(American Journal of Pathology. 2001;158:1913-1919.)
© 2001 American Society for Investigative Pathology
p53 Involvement in the Control of Murine Hair Follicle Regression
Vladimir A. Botchkarev*,
Elena A. Komarova
,
Frank Siebenhaar*
,
Natalia V. Botchkareva*,
Andrei A. Sharov*,
Pavel G. Komarov
,
Marcus Maurer
,
Andrei V. Gudkov
and
Barbara A. Gilchrest*
From the Department of Dermatology,*
Boston University
School of Medicine, Boston, Massachusetts; the Department of Molecular
Genetics,
University of Illinois at Chicago,
Chicago, Illinois; the Department of
Dermatology,
Johannes Gutenberg-University,
Mainz, Germany; and Quark Biotech, Inc.,
Pleasanton, California
 |
Abstract
|
|---|
p53 is a transcription factor mediating a variety of
biological responses including apoptotic cell death. p53 was recently
shown to control apoptosis in the hair follicle induced by ionizing
radiation and chemotherapy, but its role in the
apoptosis-driven physiological hair follicle regression (catagen)
remains to be elucidated. Here, we show that p53 protein is
strongly expressed and co-localized with apoptotic markers in the
regressing hair follicle compartments during catagen. In contrast to
wild-type mice, p53 knockout mice show significant retardation
of catagen accompanied by significant decrease in the number of
apoptotic cells in the hair matrix. Furthermore, p53 null hair
follicles are characterized by alterations in the expression of markers
that are encoded by p53 target genes and are implicated in the control
of catagen (Bax, Bcl-2, insulin-like growth factor
binding protein-3). These data suggest that p53 is involved in the
control of apoptosis in the hair follicle during physiological
regression and imply that p53 antagonists may be useful for the
management of hair growth disorders characterized by premature entry
into catagen, such as androgenetic alopecia, alopecia
areata, and telogen effluvium.
 |
Introduction
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During postnatal development, the hair follicle (HF) shows cyclic
activity with periods of active growth (anagen), involution (catagen),
and resting (telogen).1-6
Every stage of the hair cycle
is characterized by different intensity of the signaling exchange
between HF keratinocytes and dermal papilla fibroblasts, which is
maximal in anagen HFs and minimal during telogen.5,6
In anagen HFs, dermal papilla fibroblasts secrete numerous growth
factors that maintain active proliferation and differentiation of
keratinocytes of the proximal hair bulb leading to the hair
fiber formation.4-6
HF
transition from anagen to catagen is associated with a sudden decline
in secretion of growth factors by the dermal papilla resulting in the
dramatic reduction of proliferation and differentiation of hair matrix
keratinocytes with cessation of hair shaft production. This is
accompanied by massive apoptosis in the proximal HF epithelium and
shortening of HF length by up to 70% during its transition from anagen
to telogen.7-10
Increasing evidence suggests that apoptosis during HF involution is
well coordinated and regulated differentially in each distinct HF
compartment. It was shown that during catagen, the HF outer root
sheath, inner root sheath, and hair matrix show distinct expression
patterns for growth factor receptors [p55-kd tumor necrosis factor
receptor (p55TNFR), p75-kd neurotrophin receptor (p75NTR), Fas/Apo-1,
transforming growth factor-ß receptor type II] that mediate
apoptosis.10-12
In particular, neurotrophins and
transforming growth factor-ß1 were implicated in apoptosis control
and shortening of the outer root sheath during
catagen.11,12
p53 is a transcription factor that mediates apoptosis after a variety
of stresses including growth factor withdrawal and DNA
damage.13-15
During the cellular reaction to stress, p53
alters expression of multiple p53-responsive genes [Fas, Fas-ligand,
Bax, Bcl-2, insulin-like growth factor binding protein-3 (IGF-BP3),
insulin-like growth factor I receptor (IGF-IR)], the activity of which
is responsible for cell survival or apoptotic death.16-21
Interestingly, proteins whose transcription is encoded by the genes
listed above are all expressed in the HF during anagen-catagen
transition.10,11,22
Recently we showed that p53 is essential for the HF response to DNA
damage induced by chemotherapy. Specifically, we reported that HFs in
p53 knockout mice show neither apoptosis nor hair loss and instead
continue active hair production after administration of
cyclophosphamide.23
However, a possible role for p53 in
mediating apoptosis in the HF during spontaneous HF
anagen-catagen-telogen transition remains to be elucidated. In this
article, we analyze distribution of p53 and its co-localization with
apoptotic markers during catagen in C57BL/6 mice and compare the
dynamics of apoptosis-driven HF regression between wild-type and p53
knockout mice. Furthermore, we define putative mechanisms of p53
involvement in catagen control by comparing the expression of p53
targets (Bax, Bcl-2, Fas, IGF-BP3) between wild-type and p53 null HFs.
Taken together, our data suggest involvement of p53 in the control of
apoptosis during catagen in the normal hair cycle.
 |
Materials and Methods
|
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Animal Models and Tissue Collection
Eight-week-old C57BL/6 female mice (n =
10), 8- to 10-week-old p53 knockout mice (n =
6), and wild-type mice (n = 6) were purchased
from Charles River (Boston, MA) and Jackson Laboratory (Bar Harbor,
ME). p53 knockout mice generated on C57BL/6 background were viable,
showed apparently normal fur, and developed spontaneous tumors 12 to 18
weeks after birth,24
ie, after the end of the experiment.
Mice were housed in community cages at the animal facilities of the
Boston University School of Medicine and University of Illinois at
Chicago. All mice were fed water and murine chow ad libitum,
and were kept under 12-hour light/dark cycles. Active hair growth
(anagen) was induced in the back skin by application of the wax-rosin
mixture with subsequent depilation, as described
before.25,26
Skin samples were harvested at days 17 to 20
after depilation, ie, during catagen. Harvesting of skin and
cryosectioning were performed using a special technique to obtain
longitudinal sections of the HFs, as described
previously.27
Immunohistochemistry and Terminal dUTP Nick-End Labeling (TUNEL)
Technique
Expression of p53 protein, p55TNFR, IGF-R1, and IGF-BP3 were
assessed using rabbit polyclonal antiserum against murine p53
(Novocastra, Newcastle-upon-Tyne, UK), rat monoclonal antibody against
murine p55TNFR (Pharmingen, San Diego, CA), and rabbit polyclonal
antisera against IGF-R1 and IGF-BP3 (Santa Cruz Biotechnology, Santa
Cruz, CA), respectively. The tyramide amplification method was used for
the immunovisualization of these antigens, as described
previously.28
Briefly, after blocking of endogenous
peroxidase and nonspecific avidin/biotin binding, sections were
incubated in TNB buffer (Dupont-NEN, Boston, MA) followed by
application of one of the corresponding primary antisera listed above
(1:1000) overnight. Then the corresponding biotinylated goat
anti-rabbit or goat anti-rat antisera (1:200, 30 minutes), diluted in
TNB blocking buffer (Dupont-NEN), were applied. The reaction product
was developed using a commercial tyramide amplification kit
(Dupont-NEN). Sections were incubated in streptavidin-horseradish
peroxidase (1:100 in TNB, 30 minutes), washed with TNT buffer
(Dupont-NEN), followed by a 10-minute application of
TRITC-tetramethyl-rodamine-isothio-cyanate-tyramide (1:50 in
Amplification Diluent, Dupont-NEN). Finally, sections were washed three
times with Tris buffer, and then counterstained by TO-PRO3-iodide for
visualization of cell nuclei. Cyclophosphamide-treated murine skin
samples with high p53 levels23
were used as a positive
control for p53 immunostaining, and skin samples of p53 knockout
mice were used as a negative control. Double immunovisualization of p53
and TUNEL was performed, as described
previously.29,30
Immunodetection of Fas, p75NTR, Bax, and
Bcl-2 was performed using corresponding monoclonal antibodies and the
avidin- biotin-alkaline phosphatase method, as described
previously.10,28
Histomorphometry
Immunoreactivity patterns were scrutinized by studying at least 50
different HFs per mouse, and five mice were assessed per hair-cycle
stage. For the precise identification of the defined stages of HF
cycling, histochemical detection of endogenous alkaline phosphatase
activity was used as described, because this allows visualization of
the morphology of dermal papilla as a useful morphological marker for
hair-cycle staging.31
The percentage of HFs in different
catagen stages was assessed and calculated in p53 knockout (-/-) and
their corresponding age-matched wild-type mice. All evaluations were
performed on the basis of accepted morphological criteria for HF
classification.2,5,7
Only every tenth cryosection was used
for analysis to exclude the repetitive evaluation of the same HF, and 2
to 3 cryosections were assessed from each animal. All together, 250 to
300 HFs in 50 to 60 microscopic fields, derived from six animals (
40
to 50 follicles per animal) of distinct age were analyzed and compared
to that of a corresponding number of HFs from the appropriate,
age-matched wild-type mice. The distance between the stratum corneum
and the subcutis/panniculus carnosus border was measured for assessing
the skin thickness in p53 knockout and wild-type animals 18 and 20 days
after depilation. In total, 40 to 50 such measurements were performed
in 50 to 60 microscopic fields derived from three animals per mutant
and wild-type group. Number of TUNEL-positive cells was assessed in the
hair matrix of catagen II-III HFs in p53 knockout and wild-type
animals. In total, 40 to 50 such measurements were performed in 50 to
60 microscopic fields derived from three animals per mutant and
wild-type group. All sections were analyzed at x200 to x400
magnification, and means and SEM were calculated from pooled data.
Differences were judged as significant if the P value was
lower than 0.05, as determined by the independent Students
t-test for unpaired samples.
 |
Results
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p53 Protein is Up-Regulated and Co-Localized with Apoptotic
Cells in the HF during Catagen
To analyze p53 protein localization and co-localization with
apoptotic cells in the regressing HF compartments during
anagen-catagen-telogen transition, double immunovisualization of p53
and TUNEL was performed on skin cryosections of 8-week-old C57BL/6 mice
15 to 19 days after hair cycle induction by depilation.32
The observed patterns of p53 immunoreactivity and TUNEL are documented
by the representative examples in Figure 1, A to F
, and are schematically
summarized in Figure 1G
. Positive and negative controls for p53
immunostaining are shown in Figure 1, H and I
.

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Figure 1. Expression and co-expression patterns of p53 and TUNEL during
anagen-catagen transition. Back-skin cryostat sections
(8-µm thickness) of
8-week-old C57BL/6 mice in defined hair-cycle stages
(anagen VI, 12 days after anagen induction by
depilation; catagen II-VI, developed spontaneously 17 to 19 days after
anagen induction), were processed for the double
immunovisualization of p53 (red
fluorescence) and TUNEL
(green fluorescence).
Nuclei are counterstained by TO-PRO-3 (blue
fluorescence). A: Anagen VI.
Prominent p53 immunoreactivity in the proximal ORS
(large
arrows) and weak immunostaining in
the IRS (large
arrowheads), dermal papilla
(small
arrows), and hair matrix
(small
arrowheads). B: Catagen
II. Increase of p53 immunoreactivity in the proximal ORS
(large
arrows), IRS
(large
arrowheads), and in the hair matrix
regions closely adjacent to the dermal papilla
(small
arrowheads), whereas weak
immunostaining is seen in the dermal papilla
(small
arrow). TUNEL-positive nuclei
(green fluorescence) are
visible in the melanogenic area above the dermal papilla
(asterisk).
C: Catagen III. p53 immunoreactivity in the proximal ORS
(large
arrows), IRS
(large
arrowhead), and connective tissue
sheath (small
arrows). Co-localization of p53 and
TUNEL (green/yellow
fluorescence) in the hair matrix
(small
arrowheads). D: Catagen
IV-V. p53 immunoreactivity in the proximal ORS
(large
arrows), IRS
(large
arrowhead), and connective tissue
sheath (small
arrows). Absence of p53 in the dermal
papilla
(asterisk).
TUNEL-positive granules in the hair matrix
(small
arrowheads). E: Catagen
VI. p53 immunoreactivity in the proximal ORS
(large
arrows) and connective tissue sheath
(small
arrows). Numerous TUNEL-positive
granules in the hair matrix (small
arrowheads). F: Catagen
VII-VIII. Co-localization of p53 and TUNEL in the ORS
(large
arrows). p53 immunoreactivity in the
arrector pili muscle (small
arrow). Absence of p53 in the dermal
papilla
(asterisk).
G: Schematic representation of p53 immunoreactivity in the
HF during anagen-catagen transformation. Cell populations with p53
immunoreactivity are depicted as red circles. The different
stages of HF anagen-catagen-telogen transition are indicated according
to Paus,2
Paus and Cotsarelis,5
and Straile
and colleagues.7
The summary schemes were derived from
analyzing >50 longitudinally sectioned follicles from the lower back
of five C57BL/6 mice harvested per time point. H and
I: Positive and negative controls for p53 immunostaining,
respectively. Cyclophosphamide-treated C57BL/6 mouse skin
and skin samples of p53 null mice were used as positive and negative
controls for p53 immunostaining, respectively. In
cyclophosphamide-treated HFs
(H), prominent
p53 immunoreactivity is seen in the dermal papilla
(small
arrow), hair matrix
(large
arrow), outer and inner root sheath
(large and small
arrowheads, respectively). No p53
immunostaining is seen in p53 null HFs
(I). Scale
bars, 100 µm
(A-F).
Abbreviations: APM, arrectorpili muscle; CH, club hair; DP, dermal
papilla; ES, epithelial strand; HM, hair matrix; HS, hair shaft; IRS
and ORS, inner and outer root sheaths; SHG, secondary hair germ; SG,
sebaceous gland.
|
|
In anagen VI HFs, p53 immunoreactivity was seen in the proximal outer
and inner root sheaths and dermal papilla (Figure 1, A and G)
.
Relatively weak p53 immunostaining was also found in the hair matrix of
anagen VI HFs (Figure 1A)
. During HF transition from anagen VI to
catagen II stage, p53 protein was increased in the proximal outer and
inner root sheaths and in the hair matrix keratinocytes closely
adjacent to the dermal papilla (Figure 1, B and G)
. In catagen III HFs,
a further increase of p53 immunoreactivity was found in the
proximal outer and inner root sheaths, perifollicular connective tissue
sheath, and in the hair matrix (Figure 1, C and G)
. Co-localization of
p53 protein and TUNEL was also observed in the hair matrix of catagen
III-IV HFs (Figure 1, C and D)
. In catagen IV-VI HFs, p53
immunoreactivity was detected in the regressing outer and inner root
sheaths perifollicular connective tissue sheath, whereas dermal papilla
became p53-negative (Figure 1
; D, E, and G). During catagen VII-VIII,
prominent p53 immunostaining and p53 co-localization with TUNEL was
seen in the outer root sheath and bulge (Figure 1F)
. In addition, p53
protein was found in the arrector pili muscle, dermal cells, and in the
epidermis (Figure 1F)
.
Taken together, these phenomenological data suggest that p53 protein
plays a role in the control of apoptosis-driven HF regression. This
would be consistent with recent reports that p53 mediates apoptosis
induced by growth factor withdrawal in different model
systems.33-35
We therefore further explored the role of
p53 in catagen control in functional assays.
Deletion of p53 Leads to the Retardation of HF Regression
To define whether constitutive p53 deletion alters spontaneous
catagen development, postnatal p53 knockout (-/-) mice24
were compared for the speed of spontaneous HF regression after
hair-cycle induction by depilation, using age-matched wild-type mice as
a controls. p53 knockout mice showed a significant retardation of
catagen development (P < 0.05), compared to
wild-type controls. At day 18 after depilation,
80% of the HFs in
p53 null skin were still at catagen I-II, while more than half of the
HFs in wild-type skin were already at catagen III-V (Figure 2, AC)
. In addition, as an
important indicator of advanced catagen development,36,37
skin thickness was significantly reduced (P <
0.05) in wild-type mice (438.1 ± 54.5 µm), compared to p53
mutants (594.7 ± 43.1 µm; Figure 2, B and C
). Furthermore, at
day 20 after depilation, all HFs in wild-type skin were already at late
catagen stages (catagen VII-VIII), while
50% of the HFs in p53 null
skin were still at catagen IV-VI (Figure 2, D and E)
.

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Figure 2. Retardation of HF regression in p53 knockout
(-/-) mice. For hair
cycle staging, skin cryosections of adolescent p53 knockout
(-/-) and wild-type
mice at days 18 and 20 after depilation were processed for the
detection of endogenous alkaline phosphatase activity31
and the percentage of HFs in defined catagen stages was evaluated
according to well-defined morphological criteria.2,5,7
Also, number of TUNEL-positive cells in hair matrix was compared
between wild-type and p53 null HFs at catagen II-III. A:
Dynamics of catagen development in p53 knockout and wild-type mice. At
day 18 after depilation, p53 null mice show a significant
(P < 0.05) increase of
catagen I-II HFs, whereas wild-type mice display an increase of HFs at
more advanced catagen stages (catagen
III-V). Mean ± SEM, asterisks
indicates significant differences between identical catagen stages in
mutant and wild-type skin, Students t-test, *
P < 0.05. B and C: Day 18 after
depilation. Predominance of catagen III HFs in wild-type skin
(B,
arrows). Catagen II HFs predominate
in p53 null skin (C,
arrows). D and
E: Day 20 after depilation. Wild-type skin shows only
catagen VI (D,
arrowhead) and catagen VII HFs
(D,
arrows), whereas catagen II-IV HFs
are still visible in p53 null skin
(E,
arrows). F and
H: Intrafollicular apoptosis in wild-type and p53 knockout
mice. F: Graph demonstrates significant increase of
TUNEL-positive cells in the hair matrix of wild-type catagen II-III
HFs, compared to p53 null HFs. Mean ± SEM, Students
t-test, * P < 0.01. G and
H: Numerous TUNEL-positive cells are visible in wild-type
HFs (G,
arrows), whereas only single
TUNEL-positive granules are visible in the hair matrix and precortical
zone of p53 null HFs (H,
arrows). TUNEL-positive granules in
the melanogenic area are indicated by arrowheads
(H). Scale
bars: B-E, -100 µm; G--H,
-50 µm.
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Importantly, catagen II HFs in p53 knockouts, compared to wild-type
mice, were characterized by the significantly reduced
(P < 0.05) number of TUNEL-positive cells in
the hair matrix (Figure 2, FH)
, whereas number of TUNEL-positive
cells in the outer and inner root sheaths appeared to be unaltered
(data not shown). This suggests that deletion of p53 is associated with
a significant retardation of catagen development, and with specific
reduction of apoptosis in the hair matrix, where p53 was found to be
co-localized with TUNEL (Figure 1C)
.
Catagen HFs in p53-Deficient Mice Are Characterized by
Down-Regulation of Bax and Insulin-Like Growth Factor Binding Protein-3
and by Increase of Bcl-2
To identify factors that might contribute to the catagen
retardation observed in p53 knockout mice, we compared the expression
of number of molecules (Bcl-2, Bax, Fas, IGF-BP3, IGF-R1, p55-kd TNFR,
p75-kd neurotrophin receptor) implicated in the control of
physiological apoptosis-driven HF regression.9,10,38,39
Several of the proteins analyzed (Bax, Bcl-2, Fas, IGF-BP3, IGF-R1) are
encoded by genes, whose transcription is known to be regulated by p53
during apoptotic cell death.16-21
We found that, in comparison to the wild-type catagen II-III HFs, p53
null HFs showed increased Bcl-2 immunoreactivity in the
proximal outer root sheath and hair matrix (Figure 3, A and B)
. In addition, Bax
immunoreactivity was reduced in the proximal hair bulb of p53 null HFs,
compared to wild-type HFs (Figure 3, C and D)
. Interestingly, Fas
immunoreactivity in the proximal outer and inner root sheaths showed no
differences between wild-type and p53 null catagen II-III HFs (data not
shown).

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Figure 3. p53 null HFs show down-regulation of Bax, IGF-BP3, and
up-regulation of Bcl-2. Skin sections of wild-type
(WT) and p53 knockout
(-/-) mice were
analyzed at day 18 after hair cycle induction by depilation for
immunoreactivity of Bcl-2, Bax, and insulin-like growth factor-binding
protein 3 (IGF-BP3).
A and B: Bcl-2. Weak immunoreactivity in the hair
matrix and dermal papilla of the wild-type HFs
(A, arrows and
arrowhead, respectively).
Up-regulation of Bcl-2 in the dermal papilla
(B,
arrowheads) and hair matrix
(B,
arrows) of the p53 null HFs.
C and D: Bax. Immunoreactivity in the matrix
(C,
arrows) of the wild-type HFs
(I).
Down-regulation of Bax in the hair matrix of p53 null HFs
(D,
arrows). E and
F: IGF-BP3. Proximal outer root sheath
(E,
arrow), inner root sheath
(E, small
arrowhead), and hair matrix
(E, large
arrowhead) of the wild-type HFs show
prominent IGF-BP3 immunoreactivity. Down-regulation of IGF-BP3 in the
outer root sheath, inner root sheath, and hair matrix of p53 null HF
(F, arrow,
small and large arrowheads,
respectively). Scale bars, 100 µm
(A-F).
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Furthermore, the immunoreactivity for IGF-BP3 in the proximal
outer/inner root sheaths and hair matrix was strongly reduced in the
p53-deficient HFs, compared to wild-type HFs (Figure 3, E and F)
.
IGF-R1 immunostaining was observed in the proximal outer/inner root
sheaths and in hair matrix, and was relatively unchanged in p53 null
HFs, compared to that of wild-type mice (data not shown). The
immunoreactivity patterns of p75NTR and p55TNFR also showed no
differences between wild-type and p53 null HFs (not shown).
 |
Discussion
|
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HF transition from anagen to telogen is a physiological
process of programmed organ involution, which is characterized by
tightly coordinated apoptosis in the cyclic portion of the HF
epithelium.2-6
During spontaneous HF regression,
apoptosis first occurs in the HF matrix keratinocytes closely adjacent
to the dermal papilla, and then, in more advanced catagen stages, is
seen in the regressing outer and inner root sheaths and in the
epithelial strand.10
This leads to the rapid shortening of
cyclic portion of the HF associated with dermal papilla relocation from
the subcutis to the dermis/subcutis border, where it contacts secondary
hair germ and bulge.
In this article, we show that p53 plays a role in apoptosis
during HF regression: p53 protein is increased in the regressing HF
compartments during catagen (Figure 1)
, and p53 knockout mice are
characterized by significant catagen retardation, compared to wild-type
mice (Figure 2)
. Furthermore, we show that compared to the wild-type
controls, p53-deficient HFs display a decrease in Bax and IGF-BP3, and
an increase of Bcl-2 proteins (Figure 3, AD)
.
Numerous indications suggest that p53 mediates apoptosis followed by
growth factor withdrawal without DNA damage in hemopoietic cells and
neurons.33-35,40
During anagen, dermal papilla
fibroblasts secrete numerous growth factors (IGF-I, keratinocyte growth
factor, stem cell factor, hepatocyte growth factor/scatter factor)
maintaining active proliferation and differentiation in hair matrix
keratinocytes.39,41-45
Because HF transition from anagen
to catagen is characterized by the decline in secretion of growth
factors by dermal papilla for hair matrix
keratinocytes,2-6
we speculate that p53 may serve as a
candidate molecule mediating apoptosis in hair matrix keratinocytes
after growth factor withdrawal.
It was reported previously that steady-state levels of the p53
transcripts are found in murine skin during HF anagen-catagen-telogen
transition.9
In other models, it was demonstrated that
during apoptotic cell death, p53 protein is dramatically up-regulated
mostly because of the posttranslational regulation.46
We
show here that p53 protein is increased in hair matrix keratinocytes
closely adjacent to the dermal papilla in catagen II HFs (Figure 1B)
and that p53 is co-localized with TUNEL in the hair matrix during
catagen III (Figure 1C)
. We also show that, in contrast to wild-type
HFs, hair matrix of p53 null catagen II-III HFs is characterized by a
significant decline of TUNEL-positive cells (Figure 2, FH)
, as well
as by down-regulation of Bax and up-regulation of Bcl-2 (Figure 3, AD)
. Both Bax and Bcl-2 proteins are encoded by genes, where
expression is regulated by p53.38,39
Other data indicate
that during catagen hair matrix keratinocytes do not show pro-apoptotic
Fas or p75NTR and are characterized by relatively weak immunoreactivity
for p55TNFR.10
Together these observations suggest that
p53 may indeed mediate early steps of growth factor withdrawal-induced
apoptosis in hair matrix keratinocytes during catagen, most likely via
an increasing Bax/Bcl-2 ratio.
However, p53 protein is also increased in the proximal outer and inner
root sheaths of catagen HFs and we cannot exclude p53 involvement in
mediating apoptosis in those HF compartments as well. In the outer root
sheath keratinocytes, p53 may mediate apoptosis induced by
neurotrophins interacting with p75NTR,11
in the same way
as in neurons.35
In addition, in the proximal outer and
inner root sheaths, p53 may regulate expression of IGF-BP3, which
prevents interaction of dermal papilla-derived IGF-I, known by its
anagen-promoting activity,38,39
with IGF-R1 expressed on
hair matrix keratinocytes, thus accelerating HF anagen transition.
Indeed, we show strong down-regulation of IGF-BP3 protein in catagen
HFs of p53 knockout mice, compared to wild-type HFs (Figure 3, E and F)
.
Taken together, our data suggest that p53 is required for mediating
apoptotic cell death in the HF during physiological HF regression in
mice. This suggests p53 as a universal modulator of apoptosis in the HF
cells induced either by growth factor withdrawal (in the absence of DNA
damage), or after DNA damage induced by ionizing radiation or
chemotherapy.23,47
It was recently shown that a small
molecule acting as a p53 inhibitor efficiently reduces the side effects
of ionizing radiation in mice, presumably by suppressing p53-mediated
apoptosis.48
We thus presume that a local pharmacological
blockade of p53 by synthetic antagonists may provide a new therapeutic
strategy for the management of hair growth disorders with premature
entry into catagen, such as androgenetic alopecia, alopecia areata, and
telogen effluvium.
 |
Footnotes
|
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Address reprint requests to Dr. Vladimir A. Botchkarev, Department of Dermatology, Boston University School of Medicine, 609 Albany St., Boston, MA 02118. E-mail: vladbotc{at}bu.edu
Supported by grant IRG-72-001-26-IRG from the American Cancer Society (to V. A. B.), by grants from the National Institutes of Health CA75179 and Quark Biotech, Inc. (to A. V. G.), and by a grant from the Herzog Foundation (to B. A. G).
Accepted for publication February 21, 2001.
 |
References
|
|---|
-
Chase HB: Growth of the hair. Physiol Rev 1954, 34:113-126[Free Full Text]
-
Paus R: Control of the hair cycle and hair diseases as cycling disorders. Curr Opin Dermatol 1996, 3:248-258
-
Cotsarelis G: The hair follicle: dying for attention. Am J Pathol 1997, 151:1505-1509[Medline]
-
Stenn K, Parimoo S, Prouty S: Growth of the hair follicle: a cycling and regenerating biological system. Chuong CM eds. Molecular Basis of Epithelial Appendage Morphogenesis. 1998, :pp 111-131 R. G. Landes Company, Austin
-
Paus R, Cotsarelis G: The biology of hair follicles. N Engl J Med 1999, 341:491-498[Free Full Text]
-
Stenn KS, Paus R: Control of hair follicle cycling. Physiol Rev 2001, 81:449-494[Abstract/Free Full Text]
-
Straile WZ, Chase HB, Arsenault C: Growth and differentiation of hair follicles between activity and quiescence. J Exp Zool 1961, 148:205-222
-
Parakkal PF: Morphogenesis of the hair follicle during catagen. Z Zellforsch Mikrosk Anat 1970, 107:174-186[Medline]
-
Seiberg M, Marthinuss J, Stenn KS: Changes in expression of apoptosis-associated genes in skin mark early catagen. J Invest Dermatol 1995, 104:78-82[Medline]
-
Lindner G, Botchkarev VA, Botchkareva NV, Ling G, van der Veen C, Paus R: Analysis of apoptosis during hair follicle regression (catagen). Am J Pathol 1997, 151:1601-1617[Abstract]
-
Botchkarev VA, Botchkareva NV, Albers KM, Chen L-H, Welker P, Paus R: A role for p75 neurotrophin receptor in the control of apoptosis-driven hair follicle regression. FASEB J 2000, 14:1931-1942[Abstract/Free Full Text]
-
Foitzik K, Lindner G, Mueller-Roever S, Maurer M, Botchkareva N, Botchkarev V, Handjiski B, Metz M, Hibino T, Soma T, Dotto GP, Paus R: Control of murine hair follicle regression (catagen) by TGF-beta1 in vivo. FASEB J 2000, 14:752-760[Abstract/Free Full Text]
-
Levine AJ: p53, the cellular gatekeeper for growth and division. Cell 1997, 88:323-331[Medline]
-
Giaccia AJ, Kastan MB: The complexity of p53 modulation: emerging patterns from divergent signals. Genes Dev 1998, 12:2973-2983[Free Full Text]
-
Sionov RV, Haupt Y: The cellular response to p53: the decision between life and death. Oncogene 1999, 18:6145-6157[Medline]
-
Buckbinder L, Talbot R, Velascomiguel S, Takenaka I, Faha B, Seizinger BR, Kley N: Induction of the growth inhibitor IGF-binding protein-3 by p53. Nature 1995, 391:646-649
-
Miyashita T, Harigai M, Hanada M, Reed JC: Identification of a p53-dependent negative response element in the Bcl-2 gene. Cancer Res 1994, 54:3131-3135[Abstract/Free Full Text]
-
Miyashita T, Reed JC: Tumor suppressor protein is a direct transcriptional activator of human bax gene. Cell 1995, 80:293-299[Medline]
-
Muller M, Strand S, Hug H: Drug-induced apoptosis in hepatoma cells is mediated by the CD95 (APO-1/Fas) receptor/ligand system and involves activation of wild-type p53. J Clin Invest 1997, 99:403-413[Medline]
-
Werner H, Karnieli E, Rauscher FJ, LeRoith D: Wild-type and mutant p53 differentially regulate transcription of the insulin-like growth factor I receptor gene. Proc Natl Acad Sci USA 1998, 93:8318-8323[Abstract/Free Full Text]
-
Zhang J, Miranda K, Ma BY, Fine A: Molecular characterization of the mouse Fas ligand promoter in airway epithelial cells. Biochem Biophys Acta 2000, 1490:291-301[Medline]
-
Commo S, Bernard BA: Immunohistochemical analysis of tissue remodeling during the anagen-catagen transition of the human hair follicle. Br J Dermatol 1997, 137:31-38[Medline]
-
Botchkarev VA, Komarova EV, Siebenhaar F, Botchkareva NV, Komarov PG, Maurer M, Gilchrest BA, Gudkov AV: p53 is essential for chemotherapy-induced hair loss. Cancer Res 2000, 60:5002-5006[Abstract/Free Full Text]
-
Jacks T, Remington L, Williams BO, Schmitt EM, Halachmi S, Bronson RT, Weinberg RA: Tumor spectrum analysis in p53-mutant mice. Curr Biol 1994, 4:1-7[Medline]
-
Paus R, Handjiski B, Eichmuller S, Czarnetzki BM: Chemotherapy-induced alopecia in mice. : Induction by cyclophosphamide, inhibition by cyclosporine A, and modulation by dexamethasone. Am J Pathol 1994, 144:719-734[Abstract]
-
Paus R, Schilli MB, Handjiski B, Menrad A, Henz BM, Plonka P: Topical calcitriol enhances normal hair regrowth but does not prevent chemotherapy-induced alopecia in mice. Cancer Res 1996, 56:4438-4443[Abstract/Free Full Text]
-
Paus R, Muller-Rover S, Van Der Veen C, Maurer M, Eichmuller S, Ling G, Hofmann U, Foitzik K, Mecklenburg L, Handjiski B: A comprehensive guide for the recognition and classification of distinct stages of hair follicle morphogenesis. J Invest Dermatol 1999, 113:523-532[Medline]
-
Botchkarev VA, Botchkareva NV, Welker P, Metz M, Subramaniam A, Lewin GR, Braun A, Lommatzsch M, Renz H, Paus R: A new role for neurotrophins: involvement of brain-derived neurotrophic factor and neurotrophin-4 in hair cycle control. FASEB J 1999, 13:395-410[Abstract/Free Full Text]
-
Botchkarev VA, Welker P, Albers KM, Botchkareva NV, Metz M, Lewin GR, Bulfone-Paus S, Peters EMJ, Lindner G, Paus R: A new role for neurotrophin-3: involvement in the regulation of hair follicle regression (catagen). Am J Pathol 1998, 153:785-799[Abstract/Free Full Text]
-
Botchkarev VA, Botchkareva NV, Roth W, Nakamura M, Chen L-H, Herzog W, Lindner G, McMahon JA, Peters C, Lauster R, McMahon AP, Paus R: Noggin is a mesenchymally-derived stimulator of hair follicle induction. Nat Cell Biol 1999, 1:158-164[Medline]
-
Handjiski BK, Eichmuller S, Hofmann U, Czarnetzki BM, Paus R: Alkaline phosphatase activity and localization during the murine hair cycle. Br J Dermatol 1994, 131:303-310[Medline]
-
Paus R, Stenn KS, Link RE: Telogen skin contains an inhibitor of hair growth. Br J Dermatol 1990, 122:777-784[Medline]
-
Gottlieb E, Haffner R, von Ruden T, Wagner EF, Oren M: Down-regulation of wild-type p53 activity interferes with apoptosis of IL-3 dependent hematopoetic cells following IL-3 withdrawal. EMBO J 1994, 13:1368-1374[Medline]
-
Prisco M, Hongo A, Rizzo MG, Sacchi A, Baserga R: The insulin-like growth factor I receptor as physiologically relevant target of 53 in apoptosis caused by interleukin-3 withdrawal. Mol Cell Biol 1997, 17:1084-1092[Abstract]
-
Aloyz RS, Bamji SX, Pozniak CD, Toma JG, Atwal J, Kaplan DR, Miller FD: p53 is essential for developmental neuron death as regulated by the TrkA and p75 neurotrophin receptors. J Cell Biol 1998, 143:1691-1703[Abstract/Free Full Text]
-
Hansen LS, Coggle JE, Wells J, Charles MW: The influence of the hair cycle on the thickness of mouse skin. Anat Rec 1984, 210:569-573[Medline]
-
Maurer M, Handjiski B, Paus R: Hair growth modulation by topical immunophilin ligands: induction of anagen, inhibition of massive catagen development, and relative protection from chemotherapy-induced alopecia. Am J Pathol 1997, 150:1433-1441[Abstract]
-
Philpott MP, Sanders DA, Kealey T: Effects of insulin and insulin-like growth factors on cultured human hair follicles: IGF-I at physiologic concentrations is an important regulator of hair follicle growth in vitro. J Invest Dermatol 1994, 102:857-861[Medline]
-
Rudman SM, Philpott MP, Thomas GA, Kealey T: The role of IGF-I in human skin and its appendages: morphogen as well as mitogen? J Invest Dermatol 1997, 109:770-777[Medline]
-
Gottlieb E, Oren M: p53 facilitates pRb cleavage in IL-3 deprived cells: novel pro-apoptotic activity of p53. EMBO J 1998, 17:3587-3596[Medline]
-
Guo L, Degenstein L, Fuchs E: Keratinocyte growth factor is required for hair development but not for wound healing. Genes Dev 1996, 10:165-175[Abstract/Free Full Text]
-
Shimaoka S, Imai R, Ogawa H: Dermal papilla cells express hepatocyte growth factor. J Dermatol Sci 1994, 7 (Suppl):S79-S83
-
Hibberts NA, Messenger AG, Randall VA: Dermal papilla cells derived from beard hair follicles secrete more stem cell factor (SCF) in culture than scalp cells or dermal fibroblasts. Biochem Biophys Res Commun 1996, 222:401-405[Medline]
-
Lindner G, Menrad A, Gherardi E, Merlino G, Welker P, Handjiski B, Roloff B, Paus R: Involvement of hepatocyte growth factor/scatter factor and met receptor signaling in hair follicle morphogenesis and cycling. FASEB J 2000, 14:319-332[Abstract/Free Full Text]
-
Botchkareva NV, Khlgatian M, Longley BJ, Botchkarev VA, Gilchrest BA: SCF/c-kit signaling is required for cyclic regeneration of hair pigmentation unit. FASEB J 2001, 15:645-658[Abstract/Free Full Text]
-
Kastan MB, Onyekwere O, Sidransky D, Vogelstein B, Craig RW: Participation of p53 protein in the cellular response to DNA damage. Cancer Res 1991, 51:6304-6311[Medline]
-
Song S, Lambert PF: Different responses of epidermal and hair follicle cells to radiation correlate with distinct patterns of p53 and p21 induction. Am J Pathol 1999, 155:1121-1127[Abstract/Free Full Text]
-
Komarov PG, Komarova EA, Kondratov RV, Christov-Tselkov K, Coon JS, Chernov MV, Gudkov AV: A chemical inhibitor of p53 that protects mice from the side effects of cancer therapy. Science 1999, 285:1733-1737[Abstract/Free Full Text]
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