{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:39:27Z","timestamp":1786653567809,"version":"build-2736575974"},"reference-count":39,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      Dysregulation of the T helper 17 (Th17) cell pathway can result in autoimmune activation and chronic inflammation. Vitiligo is an autoimmune disorder characterised by melanocyte cytotoxicity. The aim of this study was to examine the role of the Th17 pathway in the pathogenesis of vitiligo. The three components of the pathway were evaluated using plasma interleukin (IL6), IL23, and IL10 for the modulatory component,\n                      <jats:italic toggle=\"yes\">STAT3<\/jats:italic>\n                      and\n                      <jats:italic toggle=\"yes\">RORC<\/jats:italic>\n                      gene expression for the mediator component, and plasma IL17A for the effector component.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>\n                      The study was carried out using a case-control design. The case group comprised patients diagnosed with vitiligo (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 30), whereas the control group comprised healthy volunteers (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 30). The plasma cytokine levels were measured by enzyme-linked immunosorbent assay. Gene expression in peripheral blood mononuclear cells was measured by real-time quantitative polymerase chain reaction.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      In vitiligo patients, IL6 was 2.3 times higher (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), IL23 was 1.1 times higher (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.18), and IL10 was 2.5 times lower (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). The fold change in the expression of the\n                      <jats:italic toggle=\"yes\">STAT3<\/jats:italic>\n                      gene was 2.27 times (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01) and that of the\n                      <jats:italic toggle=\"yes\">RORC<\/jats:italic>\n                      gene was 3.8 times (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) in vitiligo patients. Plasma IL17A was 1.6 times higher (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) in vitiligo patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Together, these results indicate that the Th17 pathway is likely to be overactive in vitiligo due to dysregulation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijd.ijd_577_24","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T06:00:07Z","timestamp":1768370407000},"page":"290-295","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Dysregulation of T Helper 17 Cell Pathway In Vitiligo"],"prefix":"10.4103","volume":"71","author":[{"given":"Vaibhav","family":"Venkatesh","sequence":"first","affiliation":[{"name":"From the Department of Cell Biology and Molecular Genetics, Sri Devaraj Urs Academy of Higher Education and Research, Kolar, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deena","family":"Mendez","sequence":"additional","affiliation":[{"name":"Department of Allied Health Sciences, Sri Devaraj Urs Academy of Higher Education and Research, Kolar, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajashekar T.","family":"Srinivas","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Sri Devaraj Urs Medical College, Kolar, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharath","family":"Balakrishna","sequence":"additional","affiliation":[{"name":"From the Department of Cell Biology and Molecular Genetics, Sri Devaraj Urs Academy of Higher Education and Research, Kolar, Karnataka, India"},{"name":"Internal Quality Assurance Cell, Yenepoya (Deemed to be University), Mangalore, 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