IL-33 potentiates histaminergic itch

Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved..

BACKGROUND: Itch is a common symptom that can greatly diminish quality of life. Histamine is a potent endogenous pruritogen, and while antihistamines are often the first-line treatment for itch, in conditions like chronic spontaneous urticaria (CSU), many patients remain symptomatic while receiving maximal doses. Mechanisms that drive resistance to antihistamines are poorly defined.

OBJECTIVES: Signaling of the alarmin cytokine IL-33 in sensory neurons is postulated to drive chronic itch by inducing neuronal sensitization to pruritogens. Thus, we sought to determine if IL-33 can augment histamine-induced (histaminergic) itch.

METHODS: Itch behavior was assessed in response to histamine after IL-33 or saline administration. Various stimuli and conditional and global knockout mice were utilized to dissect cellular mechanisms. Multiple existing transcriptomic data sets were evaluated, including single-cell RNA sequencing of human and mouse skin, microarrays of isolated mouse mast cells at steady state and after stimulation with IL-33, and microarrays of skin biopsy samples from subjects with CSU and healthy controls.

RESULTS: IL-33 amplifies histaminergic itch independent of IL-33 signaling in sensory neurons. Mast cells are the top expressors of the IL-33 receptor in both human and mouse skin. When stimulated by IL-33, mouse mast cells significantly increase IL-13 levels. Enhancement of histaminergic itch by IL-33 relies on a mast cell- and IL-13-dependent mechanism. IL-33 receptor expression is increased in lesional skin of subjects with CSU compared to healthy controls.

CONCLUSIONS: Our findings suggest that IL-33 signaling may be a key driver of histaminergic itch in mast cell-associated pruritic conditions such as CSU.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:153

Enthalten in:

The Journal of allergy and clinical immunology - 153(2024), 3 vom: 15. März, Seite 852-859.e3

Sprache:

Englisch

Beteiligte Personen:

Trier, Anna M [VerfasserIn]
Ver Heul, Aaron M [VerfasserIn]
Fredman, Avery [VerfasserIn]
Le, Victoria [VerfasserIn]
Wang, Zhen [VerfasserIn]
Auyeung, Kelsey [VerfasserIn]
Meixiong, James [VerfasserIn]
Lovato, Paola [VerfasserIn]
Holtzman, Michael J [VerfasserIn]
Wang, Fang [VerfasserIn]
Dong, Xinzhong [VerfasserIn]
Ji, Andrew L [VerfasserIn]
Kim, Brian S [VerfasserIn]

Links:

Volltext

Themen:

820484N8I3
Chronic spontaneous urticaria
Histamine
Histamine Antagonists
IL-13
IL-33
Interleukin-13
Interleukin-33
Itch
Journal Article
Mast cell
Neuroimmunology

Anmerkungen:

Date Completed 11.03.2024

Date Revised 16.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jaci.2023.08.038

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM364761946