Skip to main content

Scratch That Itch Away: Breakthrough Study Reveals Bacterial Culprit Behind Agonizing Skin Itches!

Written by Andrew Le, MD

UpdatedMarch 25, 2024

The medical journal in your possession focuses on a study exploring the connection between bacteria and the sensation of itch, specifically examining the role of the bacterium Staphylococcus aureus. The key findings of the study suggest that Staphylococcus aureus can trigger an itchy sensation by activating specific sensory neurons, leading to scratching and potential skin damage. The researchers have identified a particular enzyme produced by the bacteria, known as serine protease V8, as a crucial factor in causing this itch.

Let's delve into each of these points in detail as described in the summary:

Itch: More Than Just a Sensation

Itching is a familiar yet complex sensation that prompts scratching. While several factors can trigger it, the skin is especially susceptible because it is our body's frontline defense, constantly encountering various microbes.

Staphylococcus aureus: A Notorious Itch Provoker

Staphylococcus aureus stands out as a significant bacterium linked with itchy skin conditions, such as atopic dermatitis (AD). This condition is characterized by dry, itchy patches on the skin, and up to 90% of AD lesions are found to be housing the bacterium. S. aureus is also associated with impetigo, another skin condition known for its itchy sores.

Despite this link, the precise role of S. aureus in causing itch was previously not well understood.

Pruriceptors: Sensory Neurons That Get the Itch Going

Sensory neurons called pruriceptors are responsible for transmitting the sensation of itch from the skin to the brain. These neurons are found mainly in the upper layer of the skin, known as the epidermis, where they are well-positioned to respond to stimuli like bacterial products.

The V8 Enzyme: An Itch Instigator

The researchers in the study identified a key player in the itch response: the V8 enzyme released by S. aureus. Unlike other potential suspects (like various toxins and other proteases the bacteria produces), V8 turned out to be particularly effective in provoking itch and the subsequent scratching that can lead to skin damage.

PAR1: The Receptor That V8 Targets

V8 accomplishes its itchy business by interacting with a certain receptor found on the sensory neurons known as proteinase-activated receptor 1 (PAR1). When V8 cleaves (or cuts) PAR1, it sets off a series of signals that lead to the sensation of an itch.

Turning Off the Itch

The most significant implication of these findings is the possibility of curbing itch by targeting the V8-PAR1 interaction. The study shows that reducing the function of PAR1—whether through genetic modification, RNA interference (which is like silencing a gene), or using drugs that block the receptor—can significantly reduce itch and prevent scratching-induced skin damage.

As a result, the researchers suggest that new treatments for itchy skin diseases could arise from blocking the action of the V8 enzyme or the PAR1 receptor, providing relief to those suffering from conditions like atopic dermatitis.

To summarize, this study sheds light on how a common skin bacterium, Staphylococcus aureus, can be a direct cause of itch through the action of its V8 enzyme, pointing to new therapeutic approaches to alleviate itch and the associated conditions.

References

Deng L, Costa F, Blake KJ, Choi S, Chandrabalan A, Yousuf MS, Shiers S, Dubreuil D, Vega-Mendoza D, Rolland C, Deraison C, Voisin T, Bagood MD, Wesemann L, Frey AM, Palumbo JS, Wainger BJ, Gallo RL, Leyva-Castillo JM, Vergnolle N, Price TJ, Ramachandran R, Horswill AR, Chiu IM. S. aureus drives itch and scratch-induced skin damage through a V8 protease-PAR1 axis. Cell. 2023 Nov 22;186(24):5375-5393.e25. doi: 10.1016/j.cell.2023.10.019. PMID: 37995657; PMCID: PMC10669764.