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ORIGINAL RESEARCH article

Front. Microbiol.

Sec. Microorganisms in Vertebrate Digestive Systems

Volume 16 - 2025 | doi: 10.3389/fmicb.2025.1649496

Investigating the potential mechanism of microneedling in alopecia areata mice based on 16S rRNA sequencing and metabolomics

Provisionally accepted
Yue  ZhangYue Zhang1Lu  LiLu Li2Lei  CaoLei Cao1,2Rushan  XiaRushan Xia1,2*
  • 1Wuxi No.2 People's Hospital, Nanjing Medical University, Wuxi, China
  • 2Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu, China

The final, formatted version of the article will be published soon.

Background: The present study investigates the relationship between alopecia areata (AA) and intestinal microecology, examining the effect of microneedling on the microecology of alopecia areata.Methods: An animal model of AA was established using imiquimod-induced C3H/HeJ mice. Halometasone was applied topically every two days for two weeks after a hand-held dermal microneedling treatment. Fecal samples were collected before and after the interventions and underwent 16S rRNA high-throughput sequencing to assess intestinal microecological alterations. Furthermore, changes in short-chain fatty acids (SCFA) associated with AA and microneedling treatment were analyzed.Results: Microneedling therapy enhanced hair growth in the model group. The model group exhibited a substantial decline in diversity and abundance of gut microbes compared to the control group. After microneedling treatment, the diversity of intestinal microbes was restored, along with a concurrent remodeling of both pathogenic and beneficial bacterial compositions in the model group. In addition, the levels of acetic acid and propanoic acid were elevated in the model group compared to the control group. Following microneedling treatment, a reduction in these levels was observed. In contrast, the model group showed an increase in butanoic acid levels after microneedling treatment; however, this increase did not reach statistical significance.Conclusions: Microneedling treatment has been shown to improve hair regeneration in AA. Additionally, it positively affects the intestinal microecology related to AA, leading to changes in gut microbes and the production of SCFAs. This provides a foundation for the clinical application of microneedling treatment in AA.

Keywords: Alopecia Areata, Microneedling, Gut microbes, 16S rRNA sequencing, short-chain fatty acids, Intestinal microecology

Received: 19 Jun 2025; Accepted: 28 Jul 2025.

Copyright: © 2025 Zhang, Li, Cao and Xia. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Rushan Xia, Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu, China

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