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Anti pruritic effects of topical crotamiton, capsaicin, and a corticosteroid on pruritogen-induced scratching behavior.

Abstract
Itch accompanies various skin diseases. As a number of mediators other than histamine can be involved in the itch sensation, H1 receptor antagonists are not necessarily effective in treating itch. External application of antipruritic drugs is occasionally used as an alternative therapy for pruritic skin conditions, such as pruritus on primary non-diseased, non-inflamed skin. Even so, the actual effects of these drugs on the itch sensation have yet to be studied in detail. To verify the antipruritic effects of crotamiton, capsaicin, and a corticosteroid on the itch sensation, we examined the inhibitory effects of these drugs on various pruritogen-induced scratching behaviors in mice. Topical application of 10% crotamiton moderately inhibited histamine-, serotonin-, and PAR-2 agonist-induced scratching behaviors. Topical capsaicin (0.025%) also exerted a moderate suppressive effect on histamine-, substance P-, and PAR-2 agonist-induced itch responses. Notably, topical corticosteroid (0.05% clobetasol propionate) remarkably inhibited the scratching behaviors induced by all of the pruritogenic agents tested. Therapeutic effects of capsaicin on substance P-induced pruritus did not seem to be mediated by desensitization of the TRPV1 (+) C fibers and/or by altered responsiveness of the mast cells. In addition, the antipruritic effects of crotamiton and corticosteroid appear to be, at least partly, associated with a TRPV1-independent pathway. This study examined the itch responses to pruritogens and demonstrated the mode of action of the externally applied antipruritic drugs.
AuthorsRika Sekine, Takahiro Satoh, Ayumi Takaoka, Kazumi Saeki, Hiroo Yokozeki
JournalExperimental dermatology (Exp Dermatol) Vol. 21 Issue 3 Pg. 201-4 (Mar 2012) ISSN: 1600-0625 [Electronic] Denmark
PMID22379965 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Copyright© 2011 John Wiley & Sons A/S.
Chemical References
  • Adrenal Cortex Hormones
  • Antipruritics
  • Toluidines
  • crotamiton
  • Capsaicin
Topics
  • Administration, Topical
  • Adrenal Cortex Hormones (administration & dosage, therapeutic use)
  • Animals
  • Antipruritics (administration & dosage, therapeutic use)
  • Capsaicin (administration & dosage, therapeutic use)
  • Disease Models, Animal
  • Female
  • Mice
  • Mice, Inbred C57BL
  • Mice, Inbred ICR
  • Pruritus (chemically induced, drug therapy)
  • Toluidines (administration & dosage, therapeutic use)

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