An integrated scalp and blood biomarker approach suggests the systemic nature of alopecia areata

Autor: Dante Dahabreh, James G. Krueger, Giselle Singer, Joseph Han, Celina Dubin, Ning Zhang, Yeriel Estrada, Ester Del Duca, Ana B. Pavel, Jacob W. Glickman, Grace Kimmel, Emma Guttman-Yassky
Rok vydání: 2021
Předmět:
Zdroj: AllergyREFERENCES. 76(10)
ISSN: 1398-9995
Popis: BACKGROUND Alopecia areata (AA) is characterized by immune dysregulation in both scalp and blood, but a large-scale approach establishing biomarkers of AA incorporating both scalp tissue and serum compartments is lacking. We aimed to characterize the transcriptomic signature of AA lesional and nonlesional scalp compared to healthy scalp and determine its relationship with the blood proteome in the same individuals, with comparative correlations to clinical AA disease severity. METHODS We evaluated lesional and nonlesional scalp tissues and serum from patients with moderate-to-severe AA (n = 18) and healthy individuals (n = 8). We assessed 33,118 genes in AA scalp tissue using RNAseq transcriptomic evaluation and 340 inflammatory proteins in serum using OLINK high-throughput proteomics. Univariate and multivariate approaches were used to correlate disease biomarkers with Severity of Alopecia Tool (SALT). RESULTS A total of 608 inflammatory genes were differentially expressed in lesional AA scalp (fold change/FCH>1.5, false discovery rate/FDR
Databáze: OpenAIRE