Promising alternative clinical uses of prostaglandin F2α analogs: beyond the eyelashes

J Am Acad Dermatol. 2015 Apr;72(4):712-6. doi: 10.1016/j.jaad.2014.10.012. Epub 2015 Jan 16.

Abstract

Prostaglandin F2α analogs, commonly prescribed for glaucoma treatment, have been shown to induce side effects such as cutaneous hypertrichosis and hyperpigmentation. Therefore, these medications have theoretic applications in the treatment of alopecia and disorders of hypopigmentation. We reviewed the literature to find original studies assessing the use of prostaglandin F2α analogs in these settings. Studies and reports were analyzed in regards to androgenic alopecia, alopecia areata, chemotherapy-induced alopecia, vitiligo, and hypopigmented scarring. Based on the results of these studies, and consideration of pathophysiologic mechanism, the most promising applications for prostaglandin F2α analogs include androgenic alopecia, chemotherapy-induced alopecia, and alopecia areata concurrently treated with corticosteroids.

Keywords: alopecia areata; androgenic alopecia; bimatoprost; glaucoma; latanoprost; prostaglandin; prostaglandin F2α analog; travoprost; vitiligo.

Publication types

  • Review

MeSH terms

  • Adrenal Cortex Hormones / administration & dosage
  • Adrenal Cortex Hormones / therapeutic use
  • Alopecia / drug therapy*
  • Amides / adverse effects
  • Amides / therapeutic use*
  • Animals
  • Bimatoprost
  • Cloprostenol / adverse effects
  • Cloprostenol / analogs & derivatives*
  • Cloprostenol / therapeutic use
  • Dinoprost / physiology
  • Disease Models, Animal
  • Double-Blind Method
  • Drug Evaluation, Preclinical
  • Eyelashes / drug effects
  • Glaucoma / drug therapy
  • Hair Follicle / drug effects
  • Humans
  • Hyperpigmentation / chemically induced
  • Hypertrichosis / chemically induced
  • Hypopigmentation / drug therapy*
  • Melanins / biosynthesis
  • Mice
  • Prostaglandins F, Synthetic / administration & dosage
  • Prostaglandins F, Synthetic / adverse effects
  • Prostaglandins F, Synthetic / therapeutic use*
  • Randomized Controlled Trials as Topic
  • Retrospective Studies
  • Single-Blind Method

Substances

  • Adrenal Cortex Hormones
  • Amides
  • Melanins
  • Prostaglandins F, Synthetic
  • Cloprostenol
  • Dinoprost
  • Bimatoprost