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Publication : Sensory Neurons Co-opt Classical Immune Signaling Pathways to Mediate Chronic Itch.

First Author  Oetjen LK Year  2017
Journal  Cell Volume  171
Issue  1 Pages  217-228.e13
PubMed ID  28890086 Mgi Jnum  J:247614
Mgi Id  MGI:5927192 Doi  10.1016/j.cell.2017.08.006
Citation  Oetjen LK, et al. (2017) Sensory Neurons Co-opt Classical Immune Signaling Pathways to Mediate Chronic Itch. Cell 171(1):217-228.e13
abstractText  Mammals have evolved neurophysiologic reflexes, such as coughing and scratching, to expel invading pathogens and noxious environmental stimuli. It is well established that these responses are also associated with chronic inflammatory diseases, including asthma and atopic dermatitis. However, the mechanisms by which inflammatory pathways promote sensations such as itch remain poorly understood. Here, we show that type 2 cytokines directly activate sensory neurons in both mice and humans. Further, we demonstrate that chronic itch is dependent on neuronal IL-4Ralpha and JAK1 signaling. We also observe that patients with recalcitrant chronic itch that failed other immunosuppressive therapies markedly improve when treated with JAK inhibitors. Thus, signaling mechanisms previously ascribed to the immune system may represent novel therapeutic targets within the nervous system. Collectively, this study reveals an evolutionarily conserved paradigm in which the sensory nervous system employs classical immune signaling pathways to influence mammalian behavior.
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