Cellular Basis of Itch Sensation

It has been a long-standing question if itch is a subquality of pain involving the same neuronal elements or if distinct, so-called labeled lines exist in the nervous system for both sensations. To address this question directly, Sun et al. (p. 1531, published online 6 August) destroyed neurons in the superficial spinal dorsal horn that express the gastrin-releasing peptide receptor. This receptor is known to be involved in mediating itch but not pain sensations. In various animal models, ablation of gastrin-releasing peptide receptor-expressing spinal dorsal horn neurons reduced itch without changing pain perception. Thus, itch and pain indeed appear to be mediated by distinct labeled lines in the central nervous system.

Itch and pain are two distinct sensations. Although our previous study suggested that gastrin-releasing peptide receptor (GRPR) is an itch-specific gene in the spinal cord, a long-standing question of whether there are separate neuronal pathways for itch and pain remains unsettled. We selectively ablated lamina I neurons expressing GRPR in the spinal cord of mice. These mice showed profound scratching deficits in response to all of the itching (pruritogenic) stimuli tested, irrespective of their histamine dependence. In contrast, pain behaviors were unaffected. Our data also suggest that GRPR⁺ neurons are different from the spinothalamic tract neurons that have been the focus of the debate. Together, the present study suggests that GRPR⁺ neurons constitute a long-sought labeled line for itch sensation in the spinal cord.