Abbreviations: Ab, antibody; AD, atopic dermatitis; Ag, antigen; Arg1, arginase 1; CCR4, C-C chemokine receptor type 4; CD, cluster of differentiation; CXCR3, C-X-C chemokine receptor type 3; ELISA, enzyme-linked immunosorbent assay; IENFD, intraepidermal nerve fiber density; Ig, immunoglobulin; IL, interleukin; IL-7Rα, IL-7 receptor α; iNOS, inducible nitric oxide synthase; OSMRβ, oncostatin M receptor β; PAR-2, protease-activated receptor 2; PGP9.5, protein gene product 9.5; pM, peritoneal macrophages; TARC, thymus and activationregulated chemokine; TSLP, thymic stromal lymphopoietin; TSLPR, thymic stromal lymphopoietin receptor. Abstract Background: Scabies is a common contagious skin disease caused by an infestation of the skin by Sarcoptes scabiei var. hominis. A hallmark symptom of scabies is severe itch. Methods: We sought to determine the generation of a pruritogenic cytokine, interleukin (IL)-31, together with immune profiles in skin lesions of ordinary scabies through immunohistochemical and immunofluorescent studies. To elucidate the pathological mechanisms of IL-31 generation, murine peritoneal macrophages were stimulated with various T helper 2 (Th2) cytokines and proteins ex vivo. Results: A large number of CCR4(+) Th2 cells, eosinophils, and basophils infiltrated in scabies lesions. Increased generation of IL-31, thymic stromal lymphopoietin (TSLP), and periostin was also observed. A major population of IL-31(+) cells were Arginase-1(+)/CD163(+) M2 macrophages. Murine peritoneal macrophages showed an M2 phenotype and generated IL-31 when stimulated with TSLP and periostin.Conclusion: IL-31 appeared to be largely generated by M2 macrophages in ordinary scabies lesions. This IL-31 induction was mediated by TSLP and periostin.
K E Y W O R D SIL-31, macrophage, periostin, scabies, thymic stromal lymphopoietin