{"title":"Vitiligo and Depression in Western versus South Asian Countries: Cultural Background Should Be Considered.","authors":"Shahnawaz Towheed, Zaakir Hamzavi, Viktoria Eleftheriadou, Khaled Ezzedine","doi":"10.1016/j.jid.2025.09.021","DOIUrl":"https://doi.org/10.1016/j.jid.2025.09.021","url":null,"abstract":"<p><p>Reported psychosocial outcomes in vitiligo vary considerably across geographic and cultural contexts, yet no comprehensive review has compared these differences. In this study, we aimed to review the psychological and social impact of vitiligo, with a comparative focus on South Asia and Western countries. In this review, Western countries were defined as Europe, the United States, Canada, and Australia, whereas South Asian countries included India, Pakistan, Bangladesh, Sri Lanka, and Nepal. This narrative review was conducted using PubMed, Scopus, Web of Science, and PsycINFO, including English- and French-language publications from 2000 to 2025. Evidence was categorized across 5 thematic domains: (i) psychological outcomes, (ii) social consequences, (iii) skin phototype and visibility, (iv) health system and policy factors, and (v) cultural and religious frameworks. Psychiatric morbidity was highest in South Asian populations, with depression and anxiety rates reaching up to 60%, compared with 15-30% in European cohorts and 20-30% in North American and Australian samples. Stigma in India was exacerbated by cultural beliefs related to contagion, impurity, karma, and dietary taboos, especially among individuals with darker skin phototypes. Western patients more often reported issues related to self-image and social withdrawal but faced fewer institutional or interpersonal barriers. Future research should prioritize longitudinal and community-based studies to inform interventions that shift vitiligo from a socially disabling condition to a manageable chronic difference.</p>","PeriodicalId":94239,"journal":{"name":"The Journal of investigative dermatology","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145357404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anna L Brinks, Carli D Needle, Olivia D Perez, Jerry Shapiro, Kristen I Lo Sicco, Michael A Occidental, Aristotelis Tsirigos, Lynn Petukhova
{"title":"The Polygenic Architecture of Human Diseases Affecting the Hair Follicle.","authors":"Anna L Brinks, Carli D Needle, Olivia D Perez, Jerry Shapiro, Kristen I Lo Sicco, Michael A Occidental, Aristotelis Tsirigos, Lynn Petukhova","doi":"10.1016/j.jid.2025.09.012","DOIUrl":"https://doi.org/10.1016/j.jid.2025.09.012","url":null,"abstract":"<p><p>Disorders affecting the hair follicle (HF) and pilosebaceous unit impose psychosocial and financial burdens on patients and may signal risk for other medical conditions. Human genetic studies help to identify key physiological mechanisms that govern health and are increasingly used to improve drug development. GWASs identify genetic variants that are common in the population and implicate disease mechanisms that are widely shared among patients. In this study, we synthesize knowledge about the biology of the pilosebaceous unit that has been derived from GWASs of hair-related diseases. We identify the key genetic drivers and reveal fundamental biological themes that cut across diseases to identify crucial regulators of HF health.</p>","PeriodicalId":94239,"journal":{"name":"The Journal of investigative dermatology","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145369422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Manuel P Pereira, Monique Butze, Carolina Vera Ayala, Pavel Kolkhir, Martin Metz
{"title":"The Role of Mast Cells in the Pathophysiology of Chronic Prurigo.","authors":"Manuel P Pereira, Monique Butze, Carolina Vera Ayala, Pavel Kolkhir, Martin Metz","doi":"10.1016/j.jid.2025.09.365","DOIUrl":"https://doi.org/10.1016/j.jid.2025.09.365","url":null,"abstract":"<p><p>Chronic prurigo (CPG) is a highly itchy skin condition with unclear pathophysiology. The promising therapeutic effects of the tyrosine kinase KIT antibody barzolvolimab in an early-stage clinical trial have highlighted the crucial role of mast cells in the pathophysiology of CPG. This review discusses the important bidirectional crosstalk between mast cells and skin nerves, inflammatory cells, keratinocytes, and fibroblasts for initiating and maintaining the itch signal in CPG. In addition, we review mast cell-targeted treatments in CPG and explore future directions.</p>","PeriodicalId":94239,"journal":{"name":"The Journal of investigative dermatology","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145369409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tianyuan He, Ingrid L Bergin, Jun Young Kim, Chunfang Guo, Cong-Qiu Chu, Gary J Fisher, John J Voorhees, Taihao Quan
{"title":"Fibroblast-Specific Deletion of Tgfbr2 in Mouse Skin Recapitulates Human Skin Dermal Aging by Suppressing Collagen Production.","authors":"Tianyuan He, Ingrid L Bergin, Jun Young Kim, Chunfang Guo, Cong-Qiu Chu, Gary J Fisher, John J Voorhees, Taihao Quan","doi":"10.1016/j.jid.2025.10.541","DOIUrl":"https://doi.org/10.1016/j.jid.2025.10.541","url":null,"abstract":"","PeriodicalId":94239,"journal":{"name":"The Journal of investigative dermatology","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145357386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laurent Misery, Matthieu Talagas, Christelle Le Gall-Ianotto
{"title":"Dupilumab's Effects on Itch Sensitization in Atopic Dermatitis.","authors":"Laurent Misery, Matthieu Talagas, Christelle Le Gall-Ianotto","doi":"10.1016/j.jid.2025.09.017","DOIUrl":"https://doi.org/10.1016/j.jid.2025.09.017","url":null,"abstract":"","PeriodicalId":94239,"journal":{"name":"The Journal of investigative dermatology","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145350826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zeinab Ghasemishahrestani, Nonhlanhla P Khumalo, Hayley Ipp, Ardeshir Bayat
{"title":"Cutaneous Immune Memory: A Double-Edged Sword in Skin Repair and Fibrosis.","authors":"Zeinab Ghasemishahrestani, Nonhlanhla P Khumalo, Hayley Ipp, Ardeshir Bayat","doi":"10.1016/j.jid.2025.09.006","DOIUrl":"https://doi.org/10.1016/j.jid.2025.09.006","url":null,"abstract":"<p><p>The skin, the body's largest and most immunologically dynamic organ, functions as both a protective barrier and an active immune interface. Tissue-resident memory T cells (TRMs) are pivotal in orchestrating localized immune responses, enabling rapid antigen-specific reactions, tissue repair, and immune cell recruitment. However, dysregulated TRM activity can drive chronic inflammation and fibrosis, complicating repair processes. This review examines the dual roles of TRMs and innate immune memory in wound healing and pathogen defense, emphasizing their interplay within cutaneous immune memory. This unique memory system integrates adaptive and innate immunity to enhance skin defense and repair but can contribute to pathologies, such as chronic wounds and keloids, when dysregulated. We discuss promising interventions, including cytokine delivery, biomaterial-based scaffolds, and epigenetic modulators, to enhance healing while mitigating pathology. These strategies aim to harness cutaneous immune memory for improved outcomes in conditions such as diabetic ulcers and recurrent infections. A key challenge is balancing protective and pathological immune responses, underscoring the need for personalized, skin-targeted immunotherapies with demonstrated long-term efficacy. By synthesizing recent advances, this review highlights novel therapeutic opportunities to modulate cutaneous immune memory, addressing critical knowledge gaps to guide future research and clinical translation.</p>","PeriodicalId":94239,"journal":{"name":"The Journal of investigative dermatology","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145314441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Xin Ming M Zhou, Kaitlin Williams, Elizabeth Will, Daniel Jimenez-Sanchez, Janis M Taube, Joel C Sunshine
{"title":"PD-L1 negative macrophages associate with poor outcomes and high grade irAE development in melanoma patients receiving anti-PD-1 immunotherapy.","authors":"Xin Ming M Zhou, Kaitlin Williams, Elizabeth Will, Daniel Jimenez-Sanchez, Janis M Taube, Joel C Sunshine","doi":"10.1016/j.jid.2025.09.379","DOIUrl":"https://doi.org/10.1016/j.jid.2025.09.379","url":null,"abstract":"","PeriodicalId":94239,"journal":{"name":"The Journal of investigative dermatology","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145319094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elli Turjanmaa, Helka Kaunisto, Esko Kemppainen, Noora Nilsson, Kaisa Hervonen, Iida Mankki, Juha Jernman, Päivi Saavalainen, Johanna Lempainen, Anna Alakoski, Luigina De Leo, Fabiana Ziberna, Timo Reunala, Katri Kaukinen, Katri Lindfors, Teea Salmi
{"title":"Dermal IgA is rare in Celiac Disease and relatives, and lacks Dermatitis Herpetiformis-type co-localization with Transglutaminase 3.","authors":"Elli Turjanmaa, Helka Kaunisto, Esko Kemppainen, Noora Nilsson, Kaisa Hervonen, Iida Mankki, Juha Jernman, Päivi Saavalainen, Johanna Lempainen, Anna Alakoski, Luigina De Leo, Fabiana Ziberna, Timo Reunala, Katri Kaukinen, Katri Lindfors, Teea Salmi","doi":"10.1016/j.jid.2025.09.380","DOIUrl":"https://doi.org/10.1016/j.jid.2025.09.380","url":null,"abstract":"","PeriodicalId":94239,"journal":{"name":"The Journal of investigative dermatology","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145319035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aubrey Martin, Neda Shokrian, Kristen J Kelley, Joel Correa da Rosa, Ester Del-Duca, Robert Bissonnette, Ole E Sørensen, Anders Bacher Nielsen, Emma Guttman-Yassky, Maryanne Makredes Senna
{"title":"Randomized Controlled Trial of the Topical JAK Inhibitor Delgocitinib Cream in Patients with Frontal Fibrosing Alopecia.","authors":"Aubrey Martin, Neda Shokrian, Kristen J Kelley, Joel Correa da Rosa, Ester Del-Duca, Robert Bissonnette, Ole E Sørensen, Anders Bacher Nielsen, Emma Guttman-Yassky, Maryanne Makredes Senna","doi":"10.1016/j.jid.2025.09.375","DOIUrl":"https://doi.org/10.1016/j.jid.2025.09.375","url":null,"abstract":"<p><strong>Background: </strong>Frontal fibrosing alopecia (FFA) is a cicatricial alopecia with generally poor prognosis if untreated, and no approved treatment options.</p><p><strong>Objective: </strong>To evaluate changes in the molecular signature of FFA lesions after application of delgocitinib cream. Safety, tolerability and efficacy were also investigated.</p><p><strong>Methods: </strong>This was a phase 2a, randomized, double-blind, exploratory trial of delgocitinib cream 20 mg/g (2%) versus cream vehicle in patients with FFA.</p><p><strong>Results: </strong>A total of 30 adult females with FFA were randomized to delgocitinib cream (n=15) or cream vehicle (n=15). After 12 weeks, expression of the T helper 1-related biomarker CXCL9 was significantly downregulated (-3.10; p<0.05) while there were non-significant reductions in CXCL10 (-2.60; p<0.1), and interferon-γ (-1.49; p=0.22) in lesions treated with delgocitinib cream but not cream vehicle. Delgocitinib-treated lesions had a small but significant mean improvement in transcriptomic profile (4%; p<0.001) whereas lesions treated with cream vehicle worsened (33%). Delgocitinib cream was well tolerated and associated with improvements in exploratory clinical severity endpoints.</p><p><strong>Limitations: </strong>Limitations of the trial include small sample size, biomarker analyses only being conducted to week 12, and the exploratory nature of efficacy endpoints.</p><p><strong>Conclusion: </strong>Delgocitinib cream resulted in an improvement in the transcriptomic profile of lesions and may have potential as a topical treatment for FFA.</p>","PeriodicalId":94239,"journal":{"name":"The Journal of investigative dermatology","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}