Regulatory Gamma Delta T Cells Protect Human Scalp Hair Follicles From Alopecia Areata In Vivo

    Aviad Keren, Nyra Goldstein, Marta Bertolini, R. Kassem, Ralf Paus, Amos Gilhar
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    TLDR Regulatory γδ T cells help protect hair follicles from alopecia areata and promote hair regrowth.
    The study investigates the role of Foxp3+ γδ regulatory T cells (γδTregs) in protecting human scalp hair follicles from alopecia areata (AA). Researchers found an increased frequency of TCRVδ1/Foxp3 cells in AA patients' lesional skin. By generating autologous human γδTregs and injecting them into AA lesions on human scalp skin xenotransplants in mice, they observed prevention of AA onset and strong hair regrowth in established lesions. This was accompanied by reduced perifollicular infiltrate and restoration of hair follicle immune privilege. Ex vivo, γδTregs reduced expression of immune privilege collapse markers and premature catagen induction, while increasing proliferation and decreasing apoptosis of hair matrix keratinocytes. The study highlights γδTregs as crucial AA-protective immune cells and potential candidates for cell-based therapies in AA management.
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