Structure and Function - hair follicles Flashcards
What effect does substance P have on the hair cycle?
anti-proliferative and pro-apoptotic effects: abrupt cessation of anagen, increased apoptosis in hair follicle resulting in premature catagen, increased perifollicular macrophage clusters, incrreased mast cell degranulation
What effect does ACTH have on the hair cycle?
causes mast cell degranulation, activates hair growth in telogen skin, also induces premature transition to catagen
What is the “permanent” portion of the hair follicle?
isthmus and infundibulum
What is the predominant inflammatory cell associated with alopecia areata?
Cd8+ T cell lymphocytes in the bulb – CD4+ T cells in the peribulbar region
What is the role of KGF (keratinocyte growth factor) in the hair cycle?
promotes anagen; produced by anagen dermal papilla –> important for hair growth and cycling
Describe the changes that take place during early catagen (I-IV)
Dermal papilla moves upward, mitotic activity stops, apoptotic keratinocytes, pigmentation stops, trailing connective tissue sheath visible
What is the mutation in hairless Sphynx cats?
keratin 71 gene – keratin 71 is a type II keratin expressed throughout the IRS in mice and humans –> important for molding the hair shaft
What is immediate telogen release?
shortening of the normal telogen phase with exogen as follicles are stimulated to re-enter anagen (terminates telogen retention)
T/F: The number of hairs is reduced with follicular dysplasia.
False - normal number of hairs but hairs have structural changes –> hairs are fragile and malformed
Clinical presentation of mural mucinotic isthmus folliculitis of Lundehunds?
multifocal, patchy alopecia (may wax and wane); scaling, comedones, follicular casts; mild to severe pruritus; thorax, face and/or distal limbs most often affected
Exogenous factors that lead to initiation of anagen
TSH, T3/T4, day length
What effect do thyroid hormones have on the hair cycle
accelerate follicular activity; T4 upregulates human hair matrix keratinocytes; T3 and T4 down-regulate apoptosis, preventing catagen; T3 and T4 prolong anagen in vitro (via downregulation of TGF-beta –> inhibits anagen); anagen shortened*
T/F: Sphynx cats with the Hr mutation lack whiskers.
False - they have whiskers, but are short and curled
What are the two types of color-linked follicular dysplasias?
color dilution alopecia, black hair follicular dysplasia
What transcription factor is important for follicle induction?
Lef-1
What effect does promoting the wingless (wnt) signlaling pathway have?
new hair follicle induction
Poorly pigmented hairs characteristic of the prenatal period
Lanugo hairs
Describe the changes that take place during late anagen (IIIc-VI)
dermal papilla fully enclosed, DP in SQ, hair reaches surface, loss of club hair
Describe changes associated with Naked Foal Syndrome
Hypotrichosis and mild/moderate ichthyosis, nearly complete alopecia, vibrissae distorted**, die at a young age
Regions of the scalp (humans) that do not experience androgenic balding are higher in what enzyme involved in androgen pathways?
aromatase –> converts testosterone to estradiol in these follicles
Where does the outer root sheath keratinize?
level of isthmus – via trichilemmal keratinization
What effect does BMP-4 (bone morphogenic protein) have on Sonic hedgehog (Shh) and Wingless (Wnt) signaling?
inhibits their signaling –> inhibts hair growth
Histopathologic findings with alopecia areata
lymphocytic inflammation around and within the hair bulb; miniaturization of hair follicles below the sebaceous gland, pigmentary incontinence in the peribulbar region; peribulbar fibrosis (“onion skinning”), eosinophilic hair shafts, infundibular hyperkeratosis
T/F: Nail changes are possible with alopecia areata.
True - as well as hoof abnormalities in horses
What is the major component of the hair shaft?
Keratins (keratin intermediate filaments)
T/F: The hair shaft has no attachment to the infundibulum or isthmus.
True
What breeds are associated with post-natal ectodermal dysplasia? What is phenotype?
Pattern baldness: Portugese Water dog, Curly-coated retriever, Chesapeak Bay Retriever, Bald thigh syndrome in Greyhounds, etc.
Exogenous factors that lead to premature catagen induction
glucocorticoids, estrogen, substance P, NGF, TGF-beta-2
Possible pathomechanisms of post-clipping alopecia
clipping at early telogen stage –> hair regrowth delayed; time of year, geographic region; vascular perfusion changes in response to altered cutaneous temperature
Describe the isthmus of the hair follicle
proximal end of the infundibulum to the interface between the completely cornified IRS and the first non-cornifed cell of the Huxley’s layer (=Adamson’s fringe; approximately the insertion of the arrector pili muscle). Contains the HF stem cells
T/F: Exogen is a passive process where the new hair “pushes out” the old hair.
False - active process, involving proteolysis of intercellular adhesion molecules between the club hair and the surrounding epithelium
What produces the trichilemmal cornification?
outer root sheath
Mode of inheritance of naked foal syndrome? What breed is affected?
autosomal recessive (monogenic = ST14 gene) - -Akhal-Teke horses
What is the role of sonic hedgehog signaling in the hair cycle?
critical for induction of anagen; critical for hair follicle morphogenesis
T/F: Hair cycle arrest disorders cannot be differentiated on histopathology.
True - no features consistently differentiate them – all have increased kenogen follicles (likely that anagen is not being induced)
Mode of inheritance of hairless genotype in Xolo dogs?
autosomal dominant
Color-linked follicular dysplasias have been linked to what gene in some dog breeds?
melanophilin
Describe changes associated with X-linked anhidrotic/hypohidrotic ectodermal dysplasia
alopecia at birth; dentition changes - partial adontia, malformation, malposition; no glands are affected
What is the clinical presentation of proliferatve, lymphocytic, infundibular mural folliculitis with apoptosis and parakeratotic casts (PLIMF)?
only reported in Labrador retrievers, All dogs were female, median age of onset 6 years; Clinical signs: Thick, greyish-brown, adherent, hyperkeratotic plaques; variable alopecia; comedones in early lesions
What are the reported triggers of granulomatous mural folliculitis?
viral (caprine- and ovine-herpesvirus-2 – deer and goat), drugs (methimazole in a cat, various in the dog), or idiopathic
T/F: Intact females can show signs of Cushing’s disease due to activation of glucocorticoid receptors by progesterone.
False - even though progesterone DOES bind to the glucocorticoid receptor, intact females do not show cushingoid signs during their cycle
T/F: Dogs have androgen-responsive follicles.
False - do not grow hair in the presence of testosterone, do not lose hair in response to testosterone
What is chronic telogen defluxion?
increased telogen hair shedding occurring for 6 months or more (diagnosis made after ruling out other causes of hair loss)
T/F: Additional ectodermal defects may exist in combination with follicular dysplasia.
True - in people it is classified as a primary defect in at least two of the following: hair, teeth, nails, sweat glands
What has been shown to cause immediate telogen release?
minoxidil and response to rapid light/dark fluctuations
What effect do corticosteroids have on the hair cycle?
suppress anagen and catagen, including trauma-induced anagen; block keratinocyte growth factor (KGF) and hepatocyte growth factor (HGF); inhibits local IGF-1 production (stimulant of anagen); may also have effects on the estrogen receptors; Anagen shortened –> miniaturization and atrophy
T/F: Hair grows faster in the morning.
True - the circadian clock generates a daily mitotic rhythm –> radiation causes more hair loss when administered in the morning during the mitotic peak
What effect does estrogen have on BMP-4 (bone morphogenic protein)? What effect does this have on the hair cycle?
estrogen activates BMP-4 –> leads to inhibition of hair growth (dowregulates Shh, Wnt1 signaling)
T/F: Sphynx cats with the Hr mutation are hairless.
False - they have short fine hairs protruding from the follicular ostia with reduced diameter; hair is often curved and may have kinks, tufts of short hair on the ears, muzzle, tail, feet, and scrotum, whiskers are short and curled.
Histologic changes of hair cycle arrest disorders
hyperkeratosis, follicular dilation, follicular atrophy, telogen hairs, kenogen hairs ***, epidermal melanosis, epidermal atrophy
Exogenous factors that can inhibit anagen onset
glucocorticoids, estrogen, testosterone, BMP-4, IL-6, stress
Clinical presentation of feline proliferative and necrotizing otitis and dermatitis
Kittens and adult cats (median age = 1.75 years); hyperkeratotic, crusty, proliferative, firmly adherent plaques with or without erosions and ulceration - found on concave aspect of pinna and ear canals; lesions may also affect muzzle and paws; pain or pruritus seen
During what phase of the hair cycle does hair pigmentation occur?
anagen – melanosomes migrate and are transferred into hair matrix
From what embryonic tissue is the dermis formed?
mesoderm (composed of mesenchymal cells)
The coat type of cats is determined by genetic variants of what three genes?
KRT71 (keratin 71) = hairlessness in Sphynx, Curly coat in Devon Rex and Selkirk Rex; LPAR6=Curly coat in Cornish Rex and German Rex; FGF5 (fibroblast growth factor-5) = Long hair
Differences between adult coat and puppy coat
Adult coat develops secondary hairs, increased number of hair shafts, increased diameter of hair shafts, decrease in curvature of hair shaft
Histologic features of color-linked follicular dysplasias?
abnormal melanin clumping within hair cortex, medulla, bulb and periadnexally; hyperkeratosis and follicular keratosis
What is the Huxley layer?
part of the inner root sheath, 2-4 layers thick, keratinizes above Henle at the region known as Adamson fringe (keratogenous zone)
Mode of inheritance of hairless genotype in Sphynx cats?
autosomal recessive
T/F: Estrogens are essential for normal hair growth.
False - OVH does not significantly alter the coat
Clinical presentation of feline degenerative mucinotic mural folliculitis
generalized, progressive alopecia with scaling and crusting; leions first often presented on the face or neck; +/- pruritus; swollen face – especially the muzzle (all cases)
Exogenous factors that can lead to induction of exogen
stress, minoxidil
Clinical signs of alopecia areata
multifocal, well-demarcated patches of alopecia; leukotrichia; face most commonly affected; loss of eyelashes and whiskers possible; nail changes possible - trachyonchyia (sand paper nails with fine longitudinal ridges)
Describe the suprabulbar region of the hair follicle
Presence of a not yet fully cornified IRS characterized by trichohyalin granules in the cytoplasm of the cells
T/F: Follicular dysplasia of Weimaraners is more severe than other color dilution phenotypes.
False - similar to color dilution but less severe
Histologic changes with follicular dysplasia of Weimaraners
increased size and number of melanin aggregates; crater defects of hair shaft; dermal melanophages seen less frequently