100
organization of epithelial and mesenchymal cells in a 3D stem cell culture (Nakao
et al. 2007 ; Ikeda et al. 2009 ) (Fig. 6.2c). The bioengineered organ germs reconsti-
tuted using the organ germ method could regenerate the fully functional bioengi-
neered hair follicles in vivo. Hair regeneration has been successfully demonstrated
by intracutaneous transplantation of a bioengineered pelage and vibrissa hair folli-
cle germ or ectopically regenerated mature hair follicle, which was regenerated with
Newly Induced
hair
Mesenchymalcell
replacement
Adult hair follicle
a
b
c
DP/DS cells
Bioengineered hair
follicle germ
Adult hair stem
cells
Cultured DP cells
Bulge epithelial cells
Orthotopichair
regeneration
Newly induced
skin or cyst with
hairs
Mesenchymal
Epithelial
Embryonic skin
cells
Cell mixture
Adult hair follicle
Embryonic skin
Fig. 6.2 The method used to reproduce the bioengineered hair follicle germ relied on reproducing
the epithelial-mesenchymal interactions of the natural hair follicle. (a) Replacement of hair
follicle- inductive mesenchymal cell in afollicular skin or hair follicle via the implantation of hair
follicle-derived mesenchymal cells. (b) De novo skin regeneration method via the engraftment of
cell aggregates. (c) Orthotopic hair follicle regeneration by intracutaneous transplantation of the
bioengineered hair follicle germ reconstituted using the organ germ method
K.-e. Toyoshima and T. Tsuji