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Abstract

Alopecia is a condition that causes baldness and hair loss. It is a medical disorder that causes hair loss, often from the scalp or head skin. There are several factors that might contribute to hair loss, including genetics, environment, pollutants, different drugs, nutritional deficiencies, etc. Hair loss condition is essentially divided into numerous groups based on hair loss pattern and its various causes. Hairs are the development of follicles that hair, are present on our skin and are described as "increased epithelial structure created by the hair loss, keratinization of germ cells" in the definition of hair. Alopecia areata is a dermatological disorder that has been recognized for more than two millennia and affects between 0.2 and 2% of the human population. Keratinization of keratinized "Gem cells" results in hair loss, which is triggered by three cyclic phases: telogen (resting phase), catagen (involution), and anagen (growing phase). Every month, hair grows 15 to 30 mm. Cytotoxic medicines, which destroy rapidly reproducing cells, including cancer cells and healthy cells, have an impact on hair growth. Highly proliferative keratinocytes in the hair matrix at the base of the hair follicle (HF) and its pigmentary system are the primary targets of cytotoxic medicines, which cause fast apoptosis and breakage/shedding of the hair shaft. Within weeks of starting chemotherapy, scatum hair loss is frequently severe. The risk and severity of hair loss vary depending on the drug, dosage, frequency, duration, and method of administration.

Keywords

Hair Loss, Alopecia Areata, Dihdrotestosterone, Chemotherapy

Introduction

Alopecia areata is a frequent main health issue and cosmetic disorder that has been recognized for more than two millennia. It is thought to impact between 0.2 and 2% of people worldwide. Hair loss can be treated with a number of synthetic medications, many of which have negative side effects and are irreversible. It is more beneficial to treat hair loss with herbal medicines. "Enhanced epithelium" is a word used to describe hair. The growth of hair follicles found in the skin is called hair. It is produced as a result of the keratinization of "Gem cells". Keratin, the chemical component of hair, is composed of carbon (C), nitrogen (N), sulfur (S), and oxygen (O).

Each hair grows in three cyclic phases: 

  • Anagen (growth phase): This stage might last anywhere from two to eight years. Typically, about 80% of hair is in the anagen phase. About 90% of the hair on a healthy scalp is in the anagen, the most active stage of hair development, which lasts for two to seven years.
  • Catagen (Involution): This stage, which lasts 10–14 days, is when hair transitions to the following phase and growth activity rises.
  • The telogen phase, also known as the resting phase, is when the hairs transition into their resting condition. The duration of this phase is 90–100 days. Generally speaking, 50–100 hairs are randomly shed each day

Methods of Alopecia

1] Male Pattern Hair Loss: Hair loss on the top and front of the head, as well as receding hairlines, are characteristics of male alopecia. Androgenic alopecia is a hereditary disorder caused by a genetic predisposition to the effects of dihydrotestosterone (DHT) in specific scalp regions.

2] Female Pattern Hair Loss:About 100–125 hairs per day are lost in normal hair loss. These hairs are thankfully replaceable. When hairs stop growing back or when one lose more than 125 hairs each day, generally known as experiencing true hair loss.

Types of Alopecia

  • Mild Transient Alopecia Areata
  • Totalis or Universalis
  • Ophidism Alopecia Areata
  • Alopecia totalis
  • Alopecia Universalis
  • Scarring alopecia
  • Traction Alopecia
  • Chemotherapy and hair loss
  • Diffuse alopecia

Natural products used For Alopecia

  1. Plant Profile of Hibiscus Rosa Sinesis

 

 

Fig:4 Flower of Hibiscus Rosa Sinesis

Common name

Rose Mallow, Rose of Sharon, China Rose, or Tropical Hibiscus.

Biological source

It is consists of flowers of Hibiscus Rosa Sinesis.

Family

Malvaceae

Chemical constituents

Flavonoids, Organic Acids, Vitamins, Polysaccharides.

Uses

Medicinal Uses: Lowering Blood Pressure, Improving Liver Health, Antioxidant Properties, Weight Loss, Menstrual Relief.

Cosmetic Uses: Hair Care: Hibiscus is used in hair care products to promote hair growth, prevent dandruff, and add shine to the hair.

Mechanism of action

Step 1: Hibiscus flavonoids increase vascular endothelial growth factor à Enhanced blood flow.

Step 2: inhibit 5-alpha-reductase activity à Reduced dihydrotestosterone production & Decreased hair follicle.

Step 3: Reduced oxidative stressàProtection against hair follicle damage.

Step 4: flavonoids inhibit inflammatory mediatorsàReduced inflammation.

Step 5: amino acids enhance collagen synthesisàImproved hair follicle strength.

Step 6: flavonoids regulate hormonal imbalanceàBalanced estrogen and testosterone.

  1. Plant Profile of Cuscuta Reflexa

 

 

Fig:5 Stem of Cuscuta Reflexa

 

Common name

Giant Dodder or simply Dodder.

Biological source

It is consists of stem of Cuscuta reflexa.

Family

Convolvulaceae

Chemical constituents

Flavonoids, Alkaloids, Saponins, Glycosides, Essential Oils.

Uses

1. Medicinal Uses: Anti-inflammatory, Antioxidant Properties, Liver Protection, Antiviral and Antimicrobial, Skin Disorders, Hair Health.

2. Environmental Uses: Biodiversity Studies: Due to its parasitic nature, it helps researchers study biodiversity and the interactions between parasitic plants and their host species in various ecosystems.

Mechanism of action

Step 1: Cuscuta flavonoids increase vascular endothelialà Enhanced blood flow to hair follicles.

Step 2: Inhibit 5-alpha-reductase activityàReduced (DHT) production&Decreased hair.

Step 3: Flavonoids and glycosides scavenge free radicalsàReduced oxidative stress.

Step 4: Cuscuta saponins inhibit inflammatory mediatorsàReduced inflammation

Step 5: Cuscuta sterols enhance collagen synthesisàImproved hair follicle strength.

Step 6: Flavonoids regulate hormonal imbalanceàBalanced estrogen & testosterone levels.

  1. Plant Profile of Ocimum Gratissimum

 

 

 

  Fig:6 Leaves of Ocimum Gratissimum

Common name

African Basil, Clove,Holy Basil,Sweet Basil

Biological source

It is consists of leaves of  Ocimum gratissimum linn.

Family

Lamiaceae

Chemical constituents

Essential Oils, Eugenol , Linalool, Camphor, Thymol, Flavonoids ,Phenolic Compound, Triterpenes , Vitamins.

Uses

1. Medicinal Uses: Antimicrobial, Anti-inflammatory, Digestive Aid, Antioxidant, Antimalarial.

2. Insect Repellent: The plant is used as a natural insect repellent due to its potent smell, which helps keep mosquitoes and other pests at bay.   

 

Mechanism of action

Step 1: Eugenol increases vascular endothelial growth factor (VEGF) expressionà Enhanced blood flow to hair.

Step 2: Rosmarinic acid inhibits inflammatory mediatorsà Reduced inflammation.

Step 3: Quercetin and Kaempferol scavenge free radicalsà Reduced oxidative stress.

Step 4: Ursolic acid inhibits 5-alpha-reductase activityà Reduced (DHT) production& Decreased hair.

Step 5: Linalool enhances collagen synthesisà Improved hair.

  1. Plant Profile of Aloe Vera

 

 

Fig:7 Leaves of Aloe Vera

Common name

Aloe,Medicinal Aloe,True Aloe

Biological source

It is consists of pulp of Aloe barbadensis miller.

Family

Liliaceae

Chemical constituents

  • Anthraquinones, Saponins ,Salicylic Acid, Minerals, Fatty Acids.
  • Vitamins
  • Vitamin A: Important for skin health.
  • Vitamin C: An antioxidant that supports the immune system.
  • Vitamin E: Known for its skin-protective properties.

Uses

Skin Care, Hair and Scalp Health, Digestive Health, Wound Healing, Boosting Immunity, Anti-Inflammatory Properties, Blood Sugar Regulation, Anti-Cancer Potential.

 

Mechanism of Action

Step: 1 Polysaccharides stimulate hair follicle growthà glycoproteins enhance hair growth by increasing blood flow.

Step: 2 Vera's anti-inflammatory compounds (aloin, aloe-emodin) inhibit inflammatory mediators.

Step: 3 Antifungal and antibacterial properties reduce scalp infections.

Step: 4 keratinocyte growth factor (KGF) activates hair folliclesà fibroblast growth factor (FGF) stimulates hair growth.

CONCLUSION

The therapeutic potential of herbal plants in the treatment of alopecia is both promising and multifaceted. Numerous studies have highlighted the efficacy of various herbs, such as saw palmetto, ginseng, and rosemary, in promoting hair growth and improving scalp health. These plants often contain bioactive compounds that exhibit anti-inflammatory, antioxidant, and hormone-regulating properties, which can address the underlying causes of hair loss. Furthermore, the holistic approach of herbal treatments often leads to fewer side effects compared to conventional pharmaceuticals, making them an appealing option for many individuals. However, despite the encouraging results, more rigorous clinical trials and standardized methodologies are needed to fully establish the safety and efficacy of these herbal remedies.

REFERENCES

  1. Sandip Suresh Khandagale, Chaitanaya Laxman Ratnaparkhe, Samir Raju Sayyad, Vivek Dipak Shelar, Amol Vilas Supekar, Vikram Sadashiv Sarukh. A Review of Herbal Medications for the Treatment of Alopecia. International Source of support: Nil, Conflict of interest: None DeclaredJournal of Ayurveda and Pharma Research. 2023;11(Suppl 4):5-10.https://doi.org/10.47070/ijapr.v11iSuppl4.2974
  2. Ashwini S. Pundkar, Prachi M. Murkute, Snehal Wani, Mohini Tathe, A Review: Herbal Therapy Used in Hair Loss, Pharmaceutical Resonance, Published by DYPIPSR, Pimpri, Pune, 2020, Volume No.3, Page no.44-47.
  3. Dr.G.Arunachalam, Dr. V.E. Ida Christi, Dr. Prashant Kumar, A textbook of herbal drug technology, Thakur publication Pvt ltd, Lucknow, page number: 126
  4. Hosking, Anna-Marie, Margit Juhasz, and Natasha Atanaskova Mesinkovska. Complementary and alternative treatments for alopecia: a comprehensive review.
  5. Amin, Syed Suhail, and Sandeep Sachdeva. "Alopecia areata: A review." Journal of the Saudi Society of Dermatology & Dermatologic Surgery 17.2 (2013): 37-45.
  6. Brannon, Maryland, Heather. "Anagen Phase" The New York Times. Retrieved 2007-11-14.Brannon, Maryland, Heather. "Categen Phase" The New York Times. Retrieved 2007-11-14 Brannon, Maryland, Heather. "Telogen Phase" The New York Times. Retrieved 2007-11-14.
  7. Kumar, N., & Singh, A. "A review on hair growth promoting potential of medicinal plants." Journal of Chemical and Pharmaceutical Research, 2014, 6(6), 618-624.
  8. Rajashekaran, S., Periyathambi, P., & Ranjithkumar, M. "Hibiscus rosa-sinensis in hair growth promotion: An evidence-based review." Journal of Ethnopharmacology, 2020, 253, 112462.
  9. Subramani, S., Kumar, R. L., & Rao, K. N. (2007). Free radical scavenging activities      Cuscuta reflexa Roxb. Indian Journal of Biochemistry and Biophysics, 44(2), 56-59.
  10. Cuscuta reflexa contains anti-inflammatory compounds that can help reduce inflammation of the scalp, aiding in hair restoration.
  11. Prabhu, K. S., & Lobo, R. (2010). Ocimum gratissimum: A Review of its Medicinal and Biological Properties. International Journal of Pharmaceutical Sciences, 2(3), 49-54.
  12. Leem, J., Jung, W., Park, H. J., & Kim, K. (2022). A network pharmacology-based approach to explore mechanism of action of medicinal herbs for alopecia treatment. Scientific Reports, 12(1), 2852
  13. Hosking, A. M., Juhasz, M., & Atanaskova Mesinkovska, N. (2019). Complementary and alternative treatments for alopecia: a comprehensive review. Skin appendage disorders, 5(2), 72-89.
  14. Lolli, F., Pallotti, F., Rossi, A., Fortuna, M. C., Caro, G., Lenzi, A., ... & Lombardo, F. (2017). Androgenetic alopecia: a review. Endocrine, 57, 9-17

Reference

  1. Sandip Suresh Khandagale, Chaitanaya Laxman Ratnaparkhe, Samir Raju Sayyad, Vivek Dipak Shelar, Amol Vilas Supekar, Vikram Sadashiv Sarukh. A Review of Herbal Medications for the Treatment of Alopecia. International Source of support: Nil, Conflict of interest: None DeclaredJournal of Ayurveda and Pharma Research. 2023;11(Suppl 4):5-10.https://doi.org/10.47070/ijapr.v11iSuppl4.2974
  2. Ashwini S. Pundkar, Prachi M. Murkute, Snehal Wani, Mohini Tathe, A Review: Herbal Therapy Used in Hair Loss, Pharmaceutical Resonance, Published by DYPIPSR, Pimpri, Pune, 2020, Volume No.3, Page no.44-47.
  3. Dr.G.Arunachalam, Dr. V.E. Ida Christi, Dr. Prashant Kumar, A textbook of herbal drug technology, Thakur publication Pvt ltd, Lucknow, page number: 126
  4. Hosking, Anna-Marie, Margit Juhasz, and Natasha Atanaskova Mesinkovska. Complementary and alternative treatments for alopecia: a comprehensive review.
  5. Amin, Syed Suhail, and Sandeep Sachdeva. "Alopecia areata: A review." Journal of the Saudi Society of Dermatology & Dermatologic Surgery 17.2 (2013): 37-45.
  6. Brannon, Maryland, Heather. "Anagen Phase" The New York Times. Retrieved 2007-11-14.Brannon, Maryland, Heather. "Categen Phase" The New York Times. Retrieved 2007-11-14 Brannon, Maryland, Heather. "Telogen Phase" The New York Times. Retrieved 2007-11-14.
  7. Kumar, N., & Singh, A. "A review on hair growth promoting potential of medicinal plants." Journal of Chemical and Pharmaceutical Research, 2014, 6(6), 618-624.
  8. Rajashekaran, S., Periyathambi, P., & Ranjithkumar, M. "Hibiscus rosa-sinensis in hair growth promotion: An evidence-based review." Journal of Ethnopharmacology, 2020, 253, 112462.
  9. Subramani, S., Kumar, R. L., & Rao, K. N. (2007). Free radical scavenging activities      Cuscuta reflexa Roxb. Indian Journal of Biochemistry and Biophysics, 44(2), 56-59.
  10. Cuscuta reflexa contains anti-inflammatory compounds that can help reduce inflammation of the scalp, aiding in hair restoration.
  11. Prabhu, K. S., & Lobo, R. (2010). Ocimum gratissimum: A Review of its Medicinal and Biological Properties. International Journal of Pharmaceutical Sciences, 2(3), 49-54.
  12. Leem, J., Jung, W., Park, H. J., & Kim, K. (2022). A network pharmacology-based approach to explore mechanism of action of medicinal herbs for alopecia treatment. Scientific Reports, 12(1), 2852
  13. Hosking, A. M., Juhasz, M., & Atanaskova Mesinkovska, N. (2019). Complementary and alternative treatments for alopecia: a comprehensive review. Skin appendage disorders, 5(2), 72-89.
  14. Lolli, F., Pallotti, F., Rossi, A., Fortuna, M. C., Caro, G., Lenzi, A., ... & Lombardo, F. (2017). Androgenetic alopecia: a review. Endocrine, 57, 9-17

Photo
Ghul vandana
Corresponding author

B. Pharm, Final Year Student, Faculty of Pharmacy, Dr. Subhash Technical Campus, Junagadh

Photo
Arati bhetariya
Co-author

Assistant Professor, School of Pharmacy, Dr. Subhash University, Junagadh

Photo
Chintan kumar tank
Co-author

Professor, School of Pharmacy, Dr. Subhash University, Junagadh.

Photo
Ishita vekariya
Co-author

B. Pharm, Final Year Student, Faculty of Pharmacy, Dr. Subhash Technical Campus, Junagadh

Photo
Yash mori
Co-author

B. Pharm, Final Year Student, Faculty of Pharmacy, Dr. Subhash Technical Campus, Junagadh

Photo
Drashti bhalara
Co-author

B. Pharm, Final Year Student, Faculty of Pharmacy, Dr. Subhash Technical Campus, Junagadh

Photo
Morvi raval
Co-author

Assistant Professor, School of Pharmacy, Dr. Subhash University, Junagadh

Vandana Ghul*, Morvi Raval, Arati Bhetariya, Dr. Chintankumar Tank, Ishita Vekariya, Yash Mori, Drashti Bhalara, A Comprehensive Mechanism of Herbal Plants having Therapeutic Potential in Treatment of Alopecia, Int. J. of Pharm. Sci., 2025, Vol 3, Issue 3, 3298-3303. https://doi.org/10.5281/zenodo.15111647

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