Miswiring of Merkel cell and pruriceptive C fiber drives the itch-scratch cycle.

Miswiring of Merkel cell and pruriceptive C fiber drives the itch-scratch cycle.
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DOI:
10.1126/scitranslmed.abn4819
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发表时间:
2022-07-13
影响因子:
17.1
通讯作者:
Hu, Hongzhen
Hu, Hongzhen
中科院分区:
医学1区
文献类型:
--
作者:
Feng, Jing;Zhao, Yonghui;Xie, Zili;Zang, Kaikai;Sviben, Sanja;Hu, Xueming;Fitzpatrick, James A. J.;Wen, Lu;Liu, Yifei;Wang, Ting;Lawson, Katy;Liu, Qin;Yan, Yan;Dong, Xinzhong;Han, Liang;Wu, Gregory F.;Kim, Brian S.;Hu, Hongzhen

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Itch sensation provokes the scratch reflex to protect us from harmful stimuli in the skin. Although scratching transiently relieves acute itch through activation of mechanoreceptors, it propagates the vicious itch-scratch cycle in chronic itch by further aggravating itch over time. Although well recognized clinically, the peripheral mechanisms underlying the itch-scratch cycle remain poorly understood. Here we show that mechanical stimulation of the skin results in activation of the Piezo2 channels on Merkel cells that pathologically promotes spontaneous itch in experimental dry skin. Three-dimensional reconstruction and immunoelectron microscopy revealed structural alteration of MRGPRA3+ pruriceptor nerve endings directed towards Merkel cells in the setting of dry skin. Our results uncover a functional miswiring mechanism under pathologic conditions, resulting in touch receptors triggering the firing of pruriceptors in the skin to drive the itch-scratch cycle. A pathologic miswiring in the epithelial touch receptor results in adaptive activation of sensory pruriceptor to propagate the itch-scratch cycle.
炎性瘙痒和疼痛模型中 MRGPRA3 和 MRGPRD 阳性伤害感受器的兴奋性增强
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