidil in the treatment of male androgenetic alopecia. Journal of Cosmetic Dermatology 21(9): 4053–4059. https://doi.org/10.1111/jocd.14735 [PubMed]

Llamas-Molina JM, Carrero-Castaño A, Ruiz-Villaverde R, Campos A (2022) Tissue engineering and regeneration of the human hair follicle in androgenetic alopecia: Literature review. Life 12(1): 117. https://doi.org/10.3390/life12010117 [PubMed] [PMC]

Majid I, Masood Q, Hassan I, Khan D, Chisti M (2009) Childhood vitiligo: response to methylprednisolone oral minipulse therapy and topical fluticasone combination. Indian Journal of Dermatology 54(2): 124–127. https://doi.org/10.4103/0019-5154.53185 [PubMed] [PMC]

Malhotra K, Madke B (2023) An updated review on current treatment of alopecia areata and newer therapeutic options. International Journal of Trichology 15(1): 3–12. https://doi.org/10.4103/ijt.ijt_28_21 [PubMed] [PMC]

Melo DF, de Mattos Barreto T, Plata GT, Araujo LR, Tortelly VD (2020) Excellent response to mesotherapy as adjunctive treatment in male androgenetic alopecia. Journal of Cosmetic Dermatology 19(1): 75–77. https://doi.org/10.1111/jocd.12983 [PubMed]

Melo DF, Saceda-Corralo D, Tosti A, Weffort F, Carla Jorge M, de Barros CC, de Melo Carvalho R, Starace M (2022) Frontal edema due to mesotherapy for androgenetic alopecia: A case series. Dermatologic Therapy 35(2): e15247. https://doi.org/10.1111/dth.15247 [PubMed]

Mesinkovska N, King B, Zhang X, Guttman-Yassky E, Magnolo N, Sinclair R, Mizuashi M, Shapiro J, Peeva E, Banerjee A, Takiya L, Cox LA, Wajsbrot D, Kerkmann U, Law E, Wolk R, Schaefer G (2024) Efficacy and safety of ritlecitinib, an oral JAK3/TEC family kinase inhibitor, in adolescent and adult patients with alopecia totalis and alopecia universalis. The Journal of Dermatology 51(11): 1414–1424.https://doi.org/10.1111/1346-8138.17442 [PubMed]

Millauer B, Wizigmann-Voos S, Schnürch H, Martinez R, Møller NP, Risau W, Ullrich A (1993) High affinity VEGF binding and developmental expression suggest Flk-1 as a major regulator of vasculogenesis and angiogenesis. Cell 72(6): 835–846. https://doi.org/10.1016/0092-8674(93)90573-9 [PubMed]

Mistry J, Sibbald C (2025) Clinical presentations and comorbidities of pediatric alopecia areata. Pediatric Dermatology 42(1): 5–11. https://doi.org/10.1111/pde.15838 [PubMed]

Narita K, Fukuoka H, Sekiyama T, Suga H, Harii K (2020) Sequential scalp assessment in hair regeneration therapy using an adipose-derived stem cell-conditioned nedium. Dermatologic Surgery 46(6): 819–825. https://doi.org/0.1097/DSS.0000000000002128 [PubMed]

Nozdrin VI, Gorpinich IV (2007) Changing Hair. St. Petersburg, Retinoidy, P. 35–53. [in Russian]

Olamiju B, Friedmann A, King B (2019) Treatment of severe alopecia areata with baricitinib. Journal of the American Academy of Dermatology Case Reports 5(10): 892–894. https://doi.org/10.1016/j.jdcr.2019.07.005 [PubMed] [PMC]

Otberg N (2011) Systemic treatment for alopecia areata. Dermatologic Therapy 24(3): 320–325. https://doi.org/10.1111/j.1529-8019.2011.01420.x [PubMed]

Ozeki M, Tabata Y (2002) Promoted growth of murine hair follicles through controlled release of vascular endothelial growth factor. Biomaterials 23(11): 2367–2373. https://doi.org/10.1016/s0142-9612(01)00372-6 [PubMed]

Ozeki M, Tabata Y (2003) In vivo promoted growth of mice hair follicles by the controlled release of growth factors. Biomaterials 24(13): 2387–2394. https://doi.org/10.1016/S0142-9612(03)00045-0 [PubMed]

Paichitrojjana A, Paichitrojjana A (2022) Platelet rich plasma and its use in hair regrowth: A review. Drug Design, Development and Therapy 10: 635–645. https://doi.org/10.2147/DDDT.S356858 [PubMed] [PMC]

Pazoki-Toroudi H, Babakoohi S, Nilforoushzadeh MA, Nassiri-Kashani M, Shizarpour M, Ajami M, Habibey R, Sadr B, Rashighi-Firoozabadi M, Firooz A (2012) Therapeutic effects of minoxidil high extra combination therapy in patients with androgenetic alopecia. Skinmed 10(5): 276–282. [PubMed]

Peereboom-Wynia JD, van der Willigen AH, van Joost T, Stolz E (1989) The effect of cyproterone acetate on hair roots and hair shaft diameter in androgenetic alopecia in females. Acta Dermato-Venereologica 69(5): 395–398. [PubMed]

Penha MA, Miot HA, Kasprzak M, Ramos PM (2024) Oral minoxidil vs topical minoxidil for male androgenetic alopecia: A randomized clinical trial. Journal of the American Medical Association Dermatology 160(6): 600–605. https://doi.org/10.1001/jamadermatol.2024.0284 [PubMed] [PMC]

Perez SM, Vattigunta M, Kelly C, Eber A (2025) Low-level laser and LED therapy in alopecia: A systematic review and meta-analysis. Dermatologic Surgery 51(2): 179–183. https://doi.org/10.1097/DSS.0000000000004442 [PubMed]

Phan K, Sebaratnam DF (2019) JAK inhibitors for alopecia areata: a systematic review and meta-analysis. Journal of the European Academy of Dermatology and Venereology 33(5): 850–856. https://doi.org/10.1111/jdv.15489 [PubMed]

Phan K, Ramachandran V, Sebaratnam DF (2019) Methotrexate for alopecia areata: A systematic review and meta-analysis. Meta-Analysis 80(1): 120–127. https://doi.org/10.1016/j.jaad.2018.06.064 [PubMed]

Piraccini BM, Blume-Peytavi U, Scarci F, Jansat JM, Falques M, Otero R, Tamarit ML, Galvan J, Tebbs V, Massana E (2021) Efficacy and safety of topical finasteride spray solution for male androgenetic alopecia: a phase III, randomized, controlled clinical trial. Journal of the European Academy of Dermatology and Venereology 36(2): 286–294. https://doi.org/10.1111/jdv.17738 [PubMed] [PMC]

Prie B E, Iosif L, Tivig I, Stoian I, Giurcaneanu C (2016) Oxidative stress in androgenetic alopecia. Journal of Medicine and Life 9(1): 79–83. [PubMed] [PMC]

Qiu J, Yi Y, Jiang L, Miao Y, Jia J, Zou J, Hu Z (2022) Efficacy assessment for low-level laser therapy in the treatment of androgenetic alopecia: a real-world study on 1383 patients. Lasers in Medical Science 37(6): 2589–2595. https://doi.org/10.1007/s10103-022-03520-4[PubMed] [PMC]

Randolph M, Tosti A (2021) Oral minoxidil treatment for hair loss: A review of efficacy and safety. Journal of the American Academy of Dermatology 84(3): 737–746. https://doi.org/10.1016/j.jaad.2020.06.1009 [PubMed]

Rose PT (2011) The latest innovations in hair transplantation. Facial Plastic Surgery 27(4): 366–377. https://doi.org/10.1055/s-0031-1283055 [PubMed]

Rossi A, Cantisani C, Scarno M, Trucchia A, Fortuna MC, Calvieri S (2011) Finasteride, 1 mg daily administration on male androgenetic alopecia in different age groups: 10-year follow-up. Dermatologic Therapy 24(4): 455–461. https://doi.org/10.1111/j.1529-8019.2011.01441.x[PubMed]

Rossi A, Margi F, D’Arino A, Pigliacelli F, Muscianese M, Leoncini P, Caro G, Federico A, Fortuna MC, Carlesimo M (2020) Efficacy of topical finasteride 0.5% vs 17α-estradiol 0.05% in the treatment of postmenopausal female pattern hair loss: A retrospective, single-blind study of 119 patients. Dermatology Practical & Conceptual 10(2): e2020039. https://doi.org/10.5826/dpc.1002a39 [PubMed] [PMC]

Ryu JY, Won EJ, Lee HAR, Kim JH, Hui E, Kim HP, Yoon TJ (2020) Ultrasound-activated particles as CRISPR/Cas9 delivery system for androgenic alopecia therapy. Biomaterials 232: 119736. https://doi.org/10.1016/j.biomaterials.2019.119736 [PubMed]

Saceda-Corralo D, Moustafa F, Moreno-Arrones O, Jaen-Olasolo P, Vano-Galvan S, Camacho F (2022) Mesotherapy with dutasteride for androgenetic alopecia: a retrospective study in real clinical practice. Journal of Drugs in Dermatology 21(7): 742–747. https://doi.org/10.36849/JDD.6610 [PubMed]

Saoji V, Kulkarni S, Madke B (2019) Alopecia areata treated with oral azathioprine: A case series. International Journal of Trichology 11(5): 219–222. https://doi.org/10.4103/ijt.ijt_57_19 [PubMed] [PMC]

Schwartz DM, Bonelli M, Gadina M, O'Shea JJ (2016) Type I/II cytokines, JAKs, and new strategies for treating autoimmune diseases. Nature Reviews. Rheumatology 12(1): 25–36. https://doi.org/10.1038/nrrheum.2015.167 [PubMed] [PMC]

Seo HM, Oh SU, Kim S, Park JH, Kim JS (2024) Dutasteride in the treatment of frontal fibrosing alopecia: Systematic review and meta-analysis. Journal of the European Academy of Dermatology and Venereology 38(8): 1514–1521. https://doi.org/10.1111/jdv.19802[PubMed]

Shcheblykin DV, Bolgov AA, Pokrovskii MV, Stepenko JV, Tsuverkalova JM, Shcheblykina OV, Golubinskaya PA, Korokina LV (2022) Endothelial dysfunction: developmental mechanisms and therapeutic strategies. Research Results in Pharmacology 8(4): 115–139. https://doi.org/10.3897/rrpharmacology.8.80376

Shi X, Tuan H, Na X, Yang H, Yang Y, Zhang Y, Xi M, Tan Y, Yang C, Zhang J, Zhao A (2023) The association between sugar-sweetened beverages and male pattern hair loss in young men. Nutrients 15(1): 214. https://doi.org/10.3390/nu15010214 [PubMed]

Sinclair RD (2018) Female pattern hair loss: a pilot study investigating combination therapy with low-dose oral minoxidil and spironolactone. International Journal of Dermatology 57(1): 104–109. https://doi.org/10.1111/ijd.13838 [PubMed]

Singh A, Yadav S (2016) Microneedling: Advances and widening horizons. Indian Dermatology Online Journal 7(4): 244–254. https://doi.org/10.4103/2229-5178.185468 [PubMed] [PMC]

Suchonwanit P, Rojhirunsakool S, Khunkhet S (1019) A randomized, investigator-blinded, controlled, split-scalp study of the efficacy and safety of a 1550-nm fractional erbium-glass laser, used in combination with topical 5% minoxidil versus 5% minoxidil alone, for the treatment of androgenetic alopecia. Lasers in Medical Science 34(9): 1857–1864. https://doi.org/10.1007/s10103-019-02783-8 [PubMed]

Takagi R, Ishimaru J, Sugawara A, Toyoshima KE, Ishida K, Ogawa M, Sakakibara K, Asakawa K, Kashiwakura A, Oshima M, Minamide R, Sato A, Yoshitake T, Takeda A, Egusa H, Tsuji T (2016) Bioengineering a 3D integumentary organ system from iPS cells using an in vivo transplantation model. Science Advances 2(4): e1500887. https://doi.org/10.1126/sciadv.1500887 [PubMed] [PMC]

Tang L, Cao L, Sundberg JP, Lui H, Shapiro J (2004) Restoration of hair growth in mice with an alopecia areata-like disease using topical anthralin. Experimental Dermatology 13(1): 5–10. https://doi.org/10.1111/j.0906-6705.2004.00098.x [PubMed]

Terman BI, Dougher-Vermazen M, Carrion ME, Dimitrov D, Armellino DC, Gospodarowicz D, Böhlen P (1992) Identification of the KDR tyrosine kinase as a receptor for vascular endothelial cell growth factor. Biochemical and Biophysical Research Communications 187(3): 1579–1586. https://doi.org/10.1016/0006-291x(92)90483-2 [PubMed]

Thepphankulngarm N, Manmuan S, Hirun N, Kraisit P (2024) Nanotechnology-driven delivery of caffeine using ultradeformable liposomes-coated hollow mesoporous silica nanoparticles for enhanced follicular delivery and treatment of androgenetic alopecia. International Journal of Molecular Sciences 25(22): 12170. https://doi.org/10.3390/ijms252212170 [PubMed] [PMC]

Tian K, Gao S, Jia Z, Xu W, Li K, Wu L (2022) A study of combination unilateral subcutaneous botulinum toxin a treatment for androgenetic alopecia. Journal of Cosmetic Dermatology 21(11): 5584–5590. https://doi.org/10.1111/jocd.15179 [PubMed]

Triyangkulsri K, Suchonwanit P (2018) Role of janus kinase inhibitors in the treatment of alopecia areata. Drug Design, Development and Therapy 12: 2323–2335. https://doi.org/10.2147/DDDT.S172638 [PubMed] [PMC]

True RH (2021) Is every patient of hair loss a candidate for hair transplant? Deciding surgical candidacy in pattern hair loss. Indian Journal of Plastic Surgery 54(4): 435–440. https://doi.org/10.1055/s-0041-1739247 [PubMed] [PMC]

Vexiau P, Chaspoux C, Boudou P, Fiet J, Jouanique C, Hardy N, Reygagne P (2002) Effects of minoxidil 2% vs. cyproterone acetate treatment on female androgenetic alopecia: a controlled, 12-month randomized trial. The British Journal of Dermatology 146(6): 992–999. https://doi.org/10.1046/j.1365-2133.2002.04798.x [PubMed]

Wu S, Liu S, Chen J, Dai D, Liu W, Le D, Guan Q, Miao Y, Hu Z, Qu Q (2023) Evaluation of platelet-rich plasma plus basic fibroblast growth factor combined with minoxidil in the treatment of androgenetic alopecia: A randomized controlled trial. Journal of Cosmetic Dermatology 22(7): 1995–2002. https://doi.org/10.1111/jocd.15825 [PubMed]

Wu XJ, Zhu JW, Jing J, Xue D, Liu H, Zheng M, Lu ZF (2014) VEGF165 modulates proliferation, adhesion, migration and differentiation of cultured human outer root sheath cells from central hair follicle epithelium through VEGFR-2 activation in vitro. Journal of Dermatological Science 73(2): 152–160. https://doi.org/10.1016/j.jdermsci.2013.10.002 [PubMed]

Xiang H, Zhang Y, Li J, Li L, Li Z, Ni R, Peng D, Jiang L, Chen J, Liu Y (2025) Terminalia bellirica (Gaertn.) Roxb. Extracts reshape the perifollicular microenvironment and regulate the MAPK pathway for androgenetic alopecia treatment. Journal of Ethnopharmacology 337(1): 118778. https://doi.org/10.1016/j.jep.2024.118778 [PubMed]

Xing L, Dai Z, Jabbari A, Cerise JE, Higgins CA, Gong W, de Jong A, Harel S, DeStefano GM, Rothman L, Singh P, Petukhova L, Mackay-Wiggan J, Christiano AM, Clynes R (2014) Alopecia areata is driven by cytotoxic T lymphocytes and is reversed by JAK inhibition. Nature Medicine 20(9): 1043–1049. https://doi.org/10.1038/nm.3645 [PubMed] [PMC]

Yano K, Brown LF, Detmar M (2001) Control of hair growth and follicle size by VEGF-mediated angiogenesis. The Journal of Clinical Investigation 107(4): 409–417. https://doi.org/10.1172/JCI11317 [PubMed] [PMC]

Yazdabadi A, Sinclair R (2011) Treatment of female pattern hair loss with the androgen receptor antagonist flutamide. The Australasian Journal of Dermatology 52(2): 132–134. https://doi.org/10.1111/j.1440-0960.2010.00735.x [PubMed]

Yin X, Wang L, Niu Y, Xie D, Zhang Q, Xiao J, Dong L, Wang C (2024) Unmasking chemokine-inducing specificity in oligosaccharide biomaterial to promote hair growth. Advanced Materials 36(6): e2304655. https://doi.org/10.1002/adma.202304655 [PubMed]

Yun SI, Lee SK, Goh EA, Kwon OS, Choi W, Kim J, Lee MS, Choi SJ, Lim SS, Moon TK, Kim SH, Kyong K, Nam G, Park HO (2022) Weekly treatment with SAMiRNA targeting the androgen receptor ameliorates androgenetic alopecia. Scientific Reports 12(1): 1607. https://doi.org/10.1038/s41598-022-05544-w [PubMed] [PMC]

Zarei M, Wikramanayake TC, Falto-Aizpurua L, Schachner LA, Jimenez JJ (2016) Low level laser therapy and hair regrowth: an evidence-based review. Lasers in Medical Science 31(2): 363–371. https://doi.org/10.1007/s10103-015-1818-2 [PubMed]

Zhang X, Ji Y, Zhou M, Zhou X, Xie Y, Zeng X, Shao F, Zhang C (2023) Platelet-rich plasma for androgenetic alopecia: a systematic review and meta-analysis of randomized controlled trials. Journal of Cutaneous Medicine and Surgery 27(5): 504–508. https://doi.org/10.1177/12034754231191461 [PubMed]

Zhang X, Hao J, Lu T, Dong Y, Sun Y, Yu Y, Li S, Yu S, Hu H (2024) Resveratrol-loaded versatile nanovesicle for alopecia therapy via comprehensive strategies. International Journal of Nanomedicine 19: 13875–13900. https://doi.org/10.2147/IJN.S477820 [PubMed] [PMC]

Zheng M, Choi N, Jang Y, Kwak DE, Kim Y, Kim WS, Oh SH, Sung JH (2020) Hair growth promotion by necrostatin-1s. Scientific Reports 10(1): 17622. https://doi.org/10.1038/s41598-020-74796-1 [PubMed] [PMC]

Zhou C, Yang B, Zeng H, Xia R, Dang N, Yang Q, Li J, Zhang C, Zhang G, Wei A, Lai W, Yang S, Diao Q, Ding Y, Wu L, Liu L, Jia D, Zhu H, Zhang J (2025) Efficacy and safety of topical finasteride spray solution in the treatment of Chinese men with androgenetic alopecia: A phase III, multicenter, randomized, double-blind, placebo-controlled study. Chinese Medical Journal 139(7): 1054-1061. https://doi.org/10.1097/CM9.0000000000003495 [PubMed]

Author Contribution

Anton A. Bolgov, Belgorod State National Research University

Postgraduate student, Department of Pharmacology and Clinical Pharmacology, Belgorod State National Research University, Belgorod, Russia; e-mail: toxabolgovv@mail.ru; ORCID ID: https://orcid.org/0000-0001-9708-8181. The concept and design of the study, writing the text, collecting and processing the material.

Olesya V. Shcheblykina, Belgorod State National Research University

Cand. Sci. (Med.), Associate Professor, Department of Pharmacology and Clinical Pharmacology, Belgorod State National Research University, Belgorod, Russia; e-mail: sheolvi31@gmail.com; ORCID ID: https://orcid.org/0000-0003-0346-9835. Editing and collecting materials.

Elizaveta I. Repina, Belgorod State National Research University

Undergraduate student, Medical Institute, Belgorod State National Research University, Belgorod, Russia; e-mail: repina.2004@gmail.com. ORCID ID: https://orcid.org/0009-0000-9508-3993. Writing the text, collecting and processing the material, creating tables and images.

Darya A. Kostina, Belgorod State National Research University

Cand. Sci. (Med.), Associate Professor, Department of Pharmacology and Clinical Pharmacology, Belgorod State National Research University, Belgorod, Russia; e-mail: daria-f13@mail.ru; ORCID ID: https://orcid.org/0000-0002-4505-3988. Editing.

Nina I. Zhernakova, Belgorod State National Research University

Dосt. Habil. Sci. (Med.), Full Professor, Head of the Department of Family Medicine, Belgorod State National Research University, Belgorod, Russia; e-mail: zhernakova@bsuedu.ruORCID ID:  https://orcid.org/0000-0001-7648-0774. The author edited the text of the manuscript.

Olga A. Osipova, Belgorod State National Research University

Doctor Habil. of Medical Sciences, Professor, Professor of the Department of Hospital Therapy, Belgorod State National Research University, Belgorod, Russia; e-mail: osipova@bsuedu.ru; ORCID ID: https://orcid.org/0000-0002-7321-6529. Clinico-pathophysiological interpretation of the results in the context of human stroke, comparison of experimental data with clinical observations, critical revision of the Discussion section.

Evangelina O. Starostina, Belgorod State National Research University

6th year student of the Medical institute, Belgorod State National Research University, Belgorod, Russia; e-mail: starostina@mail.ru; ORCID ID: https://orcid.org/0009-0009-4945-8761. Writing the text, collecting and processing the material, creating tables and images.

Alina A. Avramenko, Belgorod State National Research University

Undergraduate student, Medical Institute, Belgorod State National Research University, Belgorod, Russia; e-mail: lina-avramenko@bk.ru; ORCID ID: https://orcid.org/0009-0004-8983-1843. Editing.

Downloads

Published

26-06-2026

How to Cite

Bolgov AA, Shcheblykina OV, Repina EI, Kostina DA, Zhernakova NI, Osipova OA, Starostina EO, Avramenko AA (2026) Modern approaches to the treatment of androgenetic alopecia and alopecia areata. Research Results in Pharmacology 12(2): 114–130. https://doi.org/10.18413/rrpharmacology.12.1069

Issue

Section

Experimental Pharmacology

Most read articles by the same author(s)

1 2 3 > >>