Hey guys,
First of all, I really hate to be negative, since hope is such an important part in coping with scarring. That said, there's one thing that bothers me about the Gerecht et al hydrogel paper, and it would be interesting to hear what you guys think about it. Here's a quote:
Quote
Moreover, we observed a significant increase in the number of
hair follicles (Fig. 7A, iii). Indeed, when the treatment continued
for extended periods, we observed hair growth in the center of
hydrogel-treated wounds (Fig. 7B).
First, notice that they are only talking about an increase in the number of HFs. The fact is that hair follicles are already known to regenerate in mammals given that the wound is large enough. This was recently popularized in a study by Ito et al that is referenced in the Gerecht paper and that has also laid the foundations for a biotech start-up, Follica, that tries to take advantage of this fact to treat various forms of alopecias (hair loss from scarring included.)
However, as it seems, one of the big problems is that the "regenerative response," if you will, is only strong enough to induce new follicle formation in the center of the wound bed. Notice that the quote above explicitly mentions just the center of the hydrogel-treated wounds. This implies that the regenerated skin will be surrounded by a scarred margin if the procedure is carried out as a full thickness excision, as in the pic below (from Follica's most recent patent):
Nevertheless, there's a lot of positives coming from this hydrogel imo. For example, afaik, Follica has never been able to regenerate pigmented hair follicles, so this is clearly a testament to the merits of the hydrogel, whether it accomplishes this by increasing melanocyte SC motility or even by dedifferentiating the wound bed to such a degree that MCSCs are formed anew. It's also possible that the problem with the scarred margin can be solved by dermabrading the surrounding area of the excision so as to enlarge the regenerating zone to include the borders as well, or perhaps by limiting the use of the hydrogel to improving the healing in deeper types of dermabrasion for scars that don't go all the way through the skin.
Edited by rimram, Today, 04:20 AM.