Mouse TSLP was purchased from ProSpec (catalog #CYT-1135, East Brunswick, NJ, USA). GSK1016790A (catalog #G0798), HC067047 (catalog #616521), carvacrol (catalog #282197), 2-Aminoethoxydiphenylborane (2-APB, catalog #100065), SLIGRL-NH₂ (SLIGRL, catalog #S9317), FSLLRY-NH₂ (FSLLRY, catalog #SML0714), HC030031 (catalog #H4415), capsazepine (catalog #C191), baicalein (catalog #465119), dispase II (catalog #D4693), 4-nitrophenyl N-acetyl-β-D-glucosaminide (pNAG, catalog #N9376), and toluidine blue (catalog #89640) were purchased from Sigma-Aldrich (St, Louis, Missouri, USA).

All the protocols for the animal experiments were approved by the Institutional Animal Care and Use Committee of Gachon University (GIACUC-R2020002) and were performed in accordance with the Guidelines for the Care and Use of Laboratory Animals issued by Gachon University. Nine-week-old male ICR and C57BL/6 mice were purchased from Koatech (Pyeongtaek, Gyeonggi-do, Korea). For the generation of Trpv4 homozygous knockout (KO) mice (Trpv4 ^-/-), breeding pairs of heterozygous B6.129X1-Trpv4<tm1Msz> mice were purchased from RIKEN (Wako, Saitama Prefecture, Japan) (7, 8). The homozygous Trpv4 KO offspring were verified by genotyping using the polymerase chain reaction (PCR) protocol provided by RIKEN. All Trpv4 ^-/- mice possessed a homogeneous deletion of TRPV4. Littermate mice with genotypes of Trpv4 ^+/+ and Trpv4 ^+/- were used for comparison. All animals showed no noticeable behavioral changes during the study period. The PAR2 KO mice were kindly gifted by Prof. Wan Namkung of Yonsei University.

The back of the nape was shaved, and the mice were randomly assigned to either the AEW group or the control group (n = 6 per group). The nape of the mice in the AEW group was painted with acetone and diethyl ether (1:1) for 15 s, followed by treatment with water for 60 s. The treatment was repeated twice daily (at 10 AM and 5 PM) for 5 consecutive days, as previously described (2). The nape of the mice in the control group were painted with water instead of acetone/diethyl ether.

The TEWL was measured using the Dermalab Combo system (C40000.03-189, Cortex Technology, Hadsund, Denmark) from the dorsal skin of the mice. A probe placed on the skin was stabilized for approximately 30 s, and each of the measurements were performed in triplicate, and averaged. The measurements were performed at a room temperature of 21-22°C and a relative humidity of 50%–55%, on days 1, 3, and 5 following AEW treatment. Additionally, the skin lesion scores were calculated as the sum of the two scores of erythema (redness) and desquamation (scaling). The score was evaluated based on severity, from a scale of 0 (no lesion) to 4 (worst severity).

The levels of TSLP and tryptase were measured using a mouse TSLP ELISA kit (catalog #MTLP00; R&D Systems, Minneapolis, MN, USA) and mouse tryptase ELISA kit (catalog #RD-TPS-Mu; Reddot Biotech Inc., Kelowna, BC, Canada), respectively. Additionally, the serum levels of mouse IL-13, IL-33, and TNF-α were detected using a MILLIPLEX ELISA kit (catalog #MCYTOMAG-70K; Millipore, Billerica, MA, USA).

HaCaT cells were cultured in Dulbecco’s modified Eagle’s medium (DMEM; Gibco ThermoFisher, NY, USA) supplemented with 10% fetal bovine serum (FBS, Gibco ThermoFisher, NY, USA) and 10,000 U/mL of penicillin/streptomycin (Gibco ThermoFisher, NY, USA). The cells were maintained at 37°C in an incubator with a humidified atmosphere of 5% CO₂. The cells were transfected with human PAR2 (NM_005242), TRPV3 (NM_001258205), and TRPV4 (NM_001177428) cDNA using a FuGENE^® HD transfection kit (Promega, Madison, WI, USA), according to the manufacturer’s protocol. Further experimentation was performed after 24 h of transfection.

The total RNA was extracted using a Total RNA Extraction Kit (iNtRON, Gyeonggi-do, Korea). The synthesis of the first-strand cDNA was performed using a PrimerScript™ 1^st strand cDNA Synthesis Kit (TaKaRa, Shiga, Japan). RT-qPCR was performed using a CFX96 qPCR System (BIO-RAD, CA, USA) with TB Green^® Premix Ex Tag™ II (Tli RNaseH Plus) and ROX Plus (catalog #RR82LR; TaKaRa, Shiga, Japan). The following protocol was used for RT-qPCR: Denaturation at 95°C for 30 s, annealing at 55°C for 60 s, and fluorescence detection at 72°C for 60 s for 40 cycles. For data analysis, glyceraldehyde 3-phosphate dehydrogenase (GAPDH) was used as the internal control. The primer pairs were custom designed for detecting the target genes ( Table S1 ).

The primary culture of DRG neurons was performed as previously described (9). Briefly, the murine DRG neurons were collected and incubated in Neurobasal^® Medium (Gibco ThermoFisher, NY, USA) supplemented with 1 mg/mL collagenase type II (Worthington Biochemical, Lakewood, NJ, USA) for 40 min at 37°C in a shaking incubator (60 rpm). The DRG neurons were additionally incubated with 2.5 mg/mL trypsin (Gibco ThermoFisher, NY, USA) in HBSS (Gibco ThermoFisher, NY, USA) for 40 min. After 10 min of centrifugation at 30 × g, the cells were dissolved in Neurobasal^® Medium supplemented with 10% FBS, 50-100 ng/mL nerve growth factor (NGF; Invitrogen, Gaithersburg, MD, USA), and 100 U/mL Zell Shield (Minerva BioLabs, Berlin, Germany), and plated on a poly L-lysine-treated 8-well chamber (Lab-Tek, Naperville, IL, USA). The cells were subsequently incubated for 2 days at 37°C in an atmosphere of 5% CO₂ and 95% relative humidity.

The animals were sacrificed, and the tail skin was peeled off and cut into 2-3 cm-long pieces. The protocol for the isolation and culture of keratinocytes was based on existing literature (10). Briefly, the pieces of tail skin were first washed with phosphate-buffered saline (PBS) and incubated overnight with KC growth media (EpiLife^®, Gibco ThermoFisher, NY, USA) containing 4 mg/mL dispase II in a rotator at 4°C. The following day, the pieces of tail skin along with the media were poured into a Petri dish and washed with PBS. The epidermis was lifted using forceps and transferred to a new Petri dish containing trypsin solution at room temperature. The epidermis was then gently agitated using a horizontal shaker at 30 rpm for 20 min. The epidermal tissues were vigorously shaken to disperse the keratinocytes into single cells. The cells were subsequently filtered through a 100 μm filter (Falcon, NY, USA), and centrifuged for 5 min at 180 × g. The supernatants were aspirated, and the pellets were gently resuspended in 1 mL ice-cold KC growth medium. The keratinocytes were seeded in 6-well plates at a density of 1 × 10⁴/cm² in KC growth medium. The medium was replaced after 24 h of initial plating for removing the unattached cells, and the cells were cultured for three days.

The primary culture of the PMCs was performed as previously described (11). Briefly, the mice were euthanized with CO₂ prior to experimentation. The abdomen was opened, and 7 ml of ice-cold Roswell Park Memorial Institute (RPMI) 1640 medium (Gibco ThermoFisher, Gangnam, Korea) was added for detaching the PMCs from the peritoneum. The media containing the PMCs was centrifuged at 300 × g for 5 min, and the PMCs were seeded in 25T flasks with murine IL-3 (mIL-3, 10 ng/mL; Sigma-Aldrich, St, Louis, Missouri, USA) and murine stem cell factor (mSCF, 30 ng/mL; Peprotech, NJ, USA). After 48 h of incubation, the medium was replaced, and mIL-3 and mSCF were added again. The PMCs were cultured for 12 days until experimentation.

The PMCs were transferred into 96-well V-bottomed plates and incubated for 1 h at 37°C in a 5% CO₂ incubator. After 1 h of incubation, 5 ng/ml of mTSLP was added to the wells, and the PMCs were incubated for an additional 1 h at 37°C. The plate was subsequently centrifuged at 120 × g for 5 min at 4°C. Then, 195 µL of the supernatant was temporarily placed in a clean 96-well flat-bottomed plate and placed on ice until use. Additionally, 200 µL of lysis buffer (1% volume of Triton X-100 to 1 × NBS) was added to the cell pellets in 96-well V-bottomed plates and incubated for 5 min at room temperature. After 5 min, the pellets were resuspended by pipetting, and referred to as the lysate. In another clean flat-bottomed 96-well plate, 25 µL of 4 mM pNAG (pH 4.5 dissolved in 0.4 M citric acid) and 25 µL of either the supernatant or the lysate was added to the respective wells and incubated for 1 h. After 1 h of incubation, 150 µL of the stop solution (200 mM glycine, adjusted to pH 10.7) was added to each well to cease the reaction. The absorbance of the supernatant or the lysate were measured at 405 nm wavelength (A_supernatant or A_lysate) using a microplate reader (Synergy H1 Hybrid Reader, BioTek, VT, USA). The percentage of β-hexosaminidase released, which serves as an indicator of mast cell degranulation, was calculated using the following equation:

where, β-hexosaminidase (%) represents the percentage of β-hexosaminidase released.

Nine-week-old male ICR mice were purchased from Koatech (Pyeongtaek, Gyeonggi-do, Korea). Their spontaneous scratching behavior was recorded for up to 120 min. Under certain conditions, the mice were intraperitoneally pretreated with the appropriate compounds before 60 min of recording. The scratching bouts were counted by an experienced researcher. One bout of scratching was defined as the scratching movement of the hind limb near the injected area until it touched the floor.

Calcium imaging was performed with Fluo-3/AM (Invitrogen, Carlsbad, CA, USA) as described previously (9). Briefly, the intracellular calcium levels were determined using a fluorescence microscope (ECLIPSE Ti-U; Nikon, Tokyo, Japan; and Leica DMi8 inverted microscope; Leica Microsystems Ltd., Wetzlar, Germany) with the calcium-specific fluorescent dye, Fluo-3/AM (5 µM; Invitrogen, Carlsbad, CA, USA). Fluo-3/AM was mixed with 0.1% F127 in normal buffer solution (NBS: 140 mM NaCl, 5 mM KCl, 2 mM CaCl₂/EDTA, 0.5 mM MgCl₂, 10 mM glucose, and 5.5 mM HEPES, adjusted to pH 7.4), and loaded into the cells by incubating for 60 min at 37°C. After 60 min of incubation, the cells were washed twice with NBS and replaced with fresh NBS. Following treatment with the compounds, the alterations in the fluorescent images were recorded on a computer connected to the microscope. The excitation and emission wavelengths were 488 nm and 515 nm, respectively. The intracellular calcium levels were expressed as the F/F₀ ratio, where F indicates the fluorescence intensity of the region of interest at a certain time point, and F₀ indicates the initial fluorescence intensity at 0 s. Image analysis was performed using the ImageJ software (NIH), with custom-made scripts for semi-automatic cell counting, calculation of the F/F₀ ratio, and image production.

The sections of murine skin were sliced using a cryostat, and the sections were fixed to the slides. The sections were washed with PBS and fixed with 4% paraformaldehyde for 10 min. Hydrogen peroxide (1%) was used for suppressing the endogenous peroxidase activity, and 0.3% Triton X-100 with 1% FBS was used for blocking. The samples were then incubated overnight at 4°C with a TRPV4 rabbit polyclonal antibody (catalog #ab39260; Abcam, Cambridge, UK) at a dilution of 1:200. The samples were washed with PBS the following day and incubated with a goat anti-rabbit IgG H&L secondary antibody (Alexa Fluor^® 488, catalog #ab150077; Abcam) for 2 h in the dark to avoid photobleaching. The primary and secondary antibodies were prepared in 0.3% Triton-X 100 containing 0.5% FBS. After washing, a DAPI staining solution freshly prepared in PBS (300 nM), was added to the samples, and incubated for 10 min. The samples were rinsed 2-3 times with PBS, mounted with Vectashield (Vector Laboratories, Burlingame, CA, USA), and covered with a coverslip. The samples were visualized, and the images were prepared using a Leica DMi8 inverted microscope (Leica Microsystem Ltd., Wetzlar, Germany).

The dorsal skin tissues of the mice were collected on the last day of the experiment, and subsequently fixed with 10% neutral-buffered formalin and embedded in paraffin. Then, 4 µm-thick skin sections were sliced and transferred to slides. The deparaffinized skin sections were stained with H&E or toluidine blue before examination at 100 × magnification. The stained skin sections were observed under a Nikon Eclipse 80i microscope (Tokyo, Japan) at 100 × magnification.

All the data are presented as the mean ± standard error of the mean (SEM), and the statistical analyses were performed using the GraphPad Prism software. Comparisons between the two groups were made using unpaired Student’s t-test, while comparisons among more than three groups were made by one-way analysis of variance (ANOVA) with Dunnett’s multiple comparison test or Tukey’s multiple comparison test. Fisher’s exact test was used for comparing the responsiveness of the DRG neurons. The statistical significance was considered at p < 0.05.

The AEW-induced murine model of dry skin was evaluated whether the model had developed the characteristic symptoms of dry skin. AEW was administered twice on a daily basis for five consecutive days ( Figure 1A ). On day 5, the AEW-treated mice exhibited typical dry skin-induced irritation ( Figure 1B ). The skin lesion scores were evaluated, and the scores of the AEW-treated mice were higher than those of the control mice from day 3 ( Figure 1C ). The skin of the AEW-treated mice exhibited typical epidermal thickening on day 5 ( Figures 1D, E ). Notably, the values of TEWL significantly increased in the AEW-treated mice from day 3, compared to those of the control ( Figure 1F ). On day 5, the spontaneous scratching behaviors of the AEW-treated mice significantly increased in comparison to those of the control ( Figure 1G and Figure S1 ). Therefore, these data demonstrated that the AEW-treated mice successfully developed the representative characteristics of dry skin conditions.

We next investigated whether the levels of TSLP were altered in the AEW-treated mice. The results demonstrated that the transcriptional levels of Tslp in the keratinocytes were significantly increased in the AEW-treated mice ( Figure 1H ). Similarly, the serum levels of TSLP increased from day 5 in the AEW-treated mice, which were significantly higher than those of the control mice ( Figure 1I ). Furthermore, the levels of TSLP in the skin from the AEW-treated mice were also increased on day 5, and the levels were significantly different from those of the control mice ( Figure 1J ). In contrast, the levels of the other related cytokines such as IL-13 ( Figures S2A-C ) and TNF-α ( Figure S2G ) remained unaltered. The transcriptional level of IL-33 was increased in the skin of both AEW-treated ICR mice ( Figure S2D ) and Trpv4 ^+/+ mice ( Figure S2E ). In addition, we observed that the transcriptional levels of the positive control, aquaporin 3 (AQP3), increased in the keratinocytes of AEW-treated mice ( Figure S2H ), which is in agreement with a previous report (12). Overall, these data suggest that the AEW-treated mice developed the characteristic dry skin conditions, and exhibited an increased production of TSLP.

Previous studies have demonstrated that protease-activated receptor 2 (PAR2), TRPV3, and TRPV4, are involved in the production of TSLP in keratinocytes under dry skin conditions (6, 13, 14). To confirm these observations, the primary culture of mouse keratinocytes was treated with PAR2, TRPV3, and TRPV4 agonists, and the levels of TSLP were measured. As expected, the activation of these proteins increased the production of TSLP in mouse keratinocytes ( Figure 2A ), which verified the relationship between these proteins and TSLP. However, the mostly involved protein in the enhanced TSLP production under dry skin conditions remains to be identified ( Figure 2B ). Thus, we determined the transcriptional levels of three genes (Par2, Trpv3, and Trpv4) in the skin of AEW-treated and control mice. As depicted in Figure 2C , the transcriptional levels of Trpv4 were markedly increased, whereas no noticeable changes in the transcriptional levels of Par2 and Trpv3. This implied that TRPV4 could be a major player in the enhanced production of TSLP under dry skin conditions. In order to further verify the role of TRPV4, the genes were transiently transfected into the human keratinocyte-originated cell line (HaCaT) and the levels of TSLP were determined after treatment with respective agonists. As shown in Figure 2D , the activation of PAR2 had no effect on the production of TSLP in HaCaT cells. Similarly, the activation of TRPV3 did not produce any difference in the levels of TSLP ( Figure 2E ). On the other hand, the activation of TRPV4 by GSK1016790A (‘GSK101’) significantly increased the levels of TSLP in HaCaT cells, and the levels of TSLP reduced by co-treatment with the TRPV4 antagonist, HC067047 (‘HC067’; Figure 2F ). Furthermore, the results of immunostaining studies on the skin tissues of AEW-treated mice revealed an increase in the expression of TRPV4, as depicted in Figures 2G, H . Importantly, GSK101 treatment did not increase the production of TSLP in keratinocytes of Trpv4 KO (Trpv4^-/- ) mice ( Figure 2I ). Therefore, these results suggest that TRPV4 could play a crucial role in the enhanced production of TSLP under dry skin conditions.

We further examined whether the increased expression of TRPV4 in the skin of AEW-treated mice is related to the dry skin conditions. A selective TRPV4 antagonist, HC067047, was administered during treatment with AEW for 5 consecutive days (‘+HC067’; Figure 3A ). As depicted in Figure 3B , the administration of HC067047 strongly protected the skin against AEW-induced dry skin. The skin lesion scores demonstrated that HC067047 had a protective effect on AEW-induced dry skin conditions ( Figure 3C ). HC067047 also suppressed the epidermal thickening induced by AEW ( Figures 3D, E ). The values of TEWL also decreased significantly on day 5, indicating that the dry skin condition was significantly ameliorated by HC067047 ( Figure 3F ). The spontaneous scratching behavior of AEW-treated mice was also greatly reduced by HC067047 ( Figure 3G ). Importantly, TSLP levels in the serum and the skin significantly decreased in the AEW-treated mice that received HC067047 ( Figures 3H, I ). Treatment of HC067047 alone did not evoke any changes on skin lesion scores, TEWL, skin thickness, and scratching bouts ( Figure S3 ). Taken together, these results imply that TRPV4 plays an important role in the development of dry skin conditions.

To further investigate the role of TRPV4 in the development of dry skin, Trpv4-deficient mice were used and treated with AEW. As depicted in Figure 4A , the skin lesions of homozygous Trpv4 KO (Trpv4^-/- ) mice reduced on day 5 after AEW treatment. As shown in Figure 4B , the skin lesion scores of Trpv4^-/- mice decreased significantly in comparison to those of Trpv4 ^+/+ mice, while the skin lesion scores of heterozygote KO (Trpv4^+/- ) mice decreased to a lesser extent. The transcriptional levels of Trpv4 in the skin and the DRG are significantly reduced in Trpv4 ^+/- mice compared to Trpv4 ^+/+ mice, and there was no detection of Trpv4 in Trpv4^-/- mice as expected ( Figures S4A, B ). The epidermal thickening of Trpv4^-/- mice did not increase in comparison to that of the Trpv4 ^+/+ AEW-treated mice ( Figures 4C, D ), and a similar trend was also observed in Trpv4^+/- mice ( Figure 4D ). Furthermore, the values of TEWL significantly decreased in both Trpv4^+/- and Trpv4^-/- mice ( Figure 4E ). The spontaneous scratching behaviors of both the Trpv4^+/- and Trpv4^-/- mice also decreased ( Figure 4F ). All mice showed no difference in skin lesion score, TEWL, skin thickness, and scratching bouts when there was no AEW treatment ( Figure S4C-F ). As Trpv4^+/- and Trpv4^-/- mice belong to the C57BL/6 strain, the spontaneous scratching behaviors of the C57BL/6 and ICR strains were compared after AEW treatment. The results demonstrated that there were no differences in the scratching behaviors of the two strains ( Figure S5 ). Importantly, the TSLP was barely detected in the serum samples of Trpv4^+/- and Trpv4^-/- mice ( Figure 4G ). Furthermore, the levels of TSLP in the skin decreased significantly in Trpv4^-/- mice ( Figure 4H ). Overall, these data suggest that TRPV4 and TSLP play a crucial role in the development of AEW-induced dry skin conditions in mice.

TSLP is known to excite the innervated sensory neurons by binding to its receptor, TSLPR, which triggers an increase in the intracellular levels of calcium required for itch transmission (4). Thus, the dorsal root ganglia (DRG) neurons from the control and AEW-treated mice were primarily cultured, and the responses to TSLP were measured using calcium imaging techniques. The results demonstrated that the DRG neurons of AEW-treated mice exhibited stronger responses to TSLP treatment ( Figures 5C, D ) than those of the control mice ( Figures 5A, B ). Additionally, the average fluorescence intensities of the DRG neurons increased significantly in the AEW-treated mice compared to those of the control ( Figure 5E ). The pretreatment of DRG neurons with the TRPV4 antagonist, HC067047, significantly suppressed the peak response to TSLP in AEW-treated mice ( Figure 5F ), suggesting that TRPV4 has a specific role in the sensory neurons of AEW-treated mice. Pretreatment with HC030031, a TRPA1 antagonist, also significantly inhibited the peak responses to TSLP ( Figure S6A ). For comparison, the pretreatment of DRG neurons of AEW-treated mice with either FSLLRY (a PAR2 antagonist, Figure 5F ) or capsazepine (a TRPV1 antagonist, Figure S6B ) did not alter the peak responses induced by TSLP. Similar experiments were performed using the DRG neurons of AEW-treated Trpv4^-/- mice. The results demonstrated that both the peak responses ( Figure 5G ) and responsive cell percentage ( Figure 5H ) following TSLP treatment decreased significantly in the DRG neurons of Trpv4^-/- mice. Importantly, it was observed that the transcriptional levels of both Tslpr ( Figure 5I ) and Trpv4 ( Figure 5J ) were increased in the DRG neurons from AEW-treated mice. Therefore, these data imply that the AEW treatment may sensitize DRG neurons to TSLP in a TRPV4-dependent manner.

As TSLP can induce mast cell development and aggravate allergic reactions (15), putative changes in the mast cells of AEW-treated mice were also investigated. We observed that the number of mast cells in the skin of AEW-treated mice significantly increased in comparison to that of the control mice ( Figures 6A–C ), suggesting that TSLP has a proliferative role in mast cell development. In contrast, the treatment of Trpv4^-/- mice with AEW did not increase the number of mast cells in the skin compared to that of Trpv4^+/+ mice ( Figures 6D–F ). The number of mast cells also decreased in AEW-treated Par2 KO (Par2^-/- ) mice ( Figure 6F ). However, the reduction in the number of mast cells was greater in Trpv4^-/- mice compared to that in Par2^-/- mice ( Figure 6F ), implying that TRPV4 has a stronger effect on the proliferation of mast cells than PAR2 following AEW treatment. There were no species-specific differences between the ICR and C57BL/6 mice following treatment with AEW, in terms of the number of mast cells ( Figure S6 ). Comparison of the transcriptional levels of Tslpr in the mast cells of AEW-treated and control mice revealed that the levels of Tslpr significantly increased in the mast cells of AEW-treated mice, compared to those of the control ( Figure 6G ). Moreover, the transcriptional levels of Tslpr were hardly detected in the mast cells of Trpv4^-/- mice treated with AEW ( Figure 6H ), suggesting that treatment with AEW induced an overexpression of TSLPR in the mast cells, probably via TRPV4. The transcriptional levels of Tslpr also significantly decreased in Par2^-/- mice treated with AEW ( Figure 6H ), implying that Par2 plays a role in the proliferation of mast cells as well. As shown in Figure 6I , a mast cell degranulation assay confirmed that TSLP could induce mast cell degranulation, which was inhibited by the TSLPR inhibitor, baicalein (16). This implied that the TSLP-induced degranulation of mast cells is mediated by TSLPR in mast cells.

Tryptase is a protease and PAR2 agonist, that is released during mast cell degranulation. We therefore measured the levels of tryptase in the AEW-treated mice. As depicted in Figure 6J , the serum levels of tryptase significantly increased in the AEW-treated mice compared to those of the control. However, the serum levels of tryptase reduced following the administration of the TRPV4-specific antagonist, HC067047, to AEW-treated mice ( Figure 6J ). Meanwhile, the serum levels of tryptase did not increase in Trpv4^+/- and Trpv4^-/- mice treated with AEW ( Figure 6K ). Indeed, the tryptase levels in the skin of AEW-treated Trpv4^-/- mice also reduced in comparison to those of the AEW-treated Trpv4^+/+ mice ( Figure 6L ). Taken together, these data suggest that the TRPV4-induced production of TSLP from keratinocytes induced mast cell degranulation, which might have released tryptase following treatment with AEW.

Finally, it was confirmed whether scratching behaviors in AEW mice are related to the activation of TSLPR in sensory neurons. For this reason, a TSLPR inhibitor baicalein (BCL, 50 mg/kg) was administered daily during AEW treatment ( Figure 7A ), and the changes were compared with control groups. As shown in Figures 7B, C , however, BCL treatment did not improve the skin lesions induced by AEW treatment. Similarly, the effect of BCL administration in AEW-treated mice had no impact on the epidermal thickness ( Figures 7D, E ). The TEWL values also revealed that BCL treatment has no effect on the dry skin conditions ( Figure 7F ). However, BCL treatment selectively reduced spontaneous scratching behaviors in AEW-treated mice ( Figure 7G ), suggesting that AEW-induced pruritus related to the activation of TSLPR. On the other hand, BCL-administered AEW mice showed similar serum TSLP levels compared to AEW-treated mice ( Figure 7H ), implying that the production of TSLP is not affected by inhibition of TSLPR. When calcium imaging experiments with DRG neurons from BCL-administered AEW-treated mice were performed, it was found that TSLP-induced peak responses ( Figure 7I ) as well as the percentage of responsive cells ( Figure 7J ) were significantly decreased, suggesting that TSLPR is selectively related to the transmission of TSLP-induced pruritus signal in the sensory neuron. Overall, these data imply that TSLPR in the sensory neuron is selectively responsible for the AEW-induced pruritus.