Neurogenic-mediated inflammation may be associated with several inflammatory skin diseases including atopic dermatitis. However, age-dependent differences in neurogenic-mediated skin responses are not fully understood. We compared skin plasma leakage in rats aged 2 and 8 wk, which was induced by topical capsaicin, topical formalin, and intracutaneous substance P, whose effects are mediated via tachykinin NK1 receptors. Evans blue dye extravasation served as an index of the increase in skin vascular permeability. Capsaicin, formalin, and substance P caused a skin response in a dose-dependent manner in both age groups. However, the skin response was much greater in adults than in pups. In addition, the localization of sensory C-fibers and tachykinin NK1 receptors in the skin was investigated by immunofluorescent staining with antisubstance P and antitachykinin NK1 receptor antibodies, respectively. Substance P-immunoreactive nerves were detected throughout the dermis and tachykinin NK1 receptors were mainly detected in blood vessel walls in the dermis in both age groups. However, they were more sparsely distributed in pups. In conclusion, the weak neurogenic-mediated skin inflammation in pups is probably because of immature neural mechanisms associated with skin inflammation such as reduced innervation of sensory C-fibers and low expression of tachykinin NK1 receptors. (Pediatr Res 67: 363-368, 2010) N eurogenic-mediated inflammation may be associated with several inflammatory skin diseases including atopic dermatitis (1). Immediately after stimulation of nerve endings of sensory C-fibers, antidromic conduction through afferent nerve collaterals causes the release of neuropeptides such as substance P and calcitonin gene-related peptide from nerve endings of sensory C-fibers. The released neuropeptides lead to pain, pruritus, vascular modulation (i.e. plasma leakage, vasodilation, and endothelial cell activation), and activation of immune cells including T-and B-cells, and mast cells (1-3).In animal experimental models, it is more difficult to elicit neurogenic-mediated skin inflammation in younger animals, particularly during the perinatal period. Fitzgerald and Gibson (4) showed that topical mustard oil and antidromic stimulation of the sciatic nerve of rats, which specifically stimulate sensory C-fibers in the skin, are incapable of producing plasma leakage in the paw until postnatal day 11. However, this is inconsistent with previous data that substance P-immunoreactive nerves are detected even in the skin of rats aged day 0 -1 (4,5). Schotzinger and Landis (5) reported increases in the number of substance P-immunoreactive nerves in rat skin, branching pattern of nerves, and substance P immunoreactivity throughout neonatal life that approach adult levels by postnatal day 21. Therefore, the histologic immaturity of sensory C-fibers may be one reason for the lack or reduced level of neurogenic-mediated skin inflammation in rat pups. Neurogenic-mediated skin inflammation is also likely to depend on the e...