Clinical and Genetic Aspects of Alopecia Areata: A Cutting Edge Review

Genes (Basel). 2023 Jun 28;14(7):1362. doi: 10.3390/genes14071362.

Abstract

Alopecia areata (AA) is a chronic, non-scarring, immune-mediated skin disease that affects approximately 0.5-2% of the global population. The etiology of AA is complex and involves genetic and environmental factors, with significant advancements in genetic research occurring in recent years. In addition to well-known genes such as PTPN22, CTLA4, and IL2, which have been widely supported as being associated with AA, an increasing number of specific gene-related loci have been discovered through advances in genetic research. For instance, gene analysis of microRNAs can reveal the critical role of miRNAs in regulating gene expression, aiding in the understanding of cellular and organismal functional regulatory mechanisms. Furthermore, numerous studies have confirmed the existence of correlations between AA and other immune-related diseases. Examples include hyperthyroidism and rheumatoid arthritis. By understanding the interrelationships between AA and other immune diseases, we can further comprehend potential shared genetic foundations or pathogenic mechanisms among different diseases. Genetic research plays a crucial role in unraveling the pathogenesis of AA, as the identification of genetic variations associated with AA can assist in formulating more effective and targeted treatment strategies.

Keywords: DNA genotyping; JAK-STAT signaling pathway; alopecia areata; alopecia totalis; alopecia universalis; genome-wide association study (GWAS); human leukocyte antigen (HLA); molecular genetics; single nucleotide polymorphism (SNP).

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alleles
  • Alopecia Areata* / genetics
  • Genetic Predisposition to Disease
  • Humans
  • Protein Tyrosine Phosphatase, Non-Receptor Type 22 / genetics

Substances

  • PTPN22 protein, human
  • Protein Tyrosine Phosphatase, Non-Receptor Type 22

Supplementary concepts

  • Diffuse alopecia

Grants and funding

This research was funded by Kaohsiung Municipal Ta-Tung Hospital, grant number KMTTH-108-056, KMTTH-110-056, and KMTTH-111-041 to Ching-Ying Wu, and funded by Kaohsiung Medical University, grant number KMU-M12010 to Jeff Yi-Fu Chen.