1. The value of immunohistochemical expression of SOX9 and CD34 in alopecia areata.
- Author
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Bazid HAS, Marae AH, Farag B, and Abdallah RA
- Subjects
- Humans, Male, Female, Adult, Young Adult, Middle Aged, Adolescent, Hair Follicle metabolism, Hair Follicle pathology, Hair Follicle immunology, SOX9 Transcription Factor analysis, SOX9 Transcription Factor metabolism, Alopecia Areata immunology, Alopecia Areata metabolism, Alopecia Areata pathology, Antigens, CD34 analysis, Antigens, CD34 metabolism, Immunohistochemistry
- Abstract
Background: Alopecia areata (AA), an immune-mediated disorder, is marked by temporary, nonscarring hair loss. The bulge area is protected from immune attacks by immune privilege; however, recent studies demonstrated immune cells infiltrating the bulge area., Objective: This study aims to investigate the immunohistochemical expression of the sex-determining region Y-box 9 (SOX9) and cluster of differentiation 34 (CD34) in AA patients as markers of hair follicle stem cells (HFSCs) and progenitor cells, respectively., Methods: Immunohistochemical staining of SOX9 and CD34 was applied on skin samples of 20 AA patients and 20 healthy controls., Results: SOX9 and CD34 were significantly lower in lesional samples of cases compared to perilesional and control skin biopsies. Furthermore, SOX9 level was negatively correlated with the severity of alopecia tool score (SALT score) among the studied AA patients. Moreover, lowered SOX9 expression was present in patients with recurrent attacks., Conclusions: The significant reduction of stem cell markers (SOX9 and CD34) in our studied AA cases signifies the pathological affection of HFSCs and their progeny in AA. This is thought to cause a loss of competence in generating new hair in some AA cases, which needs to be validated in further research., Limitations of the Study: This study has a small sample size.
- Published
- 2024
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