See related Commentary on page vi Progressive Hair Loss and Myocardial Degeneration in Rough Coat Mice: Reduced -Like (LOXL) in the Skin and Heart

Kimiko Hayashi,à Tongyu Cao,à Howard Passmore,w Claude Jourdan-Le Saux,à Ben Fogelgren,à Subarna Khan,w Ian Hornstra,z Youngho Kim,y Masando Hayashi,à and Katalin Csiszarà ÃJohn A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, Hawaii, USA; wDepartment of Genetics, Rutgers University, Piscataway, New Jersey, USA; zDepartment of Medicine, Division of Dermatology, Barnes-Jewish Hospital, Washington University School of Medicine, St Louis, Missouri, USA; yGenome Research Center for Birth Defects and Genetic Diseases, Asan Medical Center, Seoul, Korea

The rough coat (rc) is a spontaneous recessive mutation in mice. To identify the mutated , we have char- acterized the rc phenotype and initiated linkage mapping. The rc mice show growth retardation, cyclic and pro- gressive hair loss, hyperplastic epidermis, abnormal hair follicles, cardiac muscle degeneration, and reduced amount of collagen and elastin in the skin and heart. The rc locus was mapped at 32.0 cM on 9, close to the loxl gene. Lysyl oxidase-like (LOXL) protein is a novel copper-containing amine oxidase that is required for the cross-linking of elastin and collagen in vitro. LOXL is expressed at high levels in the skin and heart, where the rc mice show strong phenotype. The expression pattern and the genetic proximity to rc suggested loxl as a potential candidate gene. In rc mice, the loxl mRNA was reduced in the skin and the LOXL protein in the heart, dermis, atrophic hair follicles, and sebaceous glands. No mutations, however, were identified within the coding region of loxl, and offspring from rc/rc and loxl null mice crossing were phenotypically normal. Based on these results, loxl appears non-allelic to rc. Heart- and skin-specific downregulation of LOXL in rc mice, however, may contribute to the extracellular matrix alterations and the rc phenotype. Key words: hair follicle/sebaceous gland/amine oxidase/collagen/elastin J Invest Dermatol 123:864 –871, 2004

The rough coat (rc) was first described at The Jackson loss (Ruvinsky et al, 2002), whereas the rc mutation has no Laboratory as a spontaneous mutation. Weanling mice with feet and tail abnormality and demonstrates recessive early unkempt looking coats were observed in several litters of onset hair loss. one family of C57BL/6J mice. The rc mutation was reces- Previously, the mouse loxl (lysyl oxidase-like) gene was sive, and homozygotes of both sexes were fertile (Dickie, mapped to chromosome 9 (Tchernev et al, 1997; Wydner 1966). The initial breeding experiments showed that rc was et al, 1997). The loxl gene is listed at 33.0 cM according to not allelic with several other mutations with skin and hair The Jackson Genome Informatics data- defects, including ichthyosis (ic), plucked (pk), fuzzy (fz), and base (MGI http://www.informatics.jax.org), close to rc, rough (ro) (Dickie, 1966). By more refined linkage analysis, which has some similarity to the phenotype of the Menkes the rc locus was assigned to 32.0 cM on chromosome 9 kinky hair syndrome resulting from mutations in a copper- close to the Mpi-1 gene (Eicher et al, 1977), indicating no binding ATP-ase, ATP7A (MIM #309400) (Mercer et al, 1994; allelic association with the Brindled mouse (mobr, chromo- Das et al, 1995; Grimes et al, 1997; Levinson et al, 1997; some X), the closest homologue of Menkes kinky hair, Reed and Boyd, 1997). In addition, LOXL was highly ex- Balding (bal, chromosome 18), matted (ma, chromosome 3) pressed in the heart (Kim et al, 1995) and skin (Liu et al, or Nackt (nkt, chromosome 13). Nc/nga (nc, chromosome 9) 2004), where the rc mice show strong phenotype. LOXL is a is a model for human atopic dermatitis with hyperplastic catalytically active secreted protein closely related to lysyl epidermis, increased number of mast cells, and eosinophils oxidase (LOX), and a member of a newly characterized and degranulation in the ears and neck. It has some sim- family of copper-dependent amine oxidases (Csiszar, 2001). ilarities to the rc phenotype, but was linked to several LOXL shares extensive homology with LOX and the other markers between D9Mit103 at 33 cM and D9Mit209 at 35 LOX-like proteins, LOXL2, LOXL3, and LOXL4, in the C- cM (Kohara et al, 2001) and is not allelic with rc. Abnormal terminal region. This conserved region includes the copper- feet and tail (Aft) are closely linked to D9Mit48 at 32 cM, but binding domain, residues surrounding the lysyl and tyrosine allelism of rc with Aft was excluded as Aft confers kinky tail, residues that form the quinone co-factor, and the cytokine syndactyly in the hind limbs and dominant late onset hair receptor-like domain. The amino-terminal region of LOXL has a unique proline-rich region that is absent in LOX and other LOX-like proteins (Kenyon et al, 1993; Kim et al, 1995; Abbreviations: LOXL, lysyl oxidase-like; rc, rough coat Csiszar, 2001).

Copyright r 2004 by The Society for Investigative Dermatology, Inc. 864 123 : 5 NOVEMBER 2004 HAIR LOSS, MYOCARDIAL DEGENERATION AND REDUCED LOXL IN RC MICE 865

LOXL was detected in various human tissues (Kenyon et al, 1993; Kim et al, 1995). Increased LOXL expression was associated with remodeling of the extracellular matrix in fibrotic diseases of the liver and lung and the stromal reaction of bronchio-alveolar carcinoma and breast cancer (Decitre et al, 1998). At these locations, LOXL was reported to fulfill a function similar to LOX, which is traditionally known for the extracellular oxidative deamination of lysyl residues in fibrillar collagens and elastin that subsequently results in cross-link formation (Kagan, 2000). In induced liver fibrosis, however, the loxl gene was co-expressed with type III pro-collagen and preceded the expression of lox, Figure 1 The gross phenotype of rc mice. Photographs were taken at spec- which was closely co-regulated with the expression of the ified days after birth. Notice disorientation of hair (A) and the cyclic hair collagen type I gene, suggesting that LOXL might play a loss (B, D, E) and re-growth (C). Older rc mice suffer from severe hair distinct role with different substrate specificity from LOX loss and appear almost nude (F). (Kim et al, 1999). These observations, taken together, plau- sibly suggested that loxl might be a positional and func- tional candidate gene for rc. In an effort to identify the rc gene and evaluate the as- sociation of loxl with the rc, we have initiated mapping of the rc locus, characterized the rc phenotype, determined LOXL distribution in normal and rc mouse tissues, and analyzed the coding region of the loxl gene for mutations in rc mice.

Results

Linkage analysis of rc and the loxl gene In an initial linkage analysis of loxl we have used a loxl intron length polymorhism that distinguished between BALB/cJ and C57BL/6J. The position of loxl at 58.82 Mb has since been identified by Ensembl Mouse Genome database (http:// www.ensembl.org/Mus_musculus/). To define the position of the rc locus, backcross offspring were used for linkage analysis. A linkage map was generated by the analysis of 129 F backcross animals. There was one recombination 2 Figure 2 event between the rc locus and D9Mit162 (50.07 Mb in the Mean body weight comparison of C57BL/6J-rc/rc and C57BL/6J Ensembl Mouse Genome Database) and three recombina- siblings. Mice were sex matched and the weight of a total of 24 rc/rc and 34 rc/ þ mice were monitored twice a week over a period of 17 wk. tion events between rc and D9Mit104 (66.13 Mb in the à Sanger Mouse Genome database) among the 129 back- Error bars are SEM. po0.05 for rough coat weight versus sex- matched non-phenotypic weight. cross animals. We therefore concluded that the rc locus is proximal to D9Mit104, consistent with a previous report that mapped rc close to the Mpi-1 gene (58.08 Mb, Ensembl The rc mice displayed growth retardation compared with Genome Database) (Eicher et al, 1977). The genetic data normal C57BL/6J mice. In two independent experiments, derived from these crosses and mapping confirmed that the the body weight of 24 rc/rc mice over a 17-wk period (Fig 2) loxl gene was located within the rc chromosomal region. and 31 rc/rc mice over an 18-wk period (data not shown) Therefore we have evaluated the rc phenotype and the tis- was monitored and compared with non-phenotypic litter- sue and cellular expression pattern of loxl in normal and rc mates. In both experiments, the rc/rc mice had significantly mice and investigated the possibility of loxl as a candidate lower body weight, and this difference increased progres- gene for rc. sively with age. Homozygous rc mice obtained through breeding between rc/rc parents displayed an average sur- The rc phenotype Recording of the rc phenotype devel- vival rate of 28% (43 of 156 born) at weaning age, with most opment started on the day of birth and continued until the deaths occurring within the first 48 h after birth. This low time of death. Phenotypic rc pups started to show disor- rate of survival is likely due to abnormalities in the nursing ganized hair and hair loss on the back at approximately 2 females, as rc/ þ pups from rc/rc female and þ / þ male wk of age. The hair grew back when the follicles entered breeding also suffered a low survival rate, and rc/rc pups anagen phase, as revealed by the change in back skin color and rc/ þ littermates from rc/ þ female and rc/rc male from gray/pink to black, and was lost again during catagen breeding survived at a similar rate. and/or telogen. Gradually, the hair of rc mice became dis- oriented and depigmented, accompanied by progressive Histopathological findings In the skin of adult rc mice, hair loss (Fig 1). multifocal, moderate to marked follicular atrophy with 866 HAYASHI ET AL THE JOURNAL OF INVESTIGATIVE DERMATOLOGY epidermal ulceration was observed on the ventral neck and sections of normal mice, a large amount of basophilic trunk. Locally extensive granulation tissue formations were amorphous deposit was present in the bone matrix along noted with neutrophilic, mastocytic and lymphoplasmacytic the marrow cavity. This basophilic material was probably dermatitis. In the hairless areas, the epidermis became the residue of calcium deposition. In contrast, there was no hyperplastic. Abnormal and dilated hair follicles that con- such deposit in the femur of rc mice (Fig 3F, G). Increased tained amorphous material were frequently observed. Me- calcium level in the blood of rc mice correlated with the loss lanocyte pigments in hair follicles changed in color from of calcium from the bone. Although the calcium level in black to light brown (Fig 3A–C). In the heart of adult, rc mice normal mouse blood ranges between 3.2 and 8.5 mg per multifocal myocardial degeneration was present. Cardiac mL, the blood calcium level was higher than 8.5 mg per mL muscle fibers in rc mice appeared disoriented (Fig 3D, E). in all five rc mice tested and averaged at more than 8.8 mg The bone marrow showed diffused hyperplasia. In the femur per mL. In the liver, numerous erythrocytes, lymphocytes, polymorphonuclear leukocytes (neutrophils) and enlarged Kupffer cells were found in the hepatic sinusoids of rc mice compared to normal mice (not shown). In the trabeculae of the spleen numerous macrophages loaded with hem- osiderin granules were observed (Fig 3H, I).

Reduced collagen and elastin in the skin and heart of rc mice To evaluate the changes in the extracellular matrix of the skin and heart of rc and normal mice, tissue sections were stained with Elastic fiber-van Giesson stain. In the skin of rc mice within the papillary layer of the dermis, collagen and elastic fibers appeared thinner and disorganized. The reticular layer was much thinner compared to normal mouse skin. On the contrary, the adipose layer in rc mice was thicker than in normal mice. Both collagen and elastic fibers were reduced in amount and disoriented in many places (Fig 4B). In the heart of adult rc mice, cardiac muscle fibers were degenerated and disoriented. This may result from the alterations of the connective tissue that separate the bun- dles of cardiac muscle (Fig 4D). In the heart of rc mice, blood vessels were distorted and the amount of elastic fib- ers were markedly reduced in the aorta, large arteries, muscular arteries and veins. The wall of blood vessels ap- peared thinner (Fig 4F).

Decreased loxl and lox mRNA in the skin of rc mice We wanted to determine whether the reduced collagen and el- astin in the extra cellular matrix correlated with changes in loxl expression. Quantitative real-time PCR analysis was carried out using total RNA isolated from the dorsal skin, heart, liver and kidney of rc/rc and age-matched normal C57BL/6J mice. The relative abundance of the loxl mRNA in rc mouse skin samples was significantly reduced, on aver- Figure 3 age to 13.5% of normal (po0.01, Fig 5A). In the heart, kid- Histology sections stained with hematoxylin and eosin.(A) Section ney and liver of rc mice, loxl mRNA levels were comparable of normal mouse skin showing hair follicles (HF) extended to the de- to normal controls. In order to determine if the expression of rmis. Epidermis (Epi), sebaceous glands (Seb), dermal papillae (DP). the closely related lox has also been affected, we have Connective tissue in the dermis is stained with eosin. (B) Skin of rc mouse from hair loss area. Note, under developed hair follicles quantitated the lox mRNA in the same tissue samples. In the (arrowheads) and reduced pigmentation of hair color (arrows). Con- skin of rc mice the relative abundance of the lox mRNA was nective tissue staining appears reduced. (C) Another area of hair loss also significantly reduced (Fig 5A). showing hyperplastic epidermis (arrow) and extensive granulation tis- sue that replaced hair follicles by vacuoles (arrowhead) containing amorphous material. (D) A section of normal mouse heart showing Reduced amine oxidase activity in rc skin To investigate cardiac muscle and blood vessel (BV). (E) Heart of rc mouse showing the consequence of this significant reduction in loxl and lox cardiac muscle degeneration in the ventricle. Note a blood vessel con- mRNA, we carried out amine oxidase activity analysis using taining atheromatous plaque (arrow) and leucocytes (arrowhead). Mus- cle layer of blood vessels is thinner than that of normal mouse. (F)A skin protein extracts from three rc/rc and three wild-type section of femur from normal mice. Arrows indicate basophilic material mice. The mean activity in rc skin was almost half of the derived from calcium deposition. (G) Femur of rc mice shows no bas- mean activity in the wild-type skin (Fig 5C). There was a ophilic material. A few pyknotic nuclei (arrowheads) are noted. (H) large variation among the activities of the wild-type sam- Spleen of normal mouse. Red pulp (RP), white pulp (WP). (I) Numerous macrophages in the trabeculae of rc mouse spleen are loaded with ples, whereas, all rc skin samples demonstrated constantly hemosiderin granules (arrow). Scale bars ¼ 100 (A–C) and 50 (D–I) mm. low activity. 123 : 5 NOVEMBER 2004 HAIR LOSS, MYOCARDIAL DEGENERATION AND REDUCED LOXL IN RC MICE 867

Figure 5 Loxl mRNA expression analysis and amine oxidase activity in rc and normal mouse tissues. (A) Real-time quantitative PCR analysis of loxl and lox mRNA in different organs in the rc/rc and non-phenotypic mice. The graphs show the relative abundance of loxl (upper panel) and lox (lower panel) mRNA average in four rc/rc mice compared with the Figure 4 average loxl and lox mRNA level in five non-phenotypic (3 þ / þ and 2 Elastic fiber and Van Gieson stained sections of normal and rc rc/ þ ) mice. (B) Quality test sample of the RNA. (C) Total BAPN-inhib- mouse skin and heart. (A) Normal mouse skin. Collagen fibrils (pink itable amine oxidase activity was measured in three normal C57BL/6J staining) and elastic fibers (dark staining) are abundant in the papillary versusthree rc/rc mouse skin protein extracts. Error bars are SEM. (D) layer (PL). Thin and branched reticular fibers are seen in the reticular Northern blot analysis of total RNA from heart (H), kidney (K), liver (L), layer (RL) of the dermis. (B) rc mouse skin from hair loss area. The and skin (S) of a þ / þ and an rc/rc mouse, showing that there is no size reticular layer of the dermis is missing and is replaced by a thick ad- difference in the loxl mRNA in the rc/rc mouse. ipose layer. Collagen fibers are disorganized and elastic fiber staining is reduced. (C) Well-organized cardiac muscle of normal mouse. (D) Car- diac muscle of rc heart is significantly disorganized. Note the different northern blot analysis to determine whether there is a color of normal and rc heart, corresponding to the reduced content of change in the size of the loxl mRNA in rc mice. Analysis of elastin in the heart of rc mouse. (E) Internal elastic lamina of a small total RNA from the skin, heart, kidney, and liver of normal muscular artery in a normal mouse is stained intensely. (F) Almost no C57BL/6J and rc mice detected a single loxl mRNA in all elastic fiber stain shows in a distorted blood vessel in the heart of rc mouse. Note, red blood cells are coagulated and the thickness of the tissues examined, that appeared to be 2.7 kb both in normal smooth muscle layer is reduced. Scale bars: 100 (A, B) and 20 (C–F) mm. and rc mice (Fig 5D). Very low loxl mRNA expression was noted in the liver. The normal size of the loxl mRNA sug- Immunolocalization of LOXL in tissues of normal and rc gested that there was no gross insertion or deletion within mice To further evaluate the possible involvement of LOXL the loxl gene in rc mice. These results, however, did not in the rc phenotype, we compared its expression pattern in exclude the possibility that a point mutation, small insertion, normal and rc mouse tissues using immunohistochemistry. deletion or inversion within the loxl gene contribute to al- In normal mouse skin, LOXL showed an intense staining in tered expression and the rc phenotype. We therefore analy- the epidermis, follicular root sheaths and sebaceous glands zed the coding sequence of the loxl cDNA obtained from rc (Fig 6A). In the dermis some collagen and elastic fibers also mice, and compared it to normal C57BL/6J mice, the strain showed positive staining (Fig 6C). In the skin of rc mice, from which rc arose. Comparison of these sequences did LOXL immunostaining was significantly reduced compared not reveal any mutations within the coding region of the loxl to normal controls. Reduced staining was most obvious in gene (data not shown). the deformed, atrophic hair follicles and hypertrophic se- baceous glands (Fig 6B, D). LOXL immunostaining was Loxl/ and rc/rc cross-breeding Work by us (unpub- dramatically reduced in the cardiac muscle in the ventricle lished data) and others (Liu et al, 2004) has shown that loxl of rc mouse heart (Fig 6F). Comparable levels of LOXL null mice do not develop a hair loss phenotype. To test immunostaining were present in the kidney and liver of rc whether the lack of hair loss in loxl null mice was due to the and normal mice. Consistent with the very low level of loxl different strain background (129/sv and C57BL/6 hybrid), rc/ mRNA in the liver, LOXL immunostaining was only noted in a rc and loxl null cross-breeding was carried out. We obtained small number of cells. 16 offspring from loxl/ and rc/rc breeding and none of them showed the rc phenotype. We thus concluded that the Mutational analysis of the loxl mRNA in rc mice Be- difference in loxl/ and rc/rc phenotype was very unlikely cause loxl is a positional candidate for rc and its expression the results of the different strain background and that loxl is is significantly reduced in the rc mouse skin, we carried out likely not allelic to rc. 868 HAYASHI ET AL THE JOURNAL OF INVESTIGATIVE DERMATOLOGY

plasia, and granulation tissue formation with leukocyte invasion. Elastic fiber-van Gieson staining demonstrated altered deposition and reduced amount of collagen and elastic fibers. In the heart of rc mice, cardiac muscle was degenerated and disorganized and blood vessels were dis- torted with reduced amount of elastin. In this study, we have examined only adult male homozygous rc mice of 12–20 mo of age. The age- and sex-related severity of the observed alterations of cardiac muscle and blood vessels need to be further refined as previous studies noted both age- and sex-related variation in pathologies, including altered cop- per metabolism in the macular mutant mouse, a model for Menkes disease (Shiraishi et al, 1993). The loxl gene is located on mouse chromosome 9, in the same region as the rc locus. It is expressed in organs where the rc mice show severe abnormalities. Loxl encodes a copper-binding amine oxidase that is closely homologous to LOX. Some of the changes we have observed in the rc mice, including reduced amount of collagen and elastic fibers, appeared similar to known pathological conditions with reduced collagen and elastin cross-linking due to LOX deficiency or inhibition by b-aminopropionitrile (Csiszar, 2001). Furthermore, functional impairment of LOX is also known to result in tortuosity of blood vessels, similar to what we have observed in rc mouse heart (Hornstra et al, 2003). The rc mutant mice also exhibit some similarities to the Mottled/Brindled mutant mice, that are homologous to Menkes disease. Menkes disease is caused by mutations in a copper-transporting ATPase, which results in abnormal hair shaft and loss of pigmentation and significantly reduced LOX activity (Vulpe et al, 1993; Mercer et al, 1994; Das et al, 1995; Grimes et al, 1997; Levinson et al, 1997; Reed and Figure 6 LOXL immunostaining of normal and rc mouse skin and heart Boyd, 1997). These observations collectively supported loxl sections. (A) Normal mouse skin stained for LOXL. Intense LOXL as a positional and functional candidate for rc. staining is present in the epidermis (Epi), hair follicles (HF) and seba- The mutational analysis demonstrated that loxl primary ceous glands (Seb). Collagen fibers in the dermis are only weakly mutations are likely not the cause of the rc phenotype. stained. (B) A section from hair loss area of rc mouse skin. Note re- duced LOXL staining in the epidermis and abnormal hair follicles. The Consistent with these results, offspring from rc/rc and the reticular layer is replaced by an adipose layer. (C) Higher magnification recently available loxl null mice breeding were phenotypi- of normal mouse skin. Note an intense LOXL staining present in some cally indistinguishable from normal mice and further con- collagen fibers (CF) and elastic fibers (arrowheads) in the dermis. (D) Almost no detectable staining in the dermis of rc mice. The reticular firmed that loxl and rc are not allelic. layer of the dermis is replaced by an adipose layer (arrows). (E) Normal We noted, however, the secondary LOXL changes in mouse heart stained for LOXL. Positive LOXL staining is present in the certain tissues. Analysis of loxl expression by northern blot cardiac muscle fibers. (F) Only a few dotted staining is present in the detected the same size loxl mRNA in both rc and normal disorganized cardiac muscle fibers of rc mouse heart. (G) Negative control. Normal mouse skin incubated with pre-immune serum. Scale mice, but the expression of the loxl mRNA in the skin of rc bars ¼ 50 (A–D, H) and 20 (E–G) mm. mice appeared lower than in normal mice. Subsequent quantitative PCR data demonstrated significant reduction of Discussion the loxl mRNA in the skin with individual variations between 0.1% and 10% of normal. In this study, we have characterized the phenotype of the Catalytic activity measurements detected significantly rough coat mice and tested the hypothesis that the loxl reduced BAPN-inhibitable amine oxidase activity in the gene is a positional and functional candidate for rc. The rc skin. As these assays were only able to measure total amine mice display an unkempt-looking coat, suffer from early oxidase activity, we also determined if any changes occur in onset and progressive hair loss and demonstrate growth lox expression in rc mice that may contribute to this re- retardation, which persists throughout their lifetime. In ad- duced activity. We found that the relative abundance of the dition to the skin and hair phenotype, the rc mice show lox mRNA was also significantly reduced in the rc skin a range of abnormalities in multiple tissues, suggesting samples but demonstrated no change in other tissues. that the gene mutated in these mice might be involved in Therefore, it is likely that the reduction in total catalytic ac- the development and maintenance of several tissues and tivity in the skin resulted from the reduced amount of the organs. LOXL and LOX proteins in adult rc mice. Histopathology of the skin of rc mice revealed follicular In the heart of rc mice, focal myocardial degeneration and atrophy, sebaceous gland hypertrophy, epidermal hyper- disoriented cardiac muscle fibers paralleled the reduced 123 : 5 NOVEMBER 2004 HAIR LOSS, MYOCARDIAL DEGENERATION AND REDUCED LOXL IN RC MICE 869 amount of the LOXL protein, but there was no change in the through in-house breeding. Unless otherwise specified, the rc mice loxl mRNA. In the heart and skin of normal and rc mice, used in this study were bred in the C57BL/6J background. LOXL appeared in the same areas where collagen and/or Linkage analysis Mouse backcrosses were used for linkage elastic fibers are found. In a recent publication LOXL was analysis to refine the map position of the rc locus. C57BL/6J-rc/rc also reported in the dermis and co-localized with elastic mice were outcrossed with BALB/cJ mice, and F1 females fibers both in the dermis and in blood vessels. Furthermore, (heterozygous for both the rc trait and microsatellite markers of LOXL null mice demonstrated fragmented and reduced interest) were crossed to male C57BL/6J-rc/rc mice. Backcross elastic fibers in the dermis and aorta and the authors con- offspring were scored for recombination events that segregate the microsatellite markers contributed by the two parental chro- cluded that LOXL was essential for elastic fiber home- mosomes and the rc phenotypic marker. Murine Map Pairs, pur- ostasis (Liu et al, 2004). These observations support the chased from Research Genetics (Huntsville, Alabama), were used hypothesis that reduced LOXL may contribute to some of for microsatellite typing. In backcrosses to refine the map position the extracellular matrix phenotypes noted in the skin, my- of the loxl gene, segregation of loxl was monitored by an intron ocardium, and blood vessels in rc mice. length polymorphism within intron 3 of the loxl gene that distin- Similar extracellular matrix and fat deposition changes guished between the gene from the BALB/cJ and C57BL/6J were noted in the SPARC null mice. These mice demon- strains. For this analysis, PCR primers that correspond to se- quences at the 30 end of exon 3 and the 50 end of exon 4 of the loxl strate aberrations in the structure and composition of the gene were used. This primer pair amplified a 700 bp fragment dermal ECM, and among other features, a greater deposi- containing intron 3 in strain C57BL/6J, and a 500 bp fragment in tion of fat without change in the overall body weight (Brads- strain BALB/cJ. haw et al, 2003). Notable differences, however, exist between SPARC null and rc mice in the lack of overall fat Pathology and histology Five male and five female adult rc mice between 12 and 20 mo of age and two male and two female age- deposition and progressive weight loss. matched normal control C57BL/6J mice were shipped on dry ice In addition to the skin, hair follicle, and heart abnormal- within 24 h of euthanasia for necropsy to a veterinary pathologist at ities, the rc mice exhibited skin lesions in which the dermis IDEXX Veterinary Services (West Sacramento, California). Blood was infiltrated by leukocytes. Several studies indicated that calcium levels were determined with colorimetric assay using o- mouse mutations with skin and hair follicle abnormalities cresolphthalein complex. For histology examinations, tissue spec- were associated with immunological defects. Homozygous imens were obtained from three adult C57BL/6J homozygous rc nude mice (nu/nu) were congenitally athymic and hairless male mice and three normal adult male mice. The dorsal skin, aorta, heart, kidney, liver, spleen, lung, and femur bone were ex- throughout life (Flanagan, 1966; Gershwin, 1977). The hair- cised and immediately fixed in 4% formaldehyde in 0.1 M phos- less mouse (hr/hr) displayed hereditary immunodeficiency, phate buffer, pH 7.4. After fixation, tissues were washed in 0.1 M which resulted in the high incidence of spontaneous lymph- phosphate buffer containing 7% sucrose, dehydrated in ethanol, omas (Heiniger et al, 1974; Reske-Kunz et al, 1979). The hair cleared in xylene and embedded in paraffin. Sections were cut at loss in Nackt (nkt) mice was associated with CD4 deficiency 5 mm and stained with hematoxylin and eosin or Elastic fiber van (Benavides et al, 1999). Skin lesions of NC/Nga, a model Giesson stain (Sigma Diagnostic #HT25, Sigma-Aldrich, St Louis, Missouri). for human atopic dermatitis with elevated IgE levels, his- tologically resembled skin lesions of rough coat mice Immunohistochemistry Preparation and properties of the LOXL (Vestergaard et al, 2000). Further studies are needed to polyclonal antibody, generated in rabbit and used in this study, determine if some of the phenotypes of the rc mice are have been reported previously (Decitre et al, 1998). Procedures for similarly related to immunodeficiency. immunostaining using the unlabeled antibody peroxidase–anti per- As loxl appears to be not the gene mutated in rc mice, oxidase technique (Sternberger, 1979) were followed as described previously (Hayashi et al, 1987). Tissue sections were treated with additional positional candidates need to be evaluated. Pro- 1% hydrogen peroxide in methanol for 30 min, washed and tein kinase Clk3, a regulator in RNA splicing, was detected blocked with 5% normal goat serum in 0.1 M phosphate buffered at high levels in anagen but not telogen during wool follicle saline, pH 7.4, for 30 min. Sections were reacted with the primary growth cycle induced by prolactin (Rufaut et al, 1999). Ex- antibody in 1 mg per mL BSA in PBS overnight at 41C, then with pression of the cellular retinoic acid-binding protein goat anti-rabbit IgG (Sigma Chemical) at 50 mg per mL dilution for (CRABP) was also shown to correlate with the dynamics 30 min and rabbit peroxidase–antiperoxidase (Sigma Chemical) diluted to 50 mg per mL for 30 min at room temperature. Sites of of the hair cycle (Bazzano et al, 1993). NCAM, an adhesion antigen binding were visualized by immersing the slides in 0.05% molecule expressed in normal hair follicles but absent in hair diaminobenzidine (Sigma Chemical) in 0.05 M Tris-HCl buffer, pH matrix cells in the hairless (hr/hr) mice, was also localized to 7.6, and 0.01% hydrogen peroxide for 5 min. Sections were coun- the rc region on chromosome 9 (Ahmad et al, 1999). Further terstained with Harris hematoxylin. Negative controls were incu- positional and functional approaches will identify the gene bated either with preimmune serum or in media containing no mutated in the rc mice in order to understand the function of primary antibody and processed in the same manner as above. its encoded protein and its relevance to regulation of tissue RNA extraction Organs from rc and normal C57BL/6J mice were specific loxl expression. immediately frozen in liquid N2 upon harvest. The organs were ground, and homogenized in TriReagent (Molecular Research Cen- ter, Cincinnati, Ohio) of 10 times the volume of the organs to extract total RNA. The homogenate was kept at room temperature for 5 Materials and Methods min. Chloroform equal to 0.2 times the volume of TriReagent was added, and the samples were vortexed vigorously for 15 s. Sam- All animal procedures were approved by the University of Hawaii ples were left at room temperature for 15 min before a centrifu- Institutional Animal Care and Use Committee (IACUC). The C57BL/ gation at 12,000 g for 15 min at 41C. Isopropanol equal to 0.5 6J-rc/rc mice, control C57BL/6J mice, and BALB/cJ mice were times the volume of TriReagent was mixed with the aqueous obtained from The Jackson Laboratory (Bar Harbor, Maine) or phase, and the samples were centrifuged at 12,000 g for 8 min 870 HAYASHI ET AL THE JOURNAL OF INVESTIGATIVE DERMATOLOGY at 251C after incubation at room temperature for 10 min. The RNA coding region of loxl. The primer sequences are available upon pellets were washed in 75% ethanol, and dissolved in RNase-free request. PCR products were sequenced using one of the PCR H2O. primers and reagents and sequencer from Applied Biosystems (Foster City, California). Quantitative RT-PCR and northern blot analysis For the real- time RT-PCR experiments, total RNA was extracted from strips of We thank Dr Sheri F.T. Fong for her advice in the quantitative assays. dorsal skin from three wild-type C57BL/6J mice, 2 rc/ þ mice, and This work was supported by grants CA76580, AR47713, RR16453 4 rc/rc mice in the C57BL/6J strain (10–12 mo of age) using Tri- (K.C.), RR03061 (K.C., T.C.) from the NIH and Ingeborg V. F. McKee Reagent (Molecular Research Center, Cincinnati, Ohio) following Fund from the Hawaii Community Foundation (T.C.). the manufacturer’s instructions. Samples were normalized by GAPDH amplification and quantitation. The quality of the RNA ex- DOI: 10.1111/j.0022-202X.2004.23436.x tract was verified by agarose gel electrophoresis with ethidium bromide staining showing sharp 28S and 18S rRNA bands (Fig 5B). Manuscript received December 1, 2003; revised June 3, 2004; accepted for publication June 10, 2004 Five micrograms of each RNA sample was reverse transcribed using SuperScript II Reverse Transcriptase Kit (Invitrogen, Carls- Address correspondence to: Katalin Csiszar, PhD, Pacific Biomedical bad, California) according to the manufacturer’s manual. One mi- Research Center, University of Hawaii at Manoa, 1960 East-West croliter (of 20) of the first-strand cDNA was used as template for Road, Biomed T-311, Honolulu, HI 96822, USA. Email: KCsiszar@ PCR amplification. The loxl- and lox-specific primers were syn- aol.com thesized at IDT (Coralville, Iowa) and the sequences are available upon request. Real-time PCR was performed using DyNAmo HS SYBR Green qPCR kit and an Opticon 2 DNA engine (MJ Re- References search, Waltham, Massachusetts). The PCR conditions were opt- imized so that a single fragment was amplified. The copy number Ahmad W, Panteleyev AA, Christiano AM: The molecular basis of congenital of loxl and lox cDNA molecules in a sample was measured by atrichia in humans and mice: Mutations in the hairless gene. J Investig comparing its amplification with that of standard samples that Dermatol Symp Proc 4:240–243, 1999 contained 10 to 106 copies of the respective cDNA. Each cDNA Bazzano G, Terezakis N, Attia H, et al: Effect of retinoids on follicular cells. sample was amplified in triplicates or duplicates, and statistical J Invest Dermatol 101:138S–142S, 1993 significance was evaluated using an unpaired t test. RNA or cDNA Benavides F, Giordano M, Fiette L, et al: Nackt (nkt), a new hair loss mutation of from different mice were individually analyzed and never pooled. the mouse with associated CD4 deficiency. Immunogenetics 49:413–419, For northern blot analysis, total RNA from an rc/rc and a þ / þ 1999 Borel A, Eichenberger D, Farjanel J, et al: Lysyl oxidase-like protein from bovine C57BL/6J mouse (2 y old) was separated according to size on 1% aorta. Isolation and maturation to an active form by bone morphogenetic agarose gel containing 4% formaldehyde. The gel was washed in protein-1. J Biol Chem 276:48944–48949, 2001 0.05 N NaOH and 10 SSC (1.5 M NaCl, 0.15 M sodium citrate) Bradshaw AD, Graves DC, Motamed K, Sage EH: SPARC-null mice exhibit in- þ before the RNA was transferred onto HyBond-N nylon membrane creased adiposity without significant differences in overall body weight. (Amersham Biosciences, Piscataway, New Jersey). After the RNA Proc Natl Acad Sci USA 100:6045–6050, 2003 was UV cross-linked to the membrane, it was incubated in Ultra- Csiszar K: Lysyl oxidases: A novel multifunctional amine oxidase family. Prog Hyb buffer (Ambion, Austin, Texas) for 2 h at 421C before a 32P- Nucleic Acid Res Mol Biol 70:1–32, 2001 labelled human loxl cDNA probe was added at 1 106 cpm per Das S, Levinson B, Vulpe C, Whitney S, Gitschier J, Packman S: Similar splicing mL. After overnight hybridization, the membrane was washed in mutations of the Menkes/mottled copper-transporting ATPase gene in occipital horn syndrome and the blotchy mouse. Am J Hum Genet 0.1 SSC/0.1% SDS at 501C before the radioactivity was analy- 56:570–576, 1995 zed by exposure to an X-ray film. The experiment was repeated Decitre M, Gleyzal C, Raccur M, Peyrol S, Aubert-Foucher E, Csiszar K, Sommer using RNA from another pair of mice with the same result (data not P: Lysyl oxidase-like protein localizes to sites of de novo fibrinogenesis in shown). fibrosis and in the early stromal reaction of ductal breast carcinomas. Lab Invest 78:143–151, 1998 Catalytic activity assay Skin samples from three rc/rc and three Dickie MM: Rough coat. Mouse News Lett 34:30, 1966 normal C57BL/6J mice were excised and flash-frozen in liquid ni- Eicher EM, Fox S, Reynolds S: Rough coat on chromosome 9. Mouse News Lett trogen. LOX enzymes were extracted according to previously pub- 56:42, 1977 lished protocols for bovine aorta extractions (Kagan et al, 1979; Flanagan SP: ‘‘Nude’’, a new hairless gene with pleiotropic effects in the mouse. Genet Res 8:295–309, 1966 Borel et al, 2001). Briefly, frozen skin samples from the different Gershwin ME: DiGeorge syndrome: Congenital thymic hypoplasia. Animal model: genotypes were homogenized in 0.1 M K2HPO4 (pH 7.7), 0.15 M congenitally athymic (nude) mouse. Am J Pathol 89:809–812, 1977 NaCl, and 1 Pefabloc (Roche). After mixing at 41C for 30 min, Grimes A, Hearn CJ, Lockhart P, Newgree DF, Merce JF: Molecular basis of the samples were centrifuged at 41C for 20 min at 24,000 g. The brindled mouse mutant (Mo(br)): A murine model of Menkes disease. pellets were then resuspended in 0.016 M K2HPO4 (pH 7.8), 4 M Hum Mol Genet 6:1037–1042, 1997 Urea, and 1 Pefabloc. After vortexing, the samples were left Hayashi K, Hayashi M, Jalkanen M, Firestone JH, Trelstad RL, Bernfield M: mixing at 41C overnight. After centrifuging the urea-insoluble pro- Immunocytochemistry of cell surface heparan sulfate proteoglycan in teins into a pellet (41C for 20 min at 24,000 g), the urea-soluble mouse tissues. A light and electron microscopic study. J Histochem proteins were transferred to a fresh tube and tested for BAPN- Cytochem 35:1079–1088, 1987 Heiniger HJ, Meier H, Kaliss N, Cherry M, Chen HW, Stoner RD: Hereditary inhibitable amine oxidase activity. The protein concentrations of immunodeficiency and leukemogenesis in HRS-J mice. Cancer Res the samples were measured using the Bradford reagent (Biorad) 34:201–211, 1974 and 30 mg of urea-fraction proteins were used in each activity as- Hornstra IK, Birge S, Starche B, Bailey AJ, Mecham RP, Shapiro SD: Lysyl ox- say. The activity assays were performed as previously detailed idase is required for vascular and diaphragmatic development in mice. using Cadaverine as a substrate and Amplex Red to detect re- J Biol Chem 278:14387–14393, 2003 leased H2O2 (Li et al, 1997; Palamakumbura and Trackman, 2002). Kagan HM: Intra- and extracellular enzymes of collagen biosynthesis as biolog- ical and chemical targets in the control of fibrosis. Acta Trop 77:147–152, RT-PCR and DNA sequencing The total RNA extracted from the 2000 Kagan HM, Sullivan KA, Olsson TA, Cronlund AL: Purification and properties of kidney and skin of rc mice using TriReagent was reverse tran- four species of lysyl oxidase from bovine aorta. Biochem J 177:203–214, scribed using SuperScript II Reverse Transcriptase Kit (Invitrogen) 1979 according to the manufacturer’s manual. The first strand cDNA was Kenyon K, Modi WS, Contente S, Friedman RM: A novel human cDNA with a pre- used as template for PCR amplification. Primers were synthesized dicted protein similar to lysyl oxidase maps to chromosome 15q24–q25. at IDT to amplify overlapping cDNA fragments and to sequence the J Biol Chem 268:18435–18437, 1993 123 : 5 NOVEMBER 2004 HAIR LOSS, MYOCARDIAL DEGENERATION AND REDUCED LOXL IN RC MICE 871

Kim Y, Boyd CD, Csiszar K: A new gene with sequence and structural similarity to Reske-Kunz AB, Scheid MP, Boyse EA: Disproportion in T-cell subpopulations in the gene encoding human lysyl oxidase. J Biol Chem 270:7176–7182, 1995 immunodeficient mutant hr/hr mice. J Exp Med 149:228–233, 1979 Kim Y, Peyrol S, So CK, Boyd CD, Csiszar K: Coexpression of the lysyl oxidase- Rufaut NW, Pearson AJ, Nixon AJ, Wheeler TT, Wilkin RJ: Identification of dif- like gene (LOXL) and the gene encoding type III procollagen in induced ferentially expressed during a wool follicle growth cycle induced by liver fibrosis. J Cell Biochem 72:181–188, 1999 prolactin. J Invest Dermatol 113:865–872, 1999 Kohara Y, Tanabe K, Matsuok K, Kanda N, Matsuda H, Karasuyama H, Yonekawa Ruvinsky I, Chertkov O, Borue XT, Agulnik SI, Gibson-Brown JJ, Lyle SR, Silver H: A major determinant quantitative-trait locus responsible for atopic LM: Genetics analysis of mouse mutations Abnormal feet and tail and dermatitis-like skin lesions in NC/Nga mice is located on Chromosome 9. rough coat, which cause developmental abnormalities and alopecia. Immunogenetics 53:15–21, 2001 Mamm Genome 13:675–679, 2002 Levinson B, Packman S, Gitschier J: Deletion of the promoter region in the Atp7a Shiraishi N, Taguchi T, Kinebuchi H: Effect of age and sex on copper-induced gene of the mottled dappled mouse. Nat Genet 16:224–225, 1997 toxicity in the macular mutant mouse. An animal model for Menkes’ Li W, Nellaiappan K, Strassmaier T, Graham L, Thomas KM, Kagan HM: Local- kinky-hair disease. Biol Trace Elem Res 39:129–137, 1993 ization and activity of lysyl oxidase within nuclei of fibrogenic cells. Proc Sternberger LA: The unlabeled antibody method. Hormone receptor, Golgi-like Natl Acad Sci USA 94:12817–12822, 1997 and dual color immunocytochemistry. J Histochem Cytochem 27: Liu X, Zhao Y, Gao J, et al: Elastic fiber homeostasis requires lysyl oxidase-like 1 1658–1659, 1979 protein. Nat. Genet 36:178–182, 2004 Tchernev VT, Yang TP, Kingsmore SF: Genetic mapping of lysyl oxidase-2 (Loxl) Mercer JF, Grimes A, Ambrosini L, Lockhart P, Paynter JA, Dierick H, Glover TW: on mouse chromosome 9. Mamm Genome 8:621–622, 1997 Mutations in the murine homologue of the Menkes gene in dappled and Vestergaard C, Yoneyama H, Matsushima K: The NC/Nga mouse: A model for blotchy mice. Nat Genet 6:374–378, 1994 atopic dermatitis. Mol Med Today 6:209–210, 2000 Palamakumbura AH, Trackman PC: A fluorometric assay for detection of lysyl Vulpe C, Levinson B, Whitney S, Packman S, Gitschier J: Isolation of a candidate oxidase enzyme activity in biological samples. Anal Biochem 300: gene for Menkes disease and evidence that it encodes a copper-trans- 245–251, 2002 porting ATPase. Nat Genet 3:7–13, 1993 Reed V, Boyd Y: Mutation analysis provides additional proof that mottled is Wydner KS, Kim Y, Csiszar K, Boyd CD, Passmore HC: An intron capture strategy the mouse homologue of Menkes’ disease. Hum Mol Genet 6:417–423, used to identify and map a lysyl oxidase- like gene on chromosome 9 in 1997 the mouse. Genomics 40:342–345, 1997