IL-12/IL-23 Neutralization Is Ineffective for Alopecia Areata in Mice and Humans

    Luana dos Santos Ortolan, Sa Rang Kim, Sydney B. Crotts, Lucy Liu, Brittany G. Craiglow, Carlos Gustavo Wambier, Renato Soriani Paschoal, Brett King, Ali Jabbari
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    TLDR Blocking IL-12/IL-23 does not help with hair loss in alopecia areata for mice or humans.
    The document summarizes a study that found IL-12/IL-23 neutralization to be ineffective in treating alopecia areata (AA) in both a C3H/HeJ mouse model and in humans. In the mouse model, treatment with antibodies specific for IL-12/23 p40 or IL-23 p19 did not prevent hair loss. Similarly, a retrospective chart review of four patients with AA treated with ustekinumab, a drug that targets the p40 subunit, showed no hair regrowth. These results challenge the role of IL-12 and IL-23 in AA pathogenesis and their viability as treatment targets. The study suggests that randomized controlled trials are necessary to confirm these findings, acknowledging the small sample size of human patients as a limitation.
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