doi:10.1016/j.ejcb.2007.03.006
Copyright © 2007 Elsevier GmbH All rights reserved.
Hair follicle stem cells: Walking the maze
Stephan Tiedea, Jennifer E. Kloeppera, b, Enikö Bodòa, Sanjay Tiwaric, Charli Krused and Ralf Pausa,
, 
aDepartment of Dermatology, University Hospital Schleswig-Holstein, University of Lübeck, Ratzeburger Allee 160, D-23538 Lübeck, Germany
bDepartment of Molecular Medicine, Max-Planck-Institute for Biochemistry, Martinsried, Germany
cDepartment of Surgery, Molecular Oncology Section, University Hospital Schleswig-Holstein, University of Kiel, Kiel, Germany
dFraunhofer-Institute of Biomedical Engineering, Group of Cell Differentiation and Cell Technology at the University of Lübeck, Lübeck, Germany
Received 11 December 2006;
revised 20 March 2007;
accepted 21 March 2007.
Available online 18 June 2007.
References and further reading may be available for this article. To view references and further reading you must
purchase this article.
Abstract
The discovery of epithelial stem cells (eSCs) in the bulge region of the outer root sheath of hair follicles in mice and man has encouraged research into utilizing the hair follicle as a therapeutic source of stem cells (SCs) for regenerative medicine, and has called attention to the hair follicle as a highly instructive model system for SC biology. Under physiological circumstances, bulge eSCs serve as cell pool for the cyclic regeneration of the anagen hair bulb, while they can also regenerate the sebaceous gland and the epidermis after injury. More recently, melanocyte SCs, nestin+, mesenchymal and additional, as yet ill-defined “stem cell” populations, have also been identified in or immediately adjacent to the hair follicle epithelium, including in the specialized hair follicle mesenchyme (connective tissue sheath), which is crucial to wound healing. Thus the hair follicle and its adjacent tissue environment contain unipotent, multipotent, and possibly even pluripotent SC populations of different developmental origin. It provides an ideal model system for the study of central issues in SC biology such as plasticity and SC niches, and for the identification of reliable, specific SC markers, which distinguish them from their immediate progeny (e.g. transient amplifying cells). The current review attempts to provide some guidance in this growing maze of hair follicle-associated SCs and their progeny, critically reviews potential or claimed hair follicle SC markers, highlights related differences between murine and human hair follicles, and defines major unanswered questions in this rapidly advancing field.
Keywords: Hair follicle; Stem cell (SC); Epithelial SC; Mesenchymal SC; Melanocyte SC; Epidermal neural crest SC; Label-retaining cells; Skin-derived precursors
 |
Fig. 1. Hair follicle SC populations and their supposed location during the hair cycle. Cyclical changes in hair follicle growth are divided into different stages, referred to as anagen, catagen, and telogen. Hair follicle epithelial and melanocyte SCs localize to the bulge at the site of arrector pili muscle insertion (see blow-up). During anagen, rapidly proliferating progenitor cells in the bulb generate the hair shaft and its surrounding inner root sheath. The onset of catagen is marked by completion of proliferation as well as by apoptosis of the epithelial cells below the bulge. The mesenchymally-derived dermal papilla survives catagen and moves to the lowermost portion of the bulge during telogen, which then forms the secondary hair germ at its base as a pool for melanocyte SCs, which are moved down from the bulge, and maybe for a second epithelial SC population (see blow-up). As the new hair shaft grows in, the old hair is shed. Possible SCs populations and their locations in the human hair follicle are indicated in the anagen VI hair follicle blow-up illustrations.
Fig. 2. Cellular metabolism and SC function. Elements of the local environment that participate in regulating the system of SCs are depicted. SC function include the architectural niche, physical engagement of the cell membrane with molecules on neighboring cells, signaling interactions of SC and niche or descendent cells, endocrine and paracrine signals, neural signals and metabolic products.
Fig. 3. Simplified hierarchy and interactions of eSC regulators. Red color denotes a relative “stem-ness”, green color indicates increasing commitment towards a hair follicle-type epithelial differentiation pathway. Abbreviations in common use: Lhx2, LIM homeobox protein 2 (NM_010710); p63, tumor protein p73-like (TP73L, NM_003722); NFκB, nuclear factor of kappa light polypeptide gene enhancer in B-cells inhibitor, epsilon (NFKBIE, NM_518507); Wnt, wingless-type MMTV integration site family (WNT, NM_003393); Tcf3, transcription factor 3 (Tcfe2a, NM_011548); Noggin, bone morphogenetic protein 4 (NOG, NM_130851); Bmp, bone morphogenetic protein 1 (BMP1, NM_006129); Rac1, ras-related C3 botulinum toxin substrate 1 (rho family, small GTP binding protein Rac1, AJ132695); Shh, sonic hedgehog homolog (SHH, NM_000193). Modified after Tiede and Paus (2006).
Fig. 4. Expression of K15 in the bulge region (A) and in the lower portion (B) of human anagen VI hair follicle. Human scalp sections were stained against keratin 15 (LHK15-antibody, Chemicon, USA) and visualized by immunofluorescence (A) and immunohistochemistry (B).
Table 1.

Table 2.
A pragmatic approach to identifying and distinguishing distinct hair follicle stem cell populations and their progeny

Abbreviations: SC, stem cells; HF, hair follicle; ORS, outer root sheath; ES, embryonic stem cells; TA, transient amplifying cells.
+++most usable positive marker.
−−−most usable negative marker.