Evidence map›Paper›PMID 28823882›Full record

ArticleJournal of the American Academy of Dermatology2017

Repigmentation in vitiligo using the Janus kinase inhibitor tofacitinib may require concomitant light exposure.

Lucy Y Liu, James P Strassner, Maggi A Refat, John E Harris, Brett A King

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Academy of Dermatology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 4 pooled it
8.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

84 citing papers in PubMed, 4 syntheses or guidelines pooled it, 228 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. A systematic review of case series and clinical trials investigating systemic oral or injectable therapies for the treatment of vitiligo.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2024
    Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Review
  8. Review
  9. Oral JΑΚ Inhibitors in Vitiligo Treatment.Dermatology and therapy · 2026
    Review
  10. Review
  11. Article
  12. Article
  13. Tofacitinib as a Promising Therapeutic Option for Vitiligo: A Systematic Review.Clinical, cosmetic and investigational dermatology · 2026
    Review
  14. Review
  15. Review
  16. Article
  17. Deciphering Depigmentation: Mouse Models for Vitiligo Research.The Journal of investigative dermatology · 2025
    Review
  18. Review
  19. Review
  20. Article

24 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Lucy Y LiuYale University School of Medicine, New Haven, Connecticut.
James P StrassnerDepartment of Dermatology, University of Massachusetts Medical School, Worcester, Massachusetts.
Maggi A RefatDepartment of Dermatology, University of Massachusetts Medical School, Worcester, Massachusetts.
John E HarrisDepartment of Dermatology, University of Massachusetts Medical School, Worcester, Massachusetts. Electronic address: john.harris@umassmed.edu.
Brett A KingDepartment of Dermatology, New Haven, Connecticut. Electronic address: brett.king@yale.edu.
University of Massachusetts Chan Medical School · USNew Haven Public Schools · USYale University · US

Funding

University of Massachusetts Center for Clinical Science and Translational SupplementUL1TR001453 · NCATS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LUZURIAGA, KATHERINE F · 2015 to 2024
$39.0M
Innate Immunity Training ProgramT32AI095213 · NIAID · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI SILVERMAN, NEAL · 2011 to 2025
$2.5M
Treg Migration and Function During Autoimmunity within Peripheral TissueR01AR069114 · NIAMS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI HARRIS, JOHN E · 2015 to 2020
$2.2M
NCATS NIH HHS UL1 TR001453NIAID NIH HHS T32 AI095213NIAMS NIH HHS R01 AR069114
6 · The paper itself

Abstract

backgroundVitiligo is an autoimmune disease in which cutaneous depigmentation occurs. Existing therapies are often inadequate. Prior reports have shown benefit of the Janus kinase (JAK) inhibitors.

objectiveTo evaluate the efficacy of the JAK 1/3 inhibitor tofacitinib in the treatment of vitiligo.

methodThis is a retrospective case series of 10 consecutive patients with vitiligo treated with tofacitinib. Severity of disease was assessed by body surface area of depigmentation.

resultsTen consecutive patients were treated with tofacitinib. Five patients achieved some repigmentation at sites of either sunlight exposure or low-dose narrowband ultraviolet B phototherapy. Suction blister sampling revealed that the autoimmune response was inhibited during treatment in both responding and nonresponding lesions, suggesting that light rather than immunosuppression was primarily required for melanocyte regeneration. LIMITATIONS: Limitations include the small size of the study population, retrospective nature of the study, and lack of a control group.

conclusionTreatment of vitiligo with JAK inhibitors appears to require light exposure. In contrast to treatment with phototherapy alone, repigmentation during treatment with JAK inhibitors may require only low-level light. Maintenance of repigmentation may be achieved with JAK inhibitor monotherapy. These results support a model wherein JAK inhibitors suppress T cell mediators of vitiligo and light exposure is necessary for stimulation of melanocyte regeneration.

Indexed as

Skin PigmentationUltraviolet TherapyAdultAgedAutoimmunityChemokine CXCL10Chemokine CXCL9Combined Modality TherapyFemaleHumansJanus Kinase 1Janus Kinase 3MaleMiddle AgedPiperidinesProtein Kinase InhibitorsChemokine CXCL10Chemokine CXCL9CXCL10 protein, humanCXCL9 protein, humanJanus Kinase 1Janus Kinase 3PiperidinesProtein Kinase InhibitorsPyrimidinesPyrrolestofacitinibJAKJanus kinasenarrowband ultraviolet BnbUVBphototherapyruxolitinibtofacitinibvitiligo

Identifiers

PMID28823882
PMCPMC6233876
OpenAlexW2746940679

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.