My career goal is to become an independent academic researcher and to contribute to the development of newtreatments for relief of itch and pain, guided by new knowledge of the mechanisms underlying these sensations.To date, I learned a variety of molecular biology methods, obtained extensive training in the behavioralassessment of pain and itch in rodents, and gained extensive experience using in vivo electrophysiology andcellular imaging methods to investigate itch mechanisms under the mentorship of Prof. Y. Kuraishi and Prof. E.Carstens. Through the research project described below, I will acquire additional training in these and otherneuroanatomical and human psychophysical approaches that I consider essential to my career development.In particular, I believe it is essential to address whether the novel neuronal mechanisms of itch identified inrodents are conserved in humans, in order to develop new mechanisms-based strategies to treat itch and pain.Additionally, I will teach in established courses and seminar series, a valuable component of my careerdevelopment in academia that is consistent with the goals of the K99/R00 award mechanism. The NPBdepartment and larger UC Davis campus houses many internationally-recognized neuroscience faculty,providing an outstanding intellectual environment that has positively influenced my career development.Therefore, I believe that my background and training in a supportive research environment make me a highlyappropriate candidate for the K99/R00 award.Chronic itch associated with dermatitis and systemic diseases is a substantial clinical problem that is poorlytreated, significantly decreasing the quality of life. Warmed skin is the most commonly reported factor thatexacerbates itch. A better understanding of mechanisms underlying enhancement of itch by warming isurgently needed to identify cellular targets for development of novel antipruritic treatments. This proposal willtake a multidisciplinary approach, using pharmacological and genetic tools combined with behavioralassessment, calcium imaging and immunohistochemistry of sensory neurons, electrophysiology recording, andhuman psychophysics to investigate mechanisms underlying the enhancement of itch by innocuous skinwarming. At the molecular level, temperature sensation involves thermosensitive transient receptor potential(TRP) ion channels. One of these, TRPV4, is activated by innocuous warmth. Using scratching as a rodentmodel of itch, our preliminary data show that scratching elicited by serotonin requires TRPV4 and is enhancedby warming. The central hypothesis of this proposal is that TRPV4 is required for enhancement of serotonin-evoked itch by warming.The present proposal represents a departure from the research program of my mentor, Prof. Carstens, byincorporating genetic approaches to investigate the role of TRPV4 in itch and the modulation of itch byinnocuous warming.

Public Health Relevance

Chronic itch associated with dermatitis and systemic diseases is a substantial clinical problem that is poorlytreated. Warmed skin is the most commonly reported factor that exacerbates itch. This project will investigateneural mechanisms of itch and its enhancement by warming; and thereby identify molecular and cellulartargets for the development of novel treatments for itch.

Agency
National Institute of Health (NIH)
Institute
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Type
Research Transition Award (R00)
Project #
7R00AR063228-06
Application #
9464077
Study Section
Special Emphasis Panel (NSS)
Program Officer
Tseng, Hung H
Project Start
2014-08-01
Project End
2017-07-31
Budget Start
2017-04-20
Budget End
2017-07-31
Support Year
6
Fiscal Year
2016
Total Cost
$77,866
Indirect Cost
$27,139
Name
University of Miami School of Medicine
Department
Dermatology
Type
Schools of Medicine
DUNS #
052780918
City
Coral Gables
State
FL
Country
United States
Zip Code
33146
Sanders, Kristen M; Akiyama, Tasuku (2018) The vicious cycle of itch and anxiety. Neurosci Biobehav Rev 87:17-26
Sakai, Kent; Sanders, Kristen M; Youssef, Marina R et al. (2017) Role of neurturin in spontaneous itch and increased nonpeptidergic intraepidermal fiber density in a mouse model of psoriasis. Pain 158:2196-2202
Sakai, Kent; Sanders, Kristen M; Youssef, Marina R et al. (2016) Mouse model of imiquimod-induced psoriatic itch. Pain 157:2536-2543
Akiyama, Tasuku; Ivanov, Margaret; Nagamine, Masaki et al. (2016) Involvement of TRPV4 in Serotonin-Evoked Scratching. J Invest Dermatol 136:154-160
Akiyama, Tasuku; Curtis, Eric; Nguyen, Tony et al. (2016) Anatomical evidence of pruriceptive trigeminothalamic and trigeminoparabrachial projection neurons in mice. J Comp Neurol 524:244-56
Carstens, Earl; Akiyama, Tasuku (2016) Central Mechanisms of Itch. Curr Probl Dermatol 50:11-7
Akiyama, Tasuku; Ivanov, Margaret; Nagamine, Masaki et al. (2015) Involvement of TRPV4 in serotonin-evoked scratching. J Invest Dermatol :
Akiyama, T; Nagamine, M; Davoodi, A et al. (2015) Intradermal endothelin-1 excites bombesin-responsive superficial dorsal horn neurons in the mouse. J Neurophysiol 114:2528-34
Akiyama, Tasuku; Lerner, Ethan A; Carstens, E (2015) Protease-activated receptors and itch. Handb Exp Pharmacol 226:219-35
Akiyama, Tasuku; Nguyen, Tony; Curtis, Eric et al. (2015) A central role for spinal dorsal horn neurons that express neurokinin-1 receptors in chronic itch. Pain 156:1240-6

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