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- Title
Neural peptidase endothelin-converting enzyme 1 regulates endothelin 1-induced pruritus.
- Authors
Kido-Nakahara, Makiko; Buddenkotte, Jörg; Kempkes, Cordula; Ikoma, Akihiko; Cevikbas, Ferda; Akiyama, Tasuku; Nunes, Frank; Seeliger, Stephan; Hasdemir, Burcu; Mess, Christian; Buhl, Timo; Sulk, Mathias; Müller, Frank-Ulrich; Metze, Dieter; Bunnett, Nigel W; Bhargava, Aditi; Carstens, Earl; Furue, Masutaka; Steinhoff, Martin
- Abstract
In humans, pruritus (itch) is a common but poorly understood symptom in numerous skin and systemic diseases. Endothelin 1 (ET-1) evokes histamine-independent pruritus in mammals through activation of its cognate G protein-coupled receptor endothelin A receptor (ETAR). Here, we have identified neural endothelin-converting enzyme 1 (ECE-1) as a key regulator of ET-1-induced pruritus and neural signaling of itch. We show here that ETAR, ET-1, and ECE-1 are expressed and colocalize in murine dorsal root ganglia (DRG) neurons and human skin nerves. In murine DRG neurons, ET-1 induced internalization of ETAR within ECE-1-containing endosomes. ECE-1 inhibition slowed ETAR recycling yet prolonged ET-1-induced activation of ERK1/2, but not p38. In a murine itch model, ET-1-induced scratching behavior was substantially augmented by pharmacological ECE-1 inhibition and abrogated by treatment with an ERK1/2 inhibitor. Using iontophoresis, we demonstrated that ET-1 is a potent, partially histamine-independent pruritogen in humans. Immunohistochemical evaluation of skin from prurigo nodularis patients confirmed an upregulation of the ET-1/ETAR/ECE-1/ERK1/2 axis in patients with chronic itch. Together, our data identify the neural peptidase ECE-1 as a negative regulator of itch on sensory nerves by directly regulating ET-1-induced pruritus in humans and mice. Furthermore, these results implicate the ET-1/ECE-1/ERK1/2 pathway as a therapeutic target to treat pruritus in humans.
- Subjects
SKIN innervation; ANIMAL experimentation; BIOCHEMISTRY; CELL receptors; CELLULAR signal transduction; COMPARATIVE studies; ENDOTHELINS; SENSORY ganglia; ITCHING; PHENOMENOLOGY; RESEARCH methodology; MEDICAL cooperation; MICE; PROTEOLYTIC enzymes; RESEARCH; RESEARCH funding; SKIN; EVALUATION research; CHEMICAL inhibitors
- Publication
Journal of Clinical Investigation, 2014, Vol 124, Issue 6, p2683
- ISSN
0021-9738
- Publication type
journal article
- DOI
10.1172/JCI67323