Disturbance of Immune Microenvironment in Androgenetic Alopecia Through Spatial Transcriptomics

    Sasin Charoensuksira, Supasit Tantiwong, Juthapa Pongklaokam, Sirashat Hanvivattanakul, Piyaporn Surinlert, Aungkana Krajarng, Wilai Thanasarnaksorn, Suradej Hongeng, Saranyoo Ponnikorn
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    TLDR Androgenetic alopecia involves immune cell disruptions, especially increased CD4+ T cells around hair follicles.
    The study investigated the immune microenvironment in androgenetic alopecia (AGA) using spatial transcriptomics and immunohistochemistry, analyzing samples from seven AGA patients and five control donors. Results showed significant immune disruptions in the peri-infundibular regions of hair follicles, with an increase in CD4+ T cells and a Th2-biased response, alongside a decrease in cytotoxic CD8+ T cells and NK cells. These findings suggest a perturbed adaptive immunity contributing to AGA pathogenesis, highlighting potential targets for new immunomodulatory therapies.
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