Other elements that could be involved in the pathogenesis of alopecia areata are mast cells that can drive an antigen-specific cytotoxic T-cell CD8+ response in the hair follicle [58], neuropeptides (secreted by the sensory nerve fibers that innervate the hair follicle), and neurohormones such as substance P, vasoactive intestinal peptide (VIP), calcitonin gene-related peptide (CGRP), somatostatin, corticotropin-releasing hormone (CRH), adrenocorticotropic hormone (ACTH), cortisol, etc. [38]. This evidence concerns the gene POMC and alopecia areata.