Hairy moles may provide antidote for baldness, UCI researchers find

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The guy whose naked skull is pale and shiny — save that discolored mole shaped like Cuba near his ear, which inexplicably bristles with hair — may harbor an antidote to baldness.

Researchers at UC Irvine say they’ve zeroed in on the molecule responsible for hair strands sprouting from moles like that. Their peer-reviewed study, published June 21 in the respected scientific journal Nature, is being touted as a major baldness breakthrough.

File photo of Maksim Plikus, a Ph.D., professor of developmental and cell biology at UCI. (Photo by Mark Rightmire, Orange County Register/SCNG)
Maksim Plikus is a professor of developmental and cell biology at UCI. (Photo by Mark Rightmire, Orange County Register/SCNG) 

“This is a game changer for hair loss for a couple of reasons,” said Maksim Plikus, professor of developmental and cell biology at UCI and study lead.

“Instead of studying only mouse fur — research in this area is usually done with mouse fur — we said, ‘Enough of that. Let’s look at human hair. The solution to human hair loss is in humans.’”

Millions of people have skin growths — “nevi,” in scientific-speak — with hair growing out of them, “a really cool experiment that nature created itself,” he said.

“We looked at these hairy moles and were weird enough to care about them,” Plikus said. “Why is hair growing? We totally didn’t know. It was one of those medical mysteries. It takes people who look at the weird things and say, ‘Why is that?’”

Over some 10 years of work, the researchers identified a chemical released by a mole’s pigmented cells that “potently stimulates hair follicle stem cells for robust hair growth.” That molecule is osteopontin.

It was super hard to pin down, Plikus said, but reverse-engineering eventually bore fruit. Or hair, if you will.

Study published in Nature
Study published in Nature 

“Dermatologists, hair biologists and our patients have long recognized that some nevi induce luxurious hair growth, and this article elegantly demonstrates a novel mechanism for this phenomenon,” Dr. Luis Garza, professor of dermatology at Johns Hopkins School of Medicine, said by email. He was not involved with the research.

“After careful animal testing and human trials — that could take years — this work could lead to new medications that help patients with hair loss,” Garza said.

How it works

A critical difference between a hairy mole and adjacent skin (with short hairs) is that the moles contain those aforementioned pigmented cells. They’re older cells, done dividing. The science-speak for them is “senescent.”

Now, senescent cells are often viewed as, you know, sort of useless — detrimental to regeneration, driving the aging process. But this research shows the old dog can do some cool tricks.

These senescent cells don’t just sit there taking up space. They “linger around and secrete a bunch of stuff,” as Plikus put it. “They use molecular language — you can’t shut them up. They keep talking talking talking, communicating with non-aged cells, including stem cells.”

The bit of molecular language that’s important here is the aforementioned osteopontin, which apparently tells target stem cells to go full Rapunzel. The secreted osteopontin interacts with a molecule on the stem cells called CD44, apparently flipping the hair-growing switch to “gonzo.”

Plikus envisions a next-generation medicine that can trigger massive hair growth delivered via microinjection to scalps, say, once every six months or so. Sort of on a Botox schedule.

The researchers plan to study other molecules to fully understand what’s going on, and see if there are other potential pathways to hair regrowth. In addition to the team at UCI, research partners hail from all over the place, including China, France, Germany, Korea, Japan and Taiwan.

Commerce

Maksim Plikus, left, a Ph.D., a professor of developmental and cell biology at UC Irvine, along with Yingzi Liu, right, a MD-Ph.D., and postdoctoral researcher with the School of Biological Science, have discovered a protein that turns on dormant hair follicles so they grow hair again, on Friday, August 5, 2022 in Irvine. The image behind them shows a three-dimensional view of the skin of a genetically modified mouse to grow hair excessively which then also grew additional hair that was unlocked in the process. (Photo by Mark Rightmire, Orange County Register/SCNG)
Maksim Plikus, left,professor of developmental and cell biology at UC Irvine, with Yingzi Liu, a postdoctoral researcher, after their SCUBE3 paper in 2022. The image behind them shows a three-dimensional view of mouse skin. (Photo by Mark Rightmire, Orange County Register/SCNG) 

You may recall Plikus and the crew from their research from last year, which likened seemingly-dead hair follicles to a sea of sleeping 3D printers, just waiting for the command to power up. They figured out how to issue that command — by micro-injecting a protein that sounds a bit like “Scooby Doo” into mice.

“Our results identify SCUBE3 as a hair-growth activator,” said their paper, published in the journal Developmental Cell. “When microinjected for 4 days … recombinant human SCUBE3 induced significant hair growth in mouse back skin.”

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