JAK-STAT1 as Therapeutic Target for EGFR Deficiency-Associated Inflammation and Scarring Alopecia

    November 2024 in “ EMBO Molecular Medicine
    Karoline Strobl, Jörg Klufa, Regina Jin, Lena Artner-Gent, Dana Krauß, Philipp Novoszel, Johanna Strobl, Georg Stary, Igor Vujic, Johannes Griss, Martin Holcmann, Matthias Farlik, Bernhard Homey, Maria Sibilia, Thomas Bauer
    TLDR Targeting JAK-STAT1 can reduce inflammation and promote hair growth in conditions linked to EGFR deficiency.
    This study highlights the protective role of epidermal growth factor receptor (EGFR) in preventing scarring alopecia by maintaining the immune-privileged status of the hair follicle stem cell niche. Disruption of EGFR signaling leads to hypersensitivity in the JAK-STAT1 pathway, exacerbating inflammation and damaging the stem cell niche. The research demonstrates that genetic depletion or therapeutic inhibition of JAK1/2 or STAT1 can reduce inflammation, restore skin barrier function, and promote hair growth in mouse models with EGFR deletion. Additionally, skin biopsies from patients treated with EGFR inhibitors and those with cicatricial alopecia showed active JAK-STAT1 signaling and altered EGFR pathway components. These findings suggest a potential therapeutic strategy for managing chronic folliculitis linked to EGFR-inhibitor cancer therapy and cicatricial alopecia.
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