Chronic renal failure (CRF) is a progressive disease with severe
pruritus and dry skin as the major symptoms. However, the mechanisms of CRF-induced
pruritus remain unclear. In this study, 5/6 nephrectomized (NPCT) mice were used as a mouse model of CRF. Serum concentrations of blood
urea nitrogen and
creatinine in 5/6 NPCT mice were increased. The stratum corneum water content in the skin of 5/6 NPCT mice was decreased. These findings suggest that 5/6
nephrectomy in mice results in a phenotype resembling human CRF. 5/6 NPCT mice showed spontaneous scratching, which was inhibited by μ-
opioid receptor antagonist, suggesting that the scratching is an itch-related response. The number of cutaneous mast cells was not altered in 5/6 NPCT mice compared with
sham-operated mice. The H1
histamine-receptor antagonist,
proteinase-activated receptor 2-neutralizing antibody, and 5-HT3-receptor antagonist did not inhibit spontaneous scratching in 5/6 NPCT mice; therefore, the role of mast cells and
serotonin in spontaneous scratching appears to be minimal. The anti-
allergy agent
azelastine, BLT
leukotriene (LT) B4 receptor antagonist, and TP
thromboxane (TX) A2 receptor antagonist inhibited spontaneous scratching in 5/6 NPCT mice, suggesting that
LTB4 and TXA2 are involved in CRF-induced
pruritus. Interestingly, in the skin of 5/6 NPCT mice, levels of two newly identified pruritogens (β2-microglobulin and interleukin-31) were increased. Taken together, these findings suggest that 5/6 NPCT mice are useful for the study of
itching in CRF. In addition to
LTB4 and TXA2, it is also suggested that β2-microglobulin and interleukin-31 are involved in
itching associated with CRF-induced
pruritus.