The epithelial cell-derived atopic dermatitis cytokine TSLP activates neurons to induce itch.

Abstract:

:Atopic dermatitis (AD) is a chronic itch and inflammatory disorder of the skin that affects one in ten people. Patients suffering from severe AD eventually progress to develop asthma and allergic rhinitis, in a process known as the "atopic march." Signaling between epithelial cells and innate immune cells via the cytokine thymic stromal lymphopoietin (TSLP) is thought to drive AD and the atopic march. Here, we report that epithelial cells directly communicate to cutaneous sensory neurons via TSLP to promote itch. We identify the ORAI1/NFAT calcium signaling pathway as an essential regulator of TSLP release from keratinocytes, the primary epithelial cells of the skin. TSLP then acts directly on a subset of TRPA1-positive sensory neurons to trigger robust itch behaviors. Our results support a model whereby calcium-dependent TSLP release by keratinocytes activates both primary afferent neurons and immune cells to promote inflammatory responses in the skin and airways.

journal_name

Cell

journal_title

Cell

authors

Wilson SR,Thé L,Batia LM,Beattie K,Katibah GE,McClain SP,Pellegrino M,Estandian DM,Bautista DM

doi

10.1016/j.cell.2013.08.057

subject

Has Abstract

pub_date

2013-10-10 00:00:00

pages

285-95

issue

2

eissn

0092-8674

issn

1097-4172

pii

S0092-8674(13)01088-X

journal_volume

155

pub_type

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