title: Stress inhibits hair growth in mice by induction of premature catagen development and deleterious perifollicular inflammatory events via neuropeptide substance P-dependent pathways.
abstract: It has been much disputed whether or not stress can cause hair loss (telogen effluvium) in a clinically relevant manner. Despite the paramount psychosocial importance of hair in human society, this central, yet enigmatic and controversial problem of clinically applied stress research has not been systematically studied in appropriate animal models. We now show that psychoemotional stress indeed alters actual hair follicle (HF) cycling in vivo, ie, prematurely terminates the normal duration of active hair growth (anagen) in mice. Further, inflammatory events deleterious to the HF are present in the HF environment of stressed mice (perifollicular macrophage cluster, excessive mast cell activation). This provides the first solid pathophysiological mechanism for how stress may actually cause telogen effluvium, ie, by hair cycle manipulation and neuroimmunological events that combine to terminate anagen. Furthermore, we show that most of these hair growth-inhibitory effects of stress can be reproduced by the proteotypic stress-related neuropeptide substance P in nonstressed mice, and can be counteracted effectively by co-administration of a specific substance P receptor antagonist in stressed mice. This offers the first convincing rationale how stress-induced hair loss in men may be pharmacologically managed effectively.
authors.affiliation: Department of Internal Medicine, Charite School of Medicine, Humboldt University, Berlin, Germany. petra.arck@charite.de
authors.forename: Petra Clara
authors.initials: PC
authors.lastname: Arck
authors.forename: Bori
authors.initials: B
authors.lastname: Handjiski
authors.forename: Eva Milena J
authors.initials: EM
authors.lastname: Peters
authors.forename: Anita S
authors.initials: AS
authors.lastname: Peter
authors.forename: Evelin
authors.initials: E
authors.lastname: Hagen
authors.forename: Axel
authors.initials: A
authors.lastname: Fischer
authors.forename: Burghard F
authors.initials: BF
authors.lastname: Klapp
authors.forename: Ralf
authors.initials: R
authors.lastname: Paus
mesh_terms: D000161:Acoustic Stimulation; D000818:Animals; D017209:Apoptosis; D002453:Cell Cycle; D005260:Female; D006197:Hair / Q000187:drug effects / Q000254:growth & development* / Q000473:pathology; D018859:Hair Follicle / Q000166:cytology / Q000187:drug effects / Q000473:pathology / Q000503:physiopathology*; D020287:In Situ Nick-End Labeling; D007249:Inflammation / Q000473:pathology / Q000517:prevention & control; D051379:Mice; D008810:Mice, Inbred C57BL; D008808:Mice, Inbred CBA; D013315:Stress, Psychological / Q000473:pathology / Q000503:physiopathology*; D013373:Substance P / Q000494:pharmacology*
chemical_list: D013373:Substance P