Alopecia is a common disease in dermatology. It has a greater impact on people's appearance [45] and easily causes psychological burden [46, 47]. Therefore, people pay more and more attention to the research and prevention of hair loss. The drugs and methods used in clinical treatment of hair loss in modern medicine mainly include minoxidil, finasteride, dutasteride, ketoconazole, prostaglandin drugs, laser therapy, hair transplantation, etc. [48, 49], although they have certain effect, it is easy to relapse. Recent studies have shown that there are 322 kinds of Chinese medicine preparations for the treatment of alopecia, including 135 kinds of preparations prepared by medical institutions, 108 kinds of Chinese patent medicines prepared by pharmaceutical factories, 60 kinds of preparations produced by doctors and 19 kinds of ethnic drugs. The forms of drugs included decoctions, pills, capsules, tablets, granules, tinctures, liniments, and powders [50].
The Convention on Biological Diversity (CBD) was adopted at the United Nations Conference on Environment and Development in 1992 and formally entered into force in December 1993. It is one of the most important multilateral environmental conventions in the world. The CBD establishes "the conservation of biological diversity, the sustainable use of its components and the equitable sharing of benefits arising from the use of genetic resources(ABS)[51]". Article 8 (j) of the CBD introduces the concept of "indigenous and local communities". The Nagoya protocol on access and benefit sharing many of the core terms involves "indigenous and local communities". It requires users to obtain the "prior informed consent" of "indigenous and Local communities" when accessing genetic resources and related traditional knowledge, and to share benefits equally with "indigenous and Local communities[52]". Researchers should have ethnic and folk medicine knowledge from the people to serve the people's idea [53]. Specimens of P. mira were collected in Sichuan province, Yunnan province, etc. The research group had good communication with local residents. As researchers, we abide by the above conventions when conducting research of P. mira.
A total of 21 chemical components related to the kernel of P. mira and corresponding 216 drug targets, 9640 disease target proteins, and 149 drug and disease targets are collected by using network pharmacology technology The Hub gene and protein network interaction map and “the kernel of P. mira-chemical composition-target-disease” network map were obtained by using the String website and Cytoscape software. GO analysis find that heme binding, steroid hormone receptor, vitamin binding, antioxidant activity, fatty acid derivative binding, nuclear receptor binding, and so on, may be related to alopecia. KEGG enrichment analysis find that 12 signaling pathways related to alopecia include PI3K/Akt, Wnt, etc. The 12 signaling pathways involve 21 targets and 17 chemical components, of which the Wnt signaling pathway mainly involves 4 targets. The target points are mainly derived from the target prediction of 13 chemical components. The pathway predicted by network pharmacology is related to angiogenesis, inflammation, cell proliferation and apoptosis, and it is consistent with the factors currently considered to affect hair loss, such as inflammation, hair follicle cell cycle, and hair follicle blood circulation. Through literature review, it is found that the mechanism of action for the treatment of alopecia is mostly concentrated in the Wnt and EGFR signaling pathways, which is similar to the predicted results of network pharmacology. Current research on the Wnt pathway mainly involves regulating the proliferation of breast cancer, colon cancer and other cancer cells [54], regulating osteoarthritis [55] and osteoblast differentiation [56], participating in metabolism [57], and regulating hair follicles, and hair regeneration [58]. The PI3K/Akt pathway is also one of the signaling pathways predicted by network pharmacology. It is one of the classic pathways of the EGFR signaling pathway [59]. It can induce or inhibit cell apoptosis [60]. The current research is mainly in tumors [61], Anti-inflammatory[62], osteoblast proliferation and differentiation [63], and growth factor-mediated neuronal activity [64], but there are also reports in the documents that the PI3K/Akt pathway is related to hair growth [65]. There may be a cross link between the Wnt signaling pathway and the EGFR signaling pathway [66]. In the breast epithelial cell line HC11, Wnt can affect the EGFR signaling pathway through Wnt5a, Wnt1 and other cell membrane ligands [67]. Both Wnt and EGFR pathways are involved in Drosophila Polarity of eye cells is formed [68]. From the perspective of research direction and function, they are also similar. There is also the possibility of cross-linking between Wnt signaling pathway and EGFR signaling pathway in hair follicle regulation. Teng et al. found that the EGFR and EGF signals in the hair follicles of mice with mutations in the key genes for hair loss were weakened, and the continued high expression of EGF in the mice could make the hair cycle stay in the growth phase [15]. Yi et al. found that β-catenin can regulate the proliferation of hair follicle stem cells by regulating the PI3K/Akt pathway [69], indicating that the PI3K/Akt signaling pathway is related to the Wnt signaling pathway.
In the study of effectiveness and mechanism of action, firstly, KM mice were used to evaluate the effectiveness of eight chemical components in the kernel of P. mira. KM mice after depilation induced by 6% sodium sulfide were used to evaluate the efficacy of the 8 components(β-sitosterol, linoleic acid, vitamin E, oleic acid, campesterol, trans-squalene, amygdalin, fucosterol) by measuring new hair status, hair length and hair weight. The results of the experiment found that the five components (β-sitosterol, linoleic acid, vitamin E, amygdalin, and fucosterol) have obvious promoting effects. Therefore, three doses of the above five components were selected to re-evaluate the pharmacodynamics of the C57BL/6 mice depilation model induced by sodium sulfide, which were vitamin E groups 1, 2, and 3 (6.125, 3.125, 1.563 mg/cm2/d), β-sitosterol groups 2, 3, and 4 (0.061, 0.031, 0.016 mg/cm2/d), linoleic acid groups 1, 2, and 3 (0.313, 0.156, 0.078 mg/cm2/d), amygdalin groups 2, 3, and 4 (0.061, 0.031, 0.016 mg/cm2/d), fucosterol groups 2, 3, and 4 (0.061, 0.031, 0.016 mg/cm2/d). Secondly, C57BL/6 mice were used to re-evaluate the effectiveness of the five active components in the kernel of P. mira. By observing its skin color change time, new hair status rating, hair length, hair weight and other indicators, it was found that β-sitosterol group 2 (0.061 mg/cm2/d), linoleic acid group 2(0.156 mg/cm2/d), vitamin E group 2 (3.125 mg/cm2/d) could reduce the time of skin darkening in C57BL/ 6 mice, the increase of growth status rating, the increase of hair length and weight. So it indicated that the three dose groups of β-sitosterol, vitamin E, and linoleic acid could make the hair follicles enter the growth phase in advance, which has a certain effect on hair growth. Finally, using C57BL/6 mice depilation model induced by sodium sulfide, the experimental area skin of mice in β-sitosterol group 2 (0.061 mg/cm2/d), linoleic acid group 2 (0.156 mg/cm2/d), and vitamin E group 2(3.125 mg/cm2/d) were tested for the number of hair follicles and dermal thickness, and the effect of the three groups on the Wnt/β-catenin signaling pathway was studied. The results show that the three components can up-regulate the mRNA expression of LEF 1, GSK-3β and β-catenin mRNA expression of the Wnt/β-catenin signaling pathway, and had no significant effect on the mRNA and protein expression of Cyclin D1. Lipids can participate in the development and regulation of hair and skin [70]. Linoleic acid, β-sitosterol and vitamin E are all fat-soluble components. Truong et al. [71] found that oil of red ginseng (Talinum paniculatum (Jacq.) Gaertn.) and its main components, linoleic acid and β-sitosterol, can promote hair growth by regulating the Wnt/β-catenin signaling pathway. Upadhyay [72] found that β-sitosterol gel and β-sitosterol-phospholipid complex improved androgenic alopecia by inhibiting 5α-reductase. Linoleic acid derivatives can maintain the stability of the hair follicles by maintaining the lipid metabolism within the hair and hair follicles [73], so that the hair is in a normal growth state [74]. Vitamin E injection subcutaneously in patients with alopecia areata or plum blossom needle tapping combined with vitamin E rubbing can significantly improve the hair growth of patients with alopecia areata [75].
The Wnt/β-catenin signaling pathway is one of the important pathways related to hair loss. It is a multi-channel signal transduction pathway, which participates in the process of embryonic cell development, division and differentiation and tissue regeneration. It is highly conserved in genetics, and the Wnt pathway among different species is very similar. β-catenin protein is a key factor in activating the pathway [76]. It can be phosphorylated by GSK3β and then degraded [77]. But when it accumulates to a certain amount, it is transferred from the cytoplasm to the nucleus and interacts with TCF/LEF family transcription factors (For example, LEF 1) binds to initiate transcription and translation of target genes, including C-myc, Cyclin D 1, etc. [78] (Fig. 18), so select β-Catenin, GSK3β, LEF 1, Cyclin in the downstream of the Wnt/β-catenin pathway D 1 is four important factors to be studied.
Studies find that β-sitosterol, linoleic acid and vitamin E can up-regulate LEF 1, GSK-3β mRNA expression, β-catenin mRNA expression, and Cyclin D 1 mRNA expression in the Wnt/β-catenin signaling pathway. The expression of mRNA and protein of Cyclin D 1 has no obvious influence. The increase of LEF 1 mRNA expression and the rising trend of β-catenin mRNA expression indicate that the Wnt/β-catenin pathway is in an activated state, but the mRNA expression of GSK-3β in this article increases. This result is consistent with the previous study on the effect of light walnut oil on GSK. The effect of -3β is consistent. It is speculated that the expression of GSK-3β may be regulated by other signal pathways, such as GSK-3β-MCL-1 [44], but further experimental verification is needed. In the results of immunohistochemistry, vitamin E, β-sitosterol and linoleic acid had no obvious effect on the protein expression of GSK-3β, β-catenin, Cyclin D 1 and LEF 1, which may be due to the fact that the skin of the mice in the administration group has changed from black to gray and pink to enter the resting phase after the third week. Although the Wnt/β-catenin pathway is activated, its activity has been reduced and even some mice have stopped hair grows [79], so there is no statistical difference in protein expression overall. It is suggested that mice skins at different administration periods should be selected for testing in subsequent experiments. In this article, the expression of Cyclin D1 mRNA and protein did not change significantly. According to literature reports [80], it was found that the hair of mice knocked out of Cyclin D 1 gene grew normally, and that Cyclin D 1 gene had no obvious effect on the proliferation of hair follicle cells. However, other literatures indicate that Cyclin D 1 is related to hair follicle stem cells [81], and the relationship between Cyclin D 1 gene and related signal pathways and hair follicles should be studied more deeply. In addition, there may be interactions between Wnt/β-catenin pathway and EGFR signaling pathway in the regulation of hair growth. The signal pathways do not exist independently, but are connected to each other to form a complex network. However, there is still little research on the relationship between the signal pathways, which suggests that more attention should be paid to the study of the Wnt/β-catenin pathway and the EGFR signal pathway in subsequent experiments. The connection and interaction of the hair loss treatment, the mechanism network of the treatment of hair loss and the mechanism of its function are more clearly revealed.
The more commonly used hair loss agents in the current literature include hair removal cream, cyclophosphamide, rosin and paraffin, testosterone propionate, and sodium sulfide. The first three reagents are not targeted at specific types of hair loss. Cyclophosphamide is mainly used for patients with hair loss caused by chemotherapy, and testosterone propionate is mainly used for androgenetic alopecia, but these hair loss models have causes that cannot fully simulate human hair loss [82], and the reason why two different species of mice were used in the experiment is that the literature found that C57BL6 mice, KM mice, and SD rats are commonly used in depilation animal models, with most females. Animal experiments of a variety of different species are more conducive to evaluating the effects of drugs and avoiding false positive results.
KM mice have a short hair growth cycle, which is suitable for short-term and rapid screening, and C57BL/6 mice skin has obvious periodicity and long hair growth cycle is suitable for long-term efficacy evaluation. C57BL/6 mice are in the growth phase when the skin is black. In the growth phase, the secondary hair embryos are activated to differentiate into hair follicles. The cells of the hair follicles are highly active and differentiate to form pigmented hair shafts. Hair follicle metabolism decreases during the anagen phase, and the cells gradually apoptosis, the skin color is gray at this time. At the end of the anagen phase, the cells of the hair follicle stop moving, and only a layer of differentiated cells remains on the surface of the hair papilla. The hair follicle forms a secondary hair embryo and enters the resting stage, and the skin of C57BL/6 mice turns pink [83]. Because of this feature of C57BL/6 mice, it has been widely used in hair growth animal experiments and skin diseases related fields [84]. In addition, when using C57BL/6 mice for experiments, all mice need to use sodium sulfide for hair removal. This is because the hair follicles of C57BL/6 mice are in the resting phase under normal physiological conditions and must rely on huge external stimuli (sulfide sodium treatment and plucking) can make the hair follicles of C57BL/6 mice enter the growth cycle [85], so the experiment using C57BL/6 mice in this article did not set a blank control group. Preliminary evaluation of efficacy using KM mice and re-evaluation of efficacy in C57BL/6 mice found that β-sitosterol, linoleic acid and vitamin E allowed mice to enter the hair growth phase earlier, increasing the length and weight of new hair. The effect of promoting hair growth is more obvious than other components. Although KM and C57BL/6 mice are used in this article, they still have limitations. The animal hair follicle cycle is different from the human hair growth cycle, and the hair follicles are collected after the experiment is completed. Changes in some related proteins during the growth cycle have not been discovered, so it is necessary to explore experimental models that are more in line with the causes of human hair loss and find animals that are closer to the human hair growth cycle for experiments. Through clinically consistent models, a variety of animal experiments, multi-time point sampling analysis, and more reasonable index evaluation methods reflect the effect of drugs on hair loss.
At present, the fact that the kernels of P. mira are not included in the Pharmacopoeia of the People's Republic of China(2020) has become a bottleneck restricting the cultivation and use of the kernels of P. mira, and the non-receipt by pharmaceutical factories has led to a sharp decline in usage. However, in the eyes of sellers in the medicinal material market, its appearance quality seems to be no weaker than that of peach kernels (the kernels of Prunus persica (L.) Batsch and Prunus davidiana (Carr.) Franch.). Author of this article visited the medicinal material market in Chengdu's International Trade City and found that the drug sellers were willing to buy the kernel of P. mira at a price of about 40 yuan/kg. The peach kernels in the Pharmacopoeia of the People's Republic of China (2020) are derived from Prunus persica (L.) Batsch and Prunus davidiana (Carr.) Franch.[86], which has the functions of activating blood circulation and removing blood stasis and moistening intestines and defecating. It has been distributed in Hebei, Shaanxi, Yunnan, Gansu and Sichuan Province [87]. At present, HPLC has been used to study the fingerprints of the kernel of P. mira and peach kernels from many producing areas, and it is found that they have 12 common peaks, and the content of 3 peaks is different, indicating that the chemical components of the two are roughly similar [88]. In the future, various experimental animals such as mice, rats, rabbits, etc. can be used to create models of coagulation and bleeding, constipation, gastrointestinal tract movement, etc., to evaluate the effectiveness of the two systems and to combine quality control indicators and pharmacodynamic indicators. The Logistic algorithm evaluates and grades the quality of both [89]. In addition, it is necessary to evaluate the safety of acute toxicity in rats and mice, and long-term toxicity in rats. Comprehensive evaluation of the similarities and differences between the two through quality control indicators, safety evaluation, system effectiveness evaluation, etc., laid the foundation for its entry into the Pharmacopoeia of the People's Republic of China (2020). If the kernel of P. mira can enter the Pharmacopoeia of the People's Republic of China (2020), it can greatly promote the development of the acquisition, planting and processing of the kernel of P. mira in Tibetan areas, and make full use of the local medicinal resources, especially for the poverty alleviation in the deeply impoverished areas of the Tibetan area.
However, the chemical composition of the kernel of P. mira was complex, especially the fat-soluble components still have a large number of components that have not been quantitatively analyzed, but the fat-soluble components have the characteristics of low polarity and strong adhesion, making the test more difficult. When determining oleic acid and linoleic acid in this paper, the samples were first subjected to saponification treatment, so that there were fewer peaks in the spectrum, resulting in the unsaponifiable components in the kernel of P. mira that could not be determined [90]. Therefore, you can find new sample processing methods or establish new analysis conditions through literature review or use various instruments for further analysis. For example, the unsaponifiables such as sterols and triterpene alcohols in the kernel oil of P. mira are separated and dried by gel permeation chromatography [91], and then the content of sterols and triterpene alcohols is determined by LC-MS/MS. It can raise quality standards. The HPLC method was used to quantitatively analyze the kernel of P. mira, and the contents of oleic acid, linoleic acid and amygdalin in the kernel of P. mira were determined, which laid the foundation for improving the quality control of the kernel of P. mira. In the experiment, the chromatographic conditions and sample extraction methods were investigated to determine the best chromatographic conditions and extraction methods for oleic acid, linoleic acid and amygdalin. Under this condition, the measured oleic acid is 323.14 ~ 5170.20 µg/mL, linoleic acid is 50.76 ~ 812.14 µg/mL, and amygdalin has a good linear relationship in the range of 80.00 ~ 1280.00 µg/mL. The precision, repeatability and stability are good. The RSD% is less than 3%, and the established method is simple and accurate. Among the 12 batches of different origins, the content of oleic acid in the kernel of P. mira from Nixi Township, Shangri-La City, Yunnan Province, China and Xinlong County, Sichuan Province, China was significantly lower. The content of linoleic acid in Lixian and Shangri-La counties and cities is obviously low, and there is no significant difference between oleic acid and linoleic acid in other regions. The content of amygdalin in kernel of P. mira from Xinlong County, Kangding City and Jiulong County in Sichuan Province is higher than that in other regions. The three chemical components may be different due to the climatic conditions, sunlight time, rainfall, and soil conditions of the growing place. There are fewer peaks in the test samples for the determination of oleic acid and linoleic acid. It is possible that some unsaponifiable components in the kernel of P. mira have not been detected due to the pretreatment method, and unsaponifiables (such as sterols, Triterpene alcohol) content determination method detects more components in the kernel of P. mira and improves quality standards.