Introduction
The most obvious function of a hair follicle (HF) is to produce a hair fiber, but it has long been noted that follicles also contribute to healing of injured skin. Wounds that remove the surface epidermis but leave HFs relatively intact are reepithelialized simultaneously across the entire wound, with patches of new epidermis seen spreading outwards from the necks of the HFs. In contrast, deep wounds that destroy the HFs are slower to heal and do so only from the margins (
Bishop, 1945Regeneration after experimental removal of skin in man.
). Recognition of these different healing modes has led to a realization that wound depth is critical when treating burn cases, with shallow wounds left to reepithelialize of their own accord, while deep wounds typically receive grafts of surface epidermis from uninjured sites (
Papini, 2004ABC of burns—management of burn injuries of various depths.
).
Consistent with their role as a repair reservoir, HFs maintain a variety of the skin's stem cells, including those of both the keratinocyte (
) and melanocyte (
Nishimura et al., 2002- Nishimura E.K.
- Jordan S.A.
- Oshima H.
- Yoshida H.
- Osawa M.
- Moriyama M.
- et al.
Dominant role of the niche in melanocyte stem-cell fate determination.
) lineages. These stem cell populations reside a specialized niche in the lower permanent region of the HF, termed the bulge, protected well below the skin surface. The keratinocyte stem cells fuel cyclical HF and hair growth through life (
Morris et al., 2004- Morris R.J.
- Liu Y.
- Marles L.
- Yang Z.
- Trempus C.
- Li S.
- et al.
Capturing and profiling adult hair follicle stem cells.
) and their progeny contribute to the interfollicular epidermis (IFE) during wound repair, though they are not involved in maintaining homeostasis in intact skin (
Ito et al., 2005- Ito M.
- Liu Y.
- Yang Z.
- Nguyen J.
- Liang F.
- Morris R.J.
- et al.
Stem cells in the hair follicle bulge contribute to wound repair but not to homeostasis of the epidermis.
;
Levy et al., 2005- Levy V.
- Lindon C.
- Harfe B.D.
- Morgan B.A.
Distinct stem cell populations regenerate the follicle and interfollicular epidermis.
). There appear to be several distinct epidermal stem and progenitor cell populations within the HF, with progenitor cells residing in the infundibulum of the upper follicle (
Nijhof et al., 2006- Nijhof J.G.
- Braun K.M.
- Giangreco A.
- van Pelt C.
- Kawamoto H.
- Boyd R.L.
- et al.
The cell-surface marker MTS24 identifies a novel population of follicular keratinocytes with characteristics of progenitor cells.
), in addition to the well-characterized and slightly deeper bulge stem cells. Emigration of cells from the HF to the IFE has been observed in wounded mouse skin using DNA synthesis labels to tag the rapidly dividing cells of the upper HF (
Taylor et al., 2000- Taylor G.
- Lehrer M.S.
- Jensen P.J.
- Sun T.T.
- Lavker R.M.
Involvement of follicular stem cells in forming not only the follicle but also the epidermis.
). More recently, cre recombinase-based lineage tracing has been used to label either the bulge stem cells and their progeny in the lower follicle using the
Keratin15 promoter (
Ito et al., 2005- Ito M.
- Liu Y.
- Yang Z.
- Nguyen J.
- Liang F.
- Morris R.J.
- et al.
Stem cells in the hair follicle bulge contribute to wound repair but not to homeostasis of the epidermis.
), or the entire follicle, including most of the upper infundibular region, using the
Shh promoter (
Levy et al., 2005- Levy V.
- Lindon C.
- Harfe B.D.
- Morgan B.A.
Distinct stem cell populations regenerate the follicle and interfollicular epidermis.
). These approaches have found that following wound healing between 25 and 50% of cells in the repaired IFE are of HF origin (
Ito et al., 2005- Ito M.
- Liu Y.
- Yang Z.
- Nguyen J.
- Liang F.
- Morris R.J.
- et al.
Stem cells in the hair follicle bulge contribute to wound repair but not to homeostasis of the epidermis.
;
Levy et al., 2005- Levy V.
- Lindon C.
- Harfe B.D.
- Morgan B.A.
Distinct stem cell populations regenerate the follicle and interfollicular epidermis.
,
Levy et al., 2007- Levy V.
- Lindon C.
- Zheng Y.
- Harfe B.D.
- Morgan B.A.
Epidermal stem cells arise from the hair follicle after wounding.
); however, the functional requirement for this HF cell contribution and the consequences of its absence are unknown.
HF primordia are produced during embryonic development via a series of epithelial–mesenchymal interactions. The sites of HF formation first become morphologically distinct as a thickened placode of epithelial cells. This placode grows down into the underlying dermis, undergoes differentiation, and ultimately produces a hair fiber (
). On mouse trunk skin initiation of HF development occurs in three temporally distinct waves: with primary HFs initiated at embryonic day 14 (E14), secondary HFs at E16, and tertiary HFs around birth. On the tail only primary HFs develop, with their formation starting at E16. A number of molecules are known to be involved in regulating HF fate specification and morphogenesis (
), with some factors playing roles that are restricted to a subset of follicle types. Mutations that impair the Eda receptor (Edar) signaling pathway, composed of the ligand ectodysplasin (Eda), its receptor Edar, and the cytoplasmic signaling adapter Edar-associated death domain (Edaradd), result in a complete absence of primary HFs, though secondary HFs do develop (
Headon et al., 2001- Headon D.J.
- Emmal S.A.
- Ferguson B.M.
- Tucker A.S.
- Justice M.J.
- Sharpe P.T.
- et al.
Gene defect in ectodermal dysplasia implicates a death domain adapter in development.
). Thus mutations affecting components of this pathway yield an adult mouse with secondary HFs on the trunk and a complete absence of HFs on the tail.
We have addressed the functional roles of HF-derived cells in wound healing using Edaradd mouse mutants with developmental defects in HF formation. The tail skin of these mutants provides a model that entirely lacks all classes of cutaneous adnexae, such as HFs, scales, and eccrine sweat glands, to study the repair capacity of IFE in isolation. Initially we characterized the epidermal stem cell status of Edaradd mutant tail skin through development and into adult life. We then wounded this skin to analyze the effects of a lack of HF-associated stem cells on epidermal repair rate and mechanisms. We find that HF-derived cells aid in rapid epidermal production to aid acute wound closure, but that their absence is circumvented by the IFE, which recruits a larger area of epidermis when delayed healing becomes manifested.
Discussion
In exploring the role of HF-associated stem cells in wound healing, we used the Edaraddcr/cr mutant tail to model skin lacking all appendages that could provide keratinocytes to damaged IFE. In order to draw firm conclusions from this model system about the role of HFs in healing it was important to ensure that (i) Edaraddcr/cr mutant epidermis has the characteristics of WT IFE, and (ii) that Edaradd has no direct role in regulating stem cell behavior or wound healing. We compared the stem cell characteristics of mutant tail epidermis to WT IFE and found no significant difference in developmental course or adult condition between genotypes. In addition, we performed clonogenic, BrdU label retention, and wound healing assays on the haired mutant trunk skin. The results obtained did not differ from those of WT skin, allowing us to conclude that the effects we observe are indeed a secondary result of the absence of HF niches, and are not primarily caused by impaired Edaradd function.
During epidermal development we find that stem cell behavior is exhibited prior to the onset of HF formation, though this high clonogenic potential of the IFE is greatly decreased just before birth. The appearance of HF primordia increases stem cell potential, probably as a result of the complex molecular influences that generate the HF placode (
;
Rhee et al., 2006- Rhee H.
- Polak L.
- Fuchs E.
Lhx2 maintains stem cell character in hair follicles.
;
). After birth the majority of epidermal stem cells reside within the HFs; we found that HF-deficient tail skin has a clonogenic potential of about 2.5% than that of normal skin, and that the frequency of BrdU LRCs in hairless skin is reduced to approximately the same extent (we found 16 LRCs/mm
2 IFE, while approximately 650 LRCs reside within HFs in this area;
Braun et al., 2003- Braun K.M.
- Niemann C.
- Jensen U.B.
- Sundberg J.P.
- Silva-Vargas V.
- Watt F.M.
Manipulation of stem cell proliferation and lineage commitment: visualisation of label-retaining cells in wholemounts of mouse epidermis.
). This congruence agrees with reports that epidermal LRCs, though quiescent
in vivo, are the population that produces colonies
in vitro (
Morris and Potten, 1994Slowly cycling (label-retaining) epidermal cells behave like clonogenic stem cells in vitro.
). It has recently been reported that normal epidermal homeostasis does not rely on a specialized stem cell (
Clayton et al., 2007- Clayton E.
- Doupe D.P.
- Klein A.M.
- Winton D.J.
- Simons B.D.
- Jones P.H.
A single type of progenitor cell maintains normal epidermis.
), indicating that the LRCs we detect may be quiescent until an appropriate stimulus, such as wounding, occurs.
During wound repair, we find that HFs contribute to rapid epithelial closure. In isolation, mutant IFE shows delayed healing at 4 days post-incision. This agrees with the observation of cells of HF origin arriving in a wound between 2 and 4 days post-incision (
Ito et al., 2005- Ito M.
- Liu Y.
- Yang Z.
- Nguyen J.
- Liang F.
- Morris R.J.
- et al.
Stem cells in the hair follicle bulge contribute to wound repair but not to homeostasis of the epidermis.
). The absence of this HF input leads to recruitment of epidermal cells from a wider field around the lesion, suggesting that recruitment of IFE to wound repair expands until a sufficient overall response is mounted. Thus, during wound healing in haired skin the extent of responding IFE is normally limited by the provision of cells from the HFs.
In our experimental model the entire pilosebaceous unit is absent, removing all HF contributions to wound healing. The observed heterogeneity in epidermal stem cells within the adult bulge itself (
Blanpain et al., 2004- Blanpain C.
- Lowry W.E.
- Geoghegan A.
- Polak L.
- Fuchs E.
Self-renewal, multipotency, and the existence of two cell populations within an epithelial stem cell niche.
), as well as the presence of a distinct progenitor cell population in the infundibulum (
Nijhof et al., 2006- Nijhof J.G.
- Braun K.M.
- Giangreco A.
- van Pelt C.
- Kawamoto H.
- Boyd R.L.
- et al.
The cell-surface marker MTS24 identifies a novel population of follicular keratinocytes with characteristics of progenitor cells.
), means that we detect the net effect of removal of all of these potential inputs. The individual roles of each HF stem or progenitor cell type in cutaneous healing remains to be dissected.
In all, HFs provide a measurable contribution to the rate of reepithelialization from a wound margin, but this input is not essential for the healing of incisional wounds. It is possible, however, that severe wounds requiring massive epidermal repair would require HF stem cells to produce epidermis over an extended healing period. In addition to accelerating ingrowth at epidermal leading edges, as we demonstrate here, evenly spaced HFs provide islands of epidermal repair capacity in case of destruction limited to the surface epithelium. It is likely that their scattered distribution, in addition to any intrinsically superior repair ability, makes HF-derived cells such important agents in healing burn wounds.
Many growth factors that play roles in cutaneous wound healing have been identified, with fibroblast growth factor signaling known to play a key role in stimulating epithelial proliferation at the wound edge (
Werner et al., 1994- Werner S.
- Smola H.
- Liao X.
- Longaker M.T.
- Krieg T.
- Hofschneider P.H.
- et al.
The function of KGF in morphogenesis of epithelium and reepithelialization of wounds.
), and heparin-binding-EGF regulating epidermal cell migration (
Shirakata et al., 2005- Shirakata Y.
- Kimura R.
- Nanba D.
- Iwamoto R.
- Tokumaru S.
- Morimoto C.
- et al.
Heparin-binding EGF-like growth factor accelerates keratinocyte migration and skin wound healing.
). Recently, it has been shown that keratinocytes must express c-Met to contribute to wound healing, suggesting that its ligand, HGF/SF, may be a major mitogen and chemoattractant during wound repair (
Chmielowiec et al., 2007- Chmielowiec J.
- Borowiak M.
- Morkel M.
- Stradal T.
- Munz B.
- Werner S.
- et al.
c-Met is essential for wound healing in the skin.
) and could have a role in drawing cells out of the HFs during this process. Whether these, and many other (
), molecules known to be involved in reepithelialization preferentially regulate either HF-derived cells or keratinocytes of the IFE remains to be determined. Dissection of the possibly distinct molecular mechanisms that regulate the IFE and HF cellular inputs during wound healing will aid in our understanding of cutaneous repair and possibly in targeting therapies to accelerate and improve the outcome of this process.
Materials and Methods
Animals
Experimental animals were obtained from Edaraddcr/cr × Edaraddcr/+ or EdaTa/Ta × EdaTa/Y crosses. The Dct::lacZ line was provided by Ian Jackson (Medical Research Council Human Genetics Unit, Edinburgh, UK). For timed matings, the day on which a vaginal plug was detected was designated day 0.
PCR
For RT-PCR, RNA was isolated using TRI Reagent (Sigma, St Louis, MO) and reverse transcribed using random primers and AMV RT (Roche, Mannheim, Germany) in a 20 μl reaction. Reactions were diluted 10-fold and 1 μl used as template. Thermal cycling conditions were: 5 minutes 94°C, 25–33 cycles of 30 s at 94°C, 30 s at 60°C, and 1 minute at 72°C.
Oligonucleotides used were: mEdar S: 5′-GCACACTCATCCAGCACTTC- 3′, mEdar AS: 5′-TTCTCCTCGTGTGTGTTAGC-3′; mGapd S: 5′-CGTAGACAAAATGGTGAAGGTCGG-3′, mGapd AS: 5′-AAGCAGTTGGTGGTGCAGGATG-3′; mKrt1-10 S: 5′-GCTTTGGTGGCGGTAGCTAT-3′, mKrt1-10 AS: 5′-TCAGCCTGAAGTCATCAGCT-3′; mKrt1-14 S: 5′-GGCCCAGATCCAGGAGATGAT-3′, mKrt1-14 AS: 5′-CAGGGGCTCTTCCAGCAGTATC-3′; mShh S: 5′-GCAGATATGAAGGGAAGATC-3′, mShh AS: 5′-CCAGTCGAAACCTGCTTCCA-3′.
Antibodies
Rat monoclonal antibodies were used to detect Integrin á6 (1:100 dilution; Serotec Ltd, Oxford, UK), CD34 (1:50; Pharmingen Laboratories, Franklin Lakes, NJ), and BrdU (1:100; Abcam, Cambridge, UK). Mouse monoclonal antibodies were used to detect Keratin 15 (1:100; Abcam), Nestin (1:200; Chemicon International Inc., Temecula, CA), and PCNA (1:200; Abcam). Polyclonal rabbit antibodies were used to detect Tenascin-C (1:200; Chemicon International Inc.), Keratin 14, and Keratin 6 (1:500; Covance Research Products, Denver, PA). Secondary antibodies used were either biotinylated goat anti-rabbit antibody (1:200; Vector Laboratories Inc., Burlingame, CA), biotinylated rabbit anti-rat antibody (1:200; Vector Laboratories Inc.), or Alexa Fluor® 488 goat anti-rabbit IgG (1:100; Invitrogen, Paisley, UK).
Immunostaining
For staining of sectioned tissue, skin samples were fixed overnight in 4% paraformaldehyde at 4°C, transferred to 70% ethanol, embedded in paraffin wax, and sectioned at 7 μm. Tissue sections were deparaffinized in xylene and rehydrated in graded alcohols. Antigen retrieval was performed by microwaving tissue sections in 10 m
M sodium citrate (pH 6.0) for 1 minute, followed by 30 minutes incubation. When staining with mouse monoclonal antibodies, the MOM Basic kit (Vector Laboratories Inc.) was used. Otherwise, sections were blocked for 20 minutes in 5% normal goat serum. Primary antibodies were diluted in PBS and applied for 1 hour at room temperature. After washing in PBS, sections were incubated for 30 minutes at room temperature in secondary antibody and detected with either Vectastain ABC-peroxidase (Vector Laboratories Inc.) or Cy-3 streptavidin (1:100; Sigma Diagnostics Inc., St Louis, MO). Whole-mount immunostaining of tail epidermal sheets was performed as described (
Braun et al., 2003- Braun K.M.
- Niemann C.
- Jensen U.B.
- Sundberg J.P.
- Silva-Vargas V.
- Watt F.M.
Manipulation of stem cell proliferation and lineage commitment: visualisation of label-retaining cells in wholemounts of mouse epidermis.
). Images were scanned using a confocal microscope from the dermal side toward the epidermal surface to a total thickness of 40–80 μm, which encompassed the epidermis from the HF bulb to the basal layer of IFE.
BrdU Labeling and Detection
To generate LRCs, the protocol described by
Braun et al., 2003- Braun K.M.
- Niemann C.
- Jensen U.B.
- Sundberg J.P.
- Silva-Vargas V.
- Watt F.M.
Manipulation of stem cell proliferation and lineage commitment: visualisation of label-retaining cells in wholemounts of mouse epidermis.
was used. P10 littermates were given intraperitoneal injections of 50 μg BrdU/g body weight every 12 hours for a total of four injections and samples were collected 12 weeks later. Processed paraffin sections were incubated in 4
M HCl and washed in borate buffer. After blocking in 5% rabbit serum for 20 minutes, sections were incubated for 1 hour at room temperature with anti-BrdU antibody. Sections were incubated for 30 minutes at room temperature in secondary antibody and Vectastain ABC-peroxidase. For X-gal and BrdU double detection, tail skin from BrdU-labeled
Dct∷lacZ mice was immersed in X-gal staining solution for 5 hours prior to overnight fixation in 4% paraformaldehyde. Samples were then processed for BrdU detection.
Clonogenicity assays
Irradiated Swiss 3T3 fibroblasts (ATCC, Manassas, VA, catalog # 48-X) were seeded at a density of 250,000 cells per 60 mm culture dish in DMEM containing 10% fetal bovine serum and 1% penicillin/streptomycin/amphotericin (pen/strep/amp). Cells were allowed to attach to the dishes for 24 hours in 5% CO
2 at 37°C. Epidermal sheets were prepared by placing small skin pieces in 2 mg ml
−1 Dispase (Invitrogen) in PBS at 37°C for 30 minutes. Following incubation, the epidermis was gently teased from the dermis as an intact sheet using fine forceps. Epidermal cells were dissociated by treatment in 0.25% trypsin for 10 minutes with agitation. Dissociated keratinocytes were suspended in keratinocyte serum-free media (Invitrogen), supplemented with 18% DMEM, 10% fetal bovine serum, 0.2% pen/strep/amp, 1 m
M CaCl
2, 0.2 ng ml
−1 human recombinant epidermal growth factor, and 25 μg ml
−1 bovine pituitary extract, and 50,000 keratinocytes were seeded onto the feeder layers in each dish. Medium was changed twice weekly, beginning the second day after keratinocyte plating. After a 2-week culture, the dishes were rinsed with PBS and colonies were fixed with 10% formalin for 5 minutes and visualized by staining with 2% rhodamine B. A colony was defined as a cluster of 5 or more keratinocytes (
Silva-Vargas et al., 2005- Silva-Vargas V.
- Lo Celso C.
- Giangreco A.
- Ofstad T.
- Prowse D.M.
- Braun K.M.
- et al.
Beta-catenin and Hedgehog signal strength can specify number and location of hair follicles in adult epidermis without recruitment of bulge stem cells.
). For clonogenicity experiments involving E7 embryos, the entire yolk sac and embryo were trypsinized and plated. IFE and HF fractions were prepared from E18 tail skin essentially as described (
Yi et al., 2006- Yi R.
- O'Carroll D.
- Pasolli H.A.
- Zhang Z.
- Dietrich F.S.
- Tarakhovsky A.
- et al.
Morphogenesis in skin is governed by discrete sets of differentially expressed microRNAs.
). Freshly isolated tail skin was separated into IFE and dermis plus HF fractions by quickly and firmly tearing the IFE from the dermis using forceps. The dermal fraction, which contained the HFs, was placed in 0.2% collagenase for 30 minutes at 37°C. HFs were sedimented by centrifugation at 40
g for 5 minutes. HFs were washed twice with PBS and then HF and interfollicular epidermal fractions were dissociated into single cell suspensions using trypsin and used in clonogenicity assays. Each
n represents an individual animal throughout. For analysis of clonogenic potential in prenatal skin, three independent litters were used for each time point.
Incisional wounding
Full-thickness, 1 cm longitudinal incisions were made to 8- to 10-week-old mice on the dorsal surface of the tail using a scalpel, starting 1 cm from where the tail meets the body. Edaraddcr/+ animals were used as controls and were littermates of the Edaraddcr/cr mutants. All animals were observed to be healthy at the time of wounding and through the healing process. Three independent rounds of wounding were performed; n=10–15 for each genotype. Experimental procedures were approved by the University of Manchester and the UK Home Office.
Article info
Publication history
Accepted:
September 26,
2007
Received in revised form:
September 4,
2007
Received:
July 23,
2007
published online 22 November 2007
Copyright
© 2008 The Society for Investigative Dermatology, Inc. Published by Elsevier Inc.