Microglia–neuron interactions promote chronic itch via the NLRP3-IL-1β-GRPR axis

Allergy 2023 Mar 6. doi: 10.1111/all.15699. Online ahead of print.

Xueting Liu ¹, Yanmei Wang ¹, Yueling Zeng ¹, De Wang ¹, Yuhuan Wen ¹, Limin Fan ¹, Ying He ¹, Junyan Zhang ¹, Weimin Sun ¹, Yongping Liu ¹, Ailin Tao ¹

• PMID: 36876522
• DOI: 10.1111/all.15699

Abstract

Background: Spinal astrocytes contribute to chronic itch via sensitization of itch-specific neurons expressing gastrin-releasing peptide receptor (GRPR). However, whether microglia-neuron interactions contribute to itch remains unclear. In this study, we aimed to explore how microglia interact with GRPR⁺neurons and promote chronic itch.

Methods: RNA sequencing, quantitative real-time PCR, western blot, immunohistochemistry, RNAscope ISH, pharmacologic and genetic approaches were performed to examine the roles of spinal NLRP3 (The NOD-like receptor family, pyrin-containing domain 3) inflammasome activation and IL-1β-IL1R1 signaling in chronic itch. Grpr-eGFP and Grpr KO mice were used to investigate microglia-GRPR⁺neuron interactions.

Results: We observed NLRP3 inflammasome activation and IL-1β production in spinal microglia under chronic itch conditions. Blockade of microglial activation and the NLRP3/caspase-1/IL-1β axis attenuated chronic itch and neuronal activation. Type 1 IL-1 receptor (IL-1R1) was expressed in GRPR⁺neurons, which are essential for the development of chronic itch. Our studies also find that IL-1β⁺microglia are localized in close proximity to GRPR⁺ neurons. Consistently, intrathecal injection of IL1R1 antagonist or exogenous IL-1β indicate that the IL-1β-IL-1R1 signaling pathway enhanced the activation of GRPR⁺ neurons. Furthermore, our results demonstrate that the microglial NLRP3/caspase-1/IL-1β axis contributes to several different chronic itches triggered by small molecules and protein allergens from the environment and drugs.

Conclusion: Our findings reveal a previously unknown mechanism in which microglia enhances the activation of GRPR⁺ neurons through the NLRP3/caspase-1/IL-1β/IL1R1 axis. These results will provide new insights into the pathophysiology of pruritus and novel therapeutic strategies for patients with chronic itch.

Keywords: IL-1β; NLRP3 inflammasome; chronic itch; gastrin-releasing peptide receptor; microglia.

© 2023 European Academy of Allergy and Clinical Immunology and John Wiley & Sons Ltd.