# Neuroimmune Regulation of Atopic Dermatitis

> **NIH NIH R01** · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · 2021 · $2,159,220

## Abstract

PROJECT SUMMARY/ABSTRACT
Atopic dermatitis (AD) is a chronic, relapsing skin disease that affects children and adults. This disease is a
growing public health problem and a large economic burden worldwide. The central and most debilitating
symptom in AD is chronic itch. While some patients can be treated successfully with existing therapies, there
is a continuing need for the development of new therapies to treat patients who do not respond to
current AD treatment strategies. We and others have shown that the production of the type 2 cytokines
interleukin (IL)-4 and IL-13 by T helper type 2 (TH2) cells and newly identified group 2 innate lymphoid cells
(ILC2s) contribute to AD pathogenesis. Preliminary studies have also shown that the receptors for IL-4 and IL-
13 are highly expressed on itch-sensing primary sensory neurons. However, the precise role of TH2 cells,
ILC2s and type 2 cytokines in mediating AD-associated itch remains poorly defined. Further, type 2 cytokines
are known to be dependent on Janus kinase (JAK) signaling in immune cells for their effector functions.
However, whether JAK signaling in primary sensory neurons elicits itch remains unknown. The central
hypothesis of this proposal is that atopic itch arises from interactions between type 2 immune cells
and primary sensory neurons via JAK signaling. To test this, in Specific Aim 1 we will employ genetically
modified TH2 cell- and/or ILC2-deficient mice to investigate the role of these immune cells and their associated
cytokines in evoking neuronal excitation and itch behavior. In Specific Aim 2, we will employ Cre-dependent
conditional knockout mice in which Jak1 is selectively deleted from immune cells or primary sensory neurons
to determine whether sensory neuron-specific JAK signaling mediates pruritogen-elicited neuronal activation
and itch responses. We anticipate that gaining a better understanding of the immunologic pathways that
interact with the primary pruriceptors to promote itch in the context of AD could lead to new anti-itch
therapies.

## Key facts

- **NIH application ID:** 10544905
- **Project number:** 7R01AR070116-07
- **Recipient organization:** ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
- **Principal Investigator:** Brian Kim
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $2,159,220
- **Award type:** 7
- **Project period:** 2016-08-05 → 2026-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10544905

## Citation

> US National Institutes of Health, RePORTER application 10544905, Neuroimmune Regulation of Atopic Dermatitis (7R01AR070116-07). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10544905. Licensed CC0.

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