848 Genes Implicated in Lipid and Metabolic Regulation Downregulated in Central Centrifugal Cicatricial Alopecia

    Justin Thomas, Yemisi Dina, Saleh Rachidi, Luis A. Garza, Crystal Aguh
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    TLDR 848 genes related to fat and metabolism are less active in people with Central Centrifugal Cicatricial Alopecia.
    The study analyzed gene expression in five patients with Central Centrifugal Cicatricial Alopecia (CCCA) and found a significant downregulation of 848 genes associated with lipid metabolism and fatty acid biosynthesis. Out of over 20,000 genes examined, the 200 most downregulated were significantly related to these processes, with the PRKAA2 gene, important for AMPK subunit encoding, being 34% less expressed in CCCA-affected scalp tissue. Additionally, linoleic acid metabolism was notably disrupted. These results indicate that metabolic abnormalities may contribute to the development of CCCA.
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      If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

      community If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

      by nkrata in Research  830 upvotes 1 year ago
      Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

      community I am a dermatologist with a clinical interest in alopecia. AMA

      in Will treatment work for me? 3 years ago
      In this conversation, 4990 discussed various treatments for hair loss, including oral minoxidil, PRP, transplan, Jak inhibitors, Dutasteride, Finasteride, Olumiant, Ketoconazole, RU58841, microneedling, baricitinib, and CCCA. They recommended scalp biopsies in unclear cases of DUPA, twice weekly to twice daily shampooing for topical minoxidil users, and two sessions spaced one month apart with follow up at month three to determine the effectiveness of PRP treatment.

      community scarring alopecia awareness in this community

      in Chat  33 upvotes 3 years ago
      Lichen Planopilaris (LPP), a form of permanent hair loss, which can be mistaken for seborrheic dermatitis and is characterized by scalp itching, burning, redness, and dandruff. Treatment options discussed include steroidal creams, finasteride, minoxidil, and RU58841.

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