Evidence map›Paper›PMID 40998254›Full record

ArticleJournal of advanced research2026

Roles of Msx2 in exogen control: modulating the stem cell niche during the transition from hair shedding to regeneration.

Qi Chen, Wen-Chien Jea, Ting-Xin Jiang, Ping Wu, Chi Zhang, Ji Li, Mingxing Lei, Cheng-Ming Chuong, Ya-Chen Liang

Abstract read
In one paragraph

Article in Journal of advanced research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Qi ChenDepartment of Dermatology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui 230001, China.
Wen-Chien JeaDepartment of Pathology, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA.
Ting-Xin JiangDepartment of Pathology, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA.
Ping WuDepartment of Pathology, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA.
Chi ZhangDepartment of Dermatology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui 230001, China.
Ji LiDepartment of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan 410008, China.
Mingxing LeiKey Laboratory of Biorheological Science and Technology of Ministry of Education & 111 Project Laboratory of Biomechanics and Tissue Repair, College of Bioengineering, Chongqing University, Chongqing 400044, China. Electronic address: mingxing@cqu.edu.cn.
Cheng-Ming ChuongDepartment of Pathology, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA. Electronic address: cmchuong@usc.edu.
Ya-Chen LiangDepartment of Pathology, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA. Electronic address: ya-chen.liang@med.usc.edu.

Funding

Intra- and inter-cluster regulations of multiplex gene clustersR35GM150714 · NIGMS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Ya-Chen Liang · 2023 to 2026
$1.6M
Multi-scale modulation of organ adaptationR35GM153402 · NIGMS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Cheng-Ming Chuong · 2024 to 2026
$1.2M
NIGMS NIH HHS R35 GM150714NIGMS NIH HHS R35 GM153402
6 · The paper itself

Abstract

introductionThe exogen phase of the hair follicle cycle, during which club hairs are shed and new hairs emerge, represents a critical transitional step involving distinct structural remodeling and adhesive changes. Despite its fundamental importance, the molecular mechanisms orchestrating exogen remain largely unknown.

objectiveTo investigate the role of Msx2 in regulating hair anchoring, hair follicle stem cell (HFSC) lineage commitment, and extracellular matrix (ECM) remodeling during exogen.

methodsWe employed Msx2-knockout (KO) mice, bulk RNA sequencing, and late exogen transcriptome comparisons to identify differentially expressed genes (DEGs) and disrupted pathways. Additionally, protein interaction assays were conducted for functional studies.

resultsMsx2 deficiency mice still form new bulges containing HFSCs for subsequent hair cycles, but this resulted in the failed anchoring of older bulges and club hairs, leading to aberrant hair retention and accelerated hair shedding. Transcriptomic analysis revealed widespread transcriptional reprogramming, particularly in ECM-related genes, with significant overlap between Msx2-KO HFSCs and late exogen DEGs. Msx2-KO mice exhibited downregulated adhesion molecules, disrupted HFSC niche integrity, increased keratinization, and aberrant differentiation in HFSC and hair germ cells. Mechanistically, MSX2 directly interacts with SMAD proteins to regulate TGF-β signaling, thereby modulating ECM gene expression and suppressing HFSC trans-epidermal differentiation.

conclusionsOur findings establish Msx2 as a master regulator of exogen control, orchestrating hair shedding, HFSC niche stability, and ECM remodeling. This study provides new insights into hair follicle cycling dynamics and identifies Msx2 as a potential therapeutic target for promoting hair regeneration and mitigating alopecia phenotypes.

Indexed as

HairHair FollicleHomeodomain ProteinsRegenerationStem Cell NicheAnimalsCell DifferentiationExtracellular MatrixMiceMice, KnockoutStem CellsHomeodomain ProteinsMSX2 proteinExogenHair follicle stem cellHair regenerationNicheTGF-beta signaling

Identifiers

PMID40998254
PMCPMC13227282

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.