In this study, we have correlated cutaneous apoptosis and proliferation in
neonatal mice during hair follicle morphogenesis, We have applied a novel t
riple-staining technique that uses Ki67 immunoreactivity as a marker of pro
liferation as well as TUNEL and Hoechst 33342 staining as apoptosis markers
. We have also assessed the immunoreactivity of interleukin-1 beta -convert
ing enzyme, caspase 1, a key enzyme in the execution of apoptosis, and of P
-cadherin, which has been suggested as a key adhesion receptor in segregati
ng proliferating keratinocytes. The TUNEL data were systematically compared
with high resolution light microscopy and transmission electron microscopy
data. Virtually all keratinocytes of the developing hair bud were strongly
Ki67(+), suggesting that the hair bud is not an epidermal invagination but
primarily the product of localized keratinocyte proliferation. As hair fol
licle development advanced, three distinct foci of proliferation became app
arent: the distal outer root sheath around the hair canal, the mid outer ro
ot sheath, and the proximal hair matrix. Of these proliferating hair follic
le keratinocytes only defined subsets expressed P-cadherin. TUNEL+ cells in
the hair follicle were not found before stage 5 of murine hair follicle mo
rphogenesis. During the early stages of hair follicle development, interleu
kin-1 beta -converting enzyme immunoreactivity was present on all keratinoc
ytes, but virtually disappeared from the proximal hair follicle epithelium
later on. High resolution light microscopy/transmission electron microscopy
revealed scattered and clustered apoptotic keratinocytes in all epithelial
hair follicle compartments throughout hair follicle development, including
its earliest stages. This highlights striking differences in the demarcati
on of apoptotic hair follicle keratinocytes between the TUNEL technique and
high resolution light microscopy/transmission electron microscopy and sugg
ests a role for apoptosis in sculpting the hair follicle even during early
hair follicle development.