Hair Follicle Organoids Using Human iPSC-Derived Ectodermal Precursor Cells for Hair Regenerative Medicine
Open accessAbstract
High Resolution Image Download MS PowerPoint Slide Organoids containing hair follicles can be regenerated in vitro using human induced pluripotent stem cells (hiPSCs) and potentially used as a tissue graft for hair regeneration. There are two main approaches to organoid formation: one is to form embryoid bodies from hiPSCs and induce differentiation into several organs and tissues, and the other is to induce tissue precursor epithelial and mesenchymal cells from hiPSCs and coculture them to generate organs and tissues via epithelial-mesenchymal interaction. Our ultimate aim is to differentiate hiPSCs into hair follicle epithelial and mesenchymal stem cells, and to subsequently purify and use them to generate hair follicle organoids (HFOs). We previously showed that murine embryonic skin-derived stem cells could be used to generate mouse HFOs with ∼100% efficiency. However, the key to inducing mouse HFOs is the supplementation of Matrigel at very low concentrations, and this mouse tumor-derived matrix cannot be applied in human treatment. In the current study, we found that collagen I provided a microenvironment for inducing HFOs that was equivalent to that induced by Matrigel. Furthermore, hiPSCs were differentiated into human ectodermal precursor cells and subsequently used to generate human/mouse chimeric HFOs with mouse embryonic mesenchymal cells. The human/mouse chimeric HFOs showed hair follicle sprouting both in vitro and in vivo . Although another approach to induce human mesenchymal layer cells from hiPSCs is necessary to generate fully human HFOs, this study demonstrates the potential of employing hiPSC-derived ectodermal precursor cells (hiPSC-EPCs) in HFO cultures in hair regenerative medicine.
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TL;DR
Collagen I can replace Matrigel for mouse hair follicle organoid (HFO) culture, and hiPSC-derived ectodermal precursor cells (hiPSC-EPCs) form human/mouse chimeric HFOs that sprout hair in vitro and regenerate hair shafts after transplantation. The study supports hiPSC-EPCs as a potential epithelial cell source for hair regenerative medicine, though fully human HFOs and safety assessments remain future work.
Key findings
- Mouse collagen-based HFOs (cHFOs) showed significantly more hair follicle sprouting at collagen I concentrations of 24–240 μg/mL; 24 and 120 μg/mL were used for subsequent experiments, and generated mouse hair follicles elongated by ∼200 μm after 8 days.
- In patch assays, mouse cHFOs and Matrigel-based HFOs produced significantly more hairs than HFGs without ECM, with no significant difference between cHFOs and mHFOs; cHFO transplantation yielded 4 hair follicles/10⁴ cells versus ∼1.3 hair follicles/10⁴ cells for conventional cell suspension transplantation.
- hiPSCs differentiated into hiPSC-EPCs, with 83.5% KRT18-positive cells at day 11; human/mouse chimeric HFOs showed 13.6% hair generation efficiency (16/118 HFOs), whereas aggregates with only mouse mesenchymal cells showed 0/96.
- Human/mouse chimeric cHFOs prepared with hiPSC-EPCs and mouse mesenchymal cells regenerated hair shafts in vivo, while controls using human fetal epithelial cells, mouse mesenchymal cells alone, or passaged human fetal epithelial cells did not.
Methods
- Mouse embryonic skin-derived epithelial and mesenchymal layer cells were isolated from E18 dorsal skin and cultured in 96-well spheroid formation plates with collagen I (2.4–480 μg/mL tested; 24 or 120 μg/mL used) or 2% v/v Matrigel.
- hiPSCs (201B7 line) were expanded feeder-free on Easy iMatrix511 and differentiated into hiPSC-EPCs using retinoic acid/BMP4 and keratinocyte serum-free medium; differentiation was assessed by RT-qPCR, immunostaining, and flow cytometry.
- Human/mouse chimeric HFOs were prepared by mixing hiPSC-EPCs with mouse embryonic mesenchymal layer cells in collagen I or Matrigel, cultured for 6–10 days, and transplanted into nude or SCID hairless outbred mice via patch assays; hair shafts were counted after 3 weeks. Statistical analysis used Student’s t test or Tukey’s test with p < 0.05.
Limitations
- The paper states that fully human HFOs require hiPSC-derived mesenchymal cells, which were not used here; the current system is human/mouse chimeric, and xenograft transplantation raises safety concerns for clinical application.
- The paper states that detailed teratoma assessments were not conducted, and possible mouse epithelial cell contamination in the mesenchymal population may contribute to chimeric hair regeneration; chimeric HFO efficiency was low (13.6%) compared with mouse HFOs (∼100%).
- The paper notes hiPSC limitations including epigenetic memory, high development costs, and time-consuming differentiation; evident from the text, the study lacks human clinical data and relies on immunodeficient mouse transplantation models.
Model-written summary. Check it against the paper before relying on it.
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Claims the paper makes
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- Findingown data
Collagen I at concentrations between 24 and 240 μg/mL produced significantly more hair follicle sprouting in mouse HFOs than other tested concentrations.
“Collagen I concentrations varying from 2.4 to 480 μg/mL were evaluated, and a significantly larger number of hair follicle sprouting was observed at doses between 24 and 240 μg/mL (Figure b).”
Quote in the paperSubstantial claim - Findingown data
There was no significant difference in the number of hairs generated with mouse cHFOs between three and 6 days of culture before transplantation.
“However, a significant difference in the number of hairs generated with the cHFOs between three and 6 days of culture before transplantation was not observed (Figures and S3).”
Quote in the paperNot a substantial claim - Findingown data
Mouse cHFOs generated in vitro possessed typical hair follicle structures, including hair bulbs, hair shafts, dermal papillae, adipose and hair bulges.
“A morphological analysis of mouse cHFOs revealed that hair follicles generated in vitro possessed typical hair follicle structures, including hair bulbs, hair shafts, dermal papillae, adipose and hair bulges (Figure c–l).”
Quote in the paperSubstantial claim - Findingown data
In the present study, cHFO transplantation regenerated 4 hair follicles per 10^4 cells.
“In the present study (cHFO transplantation), 4 hair follicles/104 cells were regenerated by cHFO transplantation”
Quote in the paperSubstantial claim - Findingown data
At the lowest collagen I concentration (2.4 μg/mL), mouse HFO cells formed dumbbell-shaped structures with no hair follicle sprouting, similar to HFGs without ECM supplement.
“At the lowest concentration (2.4 μg/mL), the cells formed dumbbell-shaped structures with no hair follicle sprouting, similar to HFGs under the condition without ECM supplement (Figure S2).”
Quote in the paperSubstantial claim
- Findingreasoning
Conventional cell suspension transplantation yields approximately 1.3 hair follicles per 10^4 cells.
“This was converted to 1.3 hair follicles/104 cells.”
Quote in the paperSubstantial claim - Findingown data
There was no significant difference in hair regeneration capacity between mouse cHFOs and Matrigel-based HFOs.
“However, there was no significant difference in the hair regeneration capacity between cHFOs and mHFOs (Figure a,b).”
Quote in the paperSubstantial claim - Findingown data
Mouse cHFOs and Matrigel-based HFOs cultured for 6 days showed significantly greater hair regeneration than HFGs without ECM after transplantation.
“cHFOs and mHFOs cultured for 6 days showed significantly greater hair regeneration than that of HFGs without the ECM.”
Quote in the paperSubstantial claim - Findingown data
Hair shafts stained black with melanosomes were visualized in mouse cHFOs.
“Hair shafts stained black with melanosomes were visualized in mouse cHFOs (Figure d).”
Quote in the paperNot a substantial claim - Findingown data
Human/mouse chimeric HFOs showed hair follicle sprouting both in vitro and in vivo.
“The human/mouse chimeric HFOs showed hair follicle sprouting both in vitro and in vivo.”
Quote in the paperSubstantial claim - Findingown data
hiPSCs were differentiated into human ectodermal precursor cells.
“Furthermore, hiPSCs were differentiated into human ectodermal precursor cells and subsequently used to generate human/mouse chimeric HFOs with mouse embryonic mesenchymal cells.”
Quote in the paperSubstantial claim - Findingown data
The average number of hairs generated with mouse cHFOs prepared with 24 μg/mL collagen I was slightly higher than that with 120 μg/mL.
“The average number of hairs generated with cHFOs prepared with 24 μg/mL collagen I was slightly higher than that with 120 μg/mL.”
Quote in the paperNot a substantial claim - Findingown data
After 8 days, generated mouse hair follicles had elongated by approximately 200 μm.
“After 8 days, the generated mouse hair follicles had elongated by ∼200 μm (Figure S1).”
Quote in the paperNot a substantial claim - Findingown data
These human/mouse chimeric cHFOs demonstrated hair follicle generation ability when transplanted into the skin of nude mice.
“These human/mouse chimeric cHFOs further demonstrated their hair follicle generation ability when transplanted into the skin of nude mice.”
Quote in the paperSubstantial claim - Findingown data
The hair follicle development speed (sprouting) was slower in human/mouse chimeric HFOs (hair follicles generated after 6-7 days of culture) than in mouse HFOs (hair follicles generated after 4 days of culture).
“The hair follicle development speed (sprouting) was slower in human/mouse chimeric HFOs (hair follicles generated after 6–7 days of culture) than in mouse HFOs (hair follicles generated after 4 days of culture).”
Quote in the paperNot a substantial claim - Findingnone given
This study established a Matrigel-free culture system for HFO culture.
“This study established a Matrigel-free culture system for HFO culture”
Quote in the paperSubstantial claim - Findingreasoning
Passaged fetal epithelial layer cells failed to support hair follicle regeneration when incorporated into cHFOs (cHFO(hEpi/mMes)).
“Passaged fetal epithelial layer cells failed to support hair follicle regeneration when incorporated into cHFOs (cHFO(hEpi/mMes))”
Quote in the paperSubstantial claim - Findingown data
Hair follicle sprouting was observed on day seven in human/mouse chimeric HFOs.
“Hair follicle sprouting was observed on day seven (Figure g)”
Quote in the paperSubstantial claim - Findingown data
KRT33a and KRT15-positive cells were observed in hair follicle sprouting.
“KRT33a and KRT15-positive cells were observed in hair follicle sprouting (Figure i)”
Quote in the paperSubstantial claim - Findingown data
Fluorescently labeled hiPSC-EPCs were partially contained in the regenerated hair follicles.
“We observed that fluorescently labeled cells were partially contained in the regenerated hair follicles (Figure j).”
Quote in the paperSubstantial claim - Findingown data
Fewer hair follicles were generated in human/mouse chimeric HFOs (less than 1 hairs/HFO) than in mouse HFOs (approximately 5 hairs/HFO).
“Fewer hair follicles were generated in human/mouse chimeric HFOs (less than 1 hairs/HFO) than in mouse HFOs (approximately 5 hairs/HFO).”
Quote in the paperSubstantial claim - Findingown data
Hair generation was not observed in aggregates prepared only with mouse mesenchymal layer cells (0/96 aggregates).
“Hair generation was not observed in aggregates prepared only with mouse mesenchymal layer cells (0/96 aggregates).”
Quote in the paperSubstantial claim - Findingown data
In the present study, macroscopic observations following transplantation revealed no evidence of teratoma formation.
“In the present study, macroscopic observations following transplantation revealed no evidence of teratoma formation”
Quote in the paperSubstantial claim - Findingown data
hiPSC-EPCs differentiated from hiPSCs formed human/mouse chimeric HFOs with mouse mesenchymal layer cells, which showed a capacity for in vitro hair follicle sprouting.
“hiPSC-EPCs differentiated from hiPSCs formed human/mouse chimeric HFOs with mouse mesenchymal layer cells, which showed a capacity for in vitro hair follicle sprouting.”
Quote in the paperSubstantial claim - Findingreasoning
The regeneration efficiency of chimeric HFOs was low (13.6%) compared to mouse HFOs (∼100%).
“the regeneration efficiency of chimeric HFOs was low (13.6%) compared to mouse HFOs (∼100%)”
Quote in the paperSubstantial claim - Findingown data
On day 11 of culture, 83.5% of the cells were positive for KRT18.
“On day 11 of culture, immunostaining and flow cytometric analysis revealed that 83.5% of the cells were positive for KRT18 (Figure e,f).”
Quote in the paperSubstantial claim - Findingnone given
We induced mouse cHFOs by culturing mouse epithelial and mesenchymal layer cells in a low-concentration collagen I-supplemented medium.
“We induced mouse cHFOs by culturing mouse epithelial and mesenchymal layer cells in a low-concentration collagen I-supplemented medium.”
Quote in the paperSubstantial claim - Findingown data
The expression of the human KRT33a gene was upregulated over time in the human/mouse chimeric HFO culture.
“The expression of the human KRT33a gene (hair cortex keratin marker) was upregulated over time in the human/mouse chimeric HFO culture (Figure h).”
Quote in the paperSubstantial claim - Findingown data
The hair generation efficiency was 13.6% (16/118 HFO) in human/mouse chimeric HFOs.
“the hair generation efficiency was 13.6% (16/118 HFO) in human/mouse chimeric HFOs.”
Quote in the paperSubstantial claim - Interpretationreasoning
The reduction in hair follicle sprouting at high collagen I concentrations is attributed to high collagen concentrations restricting cell migration and organization through increased matrix density and stiffness.
“This was attributed to the high collagen concentrations restricting cell migration and organization owing to increased matrix density and stiffness, which is consistent with studies showing that excessive ECM rigidity inhibits cellular migration and differentiation.”
Quote in the paperSubstantial claim - Premisecitation
In conventional cell suspension transplantation, approximately 200 hair follicles were generated at single transplanted sites after injection of 1 million dermal layer cells and 0.5 million epidermal layer cells.
“In a previous study on conventional cell suspension transplantation, ∼200 hair follicles were generated at single transplanted sites after injection of 1 million dermal layer cells and 0.5 million epidermal layer cells.”
Quote in the paperSubstantial claim - Premiseown data
Mouse HFGs formed spontaneously in vitro through spatial separation and compartmentalization of epithelial and mesenchymal layer cells in aggregates, enabling preparation of thousands of HFGs using a spheroid microarray plate.
“We previously found that mouse HFGs formed spontaneously in vitro through spatial separation and compartmentalization of epithelial and mesenchymal layer cells in aggregates, enabling the preparation of thousands of HFGs using a spheroid microarray plate.”
Quote in the paperSubstantial claim - Premiseown data
The key to highly efficient sprouting in mouse HFOs was to induce aggregation of cells and subsequent core-shell separation of the two cell types by supplementing a very low concentration of Matrigel (2 v/v%) in the culture medium.
“The key to highly efficient sprouting was to induce the aggregation of cells and subsequent core–shell separation of the two cell types by supplementing a very low concentration of Matrigel (2 v/v%) in the culture medium.”
Quote in the paperSubstantial claim - Interpretationown data
Collagen I provided a suitable microenvironment for HFO formation, comparable to Matrigel.
“These results suggested that collagen I, a relatively simple ECM compared with Matrigel, which contains various ECMs and growth factors, provided a suitable microenvironment for HFOs formation.”
- Also stated in: § Abstract · plain
“In the current study, we found that collagen I provided a microenvironment for inducing HFOs that was equivalent to that induced by Matrigel.”
Quote in the paperSubstantial claim - Also stated in: § Abstract · plain
- Interpretationown data
cHFO transplantation provides a much higher hair regeneration efficiency than conventional direct epithelial-mesenchymal layer cell transplantation.
“indicating that cHFO transplantation provides a much higher hair regeneration efficiency.”
Quote in the paperSubstantial claim - Premiseown data
Growth factors and laminin, the major components of Matrigel, were not directly involved in hair follicle sprouting in mouse HFOs.
“Unexpectedly, growth factors and laminin, the major components of Matrigel, were not directly involved in hair follicle sprouting in mouse HFOs, and highly efficient sprouting occurred using collagen I, collagen IV, the laminin-entactin complex, and growth factor-reduced Matrigel.”
Quote in the paperSubstantial claim - Premisenone given
hiPSC-derived hair follicle epithelial and mesenchymal layer stem/precursor cells contribute to hair follicle regeneration in animal experiments.
“Recent advances in stem cell technology have enabled the production of hair follicle epithelial and mesenchymal layer stem/precursor cells from hiPSCs, and these hiPSC-derived cells were found to contribute to hair follicle regeneration in animal experiments.”
Quote in the paperSubstantial claim - Premiseown data
Highly efficient hair follicle sprouting in mouse HFOs occurred using collagen I, collagen IV, the laminin-entactin complex, and growth factor-reduced Matrigel.
“Unexpectedly, growth factors and laminin, the major components of Matrigel, were not directly involved in hair follicle sprouting in mouse HFOs, and highly efficient sprouting occurred using collagen I, collagen IV, the laminin-entactin complex, and growth factor-reduced Matrigel.”
Quote in the paperSubstantial claim - Premisecitation
Lee et al.'s approach allowed for near 100% hair follicle regeneration using mouse and human cells.
“This approach allowed for near 100% hair follicle regeneration using mouse and human cells.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Lee et al.
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Premiseown data
In our previous study using mouse cells, we demonstrated a near 100% regeneration efficiency.
“In our previous study using mouse cells, we demonstrated a near 100% regeneration efficiency.”
Quote in the paperNot a substantial claim - Interpretationreasoning
The mouse epithelial layer cells might also contribute to regenerating human/mouse chimeric hair follicles.
“it should be noted that the mouse epithelial layer cells might also contribute to regenerating human/mouse chimeric hair follicles.”
Quote in the paperNot a substantial claim - Premisecitation
201B7-EPCs was found to be the most sensitive to DP signals among three different iPSC lines (201B7, WD39, WDT2) in the previous study.
“We used the 201B7-iPSC line because 201B7-EPCs was found to be the most sensitive to DP signals among three different iPSC lines (201B7, WD39, WDT2) in the previous study.”
Quote in the paperNot a substantial claim - Interpretationreasoning
The higher cell retention after transplantation may contribute to the enhanced hair regeneration efficiency of cHFO transplantation.
“The higher cell retention after transplantation may contribute to the enhanced hair regeneration efficiency of cHFO transplantation.”
Quote in the paperSubstantial claim - Interpretationreasoning
Secretome derived from mouse mesenchymal cells may not act adequately on human cells, causing the low regeneration efficiency in mouse-human chimeric HFOs.
“secretome derived from mouse mesenchymal cells may not act adequately on human cells, causing the low regeneration efficiency in mouse-human chimeric HFOs.”
Quote in the paperSubstantial claim - Interpretationown data
This study demonstrated the possibility of replacing mouse epithelial layer cells with hiPSC-EPCs.
“demonstrated the possibility of replacing mouse epithelial layer cells with hiPSC-EPCs.”
Quote in the paperSubstantial claim - Interpretationreasoning
The failure of passaged fetal epithelial layer cells to support hair follicle regeneration is likely because of cellular senescence or loss of essential inductive signals during prolonged culture.
“likely because of cellular senescence or loss of essential inductive signals during prolonged culture.”
Quote in the paperSubstantial claim - Interpretationown data
iPSC-EPCs have the potential to regenerate hair follicles.
“These results indicate that iPSC-EPCs have the potential to regenerate hair follicles.”
Quote in the paperSubstantial claim - Interpretationreasoning
The low regeneration efficiency of chimeric HFOs is possibly related to inadequate heterologous epithelial-mesenchymal interactions.
“this is possibly related to inadequate heterologous epithelial-mesenchymal interactions.”
Quote in the paperSubstantial claim - Study design and conductreasoning
A small number of mouse epithelial layer cells in the mesenchymal layer cell populations may have been contaminated.
“a small number of mouse epithelial layer cells in the mesenchymal layer cell populations may have been contaminated.”
Quote in the paperSubstantial claim - Interpretationreasoning
The decline in cellular performance of passaged human dermal papilla cells may have contributed to the limited hair follicle morphogenesis in our study.
“this decline in cellular performance of passaged human dermal papilla cells may have contributed to the limited hair follicle morphogenesis in our study.”
Quote in the paperSubstantial claim - Premisecitation
Cell aggregates remain at the transplantation site more effectively than conventional methods using single-cell suspensions.
“Our previous study demonstrated that cell aggregates remain at the transplantation site more effectively than conventional methods using single-cell suspensions.”
Quote in the paperSubstantial claim - Premisecitation
Human dermal papilla cells lose their functional properties upon repeated subculture, leading to reduced hair-inductive capacity.
“Human dermal papilla cells have been reported to lose their functional properties upon repeated subculture, leading to reduced hair-inductive capacity”
Quote in the paperSubstantial claim - Study design and conductnone given
Detailed assessments, such as those using flow cytometry or teratoma assays, were not conducted.
“detailed assessments, such as those using flow cytometry or teratoma assays, were not conducted.”
Quote in the paperSubstantial claim
- The quote only partly states this claim. 1
- May combine two claims. 22
- Classified as probably not a substantial claim. 19
The quote only partly states this claim.
Findingown datahiPSC-EPCs were used to generate human/mouse chimeric HFOs with mouse embryonic mesenchymal cells.
“Furthermore, hiPSCs were differentiated into human ectodermal precursor cells and subsequently used to generate human/mouse chimeric HFOs with mouse embryonic mesenchymal cells.”
Quote in the paperSubstantial claimMay combine two claims.
FindingreasoningAt collagen I concentrations >240 μg/mL, mouse HFO cells formed aggregates with core-shell structures but significantly fewer sprouts were observed.
“At higher concentrations (>240 μg/mL), while cells formed aggregates with core–shell structures, significantly fewer sprouts were observed.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataVersican/Sox2-positive dermal papilla cells, CD34/KRT15-positive hair follicle stem cells, c-KIT/gp100-positive melanocyte and oil red O-positive adipocyte resided in regenerated hair follicles from mouse cHFOs, similar to native hair follicles.
“Versican/Sox2-positive dermal papilla cells, CD34/KRT15-positive hair follicle stem cells, c-KIT/gp100-positive melanocyte and oil red O-positive adipocyte resided in these regenerated hair follicles (Figure e–l), similar to native hair follicles.”
Quote in the paperSubstantial claimMay combine two claims.
FindingreasoningRestriction of cell migration in mouse HFOs was observed from collagen I concentrations >240 μg/mL, and was more significant from >360 μg/mL.
“Restriction of cell migration was observed from >240 μg/mL, but it was more significant from >360 μg/mL.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe average hair follicle length and thickness was ∼200 and 100 μm, respectively.
“The average hair follicle length and thickness was ∼200 and 100 μm, respectively (Figure S4).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown datacHFOs prepared from hiPSC-EPCs showed hair shaft generation, including black hair shafts.
“cHFOs prepared from hiPSC-EPCs showed hair shaft generation”
- Also stated in: § Transplantation of Human/Mouse Chimeric cHFOs Prepared with hiPSC-EPCs · plain
“black hair shafts were regenerated in human/mouse chimeric cHFOs prepared with hiPSC-EPCs (cHFO (hiPSC-Epi/mMes)).”
Quote in the paperSubstantial claim- Also stated in: § Transplantation of Human/Mouse Chimeric cHFOs Prepared with hiPSC-EPCs · plain
May combine two claims.
Findingown dataDuring the culture period, the gene expression of the pluripotency markers OCT4 and SOX2 decreased, and that of the EPC marker KRT18 increased.
“During the culture period, the gene expression of the pluripotency markers OCT4 and SOX2 decreased, and that of the EPC marker KRT18 increased (Figure d).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataNo hair regeneration was observed with human/mouse chimeric cHFOs prepared from human adult skin-derived epithelial layer cells, mouse embryonic mesenchymal layer cells, or aggregates composed solely of mouse embryonic mesenchymal layer cells.
“no hair regeneration was observed with human/mouse chimeric cHFOs prepared from human adult skin-derived epithelial layer cells, mouse embryonic mesenchymal layer cells, or aggregates composed solely of mouse embryonic mesenchymal layer cells (Figure b,c).”
- Also stated in: § Transplantation of Human/Mouse Chimeric cHFOs Prepared with hiPSC-EPCs · plain
“In this study, hair follicles were not regenerated in mouse mesenchymal layer cells (spheroids (-/mMes)) (Figure b,c)”
Quote in the paperSubstantial claim- Also stated in: § Transplantation of Human/Mouse Chimeric cHFOs Prepared with hiPSC-EPCs · plain
May combine two claims.
Findingown dataHuman hair follicle organoids prepared by coculturing passaged human dermal papilla cells with human iPSC-derived epithelial cells initially formed single aggregates, which spontaneously generated hair-peg-like sprouts through epithelial-mesenchymal interactions, but further morphogenesis for mature hair follicles could not be observed.
“These cells initially formed single aggregates, which spontaneously generated hair-peg-like sprouts through epithelial-mesenchymal interactions, but further morphogenesis for mature hair follicles could not observed.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe hiPSCs formed typical stem cell colonies and expressed the undifferentiated hiPSC markers ALP, SSEA4, OCT-3/4, and TRA-1-60.
“The hiPSCs formed typical stem cell colonies and expressed the undifferentiated hiPSC markers alkaline phosphatase (ALP), stage-specific embryonic antigen-4 (SSEA4), octamer binding transcription factor-3/4 (OCT-3/4), and TRA-1–60 (Figure b).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown datahiPSC-EPCs mixed with mouse embryonic skin-derived mesenchymal layer cells formed spherical aggregates by day 1 and exhibited hair follicular sprouting by day 5-7.
“These cells formed spherical aggregates by day 1 and exhibited hair follicular sprouting by day 5–7 (Figure a).”
Quote in the paperSubstantial claimMay combine two claims.
Premisenone givenSkin organoids containing hair follicles and sebaceous glands have been successfully regenerated in vitro using mouse and human iPSCs, and replicated typical hair follicle morphogenesis in vitro.
“Skin organoids containing hair follicles and sebaceous glands have been successfully regenerated in vitro using mouse and human induced pluripotent stem cells (hiPSCs), and these skin organoids also replicated typical hair follicle morphogenesis in vitro.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
Premisenone givenHFGs from murine embryonic skin-derived epithelial and mesenchymal layer cells showed highly efficient hair follicle regeneration upon transplantation into nude mice.
“HFGs from murine embryonic skin-derived epithelial and mesenchymal layer cells showed highly efficient hair follicle regeneration upon transplantation into the skin of nude mice.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenThe same experiments were repeated with three mice.
“The same experiments were repeated with three mice.”
- Also stated in: § Materials and Methods · plain
“The same experiments were repeated using three different mice.”
Quote in the paperNot a substantial claim- Also stated in: § Materials and Methods · plain
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenTo investigate the average number of hair follicle sprouts, 12 cHFOs per condition were used when conducting statistical analysis using Tukey's test.
“To investigate the average number of hair follicle sprouts, 12 cHFOs per condition were used when conducting a statistical analysis using Tukey’s test.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenThe Committee on Animal Care and Use of Yokohama National University and the Central Institute for Experimental Animals approved this animal study.
“The Committee on Animal Care and Use of Yokohama National University (Permit Number: 2019–04 and 2019–06) and the Central Institute for Experimental Animals (Permit Number: 20077) approved this animal study.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataThe study demonstrates the feasibility/potential of using hiPSC-EPCs in HFO cultures as tissue grafts for hair regenerative medicine.
“this study demonstrates the potential of employing hiPSC-derived ectodermal precursor cells (hiPSC-EPCs) in HFO cultures in hair regenerative medicine.”
- Also stated in: § Introduction · boosted
“Our findings demonstrate the feasibility of using hiPSC-EPCs for HFOs as tissue grafts for hair regenerative medicine.”
Quote in the paperSubstantial claim- Rests on an assumption: Mouse embryonic mesenchymal cells can substitute for human mesenchymal cells in chimeric HFOs to support hiPSC-derived ectodermal precursor cells and model human HFO formation.
- Rests on an assumption: The collagen I concentration and culture conditions optimized for mouse cHFOs are suitable for human/mouse chimeric HFOs.
- Also stated in: § Introduction · boosted
Classified as probably not a substantial claim.
Premisenone givenRecent advances in stem cell technology have enabled production of hair follicle epithelial and mesenchymal layer stem/precursor cells from hiPSCs.
“Recent advances in stem cell technology have enabled the production of hair follicle epithelial and mesenchymal layer stem/precursor cells from hiPSCs, and these hiPSC-derived cells were found to contribute to hair follicle regeneration in animal experiments.”
Quote in the paperSubstantial claimMay combine two claims.
PremisereasoningMatrigel is not suitable for clinical settings because it is derived from mouse sarcomas and must be replaced with a clinically suitable ECM.
“Matrigel is not suitable for use in clinical settings because it is derived from mouse sarcomas and must be replaced with a clinically suitable extracellular matrix (ECM).”
- Also stated in: § Abstract · plain
“this mouse tumor-derived matrix cannot be applied in human treatment.”
Quote in the paperSubstantial claim- Also stated in: § Abstract · plain
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataThe average number of hair shafts generated in the patch assay was calculated from three independent experiments.
“The average number of hair shafts generated in the patch assay was calculated from three independent experiments.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
Study design and conductnone givenStatistical significance was defined as p-value <0.05.
“data were considered statistically significant when the p-value was <0.05.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Premiseown dataHigh concentrations of collagen I are effective for preparing HFGs using a bioprinter, whereas low concentrations of collagen I may be beneficial for preparing HFOs.
“In previous studies, we demonstrated that high concentrations of collagen I are effective for preparing HFGs using a bioprinter, whereas low concentrations of collagen I may be beneficial for the preparation of HFOs.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenError bars indicate standard errors calculated from at least three independent experiments.
“Error bars indicate standard errors calculated from at least three independent experiments.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Premisenone givenMatrigel is composed of basement membrane extracts, including laminin, collagen IV, heparin sulfate proteoglycans, entactin/nidogen, and various growth factors.
“Matrigel is composed of basement membrane extracts, including laminin, collagen IV, heparin sulfate proteoglycans, entactin/nidogen, and various growth factors.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenAnimal experiments were conducted in accordance with the ARRIVE guidelines.
“Animal experiments were conducted in accordance with the ARRIVE guidelines (https://arriveguidelines.org).”
Quote in the paperNot a substantial claimMay combine two claims.
Premisenone givenSkin organoid induction involves multiple differentiation steps starting with ectoderm induction, requires a long culture period (4-5 months), and may ultimately induce undifferentiated and unknown cells.
“However, their induction involves multiple differentiation steps starting with ectoderm induction, which requires a long culture period (4–5 months), and undifferentiated and unknown cells may ultimately be induced.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenGene expression levels were normalized to GAPDH, an experimental control.
“The expression levels of all genes were normalized to those of GAPDH, an experimental control.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.
Premisenone givenTo use this approach for clinical applications, it is necessary to replace cell sources with human fetal skin-derived epithelial and mesenchymal layer cells, and ethical considerations regarding the use of these cell types are a challenge.
“However, to use this approach for clinical applications, it is necessary to replace cell sources with human fetal skin-derived epithelial and mesenchymal layer cells, and ethical considerations regarding the use of these cell types are a challenge.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataHair cortex and hair follicle stem cells were included in the hair follicles.
“suggested that hair cortex and hair follicle stem cells were included in the hair follicles.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Premisenone givenPatch assays for regenerating human/mouse chimeric hair follicles are widely used to understand the hair regeneration ability of human epithelial cells.
“Patch assays for regenerating human/mouse chimeric hair follicles are widely used to understand the hair regeneration ability of human epithelial cells.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.
Study design and conductreasoningIn this assay, mouse mesenchymal layer cells were transplanted as a negative control because mouse hair follicle regeneration occurs when abundant mouse epithelial layer cells are contaminated with the mouse mesenchymal layer cell population.
“In this assay, mouse mesenchymal layer cells were transplanted as a negative control because mouse hair follicle regeneration occurs when abundant mouse epithelial layer cells are contaminated with the mouse mesenchymal layer cell population.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S4 (based).
PremisecitationA previous study showed that hiPSC-mesenchymal cells were differentiated from hiPSCs, which generated hair shafts by cotransplanting with human keratinocytes into mice.
“A previous study showed that hiPSC-mesenchymal cells were differentiated from hiPSCs, which generated hair shafts by cotransplanting with human keratinocytes into mice.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
PremisecitationhiPSC-derived KRT18-positive EPCs regenerate hair follicles in vivo after transplantation with mouse embryonic skin-derived mesenchymal layer cells.
“Previous studies have demonstrated that hiPSC-derived cytokeratin 18 (KRT18)-positive EPCs regenerate hair follicles in vivo after transplantation with mouse embryonic skin-derived mesenchymal layer cells.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningThis eliminates the challenges associated with passage-induced loss of function and provides a more reliable source of epithelial cells for HFO preparation.
“This eliminates the challenges associated with passage-induced loss of function and provides a more reliable source of epithelial cells for HFO preparation.”
Quote in the paperSubstantial claim- Rests on an assumption: hiPSCs can proliferate vigorously while maintaining their stemness and thus do not require further subculturing after differentiation.
Probably not a substantial claim: may not pass S4 (based). May combine two claims.
InterpretationreasoninghiPSC-EPCs offer distinct advantages because hiPSCs can proliferate vigorously while maintaining their stemness and thus do not require further subculturing after differentiation.
“hiPSC-EPCs offer distinct advantages because hiPSCs can proliferate vigorously while maintaining their stemness and thus do not require further subculturing after differentiation.”
Quote in the paperNot a substantial claim- Rests on an assumption: hiPSCs can proliferate vigorously while maintaining their stemness and thus do not require further subculturing after differentiation.
Probably not a substantial claim: may not pass S2 (checkable).
InterpretationreasoningThese findings may be beneficial for developing improved hair regenerative strategies.
“These findings may be beneficial for developing improved hair regenerative strategies.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataThe robust in vitro hair follicular sprouting and successful in vivo hair regeneration observed with cHFOs prepared using hiPSC-EPCs underscores their potential as scalable and efficient cell sources for hair regenerative medicine.
“The robust in vitro hair follicular sprouting and successful in vivo hair regeneration observed with cHFOs prepared using hiPSC-EPCs underscores their potential as scalable and efficient cell sources for hair regenerative medicine.”
Quote in the paperSubstantial claim
The paper relies on this without support.
Collagen I is the most abundant ECM in the human body and a low-immunogenic derivative is available in clinical settings.
“Collagen I is the most abundant ECM in the body, and it has been used in human treatments, including regenerative medicine.”
“Among these effective components, collagen I is the most abundant ECM in the human body, and a low-immunogenic derivative of collagen obtained by the removal of the N- and C-terminal telopeptide components is available in clinical settings.”
The paper relies on this without support.
Mouse embryonic mesenchymal cells can substitute for human mesenchymal cells in chimeric HFOs to support hiPSC-derived ectodermal precursor cells and model human HFO formation.
“hiPSCs were differentiated into human ectodermal precursor cells and subsequently used to generate human/mouse chimeric HFOs with mouse embryonic mesenchymal cells.”
“Although another approach to induce human mesenchymal layer cells from hiPSCs is necessary to generate fully human HFOs, this study demonstrates the potential of employing hiPSC-derived ectodermal precursor cells (hiPSC-EPCs) in HFO cultures in hair regenerative medicine.”
The paper relies on this without support.
The collagen I concentration and culture conditions optimized for mouse cHFOs are suitable for human/mouse chimeric HFOs.
“The hiPSC-EPCs (1 × 104 cells/mL) and mouse mesenchymal layer cells (1 × 104 cells/mL) were suspended in 0.2 mL of DMEM/F-12 containing 2% v/v Matrigel or 24 μg/mL collagen I and seeded in 96-well spheroid formation plates.”
“Based on these results, we decided to use 24 μg/mL collagen I concentration and 6 days of culture prior to transplantation in the subsequent experiments.”
The paper relies on this without support.
Adult cells may possess a lower hair follicle regeneration capacity, whereas fetal cells have a higher regenerative potential but pose ethical concerns.
“Adult cells can be harvested from the hair follicles of patients with alopecia but may possess a lower hair follicle regeneration capacity, whereas fetal cells have a higher regenerative potential but pose ethical concerns.”
The paper relies on this without support.
The regenerative capacity of fetal epithelial layer cells diminishes after multiple passages in vitro.
“However, the regenerative capacity of fetal epithelial layer cells diminishes after multiple passages in vitro, although proliferation is often required to obtain a sufficient number of cells for use in hair regenerative medicine.”
The paper relies on this without support.
hiPSCs can proliferate vigorously while maintaining their stemness and thus do not require further subculturing after differentiation.
“hiPSCs can proliferate vigorously while maintaining their stemness and thus do not require further subculturing after differentiation.”
The paper relies on this without support.
Potential limitations to the use of human iPSCs include epigenetic memory, high development costs, and time-consuming differentiation.
“potential limitations to the use of human iPSCs remain, including epigenetic memory, the high development costs, and time-consuming differentiation.”
The paper relies on this without support.
Transplantation of undifferentiated hiPSCs can result in teratoma formations.
“The transplantation of undifferentiated hiPSCs can result in teratoma formations.”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Control epithelial cells are described as both adult and fetal
MinorThe results identify the control cells as human adult skin-derived epithelial cells, whereas the methods and Figure 5 identify the corresponding control as human fetal epithelial cells. This changes which cell source the reported negative control represents.
“no hair regeneration was observed with human/mouse chimeric cHFOs prepared from human adult skin-derived epithelial layer cells”
“As controls, human/mouse chimeric cHFOs (hEpi/mMes) were prepared with human fetal skin-derived epithelial layer cells (hEpi) and mMes”
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Self-citation
Flagged first, then by citations
Research works printed but not linked: 2
- An L., 2018, Am. J. Transl. Res., 10, 3689
- 10.1038/srep42777 · DOI
Cited by
Sorted by citations
Hair follicle organoids: advances in construction, applications, and translational challenges
Yao, X., Ding, R., Chuanjian, Y., Zeng, D., Liu, Y., Zhang, J., & Zhang, J. (2026) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2026.1836905 · Cited by 1 · see citing works
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Reframing hair follicle development through Tissue Engineering Triad for hair organoid construction
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Current and emerging new approach & methodologies for skin hazard assessment
Shin, S.-Y., & Lim, K. (2026) · Toxicological Research · doi:10.1007/s43188-026-00374-8
- Authors
- Kageyama, T., Anakama, R., Hamano, S., Tu, S., Migita, Y., Asaba, T., Nanmo, A., Ishikawa, K., Yan, L., Seo, J., & Fukuda, J.
- Affiliations
- Yokohama National University (JP)
- Corresponding author
- Fukuda, Junji
- ORCID
- Venue
- ACS Biomaterials Science & Engineering
- Publisher
- American Chemical Society (ACS)
- Published
- 2026-02-10
- Volume
- 12
- Issue
- 3
- Pages
- 1704-1714
- ISSN
- 2373-9878 (ISSN-L)
- PMC
- PMC12976999
- OpenAlex
- W7128495693
- Semantic Scholar
- f128b3972f96e3a11816e4d5e54452c345926b58
- Cited by
- 6
- References
- 49
- Citations by year
- 2026: 6
- FWCI
- 39.94
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- ACS Biomaterials Science & Engineering (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- PubMed Central (submittedVersion, cc-by-nc-nd)
- Funders
- Takeda Science Foundation
- Sekisui Chemical
- Japan Agency for Medical Research and Development (23bm1123031h0001)
- Japan Society for the Promotion of Science (23H01771, 23K13614)
- Kanagawa Institute of Industrial Science and Technology
- Mochida Memorial Foundation for Medical and Pharmaceutical Research
- Kao Melanin Workshop
- Topics
- Health Sciences › Medicine › Urology › Hair Growth and Disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Pluripotent Stem Cells Research
- Health Sciences › Medicine › Surgery › Tissue Engineering and Regenerative Medicine
- Keywords
- human induced pluripotent stem cells, hair regrowth, Matrigel, epithelial-mesenchymal interactions, tissue grafts
- MeSH terms
- Animals, Cell Differentiation, Collagen, Ectoderm, Humans, Organoids, Proteoglycans, Regeneration, Hair Follicle, Regenerative Medicine, Mice, Induced Pluripotent Stem Cells
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