Papers

International journal
Aug 3, 2021

Estrogens influence female itch sensitivity via the spinal gastrin-releasing peptide receptor neurons

Proceedings of the National Academy of Sciences
  • Keiko Takanami
  • ,
  • Daisuke Uta
  • ,
  • Ken Ichi Matsuda
  • ,
  • Mitsuhiro Kawata
  • ,
  • Earl Carstens
  • ,
  • Tatsuya Sakamoto
  • ,
  • Hirotaka Sakamoto

Volume
118
Number
31
First page
e2103536118
Last page
e2103536118
Language
English
Publishing type
Research paper (scientific journal)
DOI
10.1073/pnas.2103536118
Publisher
Proceedings of the National Academy of Sciences

There are sex differences in somatosensory sensitivity. Circulating estrogens appear to have a pronociceptive effect that explains why females are reported to be more sensitive to pain than males. Although itch symptoms develop during pregnancy in many women, the underlying mechanism of female-specific pruritus is unknown. Here, we demonstrate that estradiol, but not progesterone, enhances histamine-evoked scratching behavior indicative of itch in female rats. Estradiol increased the expression of the spinal itch mediator, gastrin-releasing peptide (GRP), and increased the histamine-evoked activity of itch-processing neurons that express the GRP receptor (GRPR) in the spinal dorsal horn. The enhancement of itch behavior by estradiol was suppressed by intrathecal administration of a GRPR blocker. In vivo electrophysiological analysis showed that estradiol increased the histamine-evoked firing frequency and prolonged the response of spinal GRP-sensitive neurons in female rats. On the other hand, estradiol did not affect the threshold of noxious thermal pain and decreased touch sensitivity, indicating that estradiol separately affects itch, pain, and touch modalities. Thus, estrogens selectively enhance histamine-evoked itch in females via the spinal GRP/GRPR system. This may explain why itch sensation varies with estrogen levels and provides a basis for treating itch in females by targeting GRPR.

Link information
DOI
https://doi.org/10.1073/pnas.2103536118
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/34312228
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8346901
URL
http://www.pnas.org/syndication/doi/10.1073/pnas.2103536118
URL
https://syndication.highwire.org/content/doi/10.1073/pnas.2103536118
ID information
  • DOI : 10.1073/pnas.2103536118
  • ISSN : 0027-8424
  • eISSN : 1091-6490
  • Pubmed ID : 34312228
  • Pubmed Central ID : PMC8346901

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