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Hair Loss -- Defective Skin Immune Cell Link Unearthed

by Dr. Lakshmi Venkataraman on May 26, 2017 at 5:01 PM
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Highlights:

Regulatory T-cells in skin are critical in inducing stem cells within hair follicles to regenerate and cause hair growth, according to scientists from UC San Francisco. Without the Tregs, the stem cells cannot regenerate, consequently resulting in baldness.


"Our hair follicles are constantly recycling: when a hair falls out, the whole hair follicle has to grow back," said Michael Rosenblum, MD, PhD, an assistant professor of dermatology at UCSF and senior author on the new paper. "This has been thought to be an entirely stem cell-dependent process, but it turns out Tregs are essential. If you knock out this one immune cell type, hair just doesn't grow."

‘Discovery of the role of immune cells called Tregs in hair growth could lead to newer therapeutic options for hair loss (alopecia) and promotion of hair growth.’

How A Possible Role of Tregs In Hair Growth Was Suspected

During the course of his earlier research, Rosenblum was interested in delineating the role of resident Tregs in overall skin health. He and his team developed a technique to remove Tregs from the skin of mice in order to study them better. To their surprise, they noticed that hair from these areas never grew back again.

This prompted Dr Rosenblum and his team to delve deeper into the matter and investigate whether Tregs could possibly have a role in hair growth.

Confirming The Suspicions About The Role of Tregs In Hair Growth

The current study was led by post-doctoral fellow Niwa Ali. The significant observations made by his team in the course of their research included the following:

"It's as if the skin stem cells and Tregs have co-evolved, so that the Tregs not only guard the stem cells against inflammation but also take part in their regenerative work," Rosenblum said. "Now the stem cells rely on the Tregs completely to know when it's time to start regenerating."

Normal Role of Tregs In Inflammation

Tregs are immune regulatory T cells that are predominantly found in lymph nodes. They help the immune system to distinguish between self proteins that should be left alone and not attacked, and harmful foreign antigens which have to be dealt with summarily by the immune system.

If Tregs are defective, it results in autoimmune disease due to attack of self antigens and allergies to harmless agents like peanut protein and animal dander.

Some Tregs which reside in host tissues other than lymph nodes, for instance the skin, help develop tolerance to healthy skin bacteria in mice and also secrete substances that help in wound healing up to adulthood.

Scope of Tregs Role In Promoting Hair Growth

Alopecia or hair loss is a common occurrence and is associated with patches of hair loss from scalp, eyebrows and face.

Further studies by Dr Rosenblum have established that genes shown to be associated with hair loss were mostly related to Tregs. Treatment aimed at improving Treg function could help in treating alopecia.

Future Research Plans

Rosenblum plans to further study the role of skin Tregs in wound healing as the same hair follicle stem cells are stimulated to regenerate following skin injury.

"We think of immune cells as coming into a tissue to fight infection, while stem cells are there to regenerate the tissue after it's damaged," he said. "But what we found here is that stem cells and immune cells have to work together to make regeneration possible.

In conclusion, further research to gain a better understanding on the role of Tregs in hair growth could generate newer therapeutic options in the promotion of hair growth.

Reference:

  1. Niwa Ali, Bahar Zirak, Robert Sanchez Rodriguez, Mariela L. Pauli, Hong-An Truong, Kevin Lai, Richard Ahn, Kaitlin Corbin, Margaret M. Lowe, Tiffany C. Scharschmidt, Keyon Taravati, Madeleine R. Tan, Roberto R. Ricardo-Gonzalez, Audrey Nosbaum, Marta Bertolini, Wilson Liao, Frank O. Nestle, Ralf Paus, George Cotsarelis, Abul K. Abbas, Michael D. Rosenblum. "Regulatory T Cells in Skin Facilitate Epithelial Stem Cell Differentiation." Cell (2017). DOI: http://dx.doi.org/10.1016/j.cell.2017.05.002
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