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The effect of nitrogen plasma on the skin and hair follicles: a possible promising future for the treatment of alopecia

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Abstract

Nowadays, there is a great attention to the plasma applications in medicine. Not only does cold atmospheric pressure plasma provide a therapeutic opportunity to control redox-based processes, it is also an innovative method in rejuvenation. Given the current interest in new methods of rejuvenation, we aimed to introduce a novel pulsed nitrogen plasma torch with potential use in rejuvenation. We investigated production of reactive species at different pulse energy by spectroscopy and also measured nitric oxide and O2 concentration and evaluated the flame temperature. Fifteen Wistar rats were divided into three groups based on the applied energy settings; the skin of the animals was processed with plasma. For quantitative evaluation of dermis, epidermis and hair follicles (to confirm the effects of this technique on rejuvenation), skin biopsies were taken from both unexposed and treated areas. The spectroscopy results showed the presence of nitric oxide in plasma and the concentration was suitable for dermatological applications. A significant increase was observed in epidermal thickness, fibroblast cell proliferation and collagenesis (P < 0.05). Interestingly, plasma led to a temporary increase in the diameter of primary and secondary hair follicles compared to the controls. The results confirmed the positive effects of this pulsed nitrogen plasma torch on rejuvenation and also revealed a new possible aspect of cold plasma; its effect on hair follicles as a promising area in the treatment of alopecia that requires further clinical and molecular studies.

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Abbreviations

DP:

Dermal papilla

H&E:

Hematoxylin and eosin

NO:

Nitric oxide

OES:

Optical emission spectroscopy

PSR:

Plasma skin regeneration

RF:

Radio-frequency

RNS:

Reactive nitrogen species

ROS:

Reactive oxygen species

SLPM:

Standard liter per minute

References

  1. Potter MJ, Harrison R, Ramsden A, Bryan B, Andrews P, Gault D (2007) Facial acne and fine lines: transforming patient outcomes with plasma skin regeneration. Ann Plast Surg 58:608–613

    Article  CAS  Google Scholar 

  2. Alster TS, Konda S (2007) Plasma skin resurfacing for regeneration of neck, chest, and hands: investigation of a novel device. Dermatol Surg 33:1315–1321

    CAS  PubMed  Google Scholar 

  3. Foster KW, Moy RL, Fincher EF (2008) Advances in plasma skin regeneration. J Cosmet Dermatol 7:169–179

    Article  Google Scholar 

  4. Bogle MA, Arndt KA, Dover JS (2007) Evaluation of plasma skin regeneration technology in low-energy full-facial rejuvenation. Arch Dermatol 143:168–174

    Article  Google Scholar 

  5. Fitzpatrick R, Bernstein E, Iyer S, Brown D, Andrews P, Penny K (2008) A histopathologic evaluation of the Plasma Skin Regeneration System (PSR) versus a standard carbon dioxide resurfacing laser in an animal model. Lasers Surg Med 40:93–99

    Article  CAS  Google Scholar 

  6. Fathollah S, Mirpour S, Mansouri P, Dehpour AR, Ghoranneviss M, Rahimi N et al (2016) Investigation on the effects of the atmospheric pressure plasma on wound healing in diabetic rats. Sci Rep 6:19144

    Article  CAS  Google Scholar 

  7. Haertel B, von Woedtke T, Weltmann KD, Lindequist U (2014) Non-thermal atmospheric-pressure plasma possible application in wound healing. Biomol Ther 22:477–490

    Article  CAS  Google Scholar 

  8. Kilmer S, Semchyshyn N, Shah G, Fitzpatrick R (2007) A pilot study on the use of a plasma skin regeneration device (Portrait® PSR3) in full facial rejuvenation procedures. Lasers Med Sci 22:101–109

    Article  Google Scholar 

  9. Nasruddin N, Nakajima Y, Mukai K, Rahayu HSE, Nur M, Ishijima T et al (2014) Cold plasma on full-thickness cutaneous wound accelerates healing through promoting inflammation, re-epithelialization and wound contraction. Clin Plasma Med 2:28–35

    Article  Google Scholar 

  10. Isbary G, Köritzer J, Mitra A, Li Y, Shimizu T, Schröder J, Schlegel J et al (2013) Ex vivo human skin experiments for the evaluation of safety of new cold atmospheric plasma devices. Clin Plasma Med 1:36–44

    Article  Google Scholar 

  11. Holcomb J, Kent KJ, Rousso DE (2009) Nitrogen plasma skin regeneration and aesthetic facial surgery: multicenter evaluation of concurrent treatment. Arch Facial Plast Surg 11:184–193

    Article  Google Scholar 

  12. Cals-Grierson MM, Ormerod A (2004) Nitric oxide function in the skin. Nitric Oxide 10:179–193

    Article  CAS  Google Scholar 

  13. Schmidt A, Dietrich S, Steuer A, Weltmann KD, von Woedtke T, Masur K et al (2015) Non-thermal plasma activates human keratinocytes by stimulation of antioxidant and phase II pathways. J Biol Chem 290:6731–6750

    Article  CAS  Google Scholar 

  14. Suschek CV, Opländer C (2016) The application of cold atmospheric plasma in medicine: the potential role of nitric oxide in plasma-induced effects. Clin Plasma Med 4:1–8

    Article  Google Scholar 

  15. Kim MS, Song HJ, Lee SH, Lee K (2014) Comparative study of various growth factors and cytokines on type I collagen and hyaluronan production in human dermal fibroblasts. J Cosmet Dermatol 13:44–51

    Article  Google Scholar 

  16. Hantash BM, Ubeid AA, Chang H, Kafi R, Renton B (2009) Bipolar fractional radiofrequency treatment induces neoelastogenesis and neocollagenesis. Lasers Surg Med 41:1–9

    Article  Google Scholar 

  17. Hayashi K, Thabit G, Massa KL, Bogdanske JJ, Cooley AJ, Orwin JF et al (1997) The effect of thermal heating on the length and histologic properties of the glenohumeral joint capsule. Am J Sports Med 25:107–112

    Article  CAS  Google Scholar 

  18. Lin SJ, Hsiao CY, Sun Y, Lo W, Lin WC, Jan GJ et al (2005) Monitoring the thermally induced structural transitions of collagen by use of second-harmonic generation microscopy. Opt Lett 30:622–624

    Article  Google Scholar 

  19. Vangsness CT Jr, Mitchell W, Nimni M, Erlich M, Saadat V, Schmotzer H (1997) Collagen shortening: an experimental approach with heat. Clin Orthop Relat Res 337:267–271

    Article  Google Scholar 

  20. Arnoczky SP, Aksan A (2000) Thermal modification of connective tissues: basic science considerations and clinical implications. J Am Acad Orthop Surg 8:305–313

    Article  CAS  Google Scholar 

  21. Ross EV, Yashar SS, Naseef GS, Barnette DJ, Skrobal M, Grevelink J et al (1999) A pilot study of in vivo immediate tissue contraction with CO2 skin laser resurfacing in a live farm pig. Dermatol Surg 25:851–856

    Article  CAS  Google Scholar 

  22. Sadick N (2008) Tissue tightening technologies: fact or fiction. Aesthet Surg J 28:180–188

    Article  CAS  Google Scholar 

  23. Hsu TS, Kaminer MS (2003) The use of nonablative radiofrequency technology to tighten the lower face and neck. Semin Cutan Med Surg 22:115–123

    Article  Google Scholar 

  24. Zhu B, Xu T, Yuan J, Guo X, Liu D (2013) Transcriptome sequencing reveals differences between primary and secondary hair follicle-derived dermal papilla cells of the Cashmere goat (Capra hircus). PLoS ONE 8:e76282

    Article  CAS  Google Scholar 

  25. Golberg A, Khan S, Belov V, Quinn KP, Albadawi H, Broelsch GF et al (2015) Skin rejuvenation with non-invasive pulsed electric fields. Sci Rep 5:10187

    Article  CAS  Google Scholar 

  26. Wolf R, Schönfelder G, Paul M, Blume-Peytavi U (2003) Nitric oxide in the human hair follicle: constitutive and dihydrotestosterone-induced nitric oxide synthase expression and NO production in dermal papilla cells. J Mol Med 81:110–117

    Article  CAS  Google Scholar 

  27. Dippel E, Mayer B, Schönfelder G, Czarnetzki BM, Paus R (1994) Distribution of constitutive nitric oxide synthase immunoreactivity and NADPH-diaphorase activity in murine telogen and anagen skin. J Invest Dermatol 103:112–115

    Article  CAS  Google Scholar 

  28. Randall VA, Sundberg JP, Philpott MP (2003) Animal and in vitro models for the study of hair follicles. J Investig Dermatol Symp Proc 8:39–45

    Article  Google Scholar 

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Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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BSh, PT, FA and ShB initiated the research and designed the experiments. BSh, FA and ShB conducted all part of the research. FA, ShB, MA, HM and AD performed the experiments and analyzed the data. FA and ShB wrote the manuscript. All authors discussed the result, revised the manuscript and gave final approval for the manuscript.

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Correspondence to Fahimeh Abdollahimajd or Babak Shokri.

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Babossalam, S., Abdollahimajd, F., Aghighi, M. et al. The effect of nitrogen plasma on the skin and hair follicles: a possible promising future for the treatment of alopecia. Arch Dermatol Res 312, 361–371 (2020). https://doi.org/10.1007/s00403-019-02020-w

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