Type 2 Innate Immunity Regulates Hair Follicle Homeostasis to Control Demodex Pathosymbionts

    Ricardo-Gonzalez Rr, Maya E. Kotas, Iliana Tenvooren, Marquez Dm, Marlys S. Fassett, Lee J, Daniel Sg, Kyle Bittinger, Roberto Efrain Diaz, James S. Fraser, Ansel Km, Spitzer Mh, Hong-Erh Liang, Locksley Rm
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    TLDR A specific immune response helps control mite populations on the skin, maintaining healthy hair follicles.
    The study demonstrated that type 2 innate immunity, particularly through skin group 2 innate lymphoid cells (ILC2s) that secrete IL-13, plays a crucial role in maintaining hair follicle homeostasis by regulating epithelial cell proliferation. In the absence of type 2 immunity, hair follicles appeared normal; however, when colonized by the commensal mite Demodex musculi, there was an increase in epithelial proliferation and abnormal hair follicle morphology. This was associated with a loss of stable commensalism, leading to a massive infestation and an inflammatory response involving ILC2s and other immune cells. Treatment with topical anti-parasitic agents, but not antibiotics, reversed these effects. This research highlights the importance of ILC2s and type 2 immunity in controlling the population of Demodex mites on mammalian skin, including humans, to maintain skin and hair follicle health.
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