5-Bromo-3,4-dihydroxybenzaldehyde Promotes Hair Growth through Activation of Wnt/β-Catenin and Autophagy Pathways and Inhibition of TGF-β Pathways in Dermal Papilla Cells

Various studies addressing the increasing problem of hair loss, using natural products with few side effects, have been conducted. 5-bromo-3,4-dihydroxybenzaldehyde (BDB) exhibited anti-inflammatory effects in mouse models of atopic dermatitis and inhibited UVB-induced oxidative stress in keratinocytes. Here, we investigated its stimulating effect and the underlying mechanism of action on hair growth using rat vibrissa follicles and dermal papilla cells (DPCs), required for the regulation of hair cycle and length. BDB increased the length of hair fibers in rat vibrissa follicles and the proliferation of DPCs, along with causing changes in the levels of cell cycle-related proteins. We investigated whether BDB could trigger anagen-activating signaling pathways, such as the Wnt/β-catenin pathway and autophagy in DPCs. BDB induces activation of the Wnt/β-catenin pathway through the phosphorylation of GSG3β and β-catenin. BDB increased the levels of autophagic vacuoles and autophagy regulatory proteins Atg7, Atg5, Atg16L, and LC3B. We also investigated whether BDB inhibits the TGF-β pathway, which promotes transition to the catagen phase. BDB inhibited the phosphorylation of Smad2 induced by TGF-β1. Thus, BDB can promote hair growth by modulating anagen signaling by activating Wnt/β-catenin and autophagy pathways and inhibiting the TGF-β pathway in DPCs.


Introduction
Hair loss is defined by symptoms of thinning and decreasing hair on the body and head due to chemotherapy, immune abnormalities, and an imbalance of hormones and nutrients [1][2][3][4]. Although the effect of hair loss on human health is negligible, fear of first impressions and lack of confidence in patients with hair loss increases their desire for treatment. In 2014, more than one million patients with hair loss worldwide underwent surgical or nonsurgical treatment [5]. As of 2015, the global hair loss market was valued at over $7.3 billion [5]. Therefore, researchers have been trying to find a cure for hair loss. 2,4-Diamino-6-piperidinopyrimidine 3-oxide (minoxidil) and 17β-(N-tertbutylcarbamoyl)-4-aza-5α-androst-1-en-3-one (finasteride) are Food and Drug Administration (FDA)-approved drugs that have been used as therapeutic agents [6,7]. Nevertheless, minoxidil and finasteride have limited use because their effects on hair loss are temporary, and they exhibit side effects, such as infertility [8,9]. Various natural products, including caffeine, procyanidin B2, and vitamin D, are potential therapeutic candidates for hair

BDB Promotes an Increase in the Length of Hair Fibers on Cultured Vibrissa Follicles Ex Vivo
To investigate the hair growth effect of BDB, rat vibrissa follicles were isolated, as previously described [33]. Rat vibrissa follicles were cultured in a medium supplemented with BDB or minoxidil for 21 days. The length of hair fibers on the vibrissa follicles treated with minoxidil (10 µM), the positive control group, increased by 136.8% ± 24.0% compared to that in the control group (100% ± 26.6%). Treatment with 0.01, 0.1, and 1 µM BDB increased the length of hair fibers on the vibrissa follicles by 87.31% ± 17.7%, 98.29% ± 26.3%, and 175.7% ± 22.44% (p < 0.05), respectively, compared to that in the control group (Figure 1b,c). In particular, 1 µM BDB significantly increased the length of hair fibers on the vibrissa follicles compared to minoxidil (Figure 1b,c). cular endothelial growth factor (VEGF) and FGF-7 act as positive regulators tionally, TGF-β, FGF, and VEGF are closely associated with autophagy [16][17][18] agy is an evolutionarily conserved lysosomal degradation system in eukaryo important for maintaining cellular homeostasis [19,20]. Autophagy inhibition reported to be associated with hair follicle regression [21].
In DPCs, the mechanisms of action of minoxidil that have been identified clude inhibition of progression of the catagen phase by activation of the Wn pathway and inhibition of apoptosis by activation of Akt and Erk [22,23]. Chan cycle and cell cycle-related proteins are involved in the survival and death of m cells [24,25]. In DPCs, minoxidil exhibits a proliferative effect accompanied by in the levels of cell cycle-related proteins, such as cyclin D1, cdc2, and p34 [26, Interest in compounds found in marine natural products, including gre and red algae, sponges, and marine microorganisms, and their various physio tivities is increasing [28]. In previous studies, 5-bromo-3,4-dihydroxybenzaldeh was isolated from red algae, such as Polysiphonia morrowii [29]. BDB exhibits a matory effects in LPS-stimulated macrophages and dinitrochlorobenzene ( duced atopic dermatitis mouse models and inhibits ultraviolet B (UVB)-induced stress in keratinocytes [30,31]. In addition, BDB inhibits the production of inf cytokines in bone marrow-derived mast cells [32]. However, the effects of BD growth remain unknown. This study was conducted to elucidate the effect of B growth and its mechanism of action in DPCs, a key regulator of hair growth.

BDB Promotes an Increase in the Length of Hair Fibers on Cultured Vibrissa Foll Ex Vivo
To investigate the hair growth effect of BDB, rat vibrissa follicles were i previously described [33]. Rat vibrissa follicles were cultured in a medium sup with BDB or minoxidil for 21 days. The length of hair fibers on the vibrissa follic with minoxidil (10 μM), the positive control group, increased by 136.8% ± 24.0% to that in the control group (100% ± 26.6%). Treatment with 0.01, 0.1, and 1 μ creased the length of hair fibers on the vibrissa follicles by 87.31% ± 17.7%, 98.29 and 175.7% ± 22.44% (p < 0.05), respectively, compared to that in the control gro 1b,c). In particular, 1 μM BDB significantly increased the length of hair fibers brissa follicles compared to minoxidil (Figure 1b

BDB Activates the Wnt/β-Catenin Pathway
The Wnt/β-catenin pathway plays an essential role in hair growth, regeneration prolongation of the duration of the anagen phase [22,35,36]. Application of minoxi mouse skin prolonged the anagen phase of the hair cycle, which was attributed to a tion of the Wnt/β-catenin pathway by minoxidil in DPCs [22]. To investigate whether could activate the Wnt/β-catenin pathway in DPCs, the cells were stimulated with (0.01 and 0.1 μM) for 24 h. As a result, BDB treatment significantly increased the lev phospho(ser9)-glycogen synthase kinase3β (GSK3β) at concentrations of both 0.01 an μM (Figure 3a,b). At a concentration of 0.01 μM, BDB significantly increased the lev phospho(ser675)-β-catenin, whereas at a concentration of 0.1 μM, BDB significant creased the level of phospho(ser552)-β-catenin (Figure 3a,b). As shown in Figure  minoxidil significantly increased the levels of phospho(ser552)-β-catenin and p pho(ser675)-β-catenin. In addition, increased levels of phospho(ser552)-β-catenin

BDB Activates the Wnt/β-Catenin Pathway
The Wnt/β-catenin pathway plays an essential role in hair growth, regeneration, and prolongation of the duration of the anagen phase [22,35,36]. Application of minoxidil to mouse skin prolonged the anagen phase of the hair cycle, which was attributed to activation of the Wnt/β-catenin pathway by minoxidil in DPCs [22]. To investigate whether BDB could activate the Wnt/β-catenin pathway in DPCs, the cells were stimulated with BDB (0.01 and 0.1 µM) for 24 h. As a result, BDB treatment significantly increased the level of phospho(ser9)-glycogen synthase kinase3β (GSK3β) at concentrations of both 0.01 and 0.1 µM (Figure 3a,b). At a concentration of 0.01 µM, BDB significantly increased the level of phospho(ser675)-β-catenin, whereas at a concentration of 0.1 µM, BDB significantly increased the level of phospho(ser552)-β-catenin (Figure 3a,b). As shown in Figure 3a,b, minoxidil significantly increased the levels of phospho(ser552)-β-catenin and phospho(ser675)-β-catenin. In addition, increased levels of phospho(ser552)-β-catenin and phospho(ser675)-β-catenin, and increased nuclear translocation were observed using confocal microscopy after 1 h of BDB or minoxidil treatment (Figure 3c,d). These results suggest that, similar to minoxidil, BDB can activate the Wnt/β-catenin pathway in DPCs, which is followed by the prolongation of anagen and hair growth.
Molecules 2022, 27, x FOR PEER REVIEW 5 of 13 phospho(ser675)-β-catenin, and increased nuclear translocation were observed using confocal microscopy after 1 h of BDB or minoxidil treatment (Figure 3c,d). These results suggest that, similar to minoxidil, BDB can activate the Wnt/β-catenin pathway in DPCs, which is followed by the prolongation of anagen and hair growth.

BDB Induces the Autophagy in DPCs
Autophagy plays an essential role in hair growth by regulating the anagen phase maintenance during the hair cycle [21]. Therefore, we investigated whether BDB affected autophagy. When DPCs were stimulated with BDB (0.01 and 0.1 μM) or MXD (10 μM) for 24 h, both concentrations of BDB significantly induced autophagy. Moreover, the number of autophagic vacuoles was increased by MXD treatment, which was used as a positive control (Figure 4a). Autophagy is mediated by autophagy-related (Atg) and microtubule-

BDB Induces the Autophagy in DPCs
Autophagy plays an essential role in hair growth by regulating the anagen phase maintenance during the hair cycle [21]. Therefore, we investigated whether BDB affected autophagy. When DPCs were stimulated with BDB (0.01 and 0.1 µM) or MXD (10 µM) for 24 h, both concentrations of BDB significantly induced autophagy. Moreover, the number of autophagic vacuoles was increased by MXD treatment, which was used as a positive control (Figure 4a). Autophagy is mediated by autophagy-related (Atg) and microtubuleassociated protein 1A/1B-light chain 3 (LC3). Most Atg genes are required for efficient autophagosome formation and are involved in LC3 conversion (LC3A to LC3B), a major step in autophagosome formation [37]. Studies have shown that hair growth in Atg7deficient mice is slower than that in controls, suggesting that autophagosome formation is important for hair growth [38]. To determine whether the BDB-induced autophagy was mediated by Atgs and LC3, DPCs were exposed to different concentrations of BDB (0.01 and 0.1 µM) for 24 h. BDB treatment increased the expression levels of Atg7, Atg5, Atg 16 L, and LC3B at both concentrations (Figure 4b,c). MXD (10 µM) treatment, the positive control, also led to an increase in the expression of all autophagy-related proteins (Figure 4b,c). As shown in Figure 4d,e, the treatment with 0.1 µM BDB for 0-24 h led to an increase in the levels of Atg7, Atg5, Atg 16 L, and LC3B compared to that of the control. These results indicated that BDB stimulates autophagy in DPCs and induces hair growth.
Molecules 2022, 27, x FOR PEER REVIEW 6 of 13 associated protein 1A/1B-light chain 3 (LC3). Most Atg genes are required for efficient autophagosome formation and are involved in LC3 conversion (LC3A to LC3B), a major step in autophagosome formation [37]. Studies have shown that hair growth in Atg7-deficient mice is slower than that in controls, suggesting that autophagosome formation is important for hair growth [38]. To determine whether the BDB-induced autophagy was mediated by Atgs and LC3, DPCs were exposed to different concentrations of BDB (0.01 and 0.1 μM) for 24 h. BDB treatment increased the expression levels of Atg7, Atg5, Atg 16 L, and LC3B at both concentrations (Figure 4b,c). MXD (10 μM) treatment, the positive control, also led to an increase in the expression of all autophagy-related proteins ( Figure  4b,c). As shown in Figure 4d,e, the treatment with 0.1 μM BDB for 0-24 h led to an increase in the levels of Atg7, Atg5, Atg 16 L, and LC3B compared to that of the control. These results indicated that BDB stimulates autophagy in DPCs and induces hair growth.

BDB Inhibits TGF-β1-Induced Activation of Smad2 in DPCs
The TGF-β pathway is involved in the progression of the hair cycle from the anagen phase to the catagen phase [39]. Therefore, to investigate whether BDB could inhibit the TGF-β pathway in DPCs, cells were stimulated with different concentrations of BDB (0.01 and 0.1 µM) for 24 h. As shown in Figure 5a,b, BDB treatment did not affect the nuclear translocation of Smad2/3, a mediator of the TGF-β pathway. TGF-β1 secreted from balding DPCs is known to induce apoptosis of epithelial cells in hair follicles [40]. To investigate whether TGF-β1-induced activation of Smad could be inhibited by BDB treatment, DPCs were stimulated with TGF-β1 for 1 h after pre-treatment with BDB. TGF-β1 significantly increased the levels of phospho-Smad2 and phospho-Smad3, and the increase in the levels of phospho-Smad2 induced by TGF-β1 was significantly inhibited by BDB (Figure 5c,d). However, BDB did not affect TGF-β1-induced phospho-Smad3 expression. (Figure 5c,d). These results suggest that BDB can inhibit the action of TGF-β1 in DPCs, which is followed by the inhibition of the transition to the catagen phase, thereby prolonging hair growth.
at room temperature in the dark. Data were analyzed using a FACStar flow cytometer. (b) Changes in the expression levels of autophagy-related proteins in DPCs treated with BDB or minoxidil for 24 h. (c) Quantitative graph of changes in expression levels of autophagy-related proteins after treatment with BDB or minoxidil. (d) Changes in autophagy-related protein levels in DPCs treated with BDB for 0-24 h. (e) Quantitative graphs of changes in expression levels of autophagy-related proteins after BDB treatment for 0-24 h. Each dot indicates an independent intensity of the protein level. Data are presented as mean ± SD. * p < 0.05, ** p < 0.01, *** p < 0.001 versus the vehicle (DMSO)treated control group.

BDB Inhibits TGF-β1-Induced Activation of Smad2 in DPCs
The TGF-β pathway is involved in the progression of the hair cycle from the anagen phase to the catagen phase [39]. Therefore, to investigate whether BDB could inhibit the TGF-β pathway in DPCs, cells were stimulated with different concentrations of BDB (0.01 and 0.1 μM) for 24 h. As shown in Figure 5a,b, BDB treatment did not affect the nuclear translocation of Smad2/3, a mediator of the TGF-β pathway. TGF-β1 secreted from balding DPCs is known to induce apoptosis of epithelial cells in hair follicles [40]. To investigate whether TGF-β1-induced activation of Smad could be inhibited by BDB treatment, DPCs were stimulated with TGF-β1 for 1 h after pre-treatment with BDB. TGF-β1 significantly increased the levels of phospho-Smad2 and phospho-Smad3, and the increase in the levels of phospho-Smad2 induced by TGF-β1 was significantly inhibited by BDB (Figure 5c,d). However, BDB did not affect TGF-β1-induced phospho-Smad3 expression. (Figure 5c,d). These results suggest that BDB can inhibit the action of TGF-β1 in DPCs, which is followed by the inhibition of the transition to the catagen phase, thereby prolonging hair growth.

Discussion
In this study, we showed that BDB derived from red algae induces hair growth by increasing the length of hair fibers in cultured vibrissa follicles ex vivo. We also observed that BDB increased the proliferation of DPC, a hair growth regulator, by regulating cell cycle-related protein levels and sustaining the anagen phase through the activation of Data are presented as mean ± SD. ** p < 0.01, *** p < 0.001 compared with the control. † † † p < 0.001 compared with the TGF-β1-treated group.

Discussion
In this study, we showed that BDB derived from red algae induces hair growth by increasing the length of hair fibers in cultured vibrissa follicles ex vivo. We also observed that BDB increased the proliferation of DPC, a hair growth regulator, by regulating cell cycle-related protein levels and sustaining the anagen phase through the activation of Wnt/β-catenin and autophagy pathways and inhibition of the TGF-β pathway.
The demand for hair growth and hair loss prevention products is increasing, owing to concerns about the quality of life and appearance as the environment changes. Among the various models used to identify natural products that show efficacy for hair growth, the ex vivo hair follicle culture model has several advantages. Effective materials can be found in a relatively short period of time, and it is possible to observe which cells in the hair follicle proliferate or die and whether the expression of specific proteins changes, during, or after the experiment [41]. We investigated the hair growth effect of BDB in cultured rat vibrissa follicles and observed that BDB effectively increased the length of hair fibers on vibrissa follicles after 3 weeks. In previous studies, the concentration that showed an effect in the ex vivo model was generally lower than the concentration that showed a proliferative effect on DPCs [26,42]. However, in this study, BDB induced the proliferation of DPCs more effectively at concentrations below 1 µM, but in ex vivo models, BDB did not increase the length of hair follicles at concentrations below 1 µM. These results suggest that BDB has the potential to act on other follicular cells or be converted to active metabolites during 3 weeks of culture. On the other hand, regarding the proliferation, like minoxidil, the DPCs proliferation effect of BDB was observed at 48 and 72 h, but not at 24 h. These results suggest that BDB can promote hair growth by exerting a proliferation effect on DPCs, similar to minoxidil. Cell proliferation is accompanied by changes in cell cycle and cell cycle-related protein expression levels [34]. Among several cell cycle-related proteins in DPCs, BDB significantly increased the level of phospho-CDK2. Phosphorylation of CDK2 induces phosphorylation of Rb and is involved in progression to the S phase of the cell cycle [34,43]. These results suggested that BDB increased the proliferation of DPCs through cell cycle progression.
Hair growth is positively or negatively regulated by various signaling factors. The mechanisms by which BDB promotes hair growth and proliferation of DPCs in this study are as follows: First, the Wnt/β-catenin pathway plays an important role in hair growth as well as in the regulation of proliferation of DPCs [22,27,36]. It has been reported that the Wnt/β-catenin pathways are involved in hair regeneration after wounding, prolongation of the anagen phase, and inhibition of apoptosis in DPCs [22,35]. In DPCs, minoxidil activates the Wnt/β-catenin pathway to regulate the expression of Wnt/β-catenin target genes such as Axin2 and Lef-1 [22]. In another study, minoxidil induced PKB phosphorylation and inhibited the apoptosis of DPCs [23,44]. BDB induces phosphorylation/stabilization of β-catenin by increasing the level of phospho(ser9)-GSK3β. This, in turn, induces the translocation of β-catenin into the nucleus, suggesting that BDB-mediated DPC proliferation can be induced through the activation of the Wnt/β-catenin pathway. Second, several recent studies have reported the relationship between autophagy and hair growth. According to a previous study, autophagic structures in scalp hair follicles tended to decrease in the early/middle catagen phase than in the anagen phase [21]. In addition, many small molecules (α-ketoglutarate, oligomycin, 5-aminoimidazole-4-carboxamide ribonucleotide, metformin, and rapamycin) that are known to induce autophagy have been reported to promote hair growth [45]. In this study, BDB promoted the expression of Atg7, Atg5, Atg16L, and LC3, suggesting that an increase in autophagy induced by BDB could affect the induction of DPC proliferation. Finally, the TGF-β pathway inhibits hair growth and proliferation of epithelial cells [39,40]. TGF-β1 injection in mice induces early progression to the catagen phase [39]. Androgen induces TGF-β1 mRNA transcription in DPCs and inhibits the growth of keratinocytes co-cultured with androgen-treated DPCs [40]. BDB inhibited TGF-β1-induced increase in the level of phospho-Smad2, suggesting that this may have a protective effect on the inhibition of TGF-β1-induced apoptosis of keratinocytes and hair loss. On the other hand, BDB has been reported to exhibit antioxidant effects [31]. Some antioxidants such as silymarin and resveratrol show hair growth effects [46,47]. However, we did not investigate the direct correlation between the antioxidant effect of BDB and hair growth in this study, so we will conduct a study to elucidate this in the future. Despite the diverse signaling modulating effects of BDB, to clearly determine the activity of BDB on the hair growth, further studies on other hair-cycle regulation pathway and using various follicular cells are needed.

Animals
Three-week-old male Wistar rats were purchased from Orient Bio (Seongnam, Gyeonggi, Korea) and provided with standard laboratory diet and water ad libitum. All animals were cared for using protocols (approval number: 2015-0014) approved by the Institutional Animal Care and Use Committee (IACUC) of Jeju National University (approval date: 6 August 2015).

Isolation and Culture of Rat Vibrissa Follicles
Wistar rats were euthanized using carbon dioxide (CO 2 ). The left and right mystacial pads were separated and placed in E/P buffer containing 1% Pen/Strep. Vibrissa follicles were carefully separated from the mystacial pads under a dissecting microscope to avoid scarring. The separated vibrissa follicles were transferred to a 24-well plate containing William's E medium (supplemented with 2 mM L-glutamine, 10 µg/mL insulin, 50 nM hydrocortisone, and 1% Pen/Strep) and incubated at 37 • C in a 5% CO 2 incubator. The medium containing BDB or minoxidil was exchanged once every three days, and photos were taken while culturing for 21 days. The length of the vibrissa follicles was measured using an image analyzer (DP controller; Olympus, Japan), and the growth of the vibrissa follicles was measured by comparing the average value of the change in follicle length with the average length of the control group.

Cell Culture and Proliferation Assay of Dermal Papilla Cells
Immortalized dermal papilla cells (DPCs) isolated from rat whiskers were cultured in DMEM containing 10% FBS and 1% Pen/Strep at 37 • C in a 5% CO 2 incubator and subcultured every 3 days. The proliferation of DPCs was measured using the MTT assay. The DPCs (2000 cells/well) were suspended in DMEM containing 1% FBS and incubated in a 96-well plate. After 24 h, cells were treated with or without BDB (0.001, 0.01, 0.1, 1, and 10 µM) or minoxidil (10 µM), a positive control, for 72 h. After incubation with the MTT dye (50 µL/well) for 4 h, the supernatant was removed and formazan was dissolved by adding 200 µL/well of DMSO. The absorbance (540 nm) was measured using a Versamax microplate reader (Molecular Devices, Sunnyvale, CA, USA), and the results were expressed as the percentage change compared with the absorbance value of the control group.

Western Blot Analysis
The DPCs were stimulated with or without BDB (0.01 and 0.1 µM) or minoxidil (10 µM) for 24 h. In some cases, the cells were treated with 0.1 µM of BDB for various times (0-24 h). To investigate whether BDB inhibits the action of TGF-β, cells were treated with BDB (0.1 µM) for 2 h, followed by treatment with TGF-β1 (2 ng/mL) for 1 h. Whole cell lysates were lysed using PRO-PREP protein extraction solution and intracellular (nuclear and cytoplasmic) fractions were separated using NE-PER reagents. The proteins were subjected to 8-12% sodium dodecyl sulphate-polyacrylamide gel electrophoresis (SDS-PAGE) and transferred to polyvinylidene fluoride membranes. The membranes were incubated with 5% non-fat dry milk for 1 h and then incubated with primary antibodies (Supplementary Table S1) at 4 • C overnight. The membranes were incubated with the corresponding HFP-conjugated secondary antibodies and bands were detected using Westar Nova 2.0 chemiluminescent reagent. Band intensity was quantified using the ImageJ software (http://rsb.info.nih.gov/ij/, accessed on 1 December 2021).

Cyto-ID Autophagy Detection Assay
DPCs (5.0 × 10 5 cells/60 mm dish) were seeded in DMEM containing 1% FBS for 24 h, and then treated with different concentrations of BDB (0.01 and 0.1 µM) or MXD (10 µM) for 24 h. Cells were harvested, washed with PBS, and stained with Cyto-ID dye (1 µL/4 mL assay buffer) for 30 min at room temperature in the dark. The fluorescence intensity of the autophagic vacuoles was analyzed using a FACStar flow cytometer (BD Biosciences, San Jose, CA, USA).

Statistical Analysis
Data were expressed as mean ± standard deviation (SD) or standard error (SE) of experiments performed at least thrice. Statistical significance was determined using GraphPad Prism 7 (GraphPad Software, San Diego, CA, USA). A p < 0.05 was considered statistically significant.

Conclusions
In conclusion, we found that BDB exerts hair growth-promoting effects through various mechanisms in DPCs, which are regulators of hair growth. BDB induces the proliferation of DPCs through changes in cell cycle-related proteins. BDB activated the Wnt/β-catenin and autophagy pathways involved in hair growth, while inhibiting the TGF-β pathway involved in hair loss. Thus, these results suggest that BDB could be used as a therapeutic agent to alleviate hair loss.
Supplementary Materials: The following supporting information can be downloaded at: https: //www.mdpi.com/article/10.3390/molecules27072176/s1, Figure S1: Effects of BDB on the proliferation of DPCs; Table S1: List of antibodies used for immunoblotting.