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Scratching behavior does not necessarily correlate with epidermal nerve fiber sprouting or inflammatory cell infiltration.

AbstractBACKGROUND:
Increased sprouting of epidermal nerve fibers of lesional skin are thought to be associated with persistent pruritus in chronic inflammatory dermatitis such as atopic dermatitis as supported by a murine study using tacrolimus (or FK506: FK) which was shown to inhibit both epidermal sprouting of nerves and scratching behavior or by immunohistochemical observations of lesional skin in the patients with atopic dermatitis or prurigo, etc.
OBJECTIVES:
To examine a mitogen-activated protein kinase/extracellular signal-regulated kinase kinase 1/2 (MEK1/2) inhibitor (CX-659S: CX) for a possible anti-pruritic property in vivo since some MEK1/2 inhibitors have been reported to inhibit neurite growth in vitro.
METHODS:
CX, FK and corticosteroids (betamethasone valerate: BV) were topically applied on inflamed skin in a mouse model of chronic dermatitis using repetitive hapten painting to examine anti-pruritic property and anti-inflammatory effects. Scratching behaviors were assessed using MicroAct automatic measuring system, and epidermal sprouting of nerves and skin inflammation was assessed histologically.
RESULTS:
FK significantly decrease scratching behavior, but CX and BV failed to do so despite of their ability to significantly inhibit epidermal nerve fiber sprouting and skin inflammation, respectively. In addition, CX+BV mixture synergistically inhibited epidermal nerve fiber sprouting and skin inflammation even more potently than FK without decreasing scratching behavior.
CONCLUSIONS:
These findings suggest that the scratching behavior does not necessarily correlate with epidermal nerve fiber sprouting or inflammatory cell infiltration.
AuthorsMakiko Kido, Satoshi Takeuchi, Hitokazu Esaki, Sayaka Hayashida, Masutaka Furue
JournalJournal of dermatological science (J Dermatol Sci) Vol. 58 Issue 2 Pg. 130-5 (May 2010) ISSN: 1873-569X [Electronic] Netherlands
PMID20399618 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Copyright2010 Japanese Society for Investigative Dermatology. Published by Elsevier Ireland Ltd. All rights reserved.
Chemical References
  • Anti-Inflammatory Agents
  • Haptens
  • Uracil
  • MAP Kinase Kinase 1
  • CX 659S
Topics
  • Animals
  • Anti-Inflammatory Agents (pharmacology)
  • Disease Models, Animal
  • Epidermis (innervation, pathology)
  • Female
  • Haptens (chemistry)
  • Inflammation
  • MAP Kinase Kinase 1 (metabolism)
  • Mice
  • Mice, Inbred C57BL
  • Neurites (metabolism)
  • Pruritus (drug therapy, pathology)
  • Skin (pathology)
  • Uracil (analogs & derivatives, pharmacology)
  • Wound Healing

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