@KO1 @Folliman
What do you think about
this data* presented by Cotsarelis et al. at the 2015 Hair Congress, which seems to show that many hair loss sufferers have hair follicles unresponsive to PGD2? They found SNPs associated with this PGD2 sensitivity, which have also been associated with CRTH2 mRNA stability and asthma susceptibility (
Huang et al.). If CRTH2 was necessary for A.G.A to develop, you would of course expect
all sufferers to have sensitive follicles. And if it played some role, but not a critical one, would you not still expect genome-wide association studies done on A.G.A to pick those up? Even Cots has been hedging recently, saying things like: "Our findings further underscore the key role of PGD2 in regulating hair growth and indicate that pharmacological antagonism of PTGDR2 [CRTH2] may be an effective approach in preventing and/or treating alopecia in patients sensitive to PGD2." But not even GWAS with high numbers of participants, which are sensitive to variants even with small effects, have associated A.G.A with these PGD2 sensitivity polymorphisms. The one major loophole to this though might be, if we assume those hair samples were taken from donor zones, that maybe this mRNA stability mechanism could be turned off in A.G.A-susceptible regions. Otherwise, these findings would suggest that PGD2 is redundant in A.G.A.
* Photo taken by Hellouser.