Moracins are a group of naturally occurring benzofuran compounds primarily derived from the morus genus of the Moraceae family [15]. These benzofuran derivatives are major constituents found in various natural products within the Moraceae family. Recently, benzofuran derivatives have garnered significant interest among natural product researchers due to their valuable biological activities, including anticancer, antibacterial, immunomodulatory, antioxidant, antihyperglycemic, and anti-inflammatory properties [18]. Moracins, with benzofuran heterocycles as their fundamental scaffold, enable the generation of diverse functionalities, thereby optimizing modulation for the treatment of various diseases. To date, 26 members of this group (designated moracin A to Z) have been identified [19, 20]. Lee et al. study found that moracins M, O, and R, isolated from M. alba root bark, inhibit IL-6 production and lung inflammation through the JNK/c-Jun pathway, suggesting their potential as treatments for lung inflammatory diseases [21]. Similar to resveratrol, moracin M is a natural phosphodiesterase 4 (PDE4) inhibitor [22], exhibiting pharmacological efficacy in the treatment of idiopathic pulmonary fibrosis (IPF) and asthma [23]. Moracin M, isolated from the root bark of M. alba, demonstrated notable antibacterial and anticancer activities [24].
Our research aimed to identify compounds with hair growth-promoting activity in hDPCs and HUVEC cells, inspired by the cardiovascular benefits [25, 26], cognitive function improvements [27], and anti-hair loss [9, 28] effects associated with various morus species. Although moracin M did not promote HDPCs proliferation under conditions without IFN-γ, significant cell proliferation was observed when IFN-γ was present. The hair follicle life cycle can be divided into the anagen (growth), catagen (regression), and telogen (resting) phases, which repeat throughout the follicle's lifespan. During the anagen phase, the hair shaft grows continuously, while growth decreases during the catagen and telogen phases, preparing for the next hair cycle through structural changes. Enhanced or inhibited transition to the catagen phase increases the likelihood of hair loss. IFN-γ is one of several cytokines involved in regulating the hair follicle cycle [29]. In hDPCs during the anagen phase, IFN-γ acts as a regression inducer, terminating the anagen phase and creating conditions similar to the catagen phase. Effective hair loss treatments should prolong the anagen phase or rapidly revert the catagen phase to the anagen phase. In this context, moracin M shows potential as a candidate compound for inducing growth under catagen-like conditions.
The research conducted by Wikramanayake et al. [30] revealed that subcutaneous injections of quercetin could induce hair regrowth in established alopecia areata (AA) lesions in C3H/HeJ mice. However, this hair regrowth effect was not observed in the proliferation of dermal papilla cells during the anagen or catagen phases under non-AA conditions. Chlorogenic acid is widely used as an indicator substance for the Moraceae family. In our current experiment, similar to the findings of Tan et al. [31], proliferation of dermal papilla cells was observed during the anagen phase, but no cell proliferation was noted during the catagen phase. Additionally, in Tan's previous study, no significant results were obtained regarding the activity of 5α-reductase, an important marker in androgenic alopecia.
Blood vessels play a crucial role in hair growth by supplying nutrients to hDPCs. Angiogenesis, a hallmark of the anagen phase, is facilitated by hDPCs, which produce angiogenic factors to support vascular growth. Angiogenesis is significantly induced during the anagen phase, while it decreases during the catagen and telogen phases, and is essential for maintaining normal hair growth. Our findings indicate that moracin M enhances the proliferation rate of HUVEC cells up to a concentration of 25µM. Similarly, moracin P shows a significant increase in cell proliferation at a concentration of 50µM, suggesting the necessity for further investigation at higher concentrations.
Human dermal papilla cells (hDPCs) are a type of mesenchymal cell connected to the capillaries beneath hair follicles. They have been identified as possessing stem cell functions and are anticipated to play a crucial role in preventing hair loss and promoting hair growth. The mechanisms known to activate the proliferation of hDPCs, depending on the hair phase, include Wnt/β-catenin, JAK/STAT, PI3K/AKT, MAPK, and 5α-reductase. Currently, FDA-approved drugs for hair loss treatment include minoxidil, which activates vascular endothelial growth factor (VEGF) and Wnt/β-catenin pathways, and finasteride, which targets 5α-reductase. The recently approved baricitinib functions by acting on the JAK/STAT pathway in cases of alopecia areata.
Among various signaling pathways, the Wnt/β-catenin pathway plays a crucial role in hair follicle development, hair cycle regulation, and regeneration. In addition to M. alba, several natural extracts have been studied for their potential to activate the Wnt/β-catenin pathway [32], including Aconitie ciliare tuber [33], Centipeda minima (L.) A [34]. Ginkgo biloba [35], Red ginseng oil [36], and Salvia plebeia R. Brown (Labiatae). [37], According to shin et al. [38], various natural compounds such as baicalin, 3-Deoxysappan chalcone (3-DSC), Epigallocatechin-3-gallate (EGCG), Fisetin, Quercitrin, and Honokiol have been demonstrated to promote hair growth by stimulating Wnt/β-catenin signaling. Additionally, research on activating the Wnt/β-catenin pathway using lasers is also actively being pursued.
In the Wnt-off state, GSK-3β phosphorylates β-catenin, leading to its proteasomal degradation. However, in the Wnt-on state, β-catenin is not phosphorylated by GSK-3β, allowing it to stabilize in the cytoplasm and subsequently translocate to the nucleus [38]. Once stabilized, β-catenin translocates to the nucleus and binds to T-cell factor (TCF)/lymphoid enhancer factor (LEF). TCF/LEF transcription factors are the major endpoints mediators of Wnt/Wingless signaling across all metazoans. Because TCF/LEF were expressed in distinctly different but extensively overlapping patterns, it is common for more than one TCF/LEF to be co-expressed within a single cell. When AXIN2 is increased in dermal papilla cells, the Wnt/β-catenin signaling pathway is regulated, promoting the nuclear translocation of β-catenin. As a result, genes essential for hair growth are activated. These genes contribute to growth-promoting activities mediated through β-catenin signaling. The study by Lim et al. [39] investigated the expression of various Wnt target genes, demonstrating that Wnt/β-catenin signaling is active in the bulge during the telogen phase. Their findings establish that Axin2 expression is a reliable indicator of Wnt signaling activity in hair follicles.
This complex then activates downstream target genes responsible for cell proliferation and migration. Our results indicate that moracin M induces β-catenin accumulation by promoting the phosphorylation of GSK-3β at Ser9. This activation leads to the transcription of Wnt signaling-mediated genes, including TCF, LEF, and AXIN2, thereby promoting hair outgrowth [9, 38]. These findings suggest that moracin M may serve as a potent activator of the Wnt/β-catenin pathway, offering a novel mechanism for promoting hair growth and regeneration. Minoxidil at 1µM was used as a positive control, and moracin M exhibited Wnt/β-catenin activity equal to or greater than that of the positive control.
Cytokines within hair follicles play a crucial role in inducing and regulating hair growth, as well as maintaining the growth phase [40, 41]. Keratinocyte growth factor (KGF) is essential for hair growth, promoting proliferation and differentiation of normal hair follicles, with its mRNA levels peaking during the anagen phase. Additionally, topical application of fibroblast growth factor (FGF) in mice has demonstrated significant hair growth compared to controls. Secreted by DP, vascular endothelial growth factor (VEGF) stimulates the expression of VEGFR-2 in human epidermal cells, hence promoting their proliferation, differentiation, and migration. In terestingly, VEGF can directly act on DP and promote human HF growth by stimulating local blood vessels during anagen, with bFGF promoting VEGF angiogenesis. When catagen phase was induced with IFN-γ, a significant decrease in VEGF and FGF2 protein levels was observed, consistent with the findings of Yano et al [42]. However, moracin M showed a significantly to restore the levels of these proteins. In our study, we observed that the mRNA expression levels of these growth factors (KGF, VEGF, FGF2, and MYC) in hDPCs significantly increased in a dose-dependent manner when exposed to Moracin M. These growth factors are regulated by the Wnt/β-catenin pathway.
When it comes to hair loss research, the application of HUVECs is particularly advantageous. HUVECs can enhance angiogenesis, thereby improving blood flow to hair follicles and potentially stimulating hair growth[43]. Furthermore, their ability to detect and respond to pharmacological and disease-causing agents is invaluable in assessing the efficacy and safety of new hair loss treatments. HUVECs also interact with pericytes and other skin cells to support the regeneration and maintenance of healthy hair follicles. Thus, utilizing HUVECs in hair loss research holds promise for the development of more effective and holistic treatment approaches. Blood vessels play a crucial role in hair growth by supplying nutrients to hDPCs. Angiogenesis, a hallmark of the anagen phase, is facilitated by hDPCs, which produce angiogenic factors to support vascular growth. Angiogenesis is significantly induced during the anagen phase, while it decreases during the catagen and telogen phases, and is essential for maintaining normal hair growth. Our findings indicate that moracin M enhances the proliferation rate of HUVEC cells up to a concentration of 25µM. Similarly, Moracin P shows a significant increase in cell proliferation at a concentration of 50µM, suggesting the necessity for further investigation at higher concentrations.
In the study conducted by Yoon et al., wound healing was performed on hDPCs [44]. However, to evaluate the vascular differentiation potential of moracin M, we cultured HUVEC cells and performed a scratch assay, observing the healing effects over a 24-hour period. The results showed a significant difference in wound healing, which is an indicator of angiogenesis. Yano et al., studies, transgenic overexpression of VEGF in outer root sheath keratinocytes resulted in enhanced perifollicular vascularization, accelerated hair regrowth after depilation, and increased size of vibrissa follicles, hair follicles, and hair shafts [42]. These findings suggest that moracin M may play a crucial role in promoting vascular cell differentiation and angiogenesis.
Moracin M has been shown to enhance tube formation in HUVECs and to elevate the expression and activity of MMP-2 and MMP-9, while not affecting MMP-7 levels. The various effects of moracin M identified in this study align with findings reported by Sun et al. [45] Additional research is necessary to comprehensively and thoroughly investigate the impact of moracin M on the altered endothelial cell. MMPs facilitate endothelial cell migration and tube formation by breaking down the basement membrane. Specifically, MMP-2 and MMP-9 are highlighted due to their type IV collagenase activity, which is crucial in the early stages of angiogenesis [46]. Moracin M significantly enhances angiogenesis and endothelial cell differentiation, highlighting its potential as a therapeutic agent for hair growth and vascular health.
Moracin M has been identified as a promoter of angiogenesis and a facilitator of hair cycle regulation and growth through the Wnt/β-catenin signaling pathway. Notably, moracin M has been observed to significantly enhance cell proliferation during the catagen (regression) phase of the hair growth cycle. This study represents the first comprehensive elucidation of moracin M is effects on angiogenesis and hair growth. Despite these promising findings, further investigation is required to validate these effects within actual microenvironments or in vivo conditions. Nevertheless, our research advances the understanding of hair growth-promoting agents and serves as a critical reference for subsequent studies on the vascular benefits of moracin M. This work establishes a foundation for developing novel therapeutic strategies utilizing moracin M for dermatological and vascular health applications.