Laser Capture Microdissection Reveals Transcriptional Abnormalities In Alopecia Areata Before, During, And After Active Hair Loss

    Jane Li, Christine van Vliet, Nicholas Rufaut, Leslie N. Jones, Rodney Sinclair, Federico Carbone
    TLDR Alopecia areata involves persistent gene abnormalities and immune activity, even in regrown hair, suggesting a risk of relapse.
    The study analyzed hair follicle samples from 25 alopecia areata (AA) patients and 23 healthy controls, revealing transcriptional abnormalities associated with AA. It found increased expression of chemokines and receptors in active AA bulbs, indicating immune cell recruitment and inflammation. Abnormal gene expression persisted even in regrown hair, suggesting a predisposition to relapse. A core signature of five genes was upregulated in all AA stages, supporting an intrinsic abnormality in AA. The research highlighted the role of resident memory T cells and suggested potential targets for primary prevention of AA.
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