Scientific Education

Stem Cell Activation & Photobiomodulation: What the Science Shows

Understanding stem cells, photobiomodulation, GHK-Cu, wearable light technology and where LifeWave X39 fits into the science.

By Dr. Staci Holweger  ·  Last updated October 2026

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Dr. Staci Holweger, Integrative and Functional Medicine practitioner

Written by

Dr. Staci Holweger

PhD in Quantum Integrative Medicine, PhD in Functional Medicine, 20+ years in clinical practice

ESTABLISHED EVIDENCE
The Foundation

What is photobiomodulation?

Photobiomodulation (PBM) is the use of specific light parameters to influence biological activity. It is also referred to in the literature as low-level laser therapy or low-level light therapy. The central idea is that light, delivered at the right wavelength and dose, can act as a biological stimulus rather than a source of heat or damage.

Published research describes several mechanisms through which PBM may act on cells, including cellular signaling, mitochondrial function, adenosine triphosphate (ATP) production, reactive oxygen species, nitric oxide, and downstream biological signaling pathways. These mechanisms are the subject of ongoing laboratory and clinical study.

A key point, often overlooked, is that biological responses to light depend on factors such as wavelength, irradiance, dose, exposure duration, tissue type and cell type. Different parameters can produce different, and sometimes opposite, effects. Not all forms of light exposure produce the same biological effects, and a result observed under one set of conditions cannot be assumed to apply to a different device or protocol. For a broader overview of how this technology is applied in wearable form, see our page on LifeWave light technology.

In short: PBM is a real and active field of scientific research. The biological response depends on the specific light parameters used, not simply on "light" in general.

PRECLINICAL EVIDENCE
The Connection

What does photobiomodulation have to do with stem cells?

Researchers have investigated the effects of photobiomodulation on several types of stem and progenitor cells. The published literature reports effects on:

  • proliferation
  • migration
  • differentiation
  • mitochondrial activity
  • cellular signaling
  • tissue-regenerative processes
  • paracrine and secretome activity

It is important to be precise about the kind of evidence this represents. Much of it is laboratory, cell-culture or preclinical research. Reviews of the field note that parameters such as wavelength, dose and cell source change the outcome, and that translating these findings into consistent clinical results requires further study.

There is legitimate evidence that specific forms of photobiomodulation can influence stem-cell behavior under certain experimental conditions. That does not establish that every light-based technology activates stem cells throughout the human body or produces specific clinical outcomes.

The 2025 World Association for Photobiomodulation Therapy (WALT) position paper on photobiomodulation and stem cells reviews this body of work directly. The authors identify a substantial need for additional clinical research before laboratory findings can be translated into reliable clinical guidance.

A Common Confusion

Is photobiomodulation the same as stem cell therapy?

No.

Conventional stem-cell therapies involve administering, transplanting or otherwise using cells. Photobiomodulation uses light as a biological stimulus. These are fundamentally different approaches, and the distinction matters.

✕Photobiomodulation is not stem-cell transplantation.
✕Photobiomodulation is not stem-cell injections.
✕Photobiomodulation is not adding stem cells to the body.
ESTABLISHED EVIDENCE
The Peptide

What is GHK-Cu?

GHK is the naturally occurring tripeptide glycyl-L-histidyl-L-lysine, first isolated from human plasma. It can bind copper to form GHK-Cu (also called copper tripeptide-1), and the two forms exist in balance in the body. GHK-Cu has been studied for decades, most extensively by the biochemist Loren Pickart and colleagues.

Published, peer-reviewed research reports that GHK and GHK-Cu are involved in:

  • cellular signaling
  • tissue remodeling
  • extracellular matrix regulation
  • collagen-related processes
  • repair biology

This literature is drawn from primary peer-reviewed sources, including work in the Journal of Biomaterials Science, FEBS Letters, BioMed Research International and Brain Sciences.

Evidence demonstrating biological activity of GHK-Cu does not automatically prove that a particular product produces all of those effects in humans. The product itself must be evaluated.

PROPOSED MECHANISM
The Product

Where does LifeWave X39 fit into this?

LifeWave X39 is a wearable, non-transdermal patch. The manufacturer describes it as a photobiomodulation device that reflects specific wavelengths of light at the skin. It does not deliver drugs, chemicals or cells into the body. You can browse the full lineup on our LifeWave products page, or read the overview on the LifeWave page.

It would be inaccurate to describe X39 as conventional photobiomodulation unless the terminology is scientifically and technically appropriate for its demonstrated mechanism. The relevant scientific question is not whether X39 is "stem-cell therapy." It plainly is not. The relevant question is whether wearing the technology can influence biological signaling or measurable biomarkers associated with regenerative physiology.

✓X39 does not contain stem cells.
✓X39 is not a stem-cell injection.
✓X39 is not stem-cell transplantation.
✓X39 is not conventional stem-cell therapy.
PRELIMINARY PRODUCT-SPECIFIC EVIDENCE
The Biomarker Question

Does X39 increase GHK-Cu?

One published study reports a change in circulating GHK-Cu in adults who wore the X39 patch for one week. The trial was described as double-blind and randomized, with 60 participants aged 40 to 80, and it reported a statistically significant increase in GHK-Cu concentration in the active group compared with control. It is registered as a clinical trial on ClinicalTrials.gov.

Transparency requires stating clearly that this research is manufacturer-associated. The study was published in an open-access journal, and the same research group has authored other LifeWave-associated work. It should be treated as preliminary product-specific evidence, not as independent replication. Company-hosted or company-funded research is not equivalent to independent confirmation.

A change in a biomarker is not automatically evidence of a clinical health outcome.

Larger studies, independent replication, longer follow-up and clinically meaningful endpoints would strengthen the evidence. Until then, the most accurate statement is that X39 has been associated with a reported change in GHK-Cu in a small, manufacturer-associated trial, and that the clinical significance of that change is not yet established. For a comprehensive review of all publicly accessible LifeWave research, see our LifeWave research library.

The Core Question

Does X39 activate stem cells?

A simple "yes" or "no" would be scientifically dishonest. The honest answer requires separating three distinct questions that are too often collapsed into a single marketing claim.

1PRECLINICAL EVIDENCE

Can photobiomodulation influence stem cells?

Laboratory and preclinical evidence supports effects on certain stem-cell behaviors, such as proliferation, migration and differentiation, under specific experimental conditions. This is not the same as proving a whole-body clinical effect in humans.

2ESTABLISHED EVIDENCE

Does GHK-Cu have biologically relevant signaling activity?

Published literature supports biological activity for GHK and GHK-Cu involving tissue remodeling, extracellular matrix regulation and repair-related processes. This is a property of the peptide, not proof that any one product delivers those effects.

3NOT YET ESTABLISHED

Does this prove that X39 produces clinically meaningful whole-body stem-cell activation in humans?

Not established by the current evidence. The available product-specific research is preliminary and manufacturer-associated, and it has not yet been independently replicated with larger samples and clinically meaningful endpoints.

Why this matters: These three questions should not be collapsed into one claim. Each rests on a different kind and strength of evidence, and conflating them is how preliminary science becomes an overstatement.

At a Glance

What we know vs. what we're still investigating

Scientific QuestionCurrent Evidence
Can specific PBM protocols influence cellular biology?Well supported
Can PBM influence stem-cell behavior experimentally?Supported by substantial preclinical literature
Does GHK / GHK-Cu have biological signaling activity?Supported
Has X39 been associated with changes in GHK-Cu in reported research?Preliminary product-specific evidence
Does X39 contain stem cells?No
Is X39 conventional stem-cell therapy?No
Has X39 been conclusively proven to produce broad clinical outcomes through systemic stem-cell activation?Not established

This table summarizes the strength of evidence for each question, not clinical conclusions.

REGULATORY CONTEXT
Regulation

Is X39 FDA approved?

It is important to use regulatory terms precisely. FDA approval, FDA clearance, FDA registration or listing, and the FDA framework for low-risk general-wellness products are different things.

"FDA approval" generally refers to the premarket approval process for high-risk devices, such as life-sustaining or implantable devices. "FDA clearance" typically refers to the 510(k) process for moderate-risk devices. "Registration and listing" means a facility and its products are registered with the FDA, which is not the same as the agency reviewing or validating a product's efficacy.

The FDA's "General Wellness: Policy for Low Risk Devices" guidance describes a framework for products that promote a healthy lifestyle and present a low risk to users. Products that fall within this policy are not required to obtain FDA premarket approval. This is a statement about the regulatory pathway, not about efficacy.

Lack of a requirement for FDA premarket approval does not mean the FDA has independently validated a product's efficacy or its marketing claims. Consumers should not interpret the absence of a premarket approval requirement as evidence of effectiveness.

My Perspective

Dr. Staci's perspective

"What interests me about photobiomodulation isn't hype. It's the possibility that light can act as biological information."

"The scientific literature supports the ability of carefully selected light parameters to influence cellular signaling, while the relationship between photobiomodulation, regenerative biology and stem-cell behavior remains an active area of research."

"I believe emerging technologies are best served when we don't claim more than the evidence demonstrates."

"We don't need to exaggerate good science. We need to understand it, question it and continue studying it."

Dr. Staci Holweger

Learn more about Dr. Staci
Questions

Frequently asked questions

No. X39 is a non-transdermal wearable patch. It does not contain stem cells and does not deliver cells into the body.

No. X39 is not stem-cell therapy, stem-cell transplantation or a stem-cell injection. It is a wearable photobiomodulation patch. The relevant scientific question is whether it can influence biological signaling or measurable biomarkers.

Laboratory and preclinical research suggests that specific photobiomodulation parameters can influence certain stem-cell behaviors, such as proliferation, migration and differentiation, under experimental conditions. This is not the same as proving a whole-body clinical effect in humans.

Photobiomodulation is the use of specific light parameters to influence biological activity. Research explores mechanisms including cellular signaling, mitochondrial function, ATP, reactive oxygen species and nitric oxide. Biological responses depend on wavelength, irradiance, dose, exposure duration, tissue and cell type.

GHK is the naturally occurring tripeptide glycyl-L-histidyl-L-lysine. It can bind copper to form GHK-Cu (copper tripeptide-1). Peer-reviewed research reports involvement in cellular signaling, tissue remodeling, extracellular matrix regulation and repair biology.

One manufacturer-associated, double-blind trial reported an increase in circulating GHK-Cu in adults who wore X39 for one week. It was published in an open-access journal and has not been independently replicated. A change in a biomarker is not automatically evidence of a clinical health outcome.

This is three separate questions: whether photobiomodulation can influence stem cells (preclinical evidence supports effects under certain conditions), whether GHK-Cu has signaling activity (supported), and whether X39 produces clinically meaningful whole-body stem-cell activation in humans (not established by current evidence).

X39 is not an FDA-approved device in the sense of premarket approval for high-risk devices. Low-risk general-wellness products may fall within the FDA General Wellness policy and not require premarket approval. Lack of a requirement for premarket approval does not mean the FDA has validated efficacy or marketing claims.

There is preliminary product-specific research, including a registered clinical trial. The available studies are small and manufacturer-associated. Larger, independent studies with clinically meaningful endpoints are needed.

No. The 2025 WALT position paper on photobiomodulation and stem cells reviews the field and identifies a substantial need for additional clinical research. Laboratory and preclinical findings do not establish a proven whole-body clinical effect.

Stem-cell therapy involves administering, transplanting or using cells. Photobiomodulation uses light as a biological stimulus and does not add stem cells to the body. The two are fundamentally different approaches.

X39 is LifeWave's flagship patch, marketed around GHK-Cu and general wellness. X49 is positioned for athletic performance, muscle strength and recovery. Both are non-transdermal wearable patches using the same core light-technology platform, but they are engineered for different wellness goals. Product-specific clinical evidence for each should be evaluated separately.
Sources

Scientific references

Primary peer-reviewed sources, scientific position papers, a clinical trial registry and official FDA guidance are listed below. Manufacturer-associated research is identified transparently. No marketing page is used as independent scientific validation.

  1. 1

    WALT Position Paper

    Azarsina M, Arany P, Marques MM, Abrahamse H, Dehghani N, Azarsina S, Fekrazad R, et al. Photobiomodulation for Stem Cell Modulation and Regenerative Medicine: WALT Position Paper 2025. PubMed PMID: 40403870. View source

    Peer-reviewed position paper. Identifies a substantial need for additional clinical research.

  2. 2

    PBM and Stem Cells (Review)

    Ahrabi B, Rezaei Tavirani M, Khoramgah MS, Noroozian M, Darabi S, Khoshsirat S, Abbaszadeh HA. The Effect of Photobiomodulation Therapy on the Differentiation, Proliferation, and Migration of the Mesenchymal Stem Cell: A Review. J Lasers Med Sci. 2019;10(Suppl 1):S96 to S103. doi:10.15171/jlms.2019.S17. PMID: 32021681. View source

    Peer-reviewed review of preclinical literature.

  3. 3

    PBM and Stem Cells (In Vitro)

    Miranda JM, de Arruda JAA, Moreno LMM, et al. Photobiomodulation Therapy in the Proliferation and Differentiation of Human Umbilical Cord Mesenchymal Stem Cells: An In Vitro Study. J Lasers Med Sci. 2020;11(4):469 to 474. doi:10.34172/jlms.2020.73. PMID: 33425299. View source

    Peer-reviewed in vitro study.

  4. 4

    GHK and Tissue Remodeling

    Pickart L. The human tri-peptide GHK and tissue remodeling. J Biomater Sci Polym Ed. 2008;19(8):969 to 988. doi:10.1163/156856208784909435. PMID: 18644225. View source

    Peer-reviewed primary source.

  5. 5

    GHK-Cu and Gene Expression

    Pickart L, Vasquez-Soltero JM, Margolina A. GHK Peptide as a Natural Modulator of Multiple Cellular Pathways in Skin Regeneration. BioMed Res Int. 2015;2015:648108. doi:10.1155/2015/648108. View source

    Peer-reviewed review.

  6. 6

    GHK and Nervous System

    Pickart L, Vasquez-Soltero J, Margolina A. The Effect of the Human Peptide GHK on Gene Expression Relevant to Nervous System Function and Cognitive Decline. Brain Sci. 2017;7(2):20. doi:10.3390/brainsci7020020. PMID: 28212278. View source

    Peer-reviewed primary source.

  7. 7

    GHK-Cu and Collagen

    Maquart FX, Pickart L, Laurent M, Gillery P, Monboisse JC, Borel JP. Stimulation of collagen synthesis in fibroblast cultures by the tripeptide-copper complex glycyl-L-histidyl-L-lysine-Cu2+. FEBS Lett. 1988;238(2):343 to 346. doi:10.1016/0014-5793(88)80509-X. PMID: 3169264. View source

    Peer-reviewed primary source.

  8. 8

    X39 and GHK-Cu (Product-Specific)

    Connor CA, Connor MH, Yue D, Eickhoff J, Wagner S, et al. Double-Blind Testing of the LifeWave X39 Patch to Determine GHK-Cu Production Levels. Internal Med Res Open J. 2021;6(1):1 to 3. doi:10.31038/IMROJ.2021612. View source

    Manufacturer-associated research, published in an open-access journal. Preliminary; independent replication needed.

  9. 9

    Clinical Trial Registry

    ClinicalTrials.gov. Two-Part Study of the Effects of the X39 Patch on Circulating GHK and GHK-Cu. NCT07706361. View source

    Clinical trial registry record.

  10. 10

    FDA Guidance

    U.S. Food and Drug Administration. General Wellness: Policy for Low Risk Devices. Final Guidance, reissued January 6, 2026. View source

    Official FDA source.

Have questions about stem cell activation?

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Dr. Staci is an independent LifeWave distributor and may earn compensation from product purchases. These statements have not been evaluated by the Food and Drug Administration. LifeWave products are not intended to diagnose, treat, cure, or prevent any disease.