Abstract
In the current study, the alopecia areata gene was introduced into the C57BL/6 (B6) mouse through repeated backcrossing/intercrossing, and the allelic homozygosity of congenic AAtjmice (named B6.KM-AA) was verified using microsatellites. The gross appearance, growth characteristics, pathological changes in skin, and major organs of B6.KM-AA mice were observed. Counts and proportions of CD4+ and CD8+ T lymphocytes in peripheral blood were determined by flow cytometry. Results show that congenic B6.KM-AA mice were obtained after 10 generations of backcrossing/intercrossing. B6.KM-AA mice grew slower than B6 control mice and AA skin lesions were developed by four weeks of age. The number of hair follicles was reduced, but hair structures were normal. Loss of hair during disease progression was associated with CD4+ and CD8+ T lymphocytes infiltration peri- and intra- hair follicles. No pathological changes were found in other organs except for the skin. In the peripheral blood of B6.KM-AA mice, the percentage of CD4+ T cells was lower and percentage of CD8+ T cells higher than in control mice. These findings indicate that B6.KM-AA mice are characterized by a dysfunctional immune system, retarded development and T-cell infiltration mediated hair loss, making them a promising new animal model for human alopecia areata.
Keywords: Alopecia areata, Congenic mouse, T-lymphocytes, CD4, CD8
Alopecia areata (AA) is a common disease in humans, can affect any hair-bearing region of the body, and usually shows with acute non-inflammatory alopecia parvimaculata, but unfortunately its underlying mechanisms are not fully understood but it is correlated with genetic background, emotional stress, endocrine dyscrasia and autoimmunity. Hereditary susceptibility is one of the most important factors of AA, and approximately 25% patients have affected family members. Due to increasing stress from study and work, a growing number of people are affected by hair loss. In some cases, it results in psychological effects such as reduced self-esteem, and in extreme cases may even induce depression or suicide. It is therefore vital to investigate the underlying mechanisms of AA, identify the related genes and explore possible therapeutic targets (Sun et al, 2008).
AA mouse models have played important roles in AA studies. For example, Sundberg et al (1994) found that 20% of C3H/HeJ mice spontaneously develop adult onset AA by 18 months of age, and the progression of this complicated multi-genetic disorder is quite similar to the clinical symptoms of human AA. In addition to laboratory mice, AA-like hair loss has been noticed in inbred Dundee rats (McElwee et al, 1996). Recently, with availabilities of C3H/HeJ mice and Dundee rats, concerted attempts have been made to understand the genetics, pathogenesis and treatment of AA (Michie et al, 1991; McElwee et al, 2002; Sundberg et al, 1996); however, due to the low incidence (20%) of AA in C3H/HeJ mice, validation of a new AA animal model is necessary.
The mice used here (current name: Alopecia Areata Tongji, AAtj) are characterized by progressive hair loss and were initially discovered 10 years ago during the propagation of KM mice by the Laboratory Animal Center at Tongji University. During years of conservation breeding, attempts have previously been made to introduce the mutant genes into other inbred strains by repeated backcrossing/intercrossing, but the documntation related to this process are missing. To establish an inbred mice strain with a purified genetic background, we introduced the AA gene into C57BL/6 (B6) mice by repeated backcrossing/intercrossing. The development and pathogenesis of this congenic inbred AA mouse strain (B6.KM-AA) was then evaluated. The validation of this B6.KM-AA mice model will likely facilitate future AA mutant gene location, identification and related investigations into the biological characteristics of this condition.
MATERIALS AND METHODS
Experimental animals
AAtj mice were acquired from Hangzhong Normal University four years ago. Clean AAtj mice and control B6 mice were provided by the Laboratory of Experimental Animal Science, Hangzhong Normal University (Laboratory Animal Production and Use License: SCXK [Zhejiang] 2011-0048; SYXK [Zhejiang] 2011-0157). Experimental animals were housed in protective animal rooms with a 12/12 h light cycle, with temperature at 23±2 ℃ and humidity at 55±5%. Animals were fed Co60 irradiated food ad libitum. Caging and bedding materials were changed frequently and sterilized using heat.
Experimental equipment and reagents
Reagents used in polymerase chain reaction (PCR) were from Sangon Biotech (Shanghai, China). Monoclonal antibodies (CD4+ (ab25475), CD8+ (ab25478)) and Rat IgG (horse radish peroxidase) (ab6734) were products of Abcam (Cambridge, UK). CD3-PE/Cy7, CD4-PE, CD8-FITC and parallel control antibodies were from BD Bioscience (San Diego, CA). Experimental equipment and manufacturers were: PCR machine (BIOS, 1000), electrophoresis apparatus (Tanon, EPS300), gel imaging system (Tomon, 2500), paraffin embedding machine (MicRom, AP280), rotary microtome (MicRom, HM335E), pathological tissue floating and drying apparatus (Huali Electronics, Changzhou, China), flow cytometry (BD, FACSCalibur, Becton Dickinson, San Jose, CA, USA)), and upright camera microscope (Olympus, BX51).
Breeding of congenic B6.KM-AA mice
F1 AA mutant gene carriers without the AA phenotype were hybrids of AA phenotype mice and B6 mice. F2 mice with either the AA or normal phenotype were bred through F1 mice intercrossing. F3 mice were obtained by backcrossing AA phenotype F2 with B6 mice. Then, F4 mice were bred through F3 mice intercrossing. After several generations of repeated intercrossing, AA phenotype F10 mice were established for strain conservation.
Homozygosity evaluation of congenic B6.KM-AA mice
Genomic DNA extraction from the tip of the tails (0.5 cm) of F10 congenic B6.KM-AA mice was purified by protease K digestion followed by phenol: chloroform extraction. Thirty-nine mouse microsatellites established by our laboratory (Wu et al, 2003) were applied in the homozygosity evaluation.
Recessive inheritance validation
During breeding, total numbers of the AA phenotype and normal F2, F4, F6, F8, F10 mice were calculated. The practical ratio of mutant mice to normal mice and theoretical ratio derived from recessive inheritance were compared. Then, the practical number and percentage of AA phenotype G3 mice were compared with theoretical values derived from recessive inheritance. G3 mice were bred through the backcrossing of G2 (hybrids of B6.KM-AA mice and B6 mice) and G1 mice (B6.KM-AA mice).
Developments of congenic B6.KM-AA mice
Hair growth in litters from birth to 12 weeks of age was observed, and animal weight from birth to 8 weeks of age was recorded. Three-week-old males and females were caged separately and gains in mass were recorded and statistical analysis was done by taking normal B6 mice bred by our animal center as controls.
Hair observation of congenic B6.KM-AA mice
Hair samples from dorsal areas of the should blades of six 8-week-old B6.KM-AA mice (3 males, 3 females) and six B6 mice (3 males, 3 females) were mounted on dimethyl benzene marinated glass slides, sealed with neutral balsam and then observed under a microscope.
Major organs and pathology of skin tissues of B6.KM-AA mice
Mice used in the hair observation were euthanatized by cervical dislocation. Major organs, including brain, heart, liver, spleen, lung, kidney, thymus, adrenal gland, testicle, appendix testis, uterus and ovary were fixed by 10% formalin. After dehydration, infiltration, embedding, sectioning and Hematoxylin-Eosin (HE) staining they were observed under a light scope.
Three males and 3 females of B6.KM-AA mice and B6 mice by birth, 2 weeks, 4 weeks, 6 weeks, 8 weeks and 12 weeks of age were euthanatized by cervical dislocation. Dorsal skin samples were fixed using 10% formalin. After dehydration, infiltration, embedding, sectioning and HE staining skin tissue pathology was observed under a light scope.
Immunohistochemistry staining
Paraffin sections of skin tissues were used in horseradish peroxidase conjugated CD4+ and CD8+ immunohistochemical experiment. Working concentrations of CD4+, CD8+ and rat IgG (HRP) were 1:50, 1:50 and 1:100, respectively. Sections were incubated in primary antibody at 4 ℃ overnight, and then in secondary antibody at 37 ℃ for 60 min, followed with chromogenic staining by 3, 3'-diaminobenzidine (DAB) and Hematoxylin counterstaining. Phosphate Buffered Saline (PBS) was used as the negative control of primary antibody.
Analysis of peripheral blood CD4+ and CD8+ T lymphocytes
Retro-orbital venous blood samples (200 μL) were collected from three male and three female B6. KM-AA mice and B6 mice at 8 weeks of age, and then transferred into anticoagulant sodium heparin tubes. Tubes were gently converted to prevent coagulating and were kept on ice. Next, 100 μL blood samples were transferred into polystyrene tubes with CD3-PE/Cy7 (5 μL), CD4-PE (5 μL) and CD8-FITC (2 μL) monoclonal antibodies. Meanwhile, negative and blank controls were set. Blood samples were incubated in the dark at 4 ℃ for 30 min and then 2 mL 1× FACS lysing solution was added. After incubation in the dark at 4 ℃ for 15 min, samples were centrifuged at 4 ℃ for 5 min at 1500 r/min. Supernatants were discarded and cell pellets were rinsed with ice-cold PBS 1-2 times, then centrifuged again at 4 ℃ for 5 min at 1 500 r/min. Supernatants were discarded and cell pellets were resuspended with 400 μL PBS. Five thousand cells/tube went through flow cytometry and numbers of CD3+, CD4+ and CD8+ cells were recorded. Results were analyzed using Cell Quest.
Statistical analysis
All statistical analysis was conducted via SPSS17.0 (SPSS Inc, Chicago, IL). Heritability patterns were determined using chi-square tests. All other data were analyzed using independent-sample t-tests. All results are expressed as mean±SD.
RESULTS
Breeding of congenic B6.KM-AA mice
AAtj mice came from white KM mice and were characterized by black hair and a close appearance to B6 mice. After two years and 10 generations of backcrossing/intercrossing with B6 mice, we obtained F10 AA mice. This AA mutant mice strain was then conserved by inbred breeding and named B6.KM-AA according to naming regulations of gene introgession. After 10 generations of crossing, theoretically, the genetic background of B6.KM-AA mice is 96.88% [1-(50%)5], consistent with that of B6 mice. Moreover, homozygosity detection based on 19 microsatellites (D1Mit416, D1Mit180, D2Mit62, D2Mit249, D4Mit214, D4Mit55, D5Mit356, D5Mit409, D7Mit230, D7Mit318, D7Mit203, D10Mit70, D11Mit229, D15Mit171, D15Mit29, D17Mit123, D17Mit224, D18Mit187 and D18Mit149) showed a single band for each locus of all mice, indicating the B6 genetic background of this congenic B6.KM-AA mice strain (Figure 1).
B6.KM-AA recessive inheritance confirmation
During the breeding of B6.KM-AA mice, among the 235 individuals obtained from F2, F4, F6, F8 and F10 generations, 49 were with AA phenotype and 186 were normal. Chi-square values and P values were calculated by comparing mice numbers with recessive inheritance patterns of a single gene (χ2=0.753, P=0.385). Therefore, the single recessive inheritance of the AA mutant gene was confirmed. The G2 hybrids of B6. KM-AA and B6 mice were all normal, whereas, 24 AA phenotype mice were bred among 54 hybrids of G2 and B6.KM-AA mice. The single recessive inheritance of B6.KM-AA mice was also confirmed (χ2=0.12, P=0.729).
Development observation of B6.KM-AA mice
Hair growth in juvenile B6.KM-AA mice was normal. Patchy hair loss was developed by 4 weeks of age on the head and face. Symptoms were more obvious with increasing age and were severe by 12 weeks of age, characterized by sparse, short and thin hair (Figure 2). However, hair structures were normal with aligned internal medulla (not shown in the figure). From birth to 4-weeks-old, B6.KM-AA mice were lighter than control B6 mice. No significant difference in mass between 5-week-old B6.KM-AA males and controls was observed, whereas, female B6.KM-AA mice were consistently and significantly lighter than controls until puberty. These patterns indicate retarded development in B6.KM-AA mice compared with B6 mice (Figure 3).
Major organs, pathology and immunology of skin tissues
From birth to 2 weeks of age, no differences in skin tissue between B6.KM-AA and B6 mice were found. Lymphocyte infiltration could be seen around hair follicles in B6.KM-AA mice by 4 weeks of age and worsened with disease progression. Lymphocyte infiltration in hair follicles was obvious, accompanied with hair follicle dystrophy and number reduction. Those symptoms were most severe in 12-week-old B6.KM-AA mice and could not be seen in control B6 mice. Monoclonal immunohistochemistry showed CD8+ T lymphocyte positive expression around hair follicles and the root sheath derived from skins of B6.KM-AA mice, whereas, only small CD4+ T lymphocytes expression was found around hair follicles (Figure 4)
No significant abnormality was found in paraffin sections of major organs of B6.KM-AA mice, including brain, heart, liver, spleen, lung, kidney, thymus, adrenal gland and intestine (not shown).
Analysis of CD4+ and CD8+ T lymphocytes in peripheral blood of B6.KM-AA
No significant differences in peripheral blood total lymphocytes between B6.KM-AA mice and normal control B6 mice were found. Compared with normal control B6 mice, B6.KM-AA mice had higher expression of CD8+ T lymphocytes, but lower expression of CD4+ T lymphocytes (Figure 5, Table 1).
Table 1.
B6.KM-AA mice (mean±SD) | B6 mice (mean±SD) | P value (t-test) | |
CD3 (%) | 57.24±5.23 | 55.80±4.62 | 0.626-0.617 |
CD4 (%) | 30.35±4.47 | 36.42±4.43 | 0.036-0.041 |
CD8 (%) | 26.89±3.16 | 19.39±0.59 | <0.01 |
DISCUSSION
Although AAtj mice were first identified and isolated over 10 years ago, research progression has been inconsistent and not well documented. AAtj mice were originally from white KM mice, but until now, their black hair and body appearance were quite close to B6 mice. The uncertainty in genetic background has hindered studies and the efficacy of this mouse model. The most important component of our study is the successful introduction of the AA mutant gene into a B6 background. After 10 generations of continuous introduction over two years, theoretically, the genetic background consistency of B6.KM-AA with B6 has reached 96.88% (1-(50%)5). In general, an inbred strain needs 20 generations of intercrossing and the allele homozygosity should reach 98.6%. In our case, taking into account B6-like characteristics AAtj mice originally had, we assume the allele homozygosity of B6.KM-AA is over 96.88% and is relatively stable. Allele homozygosity detection conducted with microsatellite markers indicates the single genetic background of B6.KM-AA mice. More importantly, this purified genetic background does not influence the development of the AA phenotype in B6.KM-AA mice, but clarifies the single genetic recessive inheritance of the AA mutant gene, which can be used in model characteristic analysis and related genetic chromosome localization.
Symptoms of patchy hair loss initiated by 4 weeks of age in B6.KM-AA mice and get worse with age. Hair follicle dystrophy and reduction as well as CD4+ and CD8+ T lymphocyte infiltrations around hair follicles are more obvious with disease progression. Low expression of CD4+ T lymphocytes, but high expression of CD8+ T lymphocytes in peripheral blood of B6.KM-AA mice compared with normal control mice indicates immune dysfunction. It is believed that the loss of hair follicles is mediated by T lymphocyte infiltration. The mechanisms of AA are yet to be determined, but most researchers believe it is a systemic autoimmune disorder. Studies on C3H/HeJ mice claimed that the main reason for AA is because CD4+ and CD8+ T lymphocytes attack the body's own anagen hair follicles and suppress or stop hair growth, a process which TNF-α, IL-6, IL-12, IFN-γ, IL-10, IL-4 and many other cell factors also play a role in (McElwee et al, 1998). McElwee et al (1996) and Freyschmidt-Paul et al (2000) found that using monoclonal antibodies to reduce counts of CD4+ and CD8+ T lymphocytes and inhibit inflammatory cell infiltrations restrains the development of AA. Perret et al (1984) found that the percentage of CD8+ T lymphocytes in peripheral blood of human AA patients was significantly low, whereas around hair follicles the ratio of CD4+/CD8+ is only 4:1. Chen et al (2005) adopted immunohistochemistry techniques to evaluate T lymphocytes in skin lesions of human AA patients and found that during the active phase and stable phase, cell infiltrations of CD4+ T lymphocytes are significantly higher than CD8+ T lymphocytes around hair follicles and vessels. Huang et al (2007) reported that in both minor and severe cases of AA, expressions of CD4+ and CD8+ T lymphocytes are all higher than those of control groups. Our results presented here support the idea that AA is related to cellular immunity and T lymphocyte infiltration in hair follicles plays an important role in disease progression. However, further questions such as the disorder in CD4+/CD8+ lymphocytes remain unanswered.
Over 14 mice strains have been reported with sparse hair phenotype (Wu et al, 2009; Zang et al, 2009; Li et al, 199; Tian et al, 2004), but experience congenital hair loss like in the snthr-1Bao mice strain bred in our lab. Therefore, their hair loss symptoms are neither required nor progressive as in human AA (Wu et al, 2010; Wu et al, 2009). C3H/HeJ mice are a widely applied AA animal model. Sundberg et al (2003) identified the pathogenic QTL locus on the 17th chromosome of C3H/HeJ mice, but relevant functional research is difficult. C3H/HeJ mice have also been used in medication research and development. It has been reported that SADBE (squaric acid dibutylester), DPCP (diphenylcyclopropenone), glucocorticosteroid, cyclosporine (CsA), tacrolimus (FK506) and minoxidil all promote hair regeneration (Sun et al, 2008). However, although the pathology in C3H/HeJ mice is similar to that in humans, the low incidence (20%) and uncertainty in identifying pathogenic genes have hampered its application as a human AA mouse model. Moreover, the homologies of pathogenic AA genes between humans and mice are pivotal in the establishment of an animal model (Mao & Zheng, 2006; Peters et al, 2007). The AA mutant gene in our study is a spontaneous mutation and characterized by single genetic recessive inheritance. Disease progression is close to that in human AA patients, which is beneficial for future pathogenic gene localization and colonial identification. In summary, the B6.KM-AA mice bred in our study are a promising AA animal model, and can be used in studies into the molecular mechanisms of AA, observations of medication efficacy and strain conservation of economic fur animals.
Funding Statement
This work was supported by the Public Program of the Science Technology Department, Zhejiang (2011C37077) and the National Natural Science Foundation of China (31071092)
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