7Th World Congress for Hair Research
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View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Elsevier - Publisher Connector ABSTRACTS 7th World Congress for Hair Research ALOPECIA AREATA P001 P002 Hair follicle cycle and inflammatory infiltrate in alopecia areata at early stage Exomic sequencing of immune-related genes reveals novel candidate variants XT Zhang, Y Zhao, B Zhang, MZ Cai, YG Gong, T Ye and XQ Zhang The First Affiliated Hospital of associated with alopecia universalis Sun Yat-Sen University of Medical Sciences, Guangzhou, China HH Ryu1,SLee2,3, SH Paik1,SJJo1,J-SSeo2,3,4,J-IKim2,3,4 and OS Kwon1,5,6 1Department of Objective: To investigate the histopathological features including changing of hair follicle cycle and the Dermatology, Seoul National University College of Medicine, Seoul, Republic of Korea; 2Department inflammatory infiltrate of lymphocytes, eosinophils, and mast cells in alopecia areata (AA). of Biomedical Sciences, Seoul National University Graduate School, Seoul, Republic of Korea; Method: Clinical, laboratory, and pathological features of 136 patients with AA were 3Genomic Medicine Institute, Medical Research Center, Seoul National University, Seoul, Republic investigated. of Korea; 4Department of Biochemistry and Molecular Biology, Seoul National University College of Results: Follicular counts from biopsy specimens of the 136 patients showed largely decreased Medicine, Seoul, Republic of Korea; 5Laboratory of Cutaneous Aging and Hair Research, Clinical anagen/telogen and terminal-vellus ratios. ‘‘Swarm-of-bees’’ peribulbar lymphoid infiltration existed Research Institute, Seoul National University Hospital, Seoul, Republic of Korea and 6Institute of in 73.52% (100/136) of the patients, and those with it either had a shorter duration or had active hair Dermatological Science, Seoul National University College of Medicine, Seoul, Republic of Korea loss. Eosinophils were present in 47.8% (63/136) of cases in all stages of AA. Patients with diffuse type Alopecia areata (AA) is a common autoimmune disorder mostly presented as round patches of were more likely to have eosinophilic infiltrate than those with other types of AA. Cell counts of mast hair loss and subclassified into alopecia totalis/alopecia universalis (AT/AU) based on the area of cells and the activated mast cell in AA lesions were more abundant in the deeper peri-follicular than alopecia. Although AA is relatively common, only 5% of AA patients progress to AT/AU, which in the superficial peri-follicular area, but there was no difference between the peri-vascular deeper affect the whole scalp and whole body, respectively. To determine the genetic determinants of and superficial parts of the dermis. Superficial peri-vascular and deeper peri-follicular mast cell counts this orphan disease, we undertook whole-exome sequencing of 6 samples from AU patients, and had a positive correlation with serum IgE level. Superficial peri-vascular mast cells and the activated 26 variants in immune-related genes were selected as candidates. When an additional 14 AU mast cell in AA lesions were found to be more abundant in patients in the active phase (P ¼ 0.028, samples were genotyped for these candidates, 6 of them remained at the level of significance in 0.004). The patients who had a ‘‘swarm-of-bees’’ peribulbar lymphoid infiltration had more mast cell comparison with 155 Asian controls (Po1.92 Â 10À3). Linkage disequilibrium was observed infiltration both in the superficial and deeper peri-vascular areas. The patients with higher peripheral between some of the most significant SNPs, including rs41559420 of HLA-DRB5 (Po0.001, OR IgE level, as well as those with pigment casts in the follicular tract, had more activated mast cells in 44.57) and rs28362679 of BTNL2 (Po0.001, OR 30.21). While BTNL2 was reported as a general the deeper peri-follicular area. susceptibility gene of AA previously, HLA-DRB5 has not been implicated in AA. In addition, we Conclusion: The presence of eosinophils, mast cells, and lymphocytes was found to be correlated found several genetic variants in novel genes (HLA-DMB, TLR1, and PMS2) and discovered an with disease severity and decrease of follicular terminal–vellus ratio. Also, the peri-vascular additional locus on HLA-A, a known susceptibility gene of AA. This study provides further infiltration of mast cells into the superficial dermis suggests that mast cells play an important role evidence for the association of previously reported genes with AA and novel findings such as in the pathological process of AA. HLA-DRB5, which might represent a hidden culprit gene for AU. P003 P004 Association between IL16 gene polymorphisms and susceptibility to alopecia Differences in comorbidity profiles between early-onset and late-onset alopecia areata in the Korean population areata patients: a retrospective study of 871 Korean patients W-Y Sim1, J-H Chung2, Y-C Kye3 and B-L Lew1 1Kyunghee University Hospital at Gangdong, B-K Kim, NR Lee, H Hong, NY Yoon, S-Y Ahn and W-S Lee Department of Dermatology and Seoul, Republic of Korea; 2Kyung Hee University, Seoul, Republic of Korea and 3Korea Institute of Hair and Cosmetic Medicine, Yonsei University Wonju College of Medicine, Wonju, University, Seoul, Republic of Korea Republic of Korea Introduction: The pathogenesis of alopecia areata (AA) still remains unclear. However, several studies Alopecia areata (AA) is an autoimmune disease that presents as patchy, nonscarring hair loss, have indicated that AA is an organ-specific autoimmune disease and that T cells, as well as certain affecting about 2% of the population. AA is thought to be frequently occurring in association with cytokines, such as IL-1b,IFN-g, and TNF-a, may play an important role in its development. It is known other autoimmune diseases such as thyroid disorders and atopic disease. Also, several that CD8 þ T cells are the direct modulators of hair loss, while CD4 þ cells play a classic ‘‘helper’’ epidemiologic studies have reported that onset before adolescence is more likely to be associated role in AA onset. IL-16 plays a role in trafficking of several immune cells and may be a major with atopic disease as a comorbid disorder and a poorer prognosis. To compare the comorbidity chemotactic signal for CD4 þ cells. The aim of this study was to investigate the significance of IL16 profiles of early-onset AA patients with late-onset AA patients, we divided 871 AA patients who gene polymorphisms in the susceptibility to AA and several phenotypes of AA. visited the Department of Dermatology of Yonsei Wonju Christian Hospital in the last 10 years Methods: We conducted a case–control association study of 228 AA patients and 270 matched healthy into two groups, on the basis of their onset ages. The early-onset AA group and late-onset group controls. Genotype frequencies of four single-nucleotide polymorphisms (SNPs) in IL16 gene were comprised patients below 13 years old and older than 13 years, respectively. On reviewing their studied. Statistical analyses were performed according to onset age, presence of family history, clinical histories of comorbid disorders and laboratory findings, past histories of hypertension, diabetes subtypes of AA, and presence of nail involvement or body hair involvement. mellitus, and thyroid diseases were significantly higher in the late-onset group, and probabilities Results: One SNP (rs17875491) of the IL16 gene showed significant difference between the AA of abnormal hematologic tests, glucose, lipid profiles, and renal function tests were also patients and control group. One SNP (rs11073001) of the IL16 gene showed significant difference significantly higher in the late-onset group. However, these results may be considered to be between the AA group with presence of family history and the AA group with absence of family influenced by age. Interestingly, prevalence of atopic dermatitis, family history of AA, and history. Strong LD blocks were formed between rs17875486 and rs17875491, and between positivity of antinuclear antibodies (ANA) were significantly higher in the early-onset group. As a rs11073001 and rs1803275. result, it may be concluded that onset of AA before adolescence is significantly associated Conclusion: IL16 gene polymorphisms may contribute to the increased susceptibility to AA in the with higher prevalence of atopic dermatitis, higher family history of AA, and higher positivity Korean population, and IL16 gene polymorphisms may be associated with presence of family of ANA. history. P005 P006 Non-scarring patch alopecia in patients with active systemic lupus erythematosus Early stage of alopecia areata is associated with T-cell infiltration, Th1/Th2 differs from that of alopecia areata balance shift and epithelial apoptosis in the upper dermis YYe1, Y Zhao1, Y Gong1, X Zhang1, S Caulloo1, BZ Zhang1, Z Cai1, J Yang1, KJ McElwee2 and Y Zhao1, X Zhang1, KJ McElwee2,MYu2 and X Zhang1 1First Affiliated Hospital of Sun Yat-sen X Zhang1 1Department of Dermatology, The First Affiliated Hospital of Sun Yat-sen University, University, Guangzhou, China and 2Division of Dermatology, University of British Columbia, Guangzhou, China; 2Department of Dermatology and Skin Science and Vancouver Coastal Vancouver, Canada Health Research Institute, University of British Columbia, Vancouver, British Columbia, Canada Objective: To explore the mechanisms underlying the early stage of AA, focusing on T-cell Background: Clinical features of non-scarring patch alopecia in patients with active systematic subpopulation and follicular apoptosis. lupus erythematosus (SLE) are similar to those of alopecia areata (AA). Materials and methods: Specimens were collected from 15 AA patients at early stage (p3 Objectives: To identify the specific features of non-scarring patch alopecia in SLE and those of AA, in months, positive hair-pull test), 15 AA patients at late stage (43 months, negative hair-pull test) by order to correctly diagnose and treat SLE patients presented as non-scarring patch alopecia primarily. surgical dissection at the edge of the scalp lesion, and from the scalp of 13 normal controls.