The Effects of Cannabinoid Agonist, Heat Shock Protein 90 and Nitric Oxide Synthase Inhibitors on Increasing IL-13 and IL-31 Levels in Chronic Pruritus

Immunol Invest. 2022 Oct;51(7):1938-1949. doi: 10.1080/08820139.2022.2083973. Epub 2022 Jun 8.

Abstract

Background: Heat shock protein 90 (Hsp90) inhibitor and cannabinoid agonists ameliorate dry skin-induced chronic itch. We have recently reported that cannabinoids, hsp90 and nitric oxide (NO) are involved in dry skin-induced itch. Here, we investigated the contribution of the Th2 cell signaling pathway to the antipruritic effect of the hsp90 inhibitor 17-Alilamino-17-demethoxygeldanamycin (17-AAG), nitric oxide synthase (NOS) inhibitor Nω-Nitro-L-arginine methyl ester hydrochloride (L-NAME) and cannabinoid agonist WIN 55,212-2 on a dry skin-induced scratch.

Methods: Dry skin-induced chronic itching was created by topical application of AEW (acetone/diethyl ether/water). WIN 55,212-2 (1 mg/kg, i.p.), L-NAME (1 mg/kg, i.p.) and increasing doses of 17-AAG (1, 3 and 5 mg/kg,i.p.) were administered to Balb/c mice (for each group, n = 6). After these applications, skin tissues were taken from the nape region of all of the mice. Gene and protein expressions of IL-13 and IL-31 were evaluated in skin tissues by RT-PCR and immunohistochemistry, respectively.

Results: IL-13 and IL-31 mRNA expressions and immune positive cell counts were increased in the AEW applied groups. WIN 55,212-2 reduced both of the increased cytokines levels, while L-NAME decreased only the IL-13. 17-AAG dose-dependently reduced the increased cytokine levels. IL-13 and IL-31 levels significantly decreased following the co-administration of these agents.

Conclusion: These results show that increased levels of IL-13 and IL-31 are associated with pruritus. Hsp90 inhibition and cannabinoid system activation may induce antipruritic effects through down-regulation of these cytokines.

Keywords: Cannabinoid; IL-13; IL-31; chronic itch; hsp90.

MeSH terms

  • Acetone / adverse effects
  • Animals
  • Antipruritics / adverse effects
  • Benzoquinones
  • Benzoxazines
  • Cannabinoid Receptor Agonists* / adverse effects
  • Cannabinoids* / adverse effects
  • Cytokines / metabolism
  • Enzyme Inhibitors / adverse effects
  • Ether / adverse effects
  • Heat-Shock Proteins / adverse effects
  • Interleukin-13 / adverse effects
  • Interleukin-13 / genetics
  • Lactams, Macrocyclic
  • Mice
  • Mice, Inbred BALB C
  • Morpholines
  • NG-Nitroarginine Methyl Ester / adverse effects
  • Naphthalenes
  • Nitric Oxide / metabolism
  • Nitric Oxide Synthase / genetics
  • Nitric Oxide Synthase / metabolism
  • Pruritus / chemically induced
  • Pruritus / drug therapy
  • Pruritus / metabolism
  • RNA, Messenger
  • Water / adverse effects

Substances

  • Antipruritics
  • Benzoquinones
  • Benzoxazines
  • Cannabinoid Receptor Agonists
  • Cannabinoids
  • Cytokines
  • Enzyme Inhibitors
  • Heat-Shock Proteins
  • Interleukin-13
  • Lactams, Macrocyclic
  • Morpholines
  • Naphthalenes
  • RNA, Messenger
  • Water
  • Ether
  • Acetone
  • Nitric Oxide
  • tanespimycin
  • (3R)-((2,3-dihydro-5-methyl-3-((4-morpholinyl)methyl)pyrrolo-(1,2,3-de)-1,4-benzoxazin-6-yl)(1-naphthalenyl))methanone
  • Nitric Oxide Synthase
  • NG-Nitroarginine Methyl Ester