Blockade of IL-7 signaling suppresses inflammatory responses and reverses alopecia areata in C3H/HeJ mice

The interleukin-7 (IL-7) signaling pathway plays an important role in regulation of T cell function and survival. We detected overexpression of IL-7 in lesional skin from both humans and C3H/HeJ mice with alopecia areata (AA), a T cell-mediated autoimmune disease of the hair follicle. We found that exogenous IL-7 accelerated the onset of AA by augmenting the expansion of alopecic T cells. Conversely, blockade of IL-7 stopped the progression of AA and reversed early AA in C3H/HeJ mice. Mechanistically, we observed that IL-7R alpha blockade substantially reduced the total number of most T cell subsets, but relative sparing of regulatory T cells (T-regs). We postulated that short-term anti-IL-7R alpha treatment in combination with a low dose of T-reg-tropic cytokines might improve therapeutic efficacy in AA. We demonstrated that short-term IL-7R alpha blockade in combination with low doses of T-reg-tropic cytokines enhanced therapeutic effects in the treatment of AA, and invite further clinical investigation.