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The itch–scratch cycle is a key component of exacerbations of atopic dermatitis (AD). Influx of T cells, particularly T helper 2 (Th2) cells, with eosinophils, has long been known to play a role in AD. Oyoshi and colleagues found a surprising new player.
They found that neutrophils are recruited to the superficial dermis of scratched skin in humans and tape-stripped skin in mice. Leukotriene B4 (LTB4), a known neutrophil chemoattractant, and its receptor BLT1 were elevated in such skin. LTB4 is generated from innate immune cells such as neutrophils, in response to a variety of stimuli.
Using a classic model of allergic dermatitis in mice, the investigators epicutaneously administered an ovalbumin challenge to sensitized mice. Ovalbumin-specif…