A “New” Molecular Mechanism Proposed For Minoxidil
A study1 published in the June 2011 issue of the Journal of Dermatological Science may shed some light on the mechanisms by which minoxidil promotes hair regrowth.
Minoxidil, the FDA-approved active ingredient in Avacor Physicians Formulation®, has been clinically proven to regrow hair in patients with androgenetic alopecia (AGA). Although minoxidil is a vasodilator and is known to increase circulation and blood flow to the scalp, it is not completely clear how it achieves hair regrowth in AGA patients at the molecular level.
This exciting research shows that minoxidil activates the β-catenin pathway in vitro in cultured human dermal papilla cells, a population of cells in the hair follicle involved in the induction and maintenance of hair growth.
Previous research on β-catenin from Harvard Medical School has shown that β-catenin activity in the dermal papilla regulates the regeneration of hair2 and scientists at the University of Michigan found that simply activating β-catenin in skin cells is sufficient to trigger the active growth phase of the hair cycle in mice.3
While this finding still needs to be confirmed by other research groups, the authors’ suggestion that “minoxidil extends the anagen phase by activating β-catenin activity” offers an exciting hypothesis on the mechanism of action of minoxidil.
This hypothesis is especially interesting in light of other research showing that dihydrotestosterone (DHT), the hormone that causes AGA, inhibits β-catenin activity in hair follicle cells (see our previous post on "Mouse-Pattern Baldness").
Taken together, these two conclusions raise the possibility that 5-alpha reductase inhibitors (which block DHT production) could work in concert with minoxidil to further increase β-catenin activity and hair regeneration. Future research into any such potential additive or synergistic effects would be of great interest to the hair regrowth community.
_________________________
1. Kwack MH, Kang BM, Kim MK, Kim JC, Sung YK. Minoxidil activates beta-catenin pathway in human dermal papilla cells: A possible explanation for its anagen prolongation effect. J Dermatol Sci. 2011 Jun;62(3):154-9. Link to Pubmed
2. Enshell-Seijffers D, Lindon C, Kashiwagi M, Morgan BA. Beta-catenin activity in the dermal papilla regulates morphogenesis and regeneration of hair. Dev Cell. 2010 Apr 20;18(4):633-42. Link to Pubmed
3. Van Mater D, Kolligs FT, Dlugosz AA, Fearon ER. Transient activation of beta-catenin signaling in cutaneous keratinocytes is sufficient to trigger the active growth phase of the hair cycle in mice. Genes Dev. 2003 May 15;17(10):1219-24. Link to Pubmed
Mouse Pattern Baldness: A Step Forward in Androgenetic Alopecia Research
Animal models of human medical conditions are valuable tools for biomedical research and preclinical drug discovery. Last year a group of hair growth scientists at Wyeth Research (now part of Pfizer) unveiled a strain of genetically altered mice that were developed to mimic the biology of androgenetic alopecia (AGA).1
The mice were genetically engineered to express the human androgen receptor (AR) gene in their hair follicle cells. AR is the receptor for dihydrotestosterone (DHT), the hormone implicated in male pattern hair loss (see our previous post on anti-androgens for more information on AR and DHT).
As expected, DHT inhibited hair regeneration in these mice. When a patch of hair was removed from the backs of the mice, DHT treatment significantly reduced the rate of hair regrowth, simulating the action of androgens in AGA (see a picture of the results here on the Endocrinology website).
The effect of DHT on hair regrowth was completely reversed by treatment with an AR antagonist (hydroxyflutamide) and was not observed in genetically normal mice, proving that DHT's effects on hair were dependent on AR. One notable difference between these mice and human patients with AGA is that the inhibition of hair regrowth by DHT was only a temporary delay, rather than a persistent lack of growth.
The authors go on to suggest that AR influences hair growth by affecting a cell signaling pathway known as the Wnt/β-catenin pathway, which is essential for hair follicle development and hair growth.2
Based on the observation that AR inhibits β-catenin signaling in other cell types,3, 4 this study suggests that DHT may interfere with hair growth by blocking the actions of β-catenin in the hair follicle.
In the future the group plans to directly test the role of β-catenin by introducing another genetic modification that would allow them to easily turn the pathway on and off during the hair regeneration process. The authors conclude that this “mouse model will be a valuable tool for elucidating the mechanisms responsible for androgen-AR-dependent hair loss and the development of effective treatments for hair loss in humans.”
A companion article in the same issue of Endocrinology shares the same optimism and enthusiasm: "the potential for AR blocking β-catenin actions is interesting given the evidence that hair follicle development and cycling is dependent on Wnt-β-catenin signaling... The new mouse model will permit further characterization of the mechanism by which androgens alter β-catenin activity."
_________________________
1. Crabtree JS, Kilbourne EJ, Peano BJ, Chippari S, Kenney T, McNally C, Wang W, Harris HA, Winneker RC, Nagpal S, Thompson CC. A mouse model of androgenetic alopecia. Endocrinology. 2010 May;151(5):2373-80. Link to Pubmed
2. Kishimoto J, Burgeson RE, Morgan BA. Wnt signaling maintains the hair-inducing activity of the dermal papilla. Genes Dev. 2000 May 15;14(10):1181-5. Link to Pubmed
3. Chesire DR, Isaacs WB. Ligand-dependent inhibition of beta-catenin/TCF signaling by androgen receptor. Oncogene. 2002 Dec 5;21(55):8453-69. Link to Pubmed
4. Pawlowski JE, Ertel JR, Allen MP, Xu M, Butler C, Wilson EM, Wierman ME. Liganded androgen receptor interaction with beta-catenin: nuclear co-localization and modulation of transcriptional activity in neuronal cells. J Biol Chem. 2002 Jun 7;277(23):20702-10. Link to Pubmed
5. Walker WH. Is the "comb over" dying? A mouse model for male pattern baldness (androgenic alopecia). Endocrinology. 2010 May;151(5):1981-3. Link to Pubmed
