Evidence map›Paper›PMID 41824314›Full record

ArticleAllergy2026

Non-Invasive Scalp Tape-Strip RNA Sequencing Captures Disease Activity and Treatment-Response Signatures in Alopecia Areata.

Carmen Mochón-Jiménez, Jesús Gay-Mimbrera, Viviana Dávila-Flores, Helen He, Jerry Zhou, Irene Rivera-Ruiz, Pedro J Gómez-Arias, Juan de Luque-Fernández, Benjamin Ungar, Emma Guttman-Yassky and 1 more

Abstract read
In one paragraph

Article in Allergy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
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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

11 authors.

Carmen Mochón-JiménezInflammatory Immune-Mediated Chronic Skin Diseases Laboratory, IMIBIC/University of Córdoba, Córdoba, Spain.
Jesús Gay-MimbreraInflammatory Immune-Mediated Chronic Skin Diseases Laboratory, IMIBIC/University of Córdoba, Córdoba, Spain.ORCID https://orcid.org/0000-0001-7223-1922
Viviana Dávila-FloresDepartment of Pathology, Reina Sofía University Hospital, Córdoba, Spain.
Helen HeDepartment of Dermatology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Jerry ZhouDepartment of Dermatology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Irene Rivera-RuizInflammatory Immune-Mediated Chronic Skin Diseases Laboratory, IMIBIC/University of Córdoba, Córdoba, Spain.
Pedro J Gómez-AriasInflammatory Immune-Mediated Chronic Skin Diseases Laboratory, IMIBIC/University of Córdoba, Córdoba, Spain.
Juan de Luque-FernándezInflammatory Immune-Mediated Chronic Skin Diseases Laboratory, IMIBIC/University of Córdoba, Córdoba, Spain.
Benjamin UngarDepartment of Dermatology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.ORCID https://orcid.org/0000-0003-0882-8163
Emma Guttman-YasskyDepartment of Dermatology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.ORCID https://orcid.org/0000-0002-9363-324X
Juan RuanoInflammatory Immune-Mediated Chronic Skin Diseases Laboratory, IMIBIC/University of Córdoba, Córdoba, Spain.ORCID https://orcid.org/0000-0002-0286-4107

Funding

European UnionIMIBICInstituto de Salud Carlos III
6 · The paper itself

Abstract

backgroundTape-strip RNA sequencing enables non-invasive molecular profiling of inflammatory skin diseases. However, its ability to capture immune activity, disease severity, and treatment response in alopecia areata (AA)-a follicle-centered autoimmune disorder-has not been systematically evaluated in relation to follicular immune activity and treatment response.

objectivesTo determine whether scalp tape-strip RNA sequencing captures immune pathways associated with disease severity and treatment response in AA, and to assess its concordance with matched scalp biopsies.

methodsWe analyzed 61 RNA-seq profiles, including 46 scalp tape-strip samples (19 healthy controls, 17 active AA, and 10 post-baricitinib samples-five responders and five non-responders) and 15 lesional scalp biopsies. Nine tape-strip-biopsy pairs were obtained from the same scalp region. Batch-corrected expression data were analyzed using covariate-adjusted linear models and gene set-based enrichment analyses interrogating immune, cytotoxic, and follicular epithelial programs.

resultsTape-strip RNA sequencing robustly recapitulated established AA-associated immune signatures, including activation of interferon/JAK-STAT signaling and cytotoxic T/NK cell pathways, together with suppression of follicular epithelial programs. Increasing disease severity was associated with progressive immune activation and epithelial loss. Baricitinib responders showed partial normalization of inflammatory signatures, whereas non-responders retained persistent immune activation, consistent with molecular non-response. Covariate-adjusted models identified treatment response-specific transcriptional changes. Tape-strip and biopsy transcriptomes demonstrated high concordance.

conclusionsScalp tape-strip RNA sequencing captures clinically relevant immune and treatment-responsive molecular signatures in alopecia areata and represents a promising platform for longitudinal immune monitoring and biomarker-driven stratification of treatment response in follicle-centered autoimmune disease.

Indexed as

Alopecia AreataScalpSequence Analysis, RNAAdultBiomarkersBiopsyFemaleGene Expression ProfilingHumansMaleMiddle AgedSeverity of Illness IndexTreatment OutcomeBiomarkersalopecia areatabaricitinibcytotoxic T cellshair follicleinterferonJAK–STATNK cellsnon‐invasive biomarkersRNA sequencingtape stripping

Identifiers

PMID41824314
PMCPMC13466170

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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.