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Publication : A basophil-neuronal axis promotes itch.

First Author  Wang F Year  2021
Journal  Cell Volume  184
Issue  2 Pages  422-440.e17
PubMed ID  33450207 Mgi Jnum  J:301435
Mgi Id  MGI:6505632 Doi  10.1016/j.cell.2020.12.033
Citation  Wang F, et al. (2021) A basophil-neuronal axis promotes itch. Cell 184(2):422-440.e17
abstractText  Itch is an evolutionarily conserved sensation that facilitates expulsion of pathogens and noxious stimuli from the skin. However, in organ failure, cancer, and chronic inflammatory disorders such as atopic dermatitis (AD), itch becomes chronic, intractable, and debilitating. In addition to chronic itch, patients often experience intense acute itch exacerbations. Recent discoveries have unearthed the neuroimmune circuitry of itch, leading to the development of anti-itch treatments. However, mechanisms underlying acute itch exacerbations remain overlooked. Herein, we identify that a large proportion of patients with AD harbor allergen-specific immunoglobulin E (IgE) and exhibit a propensity for acute itch flares. In mice, while allergen-provoked acute itch is mediated by the mast cell-histamine axis in steady state, AD-associated inflammation renders this pathway dispensable. Instead, a previously unrecognized basophil-leukotriene (LT) axis emerges as critical for acute itch flares. By probing fundamental itch mechanisms, our study highlights a basophil-neuronal circuit that may underlie a variety of neuroimmune processes.
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