Regulatory T (Treg) cells are known for suppressing inflammation, but they are increasingly thought to exert specialized, tissue-dependent functions. It was unclear whether skin-resident Treg cells, which localize to hair follicles, have a role in the hair follicle cycle. Ali et al. now show that Treg cells regulate the hair follicle cycle by modulating hair follicle stem cells (HFSCs).

Credit: David R. Frazier Photolibrary, Inc. / Alamy

Hair follicles go through cyclic phases of growth (anagen) or quiescence (telogen), which are driven by the proliferation and differentiation of HFSCs. The researchers tested the role of Treg cells by carrying out flow cytometric analyses of cells resident in mouse skin during different phases of hair growth. Treg cells were more abundant in the telogen phase and, furthermore, Treg cells present in telogenic skin had a more activated phenotype. To test the function of skin Treg cells, a mouse model of hair follicle regeneration was used, in which a telogen-to-anagen transition is induced by the removal of hair shafts; wild-type mice regrow hair by 14 days post-depilation. By contrast, transgenic mice, which could be induced to be transiently depleted of Treg cells, did not efficiently enter the anagen phase and had substantially less hair regrowth after depilation. These data suggest a role for Treg cells in hair follicle regeneration.

Next, immunofluorescent microscopy was used to examine the location of HFSCs and Treg cells. Notably, a subset of Treg cells (hair follicle 'bulge'-resident cells) colocalized with HFSCs. Furthermore, intravital microscopy suggested that the bulge Treg cell population may be more dynamically active as they show an increase in protrusive activity. A functional link between HFSCs and Treg cells was established by flow cytometric analyses, which showed that the induction of HFSC proliferation following depilation was attenuated in mice depleted of Treg cells. Moreover, whole transcriptome RNA sequencing (RNA-seq) of bulge HFSCs from Treg cell-depleted mice showed a decrease in the expression of genes that are associated with differentiation. Thus, Treg cells are important for inducing the proliferation and differentiation of HFSCs. Interestingly, this is probably not mediated by Treg cell suppression of inflammation, as mice that were transiently depleted of Treg cells and depilated had no increase in skin markers of inflammation.

mice engineered to have jagged 1-deficient Treg cells had attenuated hair follicle regeneration

To investigate the mechanisms of Treg cell-induced HFSC proliferation, the researchers compared the transcriptome of telogenic skin Treg cells to that of skin-draining lymph node Treg cells and found that jagged 1 (a ligand of the Notch signalling pathway) was one of the most differentially expressed genes. Furthermore, HFSCs isolated after depilation had differential expression of Notch target genes in mice depleted of Treg cells. Finally, mice engineered to have jagged 1-deficient Treg cells had attenuated hair follicle regeneration. These data show the importance of jagged 1-mediated Notch signalling in Treg cell induction of HFSC proliferation.

In summary, hair follicle-resident Treg cells have an important and novel tissue-specific function; they regulate the hair follicle cycle by inducing Notch-dependent HFSC proliferation and differentiation.