The convergence theory for vitiligo: A reappraisal

RV Kundu, JM Mhlaba, SM Rangel… - Experimental …, 2019 - Wiley Online Library
RV Kundu, JM Mhlaba, SM Rangel, IC Le Poole
Experimental dermatology, 2019Wiley Online Library
Vitiligo is characterized by progressive loss of skin pigmentation. The search for aetiologic
factors has led to the biochemical, the neurologic and the autoimmune theory. The
convergence theory was then proposed several years ago to incorporate existing theories of
vitiligo development into a single overview of vitiligo aetiology. The viewpoint that vitiligo is
not caused only by predisposing mutations, or only by melanocytes responding to
chemical/radiation exposure, or only by hyperreactive T cells, but rather results from a …
Abstract
Vitiligo is characterized by progressive loss of skin pigmentation. The search for aetiologic factors has led to the biochemical, the neurologic and the autoimmune theory. The convergence theory was then proposed several years ago to incorporate existing theories of vitiligo development into a single overview of vitiligo aetiology. The viewpoint that vitiligo is not caused only by predisposing mutations, or only by melanocytes responding to chemical/radiation exposure, or only by hyperreactive T cells, but rather results from a combination of aetiologic factors that impact melanocyte viability, has certainly stood the test of time. New findings have since informed the description of progressive depigmentation. Understanding the relative importance of such aetiologic factors combined with a careful selection of the most targetable pathways will continue to drive the next phase in vitiligo research: the development of effective therapeutics. In that arena, it is likewise important to acknowledge that pathways affected in some patients may not be altered in others. Taken together, the convergence theory continues to provide a comprehensive viewpoint of vitiligo aetiology. The theory serves to intertwine aetiologic pathways and will help to define pathways amenable to disease intervention in individual patients.
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