IL-6/p-BTK/p-ERK signaling mediates calcium phosphate-induced pruritus

被引:31
作者
Keshari, Sunita [1 ]
Sipayung, Apriska Dewi [1 ]
Hsieh, Ching-Chuan [3 ]
Su, Li-Jen [2 ]
Chiang, Yun-Ru [2 ]
Chang, Huan-Cheng [4 ]
Yang, Wu-Chang [4 ]
Chuang, Tsung-Hsien [5 ]
Chen, Chien-Lung [2 ,4 ]
Huang, Chun-Ming [1 ,2 ,6 ]
机构
[1] Natl Cent Univ, Dept Life Sci, Taoyuan, Taiwan
[2] Natl Cent Univ, Dept Biomed Sci & Engn, Taoyuan, Taiwan
[3] Chang Gung Mem Hosp, Dept Surg, Div Gen Surg, Chiayi, Taiwan
[4] Landseed Hosp, Div Nephrol, Taoyuan, Taiwan
[5] Natl Hlth Res Inst, Immunol Res Ctr, Zhunan, Taiwan
[6] Univ Calif San Diego, Dept Dermatol, San Diego, CA 92103 USA
关键词
Bruton's tyrosine kinase; CaP; CKD; BRUTONS TYROSINE KINASE; POSITIVE FEEDBACK LOOP; CHRONIC KIDNEY-DISEASE; CARDIOVASCULAR-DISEASE; MOUSE MODEL; HEMODIALYSIS-PATIENTS; SCRATCHING BEHAVIOR; BTK FUNCTION; ITCH; INTERLEUKIN-6;
D O I
10.1096/fj.201900016RR
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Uremic pruritus with elevated levels of calcium phosphate (CaP) in skin is a common symptom in patients with chronic kidney disease (CKD). In this study, we demonstrate that intradermal injection of CaP into mice triggered scratching by up-regulating the IL-6 in skin and phosphorylation of ERKs in dorsal root ganglion (DRG) in a dose-dependent manner. IL-6 is essential because the CaP-induced up-regulation of phosphorylated (p)-ERK in DRG was considerably reduced in the IL-6 knockout mice. Microarray analysis in conjunction with real-time PCR revealed a higher mRNA expression of Bruton's tyrosine kinase (BTK) gene in DRG after CaP injection. The inhibition of BTK by ibrutinib noticeably diminish the CaP-induced up-regulation of IL-6 and p-ERK in mice. A high amount of IL-6 was detected in itchy skin and blood of patients with CKD. The expressions of p-BTK and p-ERK in DRG primary cells reached maximum levels at 1 and 10 min, respectively, after treatment of recombinant IL-6 and were significantly reduced by treatment of IL-6 along with ibrutinib. The mechanism by which the CaP-induced pruritus mediated by the IL-6/p-BTK/p-ERK signaling was revealed.
引用
收藏
页码:12036 / 12046
页数:11
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