Shining a Light on Vitiligo and Associated Comorbidities: What Is the Evidence?

April 2023 | Volume 22 | Issue 4 | 428 | Copyright © April 2023


Published online March 27, 2023

Sapana Desai MD, Erika McCormick BS, Pooja Sodha MD, Adam Friedman MD FAAD

George Washington University Department of Dermatology, George Washington University School of Medicine and Health Sciences, Washington, DC



their coexistence.2,11 Increased ROS is an anticipated trigger of the innate immune system in both diagnoses. Genome-wide association studies have demonstrated both innate and adaptive immunity, and mechanistic studies in mouse models have 
implicated an IFN-γ driven immune response and cytotoxic CD8+ T cells as chief pathogenic factors.9 

Furthermore, statistics show IFN-γ, IL-1B, and IL-6 serum levels are significantly elevated in AA and NSV patients when compared 
to healthy controls.10 Upregulation of several JAK-STAT pathway components downstream of gamma chain containing cytokines 
in the shared etiopathogenetic pathways. IFN-γ and γc cytokines, including IL-2, IL-7, and IL-15 are notorious for augmenting AA 
disease with studies highlighting that IFN-γ signals primary through JAK1/2 and IL-15 mostly via JAK1/3.22,23