Recent Advances in the Pathogenesis of Autoimmune Hair Loss Disease Alopecia Areata

    Taisuke Ito
    Alopecia areata was understood as a cell-mediated autoimmune disease where cytotoxic T cells target melanocyte-associated proteins like tyrosinase. The review highlighted advances in understanding its pathogenesis, emphasizing the immunobiology and hormonal aspects of hair follicles. Hair follicles were described as unique miniorgans with their own immune and hormonal environments, maintaining an "immune privilege" that, when disrupted, leads to autoimmune reactions against hair follicle autoantigens. Viral infections, such as influenza, could trigger alopecia areata by causing excess production of interferons, particularly IFN-γ, which played a crucial role in the collapse of immune privilege. The paper explored the interactions between the endocrine and immune systems and hair follicles in the disease's pathogenesis.
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