Sunday, December 31, 2017

Dlx3 is a crucial regulator of hair follicle differentiation and cycling

Ectodermal appendages such as hair, feather and tooth are attractive models for understanding the mechanisms underlying epithelialmesenchymal interactions (Thesleff et al., 1995; Mikkola and Millar, 2006). A series of signaling molecules is involved in each step of primary hair development and differentiation. Wnt signaling is crucial for the initiation of hair follicle (hf) development (Andl et al., 2002), and Shh controls proliferation of the epithelial hair germ (Chiang et al., 1999). Noggin, BMP and ectodysplasin (Eda) signaling play important roles at early stages of hf placode development (Botchkarev et al., 1999; Mou et al., 2006; SchmidtUllrich et al., 2006; Pummila et al., 2007). The dermal papilla (DP) remains associated with the overlying epithelial matrix cells, which undergo an upward differentiation process to give rise to the different hf lineages such as the medulla, cortex and cuticle of the hair shaft and the inner root sheath (IRS) (Millar, 2002; Fuchs, 2007). The matrix is derived from epithelial stem cells located in the bulge region of the hf (Cotsarelis et al., 1990; Taylor et al., 2000; Oshima et al., 2001; Levy et al., 2005). Several important pathways and transcription factors that initiate and promote differentiation of the matrix cells have been determined, including Gata3 and Cutl [which regulate IRS differentiation (Ellis et al., 2001; Kaufman et al., 2003; Kurek et al., 2007)] and BMP signaling, and transcription factors such as Msx2, Foxn1 and Hoxc13 that are required for hair shaft differentiation (Godwin and Capecchi, 1998; Meier et al., 1999; Kulessa et al., 2000; Tkatchenko et al., 2001; Ma et al., 2003; Johns et al., 2005).
After early follicle morphogenesis, the hf undergoes cyclic transformations known as anagen (growth phase), catagen (regression) and telogen (resting phase), allowing the study of essential stages of proliferation and differentiation (Schmidt-Ullrich and Paus, 2005). Cyclical renewal of the hair is thought to recapitulate some of the signaling and control mechanisms found between the DP and overlying epithelial cells during the embryonic onset of hair formation (Oliver and Jahoda, 1988; Hardy, 1992; Schmidt-Ullrich and Paus, 2005). Several of the transcription factors with distinct and important roles in the developing hf are homeobox-containing proteins such as Msx2, Lhx2 and Hoxc13 (Godwin and Capecchi, 1998; Tkatchenko et al., 2001; Ma et al., 2003; Rhee et al., 2006). Homeodomain transcription factors play crucial roles in many developmental processes, ranging from organization of the body plan to differentiation of individual tissues. Dlx3 belongs to the Dlx family of homeodomain transcription factors (Dlx1-6). In the genome, they are organized into three pairs of inverted, convergently transcribed genes, termed Dlx1-2, Dlx3-4 and Dlx5-6 (Morasso and Radoja, 2005).
Dlx3 has an essential role in epidermal, osteogenic and placental development (Morasso et al., 1996; Morasso et al., 1999; Beanan and Sargent, 2000; Hassan et al., 2004). Importantly, an autosomal dominant mutation in DLX3 is responsible for the ectodermal dysplasia termed Tricho-Dento-Osseous syndrome (TDO), which is characterized by defects in teeth and bone development, and abnormalities in hair shaft morphology and diameter (Price et al., 1998; Wright et al., 2008). Despite strong evidence suggesting a major role for Dlx3 in epithelial appendage and hf development, early lethality of loss-of-function mutants have precluded the analysis of the specific function of Dlx3 in these processes (Morasso et al., 1999). Taking advantage of a Dlx3Kin/+ line that has the β-galactosidase (lacZ) gene inserted into the Dlx3 locus, we present a thorough analysis of the broad Dlx3 expression during the hair cycle. Using a K14cre line that expresses the Cre recombinase in epidermal cells and their derivatives (Andl et al., 2004), and a floxed Dlx3 line, we determined the role of Dlx3 in hair development by epidermal-specific ablation. The most striking defects in the conditional knockout mice were complete alopecia owing to a failure in hf development, concomitant with lack of expression of transcriptional regulators necessary for the differentiation of the IRS and hair shaft, and inability to undergo cyclic regeneration postnatally. Our results demonstrate that loss of ectodermal Dlx3 leads to altered morphogenesis, differentiation and cycling of the hfs. Taken together with the pathological conditions of individuals with TDO, these results establish Dlx3 as a crucial regulator of hair development.
MATERIALS AND METHODS Gene targeting and generation of mutants The targeting vector for the Dlx3Kin/+ line was derived from the vector pZINI (nM) containing the β-galactosidase (lacZ) gene as a reporter. A 3.9 kb NotIBamHI 5 genomic flank, which corresponds to the region directly upstream of Dlx3 exon1, was cloned upstream of lacZ gene (Fig. 1A). The 4.3 kb 3 homologous flank was subcloned downstream of neomycin gene in pZINI. The targeting vector for the Dlx3 floxed (Dlx3f/f) line contains 6.5 kb of Dlx3 genomic sequence from a 129/Sv strain in the pPNT vector (Fig. 3A). This construct was modified by inserting a loxP site immediately downstream of the neomycin gene (Neo). A second loxP site was inserted into the unique NotI site (N) between the first and second exons of the Dlx3 gene. Genotype of the Dlx3Kin/+ mouse line was determined by Southern blot analysis and PCR (Fig. 1A). Three oligonucleotides were used for the genotyping by PCR: PCRforward Dlx3Kin/+ primer (GGGTCTTTGCCACTTTCTGTCTGTCATTTGCATAGA) is located 449 bp upstream from the transcription start site of the Dlx3 gene; for determination of the wild-type allele, we utilized PCRreverse1 Dlx3Kin/+ (CCTGCGAGCCCATTGAGATTGAACTGGTGGTGGTAG), which is located 432 bp downstream from the transcription start site located on Exon 1, and generates a 880 bp fragment; and for the determination of the lacZ knockin allele, we used PCRforward Dlx3Kin/+ primer (same as above) and PCRreverse2 Dlx3Kin/+ (TGAAACGCTGGGCAATATCGCGGCTCAG - TTCG) located 280 bp downstream from the transcription start site of lacZ gene and generates a 730 bp fragment. The cycling conditions were: 94°C for 5 minutes followed by 30 cycles of 94°C for 30 seconds, 60°C for 30 seconds and 72°C for 1 minute. For the Dlx3f/f line, recombination was determined by Southern blot (Fig. 3A). For the epidermal-specific ablation of Dlx3, we used a K14cre line that has been previously characterized (Andl et al., 2004). The Cre-mediated deletion of Dlx3 to generate the K14cre;Dlx3Kin/f or K14cre;Dlx3f/f was assessed by PCR with the following oligonucleotides: PCRforward Dlx3Kin/+ primer and PCRreverse-cre primer (TGTAAGGTGT - GTCATTTTCCTCAACGGGTG) generating a 2.15 kb fragment (Fig. 3C). The cycling conditions were: 94°C for 5 minutes followed by 35 cycles of 94°C for 30 seconds, 60°C for 30 seconds and 68°C for 4 minutes. Throughout this study, the K14cre;Dlx3Kin/f or K14cre;Dlx3f/f lines were analyzed obtaining similar results. All animal work was approved by the NIAMS Animal Care and Use Committee.
X-gal staining and treatment with benzyl-benzoate/benzyl alcohol X-gal staining of Dlx3Kin/+ whole embryos or individual dissected organs was performed with 1 mg/ml 5-Br-4-Cl-3-indolyl-β-D-galactosidase (Xgal), 5 mM potassium ferricyanide, 5 mM potassium ferrocyanide and 2 mM MgCl2 in PBS and the detergent NP-40 (0.02%). Samples were fixed at 4°C in 4% paraformaldehyde/PBS. X-gal stained Dlx3Kin/+ embryos were cleared by treatment with benzyl-benzoate/benzyl alcohol 2:1 mixture after dehydration in methanol. Histology, immunofluorescence and confocal microscopy Skin sections (10 μm) were stained with either primary antibodies overnight at 4°C for immunofluorescent staining or Hematoxylin/Eosin. The antibodies and dilutions used were anti-Dlx3 (1:250, Morasso Laboratory) (Bryan and Morasso, 2000), anti-β-galactosidase (1:250, Abcam), antiPCNA (1:100, Calbiochem), anti-β-catenin (1:200, Sigma), anti-PhosphoSmad1/5/8 (1:50, Cell Signaling Technology), anti-Lef1 (1:100, Cell Signaling Technology), anti-Hoxc13 (1:50, Novus Biologicals), anti-Gata3 (1:100, Santa Cruz), anti-AE13 (type I hair keratin, 1:10, gift from T. T. Sun), anti-AE15 (trichohyalin, 1:10, gift from T. T. Sun), anti-adipophilin (1:100, Fitzgerald), anti-K1 (1:500, Covance), anti-K10 (1:500, Covance), anti-K15 (1:100, Thermo Scientific), anti-K17 (1:1000, gift from P. Coulombe), anti-K35 (previous nomenclature Ha5) and anti-K85 (previous nomenclature Hb5) (1:50, Progen) and secondary antibodies: Alexa Fluor 488 or Alexa Fluor 546 goat anti-mouse, rabbit, chicken or guinea pig IgG (1:250, Molecular Probes). MOM immunodetection kit and antigen unmasking solutions (Vector Laboratories) were used to reduce background staining if applicable. The slides were mounted with Vector Shield (Vector Laboratories) and examined using laser-scanning confocal microscope 510 Meta (Zeiss). Hair follicle cell preparation and western blot analysis Primary mouse hf cells were isolated from the dermis of mouse skins by Ficoll density gradient centrifugation after treatment with collagenase 0.35% and DNase 250 units/ml. Protein samples from hf cells were subjected to western blot analysis. The antibodies and dilutions used: anti-Dlx3 (1:1000, Morasso laboratory), anti-K35 (1:1000, Progen) and anti-α-tubulin (1:2000, Abcam). The immunoreactive proteins were detected using the horseradish peroxidase-linked secondary antibody (Vector Laboratories). Cloning, cell culture, transfection and reporter assays The –1055 to +134 bp DNA fragment of the K35 promoter was inserted into the pGL3-Basic vector (Promega). Site-directed mutations of putative Dlx3 binding sites on the K35 promoter were performed using the ExSitePCRbased site-directed mutagenesis kit (Stratagene). The V5-tagged Dlx3 was cloned into the pCI-neo vector (Promega). Transformed PAM212 mouse keratinocytes (Yuspa et al., 1980) were cotransfected with 1 μg of each construct using FuGENE 6 transfection reagent (Roche) (Hwang et al., 2007). Luciferase activity was measured 24-36 hours after the transfection using the Dual-Luciferase Reporter Assay System (Promega). The pRL-TK vector was also co-transfected as an internal control for the assay. Each transfection was carried out in duplicate and the experiment was repeated three times.
Chromatin immunoprecipitation (ChIP) assays Primary mouse hf cells or transfected hf cells with pCI-neo-V5-Dlx3 construct were used for ChIP assays (Radoja et al., 2007). Chromatin was incubated with control anti-mouse IgG, anti-Lef1, anti-Dlx3 (Abnova) or anti-V5 antibody (Serotec) overnight at 4°C. The samples were eluted after washing and PCR reactions were performed by sets of specific primers: hair keratin K32 (previous nomenclature Ha2), GGCAACACAGGACAGGCTATGGCAG (forward), CATGGGGGAGTGTTG - ATGTTTATACTTGGCCCC (reverse); hair keratin K35, ACG - GGGCTTCTGTTTTACGAGGCCGG (forward), CCCTAGCCCGACT - TTATACTTCTGCCCCA (reverse); Hoxc13, GTTAGGG GAG - GGGGGCAGAGAGGCTTAATTTGG (forward), TACCGAAGTCTCTAAATTGGGGCTTGG (reverse); Dlx3, GTGTGTGTGTGTGTGTGTGTGTGTGTATTAGGGGTA (forward), CGTGCCTCTCTCCGCGTCCCAAGCCACAGTCAAATG (reverse); GAPDH, TACTAGCGGTTTTACGGGCG (forward), TCGAACAGGAGGAGCAGAGAGCGA (reverse). Electrophoretic mobility shift (EMSA) and supershift assays EMSA was performed as described by Feledy et al. (Feledy et al., 1999). For supershift assays, primary mouse hf cells were isolated as described above. Nuclear extracts were prepared according to the manufacturer’s instructions (Active Motif).

Thursday, December 14, 2017

Why you should not squeeze your pimples



Let's face it: we all love to squeeze those dirty pimples. However, the squeezing of pustules can lead to lifelong problems that can be prevented if you are careful about what you eat and what products you apply to your face.
How often did your mother or partner not call you when they caught you on the squeezing of a pimple? And it probably does not matter; you still have a tendency to do it. Pustules are hard to ignore. They are ugly, they hurt, and - if we are honest - we do not know why, but there is something fascinating about squeezing it out.

But is it really that bad to squeeze them out? The answer is yes.

It has been proven that the squeezing of pimples is a bad idea. Even dermatologists warn that it is counterproductive. They point out that it causes many more problems than the unpleasant appearance they have.

Pustules are visible on your skin for a few days, while the consequences of the harsh fighting can be for life.

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Are you willing to risk that? If so, we encourage you to continue reading so that you will understand how it really works. First we go a little deeper into what pimples are and why they come to show up. Then we will talk about the main reasons why you should not cut them out.

What are pimples and why do they appear?
We tend to associate pustules with adolescence, but most people have no idea why they appear. As usual, their origins can be found in the body's own system. We get more toxins than the body can handle through food, drinks, air quality or hormonal changes.

One of the warnings that our body gives us is the appearance of pimples.

If it happens often, you may need to consider changing your habits. That way you will not even have pimples to squeeze out! As far as food is concerned, it is recommended that you be careful with and lower your consumption from:

  • Saturated fat
  • Fried food
  • Added sweeteners
  • White sugar

This diet is very difficult to digest and the harmful substances are retained in your body. In an attempt to get rid of it, your body turns into pimples.

The same happens with alcoholic and carbonated drinks.

In addition, you also need to be careful with the makeup you use and how often you use it. The cosmetic industry is working to improve their products and to make them better for your skin. However, they have not fully achieved that goal yet and the products that have come close are not easily available to everyone. This is why you should rest your skin at least a few times a week and read carefully which ingredients contain the products you use. It is also good to apply natural remedies to repair and moisturize the skin.

Now let's take a look at the two biggest problems associated with squeezing those pesky pimples.

Why you should not squeeze pustules
1. You can contract an infection
Since you probably have removed more than one pimple in your life, you also know that it leaves a wound afterwards. Normally we do not pay much attention to that (the unpleasant pustule is gone!), But the wound behaves like any other wound. That means you run the risk of an infection.

As a result, you might treat it with antibiotics, which cure the complication, but are bad for your overall health. In other words, the damage has doubled.

2. Your face may be full of scars
Actually, there are even more side effects. Have you ever seen people whose scars are full of their faces? In most cases this is caused by the squeezing of pimples.

Some people have very sensitive skin. When their pimples are squeezed out, it leaves signs that you cannot possibly get rid of. Many try to cover them with make-up, but this way is not recommended, because it can cause even more acne.

Leave those pimples alone
Ultimately it is better to let them disappear automatically.

If, however, they reappear over and over again, you should visit a doctor. Specialists can prescribe special lotions and creams that treat the spot to prevent re-appearing.

Anyway, it is good to wash your face with natural cleaners and to use toners and a humidifier. Prevention is better than cure.

The squeezing of pimples is always tempting, but next time think about what you have read before you take action. Nobody wants a face that is under the scars or antibiotics in his or her blood when this is unnecessary.

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Hives : symptoms and treatment




This condition is fortunately not serious but very annoying because it is terribly itchy.
"To be mad," you hear in many forums.

Not everyone knows what it is.

Many people think it is contagious or related to a lack of hygiene, so patients often feel embarrassed when the condition is visible in public.

Obviously, galbultes do not look good, but in this article we explain that they cause inconvenience to the person themselves.

Our fingers itch to inform you about the symptoms, causes and treatment of hives.

What is hives?
Hives is a form of skin rash with pale pink, swollen areas (fluid accumulations) appear on the skin.

These bumps are also called gallops, or eccentricity.

The medical term is urticarial. This comes from the word 'urtica', the Latin name for nettle. Nettle rash resembles the skin reaction of someone who grabs a stinging nettle.


Hives symptoms and treatment

A quarter of people ever have to deal with this condition. It is one of the most common skin conditions.

It is just as common in men as in women.

Difference between hives, shingles and hives
Hives should not be confused with shingles and scotch. It all ends with dandruff, which means 'redness' or 'inflammation'.

Shingles is a viral skin infection disease caused by chickenpox virus, which usually occurs in the elderly and people with low resistance.

Wondrous (bellows) is an inflammation of the skin by a bacterium, which often finds its way in through a wound on the skin. This is often accompanied by fever and the wound rose lasts for at least a week.

Symptoms hives
Nettle is both in acute form and in chronic form. The acute form is by far the most common.

The skin rash in acute hives is set up quickly, often within half an hour.
Small red spots become red bumps or pale bumps with a red edge, and give stubborn itching.

These swelling of the skin are also called "baddles". In the bumps is sticky, yellow-green pus (bile).
Usually the affected areas are the arms, the legs, the trunk and the face.

Some spots are small and others larger. The spots can also coalesce into larger areas. Often sweeping / streaking is also visible.

Usually the itching disappears again after a few hours and the bumps are gone within 48 hours.

With hives, the face (eyes, lips) and mucous membranes in the mouth and throat cavity can also swell.

Sometimes you cannot wear clothing on your skin with this condition, which is of course extremely impractical.

You can feel very bad next to the itching due to complaints such as abdominal pain, headaches and nausea / vomiting.
 
In children, hives also occur, especially in children between 1 and 4 years.

If it lasts longer than 6 weeks we speak of chronic (persistent) hives.

This can continue for years, usually with a maximum of 5 years.

You then have seizures of angioedema (swelling of the blood vessels under the influence of the substance histamine).

The acute form of hives is much more common than the chronic form. Especially in people with an atopic constitution. This means that due to hereditary factors you have a tendency to develop allergies and eczema.

With chronic hives you can get many additional complaints such as heavy fatigue, headaches, joint pain and intestinal inflammations.

Causes hives
The condition is the result of a hypersensitivity reaction. 9 times out of 10 it is an allergic reaction.

The hives usually occur as a result of swelling in the dermis. This is the skin under the epidermis.

The dermis includes solid connective tissue, nerves, blood vessels and the most important part of the defense mechanism of the skin.

The substance histamine is stored in the skin cells. In case of an allergic reaction (a stimulus) this substance is released and then causes dilation of the blood vessels, resulting in redness and fluid retention.

Hives can occur after (in) tension, stress and psychological problems. In that case it is also called 'exercise nettle rose'.

Sun can also cause it when the sun triggers the allergic reaction.

This also applies to cold and heat. Hives due to a hypersensitivity reaction to cold is called 'cold hives'.

The condition can also be an allergic reaction to certain foods. For example, it can be fruit such as strawberry or mandarin.

But fish, eggs, chocolate or beer can also 'trigger' the reaction. In these products is the dust that we mentioned earlier: histamine.

Sometimes pressure on the skin or friction of clothing can cause gall bumps. This form of hives is called 'nettle rose factitive'.

Medications such as antibiotics can cause an allergic reaction such as hives.

During pregnancy you can also suffer from hives due to hormonal disorders.

Certain diseases that affect the resistance can result in hives. For example, metabolic diseases, autoimmune diseases and viral infections.

Think of hepatitis B, HIV, tropical diseases, Pfeiffer, rheumatism, Hodgkin's disease and diabetes.

With chronic hives, in many cases the cause is unknown, which can be very frustrating for the patient.

Is hives contagious?
Hives may look fierce; it is not contagious.

Do you suffer from it during pregnancy, then you do not have to worry because it does not affect the baby.
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Treating and preventing hives
A doctor will try to find the cause of the hives by means of a number of questions. If the hives last a long time, various tests can be done.

Think of blood tests, research into urine and faces, allergy tests, bacterial cultures and X-rays.

Often anti-allergies are prescribed such as anti-histamine tablets and menthol gel against the itching.

Other drugs used in hives are for example prednisone, travail, and hydrocortisone and cortisone ointment.

With chronic hives, scarring often occurs. These can be treated with a dermatologist, for example with laser therapy.

If you want to become pregnant and suffer from chronic hives, inform your doctor about the type of medication used. Not all medication (actually rather nothing at all) is possible without risks for the unborn child.

A few tips that will promote healing and help prevent a new 'outbreak':

Crabs are very tempting, but do not start because it only makes the nettle rose worse!

Cold compresses or baths illuminate with hives.

Be careful with the use of alcohol and painkillers as aspirin. They can make the allergy worse.

Avoid sun and heat.

Take a step back when stress is the cause of hives.

Avoid processed and high-sugar foods. You can also follow a histamine-poor diet. The chance is smaller than you get an attack of angioedema. There are many histamine-free recipes available on the internet.

Natural remedies for hives are, for example, after sun, cardiflor ointment, cream bio force based on wool fat (from sheep) and essential oil from lavender.

In the homeopathy, hives are also treated. The acute form of hives is a lot easier to treat than the chronic form.

If you or your child often have hives, it is advisable to keep a diary with the course of the condition.

Are you one of the many people who suffer from hives?

What have you done to not go crazy about the itching?

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We are curious about your tips and experiences!