TLDR T-cell reconstitution after thymus transplantation can cause hair whitening and loss.
The study presented a mouse model demonstrating that T-cell reconstitution after thymus xenotransplantation could lead to hair depigmentation and loss, linking alopecia to depigmentation disorders. Human thymus tissue was implanted into athymic C57BL/6 nude mice, supporting mouse T-cell development without causing multiorgan autoimmune disease. However, all transplanted mice exhibited significant hair depigmentation and follicle loss. Transfer of T cells from these mice to black-coated RAG(-/-) recipients caused progressive coat-hair whitening and patchy hair loss. CD4+ T cells alone were sufficient to induce these effects. Immunofluorescent analysis indicated a decrease in Trp2+ melanocyte-lineage cells in depigmented follicles, and pathogenic T cells showed increased activation markers when exposed to melanocytes, suggesting a lack of tolerance to self-melanocyte antigens. This raised questions about tissue-specific tolerance mechanisms to skin antigens.
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