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Alopecia Areata
Book chapter

Alopecia Areata

Ali Jabbari, Lynn Petukhova and Angela M. Christiano
Clinical and Basic Immunodermatology, pp.527-535
Springer International Publishing
04/25/2017
DOI: 10.1007/978-3-319-29785-9_29

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Abstract

Alopecia areata (AA) is an autoimmune disease characterized by targeting of the hair follicle. Clinically, patients exhibit nonscarring hair loss with varying presentations across all age groups and follow an unpredictable course. Our understanding of the pathogenic mechanisms underlying AA has been greatly enhanced by recent large scale studies of genetic associations of disease. Descriptive studies in humans in tandem with mechanistic experiments in mice have helped define cellular and soluble disease drivers at the level of the end-organ target, the hair follicle, as well as the immune system.In AA, those mechanisms that protect the hair follicle from immune attack and maintain the immune privileged status of this site become disrupted and allow autoreactive cytotoxic immune cells to recognize and respond to self-antigens associated with the hair follicle.Our enhanced understanding of the disease has led to the identification of new therapeutic targets for AA.In particular, targeting of JAK molecules, proximal intermediates that transduce ligand binding signals for a wide variety of cytokine receptors, have shown promise in the treatment of this disease in animals models and humans.
Alopecia areata Autoimmune Hair Immune privilege Immunogenetics Immunotherapy

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