Free radicals target the melanocytes in the hair bulb and specifically attack the DNA of their mitochondria. These assaults cause mutations and losses of genetic material which impair mitochondrial function, thereby paralysing melanin synthesis. Normally, protective molecules such as those of the Bcl-2 family safeguard mitochondria from oxidation-induced apoptosis. However, oxidative stress eventually degrades these same protective molecules, making melanocytes increasingly vulnerable. At the same time, the body’s natural antioxidant enzymes, such as catalase and superoxide dismutase, are also damaged, which affects tyrosinase and leads to a drop in its activity.
Finally, oxidative stress targets melanoblasts, the stem cells that are precursors of melanocytes. In response to oxidative damage, researchers have observed an ectopic differentiation of these cells. Instead of remaining in reserve to ensure future renewal, the stem cells are prematurely converted into active melanocytes in an attempt to compensate for the losses. This process depletes the pool of stem cells in the hair follicle. Once this reservoir is exhausted, the renewal of pigment-producing cells can no longer occur, which marks the onset of grey hair.
Autoimmune diseases are sometimes involved in canities.
Vitiligo is an acquired autoimmune disease that illustrates how a dysregulated immune system can affect pigmentation. It manifests as the appearance of white patches on the skin (leucoderma) and is frequently accompanied by depigmentation of body hair and scalp hair. This phenomenon occurs when T lymphocytes of the immune system, which are supposed to protect the body against external aggressors, mistakenly identify melanocytes as target cells to be eliminated. The melanocytes then lose their ability to synthesise melanin, which leads to white hair.
Even though vitiligo is the most direct example, other autoimmune disorders, particularly those affecting the thyroid, can disrupt the hormonal signals that regulate melanin production and hasten the onset of the first grey hairs.
Stress, a factor that accelerates hair greying.
The link between stress and hair greying, often illustrated by the legend of Marie Antoinette, whose hair is said to have turned white on the night before her execution, was long regarded as a mere myth. However, science has confirmed that psychological stress can indeed accelerate canities. This phenomenon results from an intense activation of the sympathetic nervous system, which governs our response to danger.
Under normal conditions, melanocyte stem cells remain in a resting state and only transform into melanocytes when required to pigment a new hair. However, in the event of acute stress, the sympathetic nervous system releases large amounts of noradrenaline. This sudden release of neurotransmitters saturates the receptors on the stem cells, triggering their immediate and dysregulated activation. This overstimulation leads to a massive and irreversible differentiation of the entire pool of stem cells into active melanocytes. Once these cells have differentiated, no stem cells remain in the follicle to ensure pigmentation during subsequent hair cycles. The hair that grows back is therefore white.