| Summary: | The skin microbiome and sebum may be associated with inflammation-related diseases of the scalp. To assess the pathogenesis and progression of androgenetic alopecia (AGA), we analyzed the composition of sebum and the bacterial and fungal microbiomes of the scalps of 118 Japanese male individuals with and without AGA, then discussed their roles in the pathogenesis of AGA. Sebum triglyceride and palmitic acid contents were higher in the AGA group than in the non-AGA group. <i>Malassezia restricta</i>, a lipophilic fungus that consumes palmitic acid, was abundant on the scalps of patients with AGA. <i>Cutibacterium</i>, <i>Corynebacterium</i>, and <i>Staphylococcus</i> were the most common genera in both groups, and patients with AGA exhibited scalp dysbiosis (increased abundance of <i>Cutibacterium</i> and decreased abundance of <i>Corynebacterium</i>). Our findings suggest that both sebum and the bacterial and fungal microbiomes of the scalp may be involved in the development of AGA.
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