# Poly-D,L-Lactic Acid Filler Increases Hair Growth by Modulating Hair Follicular Stem Cells in Aged Skin

## TL;DR

A biomaterial called PDLLA can rejuvenate aged skin and promote hair growth by activating specific immune cells and stem cells.

## Contribution

This study introduces PDLLA as a novel biomaterial that rejuvenates aged skin by modulating macrophage polarization and hair follicle stem cell activity.

## Key findings

- PDLLA activates Piezo1 in macrophages, enhancing M2 polarization and secretion of growth factors HGF and IGF-1.
- Conditioned media from PDLLA-treated macrophages promotes HFSC proliferation and stemness via RAS/ERK and Wnt/β-catenin pathways.
- PDLLA increases hair follicle number, diameter, and length in aged mice by rejuvenating the skin microenvironment.

## Abstract

What are the main findings?
Poly-D,L-lactic acid (PDLLA) activates Piezo1-mediated mechanotransduction in senescent macrophages, leading to enhanced M2 polarization and increased secretion of growth factors (HGF and IGF-1).Conditioned media from PDLLA-treated macrophages promotes hair follicle stem cells (HFSCs) proliferation and stemness via activation of the RAS/ERK and Wnt/β-catenin signaling pathway, resulting in extended anagen phase and increased hair follicle number, diameter, and length in aged mice.

Poly-D,L-lactic acid (PDLLA) activates Piezo1-mediated mechanotransduction in senescent macrophages, leading to enhanced M2 polarization and increased secretion of growth factors (HGF and IGF-1).

Conditioned media from PDLLA-treated macrophages promotes hair follicle stem cells (HFSCs) proliferation and stemness via activation of the RAS/ERK and Wnt/β-catenin signaling pathway, resulting in extended anagen phase and increased hair follicle number, diameter, and length in aged mice.

What are the implications of the main findings?
PDLLA rejuvenates the aged skin microenvironment by restoring macrophage function and enhancing the regenerative capacity of HFSCs.This study establishes a novel biomaterial-based strategy for treating age-related hair loss, highlighting mechanosensitive ion channel modulation as a promising therapeutic target for hair follicle regeneration.

PDLLA rejuvenates the aged skin microenvironment by restoring macrophage function and enhancing the regenerative capacity of HFSCs.

This study establishes a novel biomaterial-based strategy for treating age-related hair loss, highlighting mechanosensitive ion channel modulation as a promising therapeutic target for hair follicle regeneration.

Age-associated hair loss is primarily driven by decreased function and proliferation of hair follicle stem cells (HFSCs), often exacerbated by increased inhibitory signaling and changes in the stem cell niche. Macrophage polarization to the anti-inflammatory M2 phenotype is known to increase stem cell proliferation. We investigated the effects of poly-D,L-lactic acid (PDLLA) on hair growth in middle-aged skin, focusing on its role in modulating macrophage polarization and HFSC activity. Senescent macrophages were analyzed for Piezo1 activity, macrophage polarization, and secretion of hepatocyte growth factor (HGF) and insulin-like growth factor-1 (IGF-1) after PDLLA treatment. Downstream effects on HFSC proliferation, stemness, and Wnt signaling were assessed, including inhibition experiments using the Piezo1 blocker GsMTx4. In vivo analyses assessed hair follicle number, diameter, length, anagen duration, and hair coverage following PDLLA administration in middle-aged mice. PDLLA increased Piezo1 expression and activity in senescent macrophages, enhancing M2 polarization and secretion of HGF and IGF-1. This activated the RAS/ERK signaling pathway, promoting HFSC proliferation and stemness. Furthermore, PDLLA upregulated Wnt signaling molecules (Wnt3a, Wnt10b, and β-catenin) and anagen phase-related factor (Axin2, LEF1, and Lgr5), which were decreased by GsMTX4. In middle-aged animal skin, PDLLA administration led to increased hair follicle number, diameter, and length, as well as prolonged anagen and greater hair coverage. Collectively, these findings suggest that PDLLA rejuvenates the middle-aged skin microenvironment, at least in part through Piezo1-associated M2 macrophage polarization and enhanced HFSC function, offering a promising therapeutic strategy for age-related hair loss targeting both the immune and the stem cell compartments.