

Human Hair Follicle Stem Cells: Histomorphometry and Differentiation Capabilities
Stem cell technologies is attracting the attention of a lot research workers as a promising future tool of regenerative medicine and therapy for many diseases particularly those involving loss of cells or loss cell functions such diabetes mellitus, myocardial infarction, vitiligo, and alopecia. Adult stem cell is attracting greater interest because using them for therapy means curing people with their own cells. Accordingly, attention towards adult stem cell research is progressively increasing. Human hair follicle stem cells (HHFSCs) are adult stem cells that are assumed to have great potentials for regenerative medicine and replacement therapy that can be utilized for wound healing and management of skin depigmentation disorders. HHFSCs reside a specific location in hair follicles called the hair bulge region, which occupies the space between the sebaceous gland and the base of the hair follicle. The hair bulge is visually discernible in some mammals but is not identifiable in routinely stained histological sections of the human skin. It can only be identified using immunohistochemically using specific markers such as CD200, PHLDA1, follistatin, cytokeratin 15 and 19.
Histomorphometry is a quantitative microscopic analysis of tissues; it involves measuring parameters that include cell volume densities and surface areas in routine histological sections. It may also involve measuring levels of expression of specific markers in immunohistochemically stained section. In the hair follicle bulge region of the human skin, histomorphometry aims at analyzing the size, shape, and spatial relations of the different types of cells which include stem cells, keratinocytes at different stages of differentiation, melanocytes, Langerhans cells and Merkel cells. It is anticipated that such an analysis would help in better understanding of the stem cell niche, identifying specific markers for these cells, and assessing their role in hair follicle cycling and tissue repair. HHFSCs represent a remarkably handy tool for regenerative medicine and cell therapy. Investigating into these cells and the niche they could pave the way for pioneering treatments in dermatology and regenerative medicine. Progresses in addressing the potentials of HHFSCs will open a widow for an easy supply of stem cells for treatment of conditions ranging from hair loss to vitiligo and multiple sclerosis.
Objectives
The basic objective of this study is to characterize and define the exact location of the human presumptive bulge area, determine the volume densities of its component stem cells and functional cells, to depict the capabilities of its cells to differentiate into functional keratinocytes, melanocytes, Schwann cells and oligodendrocytes. It also aims at utilizing the stem cells and the functional cells as future therapies for own cutaneous and non-cutaneous pathological conditions including skin wound healing, skin depigmentation disorders, nerve injuries and neurodegenerative diseases.
This project is expected to lay down a foundation for an adult hair follicle stem cell research center at the college of medicine, King Saud university.
Methodology
In the initial phase of the study will be based on scalp sample obtained from cadavers kept in the department anatomy. Tissue samples will be processed routinely for H&E and trichrome stained sections. The volume densities of the epidermis, dermis, and hair follicles will be obtained by point counting on histological section. The volume densities of the HHFSCs, melanocytes, keratinocytes, Langerhans cells, and Merkel cells will be depicted utilizing immunohistochemically stained sections utilizing specific markers for HHFSCs and the functional cells.
In the 2nd phase fresh scalp samples will be obtained from volunteers under informed consent by a dermatologist. Samples will be transported appropriately in an ice-cold transport medium to college labs where excess fat is trimmed off, and the sample diced into small pieces. The diced samples will be subjected to enzymatic dissociation in 12.5 mg/ml dispose (Invitrogen, Carlsbad, CA) in Dulbecco’s modified Eagle’s medium (DMEM) for 24 hours at 4°C. After treatment, the epidermis will be peeled off from the dermis, and hair follicles plucked from the dermis. Hair follicles will then be rinsed thoroughly with phosphate-buffered saline to prevent contaminating epidermal or dermal cells and will be examined under an inverted microscope. To confirm the integrity of plucked hair follicles, some of the hair follicles will be fixed in 10% buffered formalin, embedded in paraffin, and processed for H&E sections.
In the 3rd phase cell separation from the follicle will be done by enzymatic (collagenase, dispose, trypsin) digestion, filtering and centrifugation. The cells will be cultured in the HHFSC culture medium (Human Hair Follicle Stem Cell Complete Media with Serum) and checked by the growth curve and flow cytometry to analyze cell populations based on specific marker expression to quantify the differentiated cell. HHFSCs will be seeded into the non-cell-adhesive microwell array device at different cell densities and checked with a phase contrast microscope and colony forming assay and confirmed by RT-PCR.
In phase 4 the HHFSCs will be induced to differentiate into functional cells by culturing them in culture media containing growth factors and signaling molecules specific to keratinocytes and melanocytes. For differentiation into keratinocytes epidermal growth factor or keratinocyte growth factor can be used. Melanocyte differentiation will be achieved by using a melanocyte differentiation medium.
In the 5th phase, skin wound healing animal models will be used to evaluate the capability of HHFSCS in promoting skin wound healing. The healing process will be assessed histologically and electron microscopically. Emphasis will be on histomorphometric analysis of acute epidermal wound healing and wound closure.
Outcomes
It is anticipated that this project will:
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Define the exact location of multipotent stem cells in the outer root sheath of the human hair follicle and determine their volume density out of the total volume the hair follicle, thus paving the way for dermatologist to collect them directly from the skin of healthy people or patients with skin disorders.
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Confirm the multipotency of the human hair follicle stem cells and their capabilities in providing functional keratinocytes, melanocytes, Merkel cells, Schwann cells and oligodendrocytes and melanocytes. These cells can be used in the future for own therapy; in particular, melanocytes can be used for treatment of hypopigmentation disorders, Schwann cells for nerve injury therapies, and oligodendrocytes for multiple sclerosis.
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Confirm capability of the human hair follicle stem cells in promoting skin wound healing.
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Make HHFSCs available for any other therapeutic use.