Journal Club 26.04.17

Mechanistic correlations between two itch biomarkers, cytokine interleukin-31 and neuropeptide b-endorphin, via STAT3 ⁄calcium axis in atopic dermatitis

Atopic dermatitis (AD), a common chronic inflammatory skin disease prevalent in 6–9% of the general population, is increasing globally.1 It is characterized by severe itch and is usually associated with a personal or family history of atopic diseases. The itch affects physical growth, mental development, emotional equanimity and performance at school and work.2 The predominance of itch in patients with AD makes it ideal for studying the pathophysiology of pruritus‐like itches. Antihistamines have little effect on alleviating AD itch, suggesting histamine is not a major mediator of AD itch.34 Neuropeptides, proteinases, arachidonic derivatives and cytokines may contribute to AD pruritus.35 Opioids such as morphine may induce severe itching.6 An incidence of pruritus of 10–50% has been reported in people administered opioids intravenously,78 and an incidence of 20–100% with neuraxial administration. Interestingly, naloxone, an antidote for morphine, suppresses itch in patients with chronic renal failure and AD.9

Blood levels of β‐endorphin, which binds to opioid receptors, have been associated with intensity of subjective itch in patients with AD.2β‐Endorphin and its receptors are both present in keratinocytes and free nerve endings.10 Increases in endorphin are also inhibited in patients with AD treated with psoralen plus ultraviolet (UV) A.10 Furthermore, the cytokine interleukin (IL)‐1 and UV radiation, both known to accentuate itch in AD, enhance the release of β‐endorphin from keratinocytes.1112 Although the peripheral role of endorphins on induction of itch through the peripheral μ‐opioid receptor has not been verified in the literature, indirect evidence suggests that β‐endorphin might be closely associated with itch in AD.

Cytokines are considered an important mediator in AD, but little is known about how cytokines in AD contribute to the production of peripheral β‐endorphin in AD skin. The transgenic overexpression of the cytokine IL‐31 in lymphocytes in mice induces severe pruritus and dermatitis.13 It is expressed preferentially by T helper (Th) 2 cells, and it activates a heterodimeric receptor composed of IL‐31 receptor A (IL‐31RA) and oncostatin M receptor (OSMR), both found on epithelial cells and keratinocytes.1314 The epidermis of patients with AD has an increased expression of IL‐31RA and IL‐31.1516 IL‐31 can induce the production of several proinflammatory mediators, including epidermal growth factor, vascular endothelial growth factor and monocyte chemotactic protein‐1, in bronchial alveolar cells.17 Blood IL‐31 level has been correlated to disease severity in patients with AD.18 Although both IL‐31 and opioid pathways are enhanced in AD skin, no study has investigated their relationship in AD. To do this, we performed an in vitro study in which we added various doses of IL‐31 into primary keratinocytes of normal foreskins and measured the release of endorphins using enzyme‐linked immunosorbent assay (ELISA) and the expression of STAT (signal transducer and activator of transcription) 3, ERK (extracellular signal‐regulated kinase) and JNK (c‐Jun N‐terminal kinase) by Western blotting. We also performed two in vivo studies, one to measure blood levels of IL‐31 and β‐endorphin in patients with AD recruited from a dermatological clinic in a tertiary centre and normal controls, and the other to measure the colocalization of IL‐31RA and β‐endorphin in skin samples from the study group and normal controls. In addition, we measured the colocalization of IL‐31RA and β‐endorphin in the skin of TPA (12‐O‐tetradecanoylphorbol 13‐acetate)‐painted mice, a model for irritant contact dermatitis. The results of this study might further advance our understanding of the regulatory mechanisms underlying peripheral itch in AD.

Journal Club 26.04.17 Read More »

Journal club 26.04.03

Min Jun Kim

Involvement of Cav3.2 T-Type Ca2+ Channels and the Role of Endogenous Estrogen in Pruritus: Evidence from a Fundamental Study and Cross-Sectional Analysis of Pharmacy Claims Data

Shotaro Kurahashi 1 2Tomoyoshi Miyamoto 1 3Hiroyuki Nishikawa 1 4Emiri Mishima 1Seira Matsunaga 1Shiori Kino 1Tomoya Ashida 1Rina Minamino 1Iyo Nishiyama 1Maki Yamaguchi 2Takashi Yamamoto 1 2Mikio Sakakibara 2Takuya Okada 5Naoki Toyooka 5Maho Tsubota 1Fumiko Sekiguchi 1Atsufumi Kawabata 1

Abstract

To clarify the roles of Cav3.2 T-type Ca2+ channels and endogenous estrogen in pruritus, we conducted a fundamental study employing mice and clinical cross-sectional analyses of pharmacy claims data. In mice, intradermal injection of sulfide (Na2S), a Cav3.2 enhancer, caused itch responses, an effect blocked by KTtp38, a T-type Ca2+ channel inhibitor, and deletion of Cav3.2 gene. KTtp38 also suppressed itch responses following intradermal histamine or chloroquine. The sulfide-induced itch responses in female mice decreased by ovariectomy and/or repeated treatment with letrozole, an aromatase inhibitor. Cross-sectional analyses of pharmacy claims data of 357972 female patients aged 18 years and older, obtained from nationwide branches of a chain pharmacy group, showed significantly lower prescription rates of topical steroids used for treatment of pruritus and/or dermatitis in women 55 years and older than in women under 55 years, and in the users than non-users of estrogen suppressants. Multivariate logistic regression analysis in the users and non-users of estrogen suppressants after propensity score matching indicated significant negative association of topical steroid prescription with the use of estrogen suppressants. Together, the present fundamental and clinical studies suggest the involvement of Cav3.2 and the promotive role of estrogen in pruritus in mice and/or humans.

Journal club 26.04.03 Read More »

Journal Club 26.03.27

Chaeeun Lee

Can aged Camellia oleifera Abel oil truly be used to treat atopic dermatitis?

Abstract

Xi-Lin Ouyang1, Zhang-Lin Yuan1, Xiao-Bing Chen1, Hong-Wan Gan2, Sen-Hui Guo1, Juan Cai1 and Jing-Jing Zhong2
1Department of Pharmacy, Gannan Healthcare Vocational College, Ganzhou, China, 2Department of
Dermatology, Ganzhou People’s Hospital, Ganzhou, China

Atopic dermatitis is an inflammatory skin condition characterized by erythema,
eruption, lichenification, and pruritus. Aged Camellia oleifera Abel oil, an effective
empirical plant oil utilized by the Gannan Hakka people in China to alleviate the
symptomsofatopicdermatitis.However,noscientificstudieshavebeenreported
to prove whether this oil is truly effective. We conducted this study to confirm
whether aged C. oleifera oil could alleviate the symptoms of 2,4
dinitrochlorobenzene (DNCB)-induced atopic dermatitis in mice. Differences
in the thickness and weight of the right and left ears were measured. ELISA
wasusedtodeterminetheserumlevelsoftheinflammatoryfactorsIL-4,IgE,IFN
γ, and TNF-α. HEstaining was performed to observe inflammatory cell infiltration
in the mouseskinlesions.Inaddition, themetabolitesofagedC.oleiferaoils were
analyzed, and molecular docking was used to assess the binding affinity of the
major metabolites to filaggrin, a protein involved in skin barrier function. Animal
studies showed that aged C. oleifera oil significantly improved the symptoms of
atopic dermatitis. HE staining and measurement of inflammatory factor levels
revealed similar results. A total of 41 metabolites were tentatively identified in the
oil, with fatty acids emerging as the major metabolites. Molecular docking
confirmed that the three most abundant fatty acids, i.e., oleic acid,
n-hexadecanoic acid, and octadecanoic acid, bind well to filaggrin. Our
results suggest that aged C. oleifera oils can be used to ameliorate the
symptoms of atopic dermatitis. Fatty acids may be the major active
metabolites responsible for the observed therapeutic effects by reducing
transdermal water loss, increasing skin hydration, alleviating DNCB-induced
skin barrier alterations, and eliminating itchy scratching caused by dry skin.

Journal Club 26.03.27 Read More »

Journal Club 26.03.20

Tussilagone inhibits MRGPRX2-mediated mast cell degranulation and suppresses pseudo-allergic reactions

Highlights

  • •Tussilagone attenuates Tween 80 and Substance P-induced pseudoallergic reactions.
  • •Tussilagone targets the downstream signaling pathway of MRGPRX2.
  • •Tussilagone suppresses pseudo-allergic reactions via Lyn-Btk-PLCγ-Ca2+ and p38/NF-κB pathways.

Abstract

Mas-related G protein-coupled receptor X2 (MRGPRX2) is a crucial target in pseudo-allergic reactions. Tussilagone (Tus), the main bioactive component derived from Tussilago farfara, has anti-inflammatory effects, but its potential inhibitory effects on pseudo-allergic responses remain unclear. This research aimed to evaluate the inhibitory role of Tus on pseudo-allergic reactions and its underlying mechanism. In vivo Systemic pseudo-allergic reactions and passive cutaneous anaphylaxis (PCA) models were established to assess the effects of Tus. In vitro, mast cell (LAD2) degranulation, inflammatory cytokine release, and signaling pathway protein expression were assessed. Calcium influx was measured in MRGPRX2-expressing HEK293 cells. The results showed that Tus significantly attenuated Tween 80- and substance P (SP)-induced systemic pseudo-allergy and PCA reactions. It also suppressed mast cell degranulation and decreased production of tumor necrosis factor-alpha (TNF-α), Interleukin-8 (IL-8) and monocyte chemotactic protein-1 (MCP-1). In MRGPRX2-expressing HEK293 cells, Tus suppressed Tween 80- and SP-induced Ca2+ influx. Mechanistically, Tus inhibited tolimidone-induced Lyn kinase activation and suppressed SP-and Tween 80-induced β-hexosaminidase release, exhibiting an inhibitory profile comparable to that of the Lyn/Btk antagonist bosutinib. Additionally, Tus attenuated the phosphorylation levels of MRGPRX2 downstream signal molecules, including Btk, PLCγ1, PKC, p38 MAPK, IκB-α and NF-κB (p65). In conclusion, Tus attenuates SP-and Tween 80-induced mast cell activation and pseudo-allergic reactions by targeting the Lyn/Btk/PLCγ1 and p38/NF-κB pathways, highlighting its therapeutic potential for pseudo-allergy.

Keywords

pseudo-allergic reactions; Tussilagone; Mast cell; Lyn; MRGPRX2

https://doi.org/10.1016/j.taap.2026.117763

Journal Club 26.03.20 Read More »

 Journal club 26.03.13

Oxidative stress induced TSLP production via TRPV4 regulates type 2 inflammation and pruritus in MC903 induced atopic dermatitis mouse model

Author links open overlay panelKeiji Kosaka a, Akihiko Uchiyama a, Yuta Inoue a, Mai Ishikawa a, Takeshi Araki a, Shintaro Saito a, Akiko Sekiguchi a, Yoko Yokoyama a, Sachiko Ogino a, Ryoko Torii a, Yuki Watanuki a, Sei-ichiro Motegi a

aDepartment of Dermatology, Gunma University Graduate School of Medicine, Maebashi, JapanbLaboratory of Neurochemistry, Department of Nutrition Science, University of Nagasaki, Nagasaki, Japan

Received 3 September 2025, Revised 4 December 2025, Accepted 28 January 2026, Available online 31 January 2026.

Abstract

Background

Transient receptor potential vanilloid 4 (TRPV4) is a calcium ion channel that is widely expressed in various cells, and it regulates multiple physiological and pathological processes. In skin, TRPV4 senses temperature, mechanical and chemical stimuli. Although TRPV4 has been shown to regulate inflammatory in psoriasis, its role in atopic dermatitis (AD) remains unclear.

Objective

We aimed to elucidate the role of TRPV4 is AD pathogenesis and its potential as therapeutic target.

Methods

We used human skin samples from healthy and patients with AD for immunostaining. TRPV4 knock out (KO) mice and MC903-induced AD mouse models were used in vivo. HaCaT cells were used in vitro.

Results

TRPV4 was highly expressed in keratinocytes in lesional skin site of AD. TRPV4 KO mice had less severe dermatitis, barrier dysfunction and pruritus than WT mice in MC903-treated mouse model. TRPV4 KO mice had significantly decreased mRNA expression of type 2 inflammatory cytokines, including TSLP, interleukin (IL)-4, IL-13, and IL-31 via qPCR, and reduced protein levels of TSLP and IL-4 by ELISA. In vitro, oxidative stress promoted expression and activation of TRPV4, following enhanced TSLP expression in HaCaT cells. However, stimulation with IL-4 and IL-13 inhibited TRPV4 activation in HaCaT cells. Finally, treatment with selective TRPV4 antagonist HC-067047 significantly reduced the severity of MC903-induced AD-like dermatitis.

Conclusion

Our findings showed that TRPV4 mediates the expression of keratinocyte-derived TSLP and increases Th2 immunity and pruritus, highlighting TRPV4 as a novel therapeutic strategy for the treatment of AD.

Key words

Atopic dermatitis, Th2, TRPV4, TSLP, Keratinocyte

 Journal club 26.03.13 Read More »

Journal club 2026.03.06

Azelaic acid potentiates TRPV3 activity as a mechanism for skin irritation

Diwas Rawal 1 2, Wook-Joo Lee 1 2, Won-Sik Shim 1 2*

1College of Pharmacy, Gachon University, Incheon, Republic of Korea 2Gachon Institute of Pharmaceutical Sciences, Incheon, Republic of Korea

*Corresponding author e-mail: wsshim@gachon.ac.kr

https://doi.org/10.1016/j.jid.2026.01.022

Graphical Abstrct-TRPV3-mediated skin irritation by AzA

Journal club 2026.03.06 Read More »

Journal Club 26.02.23

Palmitic acid aggravates atopic dermatitis by regulating SGK1/NEDD4L-involved cutaneous neuroimmune inflammation throughdriving TRPV1 and MRGPRB2 S-palmitoylation

Abstract

Objective To determine how cutaneous palmitic acid (PA) modulates transient receptor potential vanilloid-1(TRPV1) in
nociceptor and dorsal-root-ganglions (DRGs), and Mas-related G protein-coupled receptor B2 (MRGPRB2) in mast cells
(MCs), and to investigate their associations with serum- and glucocorticoid-regulated kinase-1 (SGK1)/neural precursor cell
expressed developmentally down regulated 4-like (NEDD4L) in atopic dermatitis (AD).
Methods AD was induced in mice with nedd4l or sgk1 conditional knock-out(cKO) in nociceptor, mrgprb2, nedd4l, or sgk1
cKO in MCs. Intradermal PA, substance P(SP), or pan-palmitoylation inhibitor 2BP was administered. Isolated DRGs and
mouse bone-marrow-derived-MCs (mBMMCs) were used.
Results Cutaneous PA levels were increased in AD mice.PA intradermal injection promoted a TRPV1+ nociceptor-SP-MCs
MRGPRB2-tryptase-AD axis. nedd4l cKO in nociceptor up-regulated cutaneous SP expression, which was further enhanced
by PA. sgk1 cKO in nociceptor slightly reduced SP levels, which were further decreased by PA or 2BP. SP levels in mice with
nedd4l or sgk1 cKO in MCs were increased by PA. In DRGs, supernatants from MC903-treated keratinocytes induced SGK1
and NEDD4L phosphorylation, TRPV1 S-palmitoylation, and SP production, all of which were up-regulated by PA; total and
S-palmitoylated TRPV1 levels and SP production were increased following nedd4l knockdown, whereas they were slightly
reduced following sgk1 knockdown and further decreased by PA. SP induced weak phosphorylation of SGK1 and NEDD4L
in MCs. SP induced MRGPRB2 S-palmitoylation and tryptase release in wild-type, nedd4l or sgk1 knock-out MCs, and these
effects were enhanced by PA; 2BP caused MRGPRB2 reduction in wild-type and sgk1 knock-out MCs.
Conclusions The increased cutaneous PA exacerbates AD by promoting TRPV1 S-palmitoylation and SP production in nociceptor,
followed by MRGPRB2 S-palmitoylation and tryptase release in MCs. S-palmitoylation promotes TRPV1 whereas
inhibits MRGPRB2 reduction via lysosome when NEDD4L and its upstream SGK1 are not phosphorylated.

Keywords

S-palmitoylation · Palmitic acid · Atopic dermatitis · TRPV1 · MRGPRB2 · NEDD4L

Journal Club 26.02.23 Read More »

Journal Club 26.02.02

Neuronal pentraxin 2 in peripheral sensory neurons drives chronic itch through potentiation of the interleukin-31/interleukin-31 receptor pathway in atopic dermatitis

Xue-Qiang Bai a b 1, Bing-Xin Wu a 1, Ji-An Wang c 1, Cheng He a, Yong-Liang Shen d, Xiao Wei a, Yu-Qi Zhang a, Xue-Wen Chen c, Rong Sun a, Qun-Feng Gui d, Juan Wang a,  Zhi-Jun Zhang a e

Keywords
Pruritus; NPTX2; Interleukin-31; Trigeminal ganglion; Atopic dermatitis

Abstract

Atopic dermatitis (AD) is one of the most prevalent chronic inflammatory skin conditions, primarily characterized by intense itching that leads to scratching and presents a challenging clinical issue with incompletely understood mechanisms. Neuronal pentraxin 2 (NPTX2) is associated with neurodevelopment, synaptic plasticity, and neuroinflammation in the central nervous system. In this study, we aimed to thoroughly investigate the peripheral role of NPTX2 in mediating chronic itch in AD. Real-time polymerase chain reaction (PCR), immunohistochemistry, ELISA assays, western blot, and small interfering RNA (siRNA) intervention were performed to explore the peripheral role of NPTX2 in an AD model. We demonstrated that NPTX2 was selectively upregulated in small- and medium-sized trigeminal ganglion (TG) neurons in the MC903-induced AD model, and was transported to peripheral nerve terminals. Importantly, protein expression of NPTX2 was significantly elevated in the skin nerves of patients with AD. Notably, NPTX2 administration alone, intradermally, provoked moderate scratching behavior in mice. However, Nptx2 and neuronal pentraxin receptor (NPTXR) siRNA intra-TG injection significantly attenuated scratching behaviors in AD mice. Critically, NPTXR, its cognate receptor, was specifically localized to pruriceptive calcitonin gene–related peptide-positive neurons (CGRP+) and isolectin B4 (IB4+) neuronal subsets. Mechanistically, NPTX2 synergizes with interleukin-31 (IL-31), a well-known pruritic cytokine in AD, to potentiate phosphorylated-extracellular signal-regulated kinase (p-ERK) signaling in primary sensory neurons. PD98059, the inhibitor of p-ERK, significantly alleviated the scratching induced by the combination of NPTX2 and IL-31. Additionally, PD98059 also significantly reduced the upregulation and release of NPTX2 caused by IL-31 stimulation. Our results offer a new understanding of the molecular mechanisms underlying chronic pruritus in the MC903-induced AD model, highlighting NPTX2-dependent signaling as a key therapeutic strategy for refractory itch disorders.

https://doi.org/10.1016/j.intimp.2026.116223

Journal Club 26.02.02 Read More »

Journal club: 26.01.26

Processing of pain and itch information by modality-specific neurons within the anterior cingulate cortex in mice

Hyoung-Gon Ko1,2Hyunsu Jung#3,4Seunghyo Han#5Dong Il Choi#4Chiwoo Lee#4Ja Eun Choi4Jihae Oh4Chuljung Kwak3Dae Hee Han3Jun-Nyeong Kim5Sanghyun Ye4Jiah Lee4Jaehyun Lee4Kyungmin Lee6Jae-Hyung Lee7Min Zhuo8,9 &  Bong-Kiun Kaang10,11

1Department of Anatomy and Neurobiology, School of Dentistry, Brain Science and Engineering Institute, Kyungpook National University, 2177 Dalgubeol-daero, Daegu, South Korea. hgko@khu.ac.kr.2Department of Oral Anatomy and Developmental Biology, Kyung Hee University College of Dentistry, Seoul, South Korea. hgko@khu.ac.kr.3Center for Cognition and Sociality, Institute for Basic Science (IBS), Daejeon, 34126, South Korea.4Department of Biological Sciences, College of Natural Sciences, Seoul National University, 1 Gwanangno, Seoul, South Korea.5Department of Anatomy and Neurobiology, School of Dentistry, Brain Science and Engineering Institute, Kyungpook National University, 2177 Dalgubeol-daero, Daegu, South Korea.6Laboratory for Behavioral Neural Circuitry and Physiology, Department of Anatomy, Brain Science and Engineering Institute, School of Medicine, Kyungpook National University, 680 Gukchaebosang-ro, Daegu, South Korea.7Department of Oral Microbiology, College of Dentistry, Kyung Hee University, 26 Kyungheedae-ro, Seoul, South Korea.8Department of Physiology, Faculty of Medicine, University of Toronto, 1 King’s College Circle, Toronto, Ontario, Canada.9International Institute for Brain Research, Qingdao International Academician Park, Qingdao, China.10Center for Cognition and Sociality, Institute for Basic Science (IBS), Daejeon, 34126, South Korea. kaang@ibs.re.kr.11Department of Biological Sciences, College of Natural Sciences, Seoul National University, 1 Gwanangno, Seoul, South Korea. kaang@ibs.re.kr.#Contributed equally.

Abstract

Pain and itch are aversive sensations with distinct qualities, processed in overlapping pathways and brain regions, including the anterior cingulate cortex (ACC), which is critical for their affective dimensions. However, the cellular mechanisms underlying their processing in the ACC remain unclear. Here, we identify modality-specific neuronal populations in layer II/III of the ACC in mice involved in pain and itch processing. Using a synapse labeling tool, we show that pain- and itch-related neurons selectively receive synaptic inputs from mediodorsal thalamic neurons activated by pain and itch stimuli, respectively. Chemogenetic inhibition of these neurons reduced pruriception or nociception without affecting the opposite modality. Conversely, activation of these neurons did not enhance stimulus-specific responses but commonly increased freezing-like behavior. These findings reveal that the processing of itch and pain information in the ACC involves activity-dependent and modality-specific neuronal populations, and that pain and itch are processed by functionally distinct ACC neuronal subsets.

Journal club: 26.01.26 Read More »

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