Halting Chemotherapy-Induced Hair Loss

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Cancer patients undergoing chemotherapy often experience hair loss. Although temporary, this effect is emotionally distressing, a constant visual reminder of the individual's condition. But the results of research published today in the journal Science may point the way to preventing such chemotherapy-induced alopecia (CIA). Many anti-cancer drugs that lead to CIA target specific phases of the cell cycle. As a result, they prove selectively toxic to cells undergoing division. The epithelium of the hair follicle is particularly sensitive to these effects because it divides so rapidly. Previous studies had shown that inhibiting cell cycle progression diminishes the toxicity of the drugs.

So with that mind, Stephen T. Davis of Glaxo Wellcome and his colleagues set out to determine whether restraining CDK2, the so-called protein kinase that directs progression of the cell cycle, might provide the necessary control over hair follicle cell division to halt CIA. They thus developed a group of synthetic CDK2 inhibitors and found that treatment with these compounds reduced hair loss in 33 to 50 percent of CIA rats. Applying the compounds topically to the scalp limits systemic exposure and avoids the danger of diluting the chemotherapy's anti-tumor efficacy. "On the basis of the evidence presented here," the authors assert, "clinical trials in cancer patients to assess the efficacy of this approach to prevent CIA may be warranted."

Kate Wong is an award-winning science writer and senior editor for features at Scientific American, where she has focused on evolution, ecology, anthropology, archaeology, paleontology and animal behavior. She is fascinated by human origins, which she has covered for nearly 30 years. Recently she has become obsessed with birds. Her reporting has taken her to caves in France and Croatia that Neandertals once called home to the shores of Kenya’s Lake Turkana in search of the oldest stone tools in the world, as well as to Madagascar on an expedition to unearth ancient mammals and dinosaurs, the icy waters of Antarctica, where humpback whales feast on krill, and a “Big Day” race around the state of Connecticut to find as many bird species as possible in 24 hours. Wong is co-author, with Donald Johanson, of Lucy’s Legacy: The Quest for Human Origins. She holds a bachelor of science degree in biological anthropology and zoology from the University of Michigan. Follow her on Bluesky @katewong.bsky.social

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