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Cross-gender hair transplant a success

NEW YORK -- Scalp hair from a man has been successfully transplanted into the forearm of a woman. Sounds creepy -- but the study findings may lead to new treatments aimed at curing baldness and at preventing organ rejection.

The remarkable thing about the transplant is that the woman did not share the same blood type, let alone the same immune system markers as the man, suggesting a high risk that she might reject the follicle cells. The fact that she didn't suggests that the technique may be a treatment for hair loss, and may help scientists to better understand why the body rejects some transplants.

Although such unrelated hair follicles have been transplanted without rejection between rats, this has never before been achieved in humans, according to Colin Jahoda of Durham University in Durham, UK, and his associates. Their report is published in the November 4th issue of the journal Nature. Three members of the research team were involved in the skin-sharing scheme. First, they report, tiny pieces of skin dissected from a man's scalp were implanted into shallow skin wounds created in the forearm of one of his female colleagues, described as "genetically unrelated and immunologically incompatible." To their surprise, the transplants were not rejected. Next, the team again transplanted skin follicles from the male to female team member, thinking that the second transplant would certainly be rejected once the woman's immune system had its second encounter with the same foreign material. But once again, the graft took.

To further test the process, the investigators then transplanted follicles from a second, unrelated male into the forearm of the same female team member. Again, the sites healed rapidly without rejection or inflammation, the researchers report.

Even more surprising, Jahoda and colleagues note, the new hairs resembled scalp hairs -- large, thick, colored, and growing in all directions-rather than the soft, uncolored hairs carpeting the untouched female forearm surrounding the grafts.

Biopsies of the transplanted grafts showed no microscopic signs of rejection, and DNA testing proved the transplants were in fact male cells living in a female forearm, the results indicate. The scientists surmise that the follicles are somehow privileged immunologically, such that transplants into foreign sites can be made without being rejected.

While hair transplants from men's scalps to women's forearms are not expected to become fashionable, these results suggest that such transplants between incompatible donor-host pairs could be used in new treatments for hair loss, the investigators note. They also suggest that the findings "might be used in tissue and organ engineering" to provide more organs for patients in need of transplants.


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