From the *Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; †Department of Pathology, Research Hospital, The Institute of Medical Science, The University of Tokyo, Tokyo, Japan; and ‡Kurata Clinic, Beppu, Oita, Japan.
Received for publication July 31, 2013; accepted August 30, 2013.
Disclosure: The authors have no financial interest to declare in relation to the content of this article. This study was supported by the Adaptable and Seamless Technology Transfer Program of the Japan Science and Technology Agency. This study was funded by Aderans (Tokyo, Japan). The sponsor of the study had no role in the study design, conduct of the study, data collection, data interpretation, or preparation of the report. The Article Processing Charge was paid for by the authors.
Hiromi Sanada, Department of Gerontological Nursing/Wound Care Management, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan. E-mail: email@example.com
Reprints: Takeo Minematsu, PhD, Department of Gerontological Nursing/Wound Care Management, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan, E-mail: firstname.lastname@example.org
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Summary: We demonstrated enhanced hair regeneration following topical administration of N-(3-oxododecanoyl)-L-homoserine lactone (HSL) in ob/ob mice. The ob/ob mice showed delayed hair regeneration (more than 6 wk) after depilation, which rapidly induced transition to anagen in the hair cycle in wild-type mice. Vehicle and HSL solutions were applied to the depilated dorsal skin of ob/ob mice. The depilated skin of the HSL-treated mice was fully covered with hair, whereas no macroscopic alteration was observed in vehicle-treated group by the fourth week after depilation. Oxidative stress was drastically decreased and the expression of the antioxidative enzymes PON1 and PON3 was increased in the HSL-treated skin with highly proliferative anagen follicles. These results suggest that HSL is a candidate therapeutic agent for alopecia in metabolic syndrome.
Alopecia markedly reduces a patient’s quality of life1 and is thus an important topic in nursing science. Administrations of minoxidil and finasteride are the most established treatments for androgenetic alopecia at present.2,3 However, their efficacy varies among individuals,4 suggesting that some intrinsic factors affect the pathology and/or treatment of androgenetic alopecia. Recently, some researchers have identified an association between alopecia and metabolic syndrome (MS).5 We and other researchers have shown elevated oxidative stress in the skin of patients with MS6–8 and in the scalp of patients with alopecia areata.9 Furthermore, reduced activity of paraoxonases (PONs, antioxidant enzymes) has been shown in patients with alopecia areata.10 Therefore, we hypothesized that the administration of the substrate of PONs would attenuate oxidative stress and enhance progression in the hair cycle in the skin of MS model mice. In this study, we demonstrated the promoting effects of N-(3-oxododecanoyl)-L-homoserine lactone (HSL), a substrate of PONs, applied topically to the back of ob/ob mice on hair growth through the attenuation of oxidative stress.
MATERIALS AND METHODS
All animal experiments were approved by the Animal Research Committee of The University of Tokyo.
Depilation and HSL Treatment
We purchased 8-week-old male MS model (ob/ob) and wild-type (+/+) mice from Japan SLC (Hamamatsu, Japan). After removal of the hair from the dorsal skin using depilatory cream (day 0), 5 +/+ mice and 5 ob/ob mice were regularly monitored until the depilated area was mostly covered with hair.
HSL (Sigma-Aldrich, St. Louis, Mo.) was dissolved in dimethyl sulfoxide at a concentration of 10 mM and diluted to 10 µM using a 30% glycerol solution. Glycerol solution supplemented with 0.1% dimethyl sulfoxide was used as a vehicle solution. HSL or vehicle solution (50 µl) was applied to the dorsal skin of the ob/ob mice the day after depilation. The animals treated with HSL or vehicle (5 animals in each treatment) were regularly monitored until day 28 or killed on day 21. Skin was removed from the center of the back and the skin from each mouse was divided into 2 pieces.
One piece of tissue was fixed with 4% paraformaldehyde and embedded in paraffin. Four-micrometer-thick serial sections were stained with hematoxylin and eosin for immunofluorescence using rabbit polyclonal anti-Ki67 antibody (Novus Biologicals, Littleton, Colo.) and immunohistochemistry using mouse anti-8OHdG monoclonal antibody (JaICA, Shizuoka, Japan).
Reverse Transcription-Polymerase Chain Reaction
Total RNA was extracted from the homogenate of the other piece of harvested tissue using an RNeasy Plus mini kit (Qiagen, Venlo, the Netherlands). Reverse transcription-polymerase chain reaction was performed using a QuantiTect Reverse Transcription kit (Qiagen), AmpliTaq Gold PCR Master Mix (Life Technologies, Carlsbad, Calif.), and specific primer pairs for the following genes:
18S ribosomal RNA (18S rRNA): forward, TCAAGAACGAAAGTCGGAGG; reverse, CCCTTCCGTCAATTCCTTTA
Pon1: forward, TGTACCTACTGGTGGTAAAC; reverse, AAAAGCTCTCAGGTCCAATA
Pon2: forward, GTAAACCACCCACAATTCAA; reverse, CCCAGTGTAGGTTCAAGTAT
Pon3: forward, CCAAAAGAGGTCAAAGTTGT; reverse, GATCAACGGTCAAGTTATCC
The target sequences were amplified by a standard 3-step protocol: preheating at 95°C for 10 minutes, 25 (18S rRNA) or 40 (other genes) cycles of denaturation (95°C for 15 s), annealing (60°C for 15 s) and extension (72°C for 30 s), and a final extension step at 72°C for 1 minute. The amplicons were separated by 2% agarose gel electrophoresis (50 V, 40 min), stained with SYBR Green I, and visualized under ultraviolet light.
The hair-cycle phase is known to reach the second telogen phase in wild-type mice at the age of 8 weeks.11 Depilation induced a rapid transition to anagen as shown by skin pigmentation by the first week and abundant hair regeneration by the fourth week in +/+ mice (Fig. 1A). Conversely, only slight pigmentation was observed and not until the sixth week after depilation in ob/ob mice (Fig. 1B).
When the HSL solution was applied to the dorsal skin of ob/ob mice, pigmentation was observed by the third week and the regenerated hair fully covered the depilated skin by the fourth week, whereas no pigmentation or hair regeneration was observed in vehicle-treated ob/ob mice (Fig. 2A). Histological examination revealed that the elongated hair follicles reached the deeper layer of subcutaneous fat tissue, the dermal papilla was completely enclosed by the developed hair bulb, and hair shaft regeneration was observed in HSL-treated skin tissue (Fig. 2B). Immunofluorescence for Ki67 revealed activated cell proliferation in the inner and outer root sheaths of HSL-treated follicles (Fig. 2C).
The level of oxidative stress was examined by immunohistochemistry for 8OHdG. A large number of follicular cells were positive for 8OHdG in the vehicle-treated ob/ob mice. HSL treatment drastically reduced the number of positive cells (Fig. 2D). Expression of Pon1 mRNA was slightly higher in HSL-treated samples than in vehicle-treated samples. Pon3 was expressed weakly in HSL-treated samples but was completely negative in vehicle-treated samples. Pon2 was stably expressed in both groups (Fig. 2E).
This study identified HSL as a novel reagent able to promote hair growth in a mouse model of MS. The findings suggest that attenuation of oxidative stress was a mechanism by which HSL treatment enhanced hair growth.
HSL is an interbacterial signaling molecule in Pseudomonas quorum sensing, which is a regulatory system that induces the expression of virulence genes depending on bacterial density.12 PONs protect against bacterial infection by degrading HSL.13 Pon2 is dominantly expressed in a wide range of tissues, and Pon1 and Pon3 are mainly expressed in the liver and secreted into the serum.14 We found that Pon1 was expressed in the skin of MS mice, probably owing to the response to the elevated oxidative stress in MS skin.6–8 HSL administration slightly increased the expression of Pon1 and Pon3 in the skin of ob/ob mice. However, elevation in expression of Pon1 and Pon3 was not enough to explain the drastic reduction in oxidative stress in hair follicles of ob/ob mice. Further studies to examine PON enzyme activities and the expression of other antioxidative enzymes are required.
Because HSL is a small lipid-soluble molecule (approximately 300 Da), it can be delivered topically and noninvasively to the skin.15 HSL is a potential novel therapeutic agent for alopecia in MS.
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