Corticotropin-releasing hormone inhibits autophagy by suppressing PTEN to promote apoptosis in dermal papilla cells

Background Stress-related hair loss is on the rise, largely due to escalating levels of stress-related corticotropin-releasing hormone (CRH) through poorly defined mechanisms. CRH-mediated activation of corticotropin-releasing hormone receptors (CRHRs) on dermal papilla cells (DPCs) is a likely caus...

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Main Authors: Wenzi Liang, Xiuwen Chen, Na Ni, Chutong Zhuang, Zhiying Yu, Ziqing Xu, Yingshi Li, Changmin Lin, Keng Huang
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Annals of Medicine
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Online Access:https://www.tandfonline.com/doi/10.1080/07853890.2025.2490823
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author Wenzi Liang
Xiuwen Chen
Na Ni
Chutong Zhuang
Zhiying Yu
Ziqing Xu
Yingshi Li
Changmin Lin
Keng Huang
author_facet Wenzi Liang
Xiuwen Chen
Na Ni
Chutong Zhuang
Zhiying Yu
Ziqing Xu
Yingshi Li
Changmin Lin
Keng Huang
author_sort Wenzi Liang
collection DOAJ
description Background Stress-related hair loss is on the rise, largely due to escalating levels of stress-related corticotropin-releasing hormone (CRH) through poorly defined mechanisms. CRH-mediated activation of corticotropin-releasing hormone receptors (CRHRs) on dermal papilla cells (DPCs) is a likely cause of stress-related hair loss. The aim of the study is to elucidate the key mechanisms of alopecia caused by CRH and provide potential new targets for the treatment of stress-related hair loss.Methods 4D label-free quantitative proteomics of DPCs and the chronic unpredictable mild stress mouse (CUMS) model were used to explore the relationship and mechanism between CRH, DPCs and hair regeneration.Results CRH initially downregulated PTEN to suppress autophagy, leading to DPC apoptosis. Overexpression of PTEN enhanced autophagy and mitigated CRH-dependent DPC apoptosis. CRH inhibited PTEN and activated the PI3K/AKT/mTOR pathway, whereas rapamycin inhibited this pathway and activated autophagy, consequently lowering apoptosis, suggesting that increased susceptibility to apoptosis is caused by decreased autophagy. CUMS-induced hair growth disruption is accompanied by an increase in CRHRs and a decrease in PTEN levels within the dermal papilla. Intracutaneous injection of CRH impeded hair regeneration and decreased PTEN in mice, concurrent with inhibition of autophagy and increased apoptosis.Conclusions These findings indicate that PTEN loss coupled with PI3K/AKT/mTOR-mediated autophagy inhibition and apoptosis in DPCs is a key mechanism of stress-related hair loss induced by CRH and suggests that topical activation of PTEN or enhancement of autophagy, e.g. through rapamycin, may have a therapeutic effect on stress-induced hair loss disorders such as alopecia.
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spelling doaj-art-2e3d76113d0f4c348e5d71f368145e5b2025-08-20T02:09:40ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602025-12-0157110.1080/07853890.2025.2490823Corticotropin-releasing hormone inhibits autophagy by suppressing PTEN to promote apoptosis in dermal papilla cellsWenzi Liang0Xiuwen Chen1Na Ni2Chutong Zhuang3Zhiying Yu4Ziqing Xu5Yingshi Li6Changmin Lin7Keng Huang8Department of Histology and Embryology, Shantou University Medical College, Shantou, PR ChinaDepartment of Neurology, First Affiliated Hospital of Shantou University Medical College, Shantou, PR ChinaPhysical Examination Center, Second Affiliated Hospital of Shantou University Medical College, Shantou, PR ChinaPhysical Examination Center, Second Affiliated Hospital of Shantou University Medical College, Shantou, PR ChinaDepartment of Histology and Embryology, Shantou University Medical College, Shantou, PR ChinaDepartment of Histology and Embryology, Shantou University Medical College, Shantou, PR ChinaDepartment of Histology and Embryology, Shantou University Medical College, Shantou, PR ChinaDepartment of Histology and Embryology, Shantou University Medical College, Shantou, PR ChinaPhysical Examination Center, Second Affiliated Hospital of Shantou University Medical College, Shantou, PR ChinaBackground Stress-related hair loss is on the rise, largely due to escalating levels of stress-related corticotropin-releasing hormone (CRH) through poorly defined mechanisms. CRH-mediated activation of corticotropin-releasing hormone receptors (CRHRs) on dermal papilla cells (DPCs) is a likely cause of stress-related hair loss. The aim of the study is to elucidate the key mechanisms of alopecia caused by CRH and provide potential new targets for the treatment of stress-related hair loss.Methods 4D label-free quantitative proteomics of DPCs and the chronic unpredictable mild stress mouse (CUMS) model were used to explore the relationship and mechanism between CRH, DPCs and hair regeneration.Results CRH initially downregulated PTEN to suppress autophagy, leading to DPC apoptosis. Overexpression of PTEN enhanced autophagy and mitigated CRH-dependent DPC apoptosis. CRH inhibited PTEN and activated the PI3K/AKT/mTOR pathway, whereas rapamycin inhibited this pathway and activated autophagy, consequently lowering apoptosis, suggesting that increased susceptibility to apoptosis is caused by decreased autophagy. CUMS-induced hair growth disruption is accompanied by an increase in CRHRs and a decrease in PTEN levels within the dermal papilla. Intracutaneous injection of CRH impeded hair regeneration and decreased PTEN in mice, concurrent with inhibition of autophagy and increased apoptosis.Conclusions These findings indicate that PTEN loss coupled with PI3K/AKT/mTOR-mediated autophagy inhibition and apoptosis in DPCs is a key mechanism of stress-related hair loss induced by CRH and suggests that topical activation of PTEN or enhancement of autophagy, e.g. through rapamycin, may have a therapeutic effect on stress-induced hair loss disorders such as alopecia.https://www.tandfonline.com/doi/10.1080/07853890.2025.2490823Hair losshair regrowthchronic unpredictable mild stressPI3K/AKT/mTORhypothalamic–pituitary–adrenal axis
spellingShingle Wenzi Liang
Xiuwen Chen
Na Ni
Chutong Zhuang
Zhiying Yu
Ziqing Xu
Yingshi Li
Changmin Lin
Keng Huang
Corticotropin-releasing hormone inhibits autophagy by suppressing PTEN to promote apoptosis in dermal papilla cells
Annals of Medicine
Hair loss
hair regrowth
chronic unpredictable mild stress
PI3K/AKT/mTOR
hypothalamic–pituitary–adrenal axis
title Corticotropin-releasing hormone inhibits autophagy by suppressing PTEN to promote apoptosis in dermal papilla cells
title_full Corticotropin-releasing hormone inhibits autophagy by suppressing PTEN to promote apoptosis in dermal papilla cells
title_fullStr Corticotropin-releasing hormone inhibits autophagy by suppressing PTEN to promote apoptosis in dermal papilla cells
title_full_unstemmed Corticotropin-releasing hormone inhibits autophagy by suppressing PTEN to promote apoptosis in dermal papilla cells
title_short Corticotropin-releasing hormone inhibits autophagy by suppressing PTEN to promote apoptosis in dermal papilla cells
title_sort corticotropin releasing hormone inhibits autophagy by suppressing pten to promote apoptosis in dermal papilla cells
topic Hair loss
hair regrowth
chronic unpredictable mild stress
PI3K/AKT/mTOR
hypothalamic–pituitary–adrenal axis
url https://www.tandfonline.com/doi/10.1080/07853890.2025.2490823
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