Role of neurturin in spontaneous itch and increased nonpeptidergic intraepidermal fiber density in a mouse model of psoriasis

Pain. 2017 Nov;158(11):2196-2202. doi: 10.1097/j.pain.0000000000001025.

Abstract

Psoriasis is often accompanied by itch, but the mechanisms behind this symptom remain elusive. Dynamic changes in epidermal innervation have been observed under chronic itch conditions. Therefore, we investigated whether epidermal innervation is altered in the imiquimod-induced psoriasis mouse model, whether blockade of neurotrophic growth factor signaling can reduce these changes, and whether this system can impact psoriatic itch. Over the 7-day time course of imiquimod treatment, the density of epidermal nonpeptidergic nerves significantly increased, whereas the density of peptidergic nerves significantly decreased. The nonpeptidergic epidermal nerves expressed glial cell line-derived neurotrophic factor (GDNF) family receptor GFRα-1 and GFRα-2, the ligand-binding domains for GDNF and neurturin (NRTN). The NRTN mRNA expression was elevated in the skin of imiquimod-treated mice, whereas the GDNF mRNA expression was decreased. Treatment of imiquimod-challenged mice with an NRTN-neutralizing antibody significantly reduced nonpeptidergic nerve density as well as spontaneous scratching. These results indicate that NRTN contributes to an increase in the epidermal density of nonpeptidergic nerves in the imiquimod-induced psoriasis model, and this increase may be a factor in chronic itch for these mice. Therefore, inhibition of NRTN could be a potential treatment for chronic itch in psoriasis.

MeSH terms

  • Adjuvants, Immunologic / therapeutic use
  • Aminoquinolines / therapeutic use
  • Animals
  • Antibodies / therapeutic use
  • Calcitonin Gene-Related Peptide / metabolism
  • Disease Models, Animal
  • Gene Expression Regulation / physiology
  • Glial Cell Line-Derived Neurotrophic Factor / metabolism
  • Glial Cell Line-Derived Neurotrophic Factor Receptors / genetics
  • Glial Cell Line-Derived Neurotrophic Factor Receptors / metabolism
  • Imiquimod
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Nerve Fibers / pathology*
  • Neurturin / genetics
  • Neurturin / immunology
  • Neurturin / metabolism*
  • Pruritus / etiology*
  • Psoriasis / complications*
  • Psoriasis / drug therapy
  • Psoriasis / pathology*
  • RNA, Messenger / metabolism
  • Receptors, Purinergic P2X3 / metabolism
  • Skin / innervation*

Substances

  • Adjuvants, Immunologic
  • Aminoquinolines
  • Antibodies
  • Gfra1 protein, mouse
  • Gfra2 protein, mouse
  • Glial Cell Line-Derived Neurotrophic Factor
  • Glial Cell Line-Derived Neurotrophic Factor Receptors
  • Neurturin
  • RNA, Messenger
  • Receptors, Purinergic P2X3
  • Calcitonin Gene-Related Peptide
  • Imiquimod