Bryan said:Footy said:Bryan. In response to the two points being discussed.
The first point about the `oddball' terminal follicles, that can exist in the heart of the male pattern baldness area for long periods. I suspect that there hasn't been any specific research following on from that study you quoted, aimed at answering this question?
From the viewpoint of my theory, this would propose that what is actually `oddball' about these particular follicles, is that they have an exeptionally long anagen phase. This is why they do not miniaturise, as this requires a `re-cycling' as i have explained.
But you are right in thinking Bryan that my theory would be wrong, if it could be shown that these follicles are surviving in the male pattern baldness area through `normal' cycling. So the real question here is are there studies that can `PROVE' that these `odd' follicles are cycling at the same average rate as the male pattern baldness follicles next door?
Stephen, I just dug-out that study again and re-read it, and I misremembered the details of those 'oddball' follicles. Their comments are a little bit vague, but what they seem to be saying is that they found both androgen-sensitive and androgen INsensitive follicles in the occipital region of the scalp, not in the vertex. Sorry I screwed-up on that particular detail!
However, that still doesn't let your theory off the hook. You still have no really good way of explaining why some follicles in a particular geographic region of the scalp show the effects of contact inhibition, while others do not. The only tentative explanation you have is (once again) that the alleged "edema" sets in at some midpoint between cycles of those follicles. That hypothesis obviously doesn't work for someone who's been balding for a long period of time.
No Bryan, that is not what i said. :roll:
The build up in fluid pressure can take a long time itself. It is quite clearly not something that happens instantly. This combined with the long anagen period, explains the thinning and recession we see in male pattern baldness. This senario also explains the gradual shortening of male pattern baldness hairs over more than one cycle, the pressure and so resistence to anagen enlargement increases with time.
You don't agree and thats fine. Again we had just better agree to disagree Bryan. :lol:
But these observations do put a big hole in the `direct' theory you support Bryan???????????????????
How can any `direct' mechanism of androgen induced follicle miniaturisation, create this `GRADUAL' miniaturisation over more than one cycle?
If as you claim, androgens are directly interacting with genetic expression within follicle cells to effect growth, this would be an instant effect! The androgen induced change in gene expression you claim causes male pattern baldness, is either on or off! There is just no room in your theory for miniaturisation over more than one cycle!
Please divert, sorry i mean explain?? :wink:
Bryan said:Footy said:As far as the current theory you support goes Bryan, this particular study `again' shows that androgens do not `DIRECTLY' convert non male pattern baldness follicles into male pattern baldness follicles, which is the very heart of this theory!!
How does it show that? Please explain.
I based that on your now accepted error above, in regard to that study.
Bryan said:Footy said:You ask me to provide evidence for the time line i claim rules out hypoxia, as the cause of this hair loss. Here it is!
There is one other factor that occours in transplanted grafts, this was even noted by Nordstrom in the study you posted Bryan! It is this factor that proves a timeline that rules out hypoxia as the cause of the `doughnutting' hair loss.
This is a quote from that Nordstrom study out of the results section.
"The hairs in the hair-bearing grafts gradually fell off over a couple of weeks and started to grow again after about 3 months as is normally seen in punch hair grafting.
5, 10 and 21 months after transplantation the numbers of hairs in the transplants were counted. The grafts were then excised for histological examination. In the graft taken from the occipital region the number and macroscopical quality of the hairs remained unchanged"
The initial `shock' hair loss in grafts is a fact, and normally seen as Nordstrom said.
Nordstrom also confirms the common observation that there is around a 3 month period before hair in these grafts starts growing again.
Any conditions of oxygen starvation (hypoxia) in these grafts will be well established before 3 months, so the regrowing hair should reflect this by growing back with this `doughnutting' pattern of loss in the centre.
But as Nordstrom noted, this didn't happen! In fact he reports above that even after 21 months the terminal hair bearing occipital graft, showed `NO' loss!
You are very subtly MISINTERPRETING what Nordstrom said, and I'm going to explain this to you once and for all so that we can get past this point of confusion! :wink:
Nordstrom only did haircounts at months 5, 10, and 21, and he reported the EXACT numbers for those haircounts. But the only thing those numbers demonstrate is that THERE WAS NO FURTHER LOSS AFTER THE FIFTH MONTH in the graft that came from the non-balding donor area. I'm trying to get you to understand that in my opinion, doughnutting DID occur (and quite possibly caused by hypoxia, just like the medical establishment claims), and it occurred DURING THE FIRST 5 MONTHS. The results of Nordstrom's careful little experiment are perfectly consistent with both the standard medical theory of male pattern baldness, and the real-world observations of "doughnutting".
Do you understand my position, now?
No, no, no Bryan!
Just read all those links i provided you with, about the hair loss patern in grafts called `doughnutting'!
Doughnutting refers to a `permanent' recession of hair from the center of these grafts outward, until there is just hair growth left around the edges!
Are you trying to tell me that this happens within five months? If so Nordstrom and Orentreich would have SEEN it!!
The `balding' in these grafts refered to as `doughnutting', happens over a period `outside' of both Nordstrom and Orentreich's studies, which automaticaly rules out hypoxia! :wink:
Bryan said:Footy said:I would say this Bryan.
I wish Nordstrom had also transplanted occipital 4mm grafts to the male pattern baldness area in this individual, and followed this up for a few years!
I am willing to bet that the 4mm occipital grafts to the forearm, would `NOT' doughnut over time, but the same grafts to the male pattern baldness area `WOULD'!
This is because i think it is the conditions in the surrounding tissue that determine the fate of large anagen follicles, in the absense of a protective `scaffold'.
Well, at the very least Orentreich did something fairly CLOSE to that. Even though he didn't report specific haircount numbers like Nordstom did, I think he would have noticed if there were a differential effect of the growth rates of the grafts, depending on the recipient site. But his conclusion at the end was unequivocal: "hair to hair" grew hair; "hair to bald" grew hair; "bald to bald" remained bald; and "bald to hair" remained bald.
Bryan
The `BIG' problem you continue to have in quoting these old studies Bryan, is that they did not notice the doughnutting in these grafts that is recognised today!
So yet again Bryan, explain this longer term hair loss according to the theory you support? 8)
S Foote.