PMID- 29118519 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220310 IS - 0974-7753 (Print) IS - 0974-9241 (Electronic) IS - 0974-7753 (Linking) VI - 9 IP - 4 DP - 2017 Oct-Dec TI - Detection of Tumor Necrosis Factor-alpha in Nonlesional Tissues of Alopecia Areata Patients: A Prove for a Systemic Disease. PG - 154-159 LID - 10.4103/ijt.ijt_47_17 [doi] AB - INTRODUCTION: The pathogenesis of alopecia areata (AA) remains incompletely understood. Different cytokines may play a role in AA. Tumor necrosis factor-alpha (TNF-alpha) has been shown to be inhibitory to hair follicle growth in in vitro studies suggesting that it may play an important role in AA. This study was conducted to assess the presence of TNF-alpha in lesional and nonlesional skin of AA, to review its possible role in AA, and to show whether AA is a systemic or localized disease by comparing the level of TNF-alpha between lesional and nonlesional skin biopsies of the patients. MATERIALS AND METHODS: Thirty patients with AA and thirty age- and sex-matched healthy controls were included in the study. A 4 mm punch skin biopsy was taken from lesional and nonlesional skin of every patient, as well as from the normal skin of each individual in the control group for immunohistochemical analysis of TNF-alpha. RESULTS: The level of TNF-alpha in lesional skin biopsies was significantly higher than in nonlesional skin biopsies of patients as well as controls' biopsies. Furthermore, TNF-alpha level in nonlesional biopsies of patients was significantly higher than the level in controls' biopsies. CONCLUSIONS: We concluded that skin of AA has a high level of TNF-alpha (a normal inhibitor of hair follicle growth in vitro). This high level may point to the important role of TNF-alpha in AA. Further studies should be conducted to detect the level of TNF-alpha in long-standing AA and the more severe cases of AA. FAU - Gohary, Yasser Mostsfa AU - Gohary YM AD - Department of Dermatology, Faculty of Medicine, Beni-Suef University, Beni Suef, Egypt. FAU - Abdel Fattah, Dina Sabry AU - Abdel Fattah DS AD - Department of Biochemistry, Faculty of Medicine, Beni-Suef University, Beni Suef, Egypt. LA - eng PT - Journal Article PL - India TA - Int J Trichology JT - International journal of trichology JID - 101534370 PMC - PMC5655623 OTO - NOTNLM OT - Alopecia areata OT - lesional OT - nonlesional OT - tumor necrosis factor-alpha COIS- There are no conflicts of interest. EDAT- 2017/11/10 06:00 MHDA- 2017/11/10 06:01 PMCR- 2017/10/01 CRDT- 2017/11/10 06:00 PHST- 2017/11/10 06:00 [entrez] PHST- 2017/11/10 06:00 [pubmed] PHST- 2017/11/10 06:01 [medline] PHST- 2017/10/01 00:00 [pmc-release] AID - IJT-9-154 [pii] AID - 10.4103/ijt.ijt_47_17 [doi] PST - ppublish SO - Int J Trichology. 2017 Oct-Dec;9(4):154-159. doi: 10.4103/ijt.ijt_47_17.