All methods that involve the use of vertebrate subjects were performed in compliance with institutional guidelines. All animal experimental procedures were approved by the Institutional Animal Care and Use Committee of the Experimental Research Center of China Academy of Chinese Medical Sciences (Protocol Code: ERCCACMS11-2210-03). All the materials used in this study are listed in the Table of Materials.
Animal preparation and macroscopic observation
Male C57BL/6 mice, aged 6–7 weeks and weighing 20 ± 2 g, were obtained from a commercial supplier. The mice were divided into a histological analysis cohort (n = 39) and a continuous in vivo imaging cohort (n = 3). The dorsal hair of all mice was depilated to synchronize the hair follicle cycle. Hair growth status was examined every other day from day 2 to day 26 post-depilation. The backs of the mice in the imaging cohort were photographed every other day until day 26 using a camera. A fixed focal distance of 15 cm was maintained, and consistent, standard ambient laboratory lighting conditions were ensured to accurately document macroscopic changes.
In vivo TPEF and SHG imaging
Imaging sessions were performed on days 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, and 26 post-depilation. The mice were anesthetized using isoflurane. Complete loss of consciousness was ensured by observing the breathing rate and testing the foot reflex with a gentle toe pinch. The anesthetized mouse was secured onto the stage of a two-photon microscope. For TPEF imaging of melanin, the microscope was equipped with a 25x water immersion objective (numerical aperture = 1.05), and the excitation wavelength was set to 800 nm. A z-stack scan of the melanin autofluorescence was performed, reaching a total scanning depth of 45 µm. The step size was set to 2 µm, the image resolution to 1,024 × 1,024 pixels, and the acquisition speed to 4 µs/pixel. For SHG imaging of collagen fibers, the excitation wavelength was adjusted to 950 nm using the same 25x water immersion objective. A z-stack scan from the upper surface of the dermis to a total scanning depth of 45 µm was initiated, maintaining a step size of 2 µm, an image resolution of 1,024 × 1,024 pixels, and an acquisition speed of 4 µs/pixel. Following the imaging session, the mouse was carefully removed from the microscope stage, isoflurane was discontinued, and the mouse was placed on a warming pad until it fully recovered consciousness before being returned to the home cage.
Tissue collection and histological processing
A distinct, separate cohort of three mice from the histological group was euthanized every other day from day 2 to day 26, according to institutional guidelines, ensuring that no mouse was reused for longitudinal histological sampling. A 2 cm × 2 cm full-thickness dorsal skin tissue sample centered precisely at the intersection of the horizontal and vertical midlines on the back of each mouse was surgically excised. The excised skin tissue was placed flatly onto a hard card to prevent edge curling and immediately immersed in a test tube containing 4% paraformaldehyde. The fixed tissues were dehydrated and embedded to prepare 6 µm thick paraffin sections. Prior to de-waxing, the paraffin sections were heated on a slide warmer for 120 min. The sections were stained with hematoxylin and eosin (HE) and Sirius Red using standard staining kits according to the manufacturer's instructions. The sections were mounted with neutral gum and observed using an inverted microscope. For liquid-crystal-polarized imaging, the de-waxed and Sirius Red-stained sections were photographed under a polarized light microscope. A unified polarizer angle was established by crossing the polarizer and analyzer at exactly 90° to achieve a maximally dark background (extinction state), and this specific angle was consistently locked for all subsequent image captures.
In vivo dermoscopy and electron microscopy of hair shafts
Prior to plucking, the dorsal hair growth area was evaluated in vivo using a clinical dermatoscope at 20x magnification. Hair regeneration was quantified using a standard 0–3 scoring system based on hair shaft emergence and density (0 = no visible hair; 1 = sparse hair emergence; 2 = moderate hair density; 3 = dense, full hair coverage). To ensure unbiased sampling, the dorsal depilated area of each mouse was visually divided into four equal quadrants. A random number generator was used to select two quadrants per mouse, and five newly grown hair shafts were firmly plucked from each selected quadrant using sterile forceps. The plucked hair shafts were immediately immersed and fixed in 2.5% glutaraldehyde in 0.1 M phosphate buffer (pH 7.4) for 4 h at 4 °C to preserve the ultrastructure. The fixed hair shafts were washed three times in 0.1 M phosphate buffer and sequentially dehydrated through a graded ethanol series (50%, 70%, 80%, 90%, and 100%) for 15 min at each concentration, followed by critical point drying using liquid CO2. The dried hair shafts were mounted horizontally onto conductive double-sided carbon tape attached to aluminum stubs. The samples were sputter-coated with a 10 nm gold layer using a vacuum sputter coater for 60 s to prevent electron charging. The coated samples were inserted into a scanning electron microscope, and the hair shafts were observed using an accelerating voltage of 5.0 kV. Ultramicroscopic morphological changes were systematically evaluated by capturing images at 500x and 1,000x magnifications, specifically documenting the hair shaft diameter and the structural integrity and arrangement of the cuticular scales.
Data and statistical analysis
Image parameters were measured and quantified using generic image analysis software. All statistical analyses and graphical representations were conducted using standard statistical analysis software. For continuous in vivo monitoring data obtained from the same animals across multiple time points, statistical significance was determined using repeated-measures analysis of variance (RM-ANOVA) followed by Bonferroni's post-hoc test. For histological data involving independent animal samples, an ordinary one-way ANOVA followed by Tukey's post-hoc test was used to evaluate statistical differences. All results were expressed as the mean ± standard deviation (SD). Differences were considered statistically significant at *p < 0.05, p < 0.01, and ***p < 0.001.