INTRODUCTION
In humans, perspiration is essential to maintain skin homeostasis. Sweat contains many substances, including metabolites, antibiotic peptides, and electrolytes. Sweat regulates body temperature, immune defense, and moisture retention (
Murota et al., 2015- Murota H
- Matsui S
- Ono E
- Kijima A
- Kikuta J
- Ishii M
- et al.
Sweat, the driving force behind normal skin: an emerging perspective on functional biology and regulatory mechanisms.
) (
Sato et al., 1989- Sato K
- Kang WH
- Saga K
- Sato KT
Biology of sweat glands and their disorders. I. Normal sweat gland function.
). Therefore, a reduction in sweating may affect wellness in various ways.
Acquired idiopathic generalized anhidrosis (AIGA) is extensive anhidrosis of unknown etiology characterized by fatal heatstroke and skin dryness. Although AIGA symptoms impair patient quality of life, there are few promising treatment strategies for the disease (
Munetsugu et al., 2017- Munetsugu T
- Fujimoto T
- Oshima Y
- Sano K
- Murota H
- Satoh T
- et al.
Revised guideline for the diagnosis and treatment of acquired idiopathic generalized anhidrosis in Japan.
). AIGA is diagnosed in patients presenting with diffuse hypohidrosis or anhidrosis detected by the sweat test (e.g., starch-iodine technique, Minor’s method). AIGA patients have no apparent abnormalities in the central, peripheral, and autonomic nervous systems (
Munetsugu et al., 2017- Munetsugu T
- Fujimoto T
- Oshima Y
- Sano K
- Murota H
- Satoh T
- et al.
Revised guideline for the diagnosis and treatment of acquired idiopathic generalized anhidrosis in Japan.
). Thus, AIGA is believed to be a result of dysfunctional eccrine sweat glands (
Munetsugu et al., 2017- Munetsugu T
- Fujimoto T
- Oshima Y
- Sano K
- Murota H
- Satoh T
- et al.
Revised guideline for the diagnosis and treatment of acquired idiopathic generalized anhidrosis in Japan.
). It has been hypothesized that increased blood carcinoembryonic antigen levels in some AIGA patients may contribute to the destruction of eccrine sweat glands (
Honma et al., 2015- Honma M
- Iinuma S
- Kanno K
- Komatsu S
- Minami-Hori M
- Ishida-Yamamoto A
Correlation of disease activity and serum level of carcinoembryonic antigen in acquired idiopathic generalized anhidrosis: A case report.
). Histopathological observation showed no specific patterns associated with eccrine sweat gland atrophy or massive lymphocyte infiltration around sweat glands (
Iwama et al., 2015- Iwama E
- Fujimura T
- Tanita K
- Ishibashi M
- Watabe A
- Aiba S
Acquired Idiopathic Generalized Anhidrosis: An Immunohistopathological Investigation of Peri-glands Infiltrated with Immunoreactive Cells.
) (
Suma et al., 2014- Suma A
- Murota H
- Kitaba S
- Yamaoka T
- Kato K
- Matsui S
- et al.
Idiopathic pure sudomotor failure responding to oral antihistamine with sweating activities.
)
To investigate the etiology of AIGA, we analyzed gene expression profiles of eccrine sweat glands in hidrotic and anhidrotic skin specimens from AIGA patients. Coincidently, our RNA seq-based transcriptome analysis found that several ORs were expressed in eccrine sweat glands in hidrotic areas but downregulated in anhidrotic areas. ORs are generally expressed in nasal mucosa and are involved in olfactory functions. ORs expressed in other organs are expected to have different functions (
). For example, OR15, which is expressed in pancreatic β-cells, promotes glucose-stimulated insulin secretion (
Munakata et al., 2018- Munakata Y
- Yamada T
- Imai J
- Takahashi K
- Tsukita S
- Shirai Y
- et al.
Olfactory receptors are expressed in pancreatic beta-cells and promote glucose-stimulated insulin secretion.
). It was also reported that an odorant factor induces wound healing in human keratinocytes via OR2AT4. Several ORs have been found to be expressed in HaCaT cells (
Kang et al., 2021- Kang W
- Son B
- Park S
- Choi D
- Park T
UV-Irradiation- and Inflammation-Induced Skin Barrier Dysfunction Is Associated with the Expression of Olfactory Receptor Genes in Human Keratinocytes.
). Trans retinoic acid inhibits keratinocyte proliferation through decreased expression of OR7A17 (
Kim et al., 2021- Kim H
- Park SH
- Oh SW
- Kwon K
- Park SJ
- Yu E
- et al.
Olfactory Receptor OR7A17 Expression Correlates with All-Trans Retinoic Acid (ATRA)-Induced Suppression of Proliferation in Human Keratinocyte Cells.
). OR10G7 is strongly expressed in undifferentiated keratinocytes in atopic dermatitis and is involved in skin-induced chemosensory responses (
Tham et al., 2019- Tham EH
- Dyjack N
- Kim BE
- Rios C
- Seibold MA
- Leung DYM
- et al.
Expression and function of the ectopic olfactory receptor OR10G7 in patients with atopic dermatitis.
). OR 2AT4/7 and OR51B5 are expressed on suprabasal keratinocytes, with OR 2AT4/7 involved in IL-1 production and OR51B5 in keratinocyte migration and IL-6 production (
Tsai et al., 2017- Tsai T
- Veitinger S
- Peek I
- Busse D
- Eckardt J
- Vladimirova D
- et al.
Two olfactory receptors-OR2A4/7 and OR51B5-differentially affect epidermal proliferation and differentiation.
). To the best of our knowledge, there have been no reports of OR expression in sweat glands. In this study, we showed that OR51A7 and OR51E2 are expressed in sweat glands and that they regulate sweating via β-ionone.
DISCUSSION
In this study, we conducted transcriptome analysis to identify genes responsible for AIGA, and we unexpectedly found OR expression in eccrine sweat glands. Histochemical and functional experiments confirmed OR expression in eccrine sweat glands and OR ligand-dependent activation of perspiration. This finding identifies an unprecedented mechanism underlying perspiration.
There are diverse causes of anhidrosis, including neurological trauma, angiopathy, sweat gland disorder, and decreased responses to acetylcholine (
Murota et al., 2015- Murota H
- Matsui S
- Ono E
- Kijima A
- Kikuta J
- Ishii M
- et al.
Sweat, the driving force behind normal skin: an emerging perspective on functional biology and regulatory mechanisms.
). Moreover, hereditary diseases, systemic disorders, drug administration, and iatrogenic injuries can also cause abnormal sweating (
). AIGA is an intractable disease of unknown cause with acquired sudden-onset (
Munetsugu et al., 2017- Munetsugu T
- Fujimoto T
- Oshima Y
- Sano K
- Murota H
- Satoh T
- et al.
Revised guideline for the diagnosis and treatment of acquired idiopathic generalized anhidrosis in Japan.
). Historically, tropical anhidrotic asthenia, which is characterized by extended lesions of anhidrosis accompanied with miliaria, has been thought to be caused by obstruction of sweat ducts due to miliaria (
Sulzberger et al., 1946- Sulzberger MB
- Zimmerman HN
- Emerson Jr., K
Tropical anidrotic asthenia (thermogenic anhidrosis) and its relationship to prickly heat.
).
Histamine, mast cells, blood vessels, microneuropathies, sweat leakage from sweat glands, and a high state of anxiety have also been shown to be involved in AIGA pathogenesis (
Fukunaga et al., 2009- Fukunaga A
- Horikawa T
- Sato M
- Nishigori C
Acquired idiopathic generalized anhidrosis: possible pathogenic role of mast cells.
) (
Kijima et al., 2012- Kijima A
- Murota H
- Matsui S
- Takahashi A
- Kimura A
- Kitaba S
- et al.
Abnormal axon reflex-mediated sweating correlates with high state of anxiety in atopic dermatitis.
) (
Kitaba et al., 2011- Kitaba S
- Matsui S
- Iimuro E
- Nishioka M
- Kijima A
- Umegaki N
- et al.
Four cases of atopic dermatitis complicated by Sjogren's syndrome: link between dry skin and autoimmune anhidrosis.
) (
Matsui et al., 2014- Matsui S
- Murota H
- Takahashi A
- Yang L
- Lee JB
- Omiya K
- et al.
Dynamic analysis of histamine-mediated attenuation of acetylcholine-induced sweating via GSK3beta activation.
) (
Munetsugu et al., 2017- Munetsugu T
- Fujimoto T
- Oshima Y
- Sano K
- Murota H
- Satoh T
- et al.
Revised guideline for the diagnosis and treatment of acquired idiopathic generalized anhidrosis in Japan.
) (
Suma et al., 2014- Suma A
- Murota H
- Kitaba S
- Yamaoka T
- Kato K
- Matsui S
- et al.
Idiopathic pure sudomotor failure responding to oral antihistamine with sweating activities.
) (
Takahashi et al., 2016- Takahashi A
- Tani S
- Murota H
- Katayama I
Histamine Modulates Sweating and Affects Clinical Manifestations of Atopic Dermatitis.
) (
Yamaga et al., 2018- Yamaga K
- Murota H
- Tamura A
- Miyata H
- Ohmi M
- Kikuta J
- et al.
Claudin-3 Loss Causes Leakage of Sweat from the Sweat Gland to Contribute to the Pathogenesis of Atopic Dermatitis.
). Thus, the etiological picture of AIGA varies by case. Decreased sweating function leads to difficulties in acclimation to heat and causes heat retention and heat stroke. Usually, patients with AIGA complain that their sweating stopped suddenly despite sweaty conditions. According to clinical guidelines, AIGA is diagnosed by the presence of an area of reduced sweating accompanied by the absence of neurological symptoms (
Munetsugu et al., 2017- Munetsugu T
- Fujimoto T
- Oshima Y
- Sano K
- Murota H
- Satoh T
- et al.
Revised guideline for the diagnosis and treatment of acquired idiopathic generalized anhidrosis in Japan.
) Thus, disorders in sweat glands or their microenvironments may contribute to the development of AIGA. Originally, this study aimed to delineate the molecular mechanism of anhidrosis by comparing gene expression profiles between hidrotic and anhidrotic eccrine sweat glands. During the gene expression analysis, we found OR expression in eccrine sweat glands in AIGA patients. This serendipitous finding expands the role of odorants on sweat regulation.
In the RNA sequencing-based transcriptome analysis, an individual patient was used to compare anhidrotic and hidrotic lesions to reduce non-specific gene expression differences resulting from individual differences. The weak point of this procedure was that we could not ensure the persistency of the sweating ability in each collected sample. Nonetheless, skin samples were collected from regions in which sweating ability was confirmed just before the biopsy. Statistical analyses of RNA sequencing-based transcriptomes led us to focus on ORs that were expressed highly in hidrotic eccrine sweat glands when compared to anhidrotic sweat glands. ORs were cloned originally by Buck and Axel and were found to discriminate odors by interacting with odorous ligands (
Buck and Axel, 1991A novel multigene family may encode odorant receptors: a molecular basis for odor recognition.
) . To the best of our knowledge, expression of ORs in human eccrine sweat glands has not yet been reported. Although we cannot prove that both transcriptome analysis and ISH achieved with highest accuracy, we focused on expression level of OR51A7 which showed consistency between those assays, while other ORs showed inconsistency. Because OR51A7 ligands had not been identified before this study, we set out to identify the odorous compounds recognized by this receptor. Based on receptor family analysis, we hypothesized that β-ionone is an odorous ligand of OR51A7. It was previously shown that OR51E2 is expressed on cancer cells and that β-ionone promotes cancer cell migration via OR51E2, indicating that β-ionone is an OR51E2 ligand (
Gelis et al., 2017- Gelis L
- Jovancevic N
- Bechara FG
- Neuhaus EM
- Hatt H
Functional expression of olfactory receptors in human primary melanoma and melanoma metastasis.
) (
Sanz et al., 2014- Sanz G
- Leray I
- Dewaele A
- Sobilo J
- Lerondel S
- Bouet S
- et al.
Promotion of cancer cell invasiveness and metastasis emergence caused by olfactory receptor stimulation.
). In this study, the HEK293T cell-based shedding assay system using AP-TGFα- and G-protein-containing plasmids confirmed the recognition of β-ionone by OR51E2 in the presence of Gαq/il and/or Golf. It is possible that the OR51A7 and OR51E2 signaling pathways may be the same. Notably, sweat glands express both Gαq and Golf at the transcriptional level suggesting that β-ionone may transduce perspiration signals through OR51A7 and/or OR51E2.
Consistent with the hypothesis that ORs deliver sweat gland signals in response to β-ionone, QSART analyses showed that topically applied β-ionone induces skin perspiration in humans. Thus, β-ionone may affect axon reflex-mediated perspiration. Unexpectedly, QSART measurements revealed a gender-based difference in the induction of perspiration in response to β-ionone. Sweat volumes decreased in female subjects upon topical application of β-ionone to the skin, whereas sweat volumes increased in male subjects under the same conditions. In addition, all the female subjects could smell the aroma of β-ionone, but most of the male subjects could not. It has been reported that genetic and demographic phenotypes contribute to gender variance in human odorant perception (
Trimmer et al., 2019- Trimmer C
- Keller A
- Murphy NR
- Snyder LL
- Willer JR
- Nagai MH
- et al.
Genetic variation across the human olfactory receptor repertoire alters odor perception.
). In a study of mice that were maintained separately based on their sex, extensive differences in olfactory sensory receptor repertoires between the genders were found (
van der Linden et al., 2018- van der Linden C
- Jakob S
- Gupta P
- Dulac C
- Santoro SW
Sex separation induces differences in the olfactory sensory receptor repertoires of male and female mice.
). Gender differences in odorant perception have been explained partly by levels of sex steroid hormones, such as progesterone and 17-β-estradiol (
Kanageswaran et al., 2016- Kanageswaran N
- Nagel M
- Scholz P
- Mohrhardt J
- Gisselmann G
- Hatt H
Modulatory Effects of Sex Steroids Progesterone and Estradiol on Odorant Evoked Responses in Olfactory Receptor Neurons.
). These findings suggest that gender variance in odorous ligand-mediated sweating associates with odor perception. In this study, the effect of odor perception of β-ionone via the nasal cavity on the QSART results cannot be excluded. Although a side-by-side comparison of β-ionone and glycerol was performed simultaneously, the effect of the topical glycerol control may have also been influenced by odor perception. Thus, topical β-ionone may affect sweating through percutaneous penetration.
This study has its limitations. The primary limitation was the small number of human samples because AIGA is a rare intractable disease. In addition, the in vitro reporter cell assay was established using HEK293T cells rather than sweat gland cells because we have not yet established a physiologically relevant sweat gland acinar cell line. Further, β-ionone dose dependence was not investigated in the sweat test due to ethical concerns regarding the burden on the study subjects. Moreover, our results cannot explain the gender-based difference in perspiration observed upon β-ionone application. Despite these limitations, our findings showed that perspiration can be regulated via a unknown pathway involving activation of ORs by odorous substances. The etiology and nature of AIGA remains unknown, and information on regional differences and similarities of anhidrosis are lacking and should be elucidated in the future. The involvement of ORs in AIGA pathogenesis was not proven in this study and should be addressed in future studies.
MATERIALS AND METHODS
Preparation of skin samples for transcriptome analyses
AIGA patients and healthy donors were recruited after the study was approved by the Institutional Review Board of Osaka University Hospital (653-4) and Nagasaki University Hospital (ID 20042025). Participants provided written informed consent, and one of them also agreed to publish the image in
Figure 1a. Biopsy samples were manipulated according to the Declaration of Helsinki protocols. Subjects with anhidrosis were diagnosed based on the conventional Minor’s test, also called the starch-iodine sweat test, in which 2% iodine tincture was applied evenly to the skin followed by coating with a mixed suspension of starch-castor oil (50–100 g and 100 g, respectively). Sweating was induced by sauna bathing at 60°C for 10 min. After the Minor’s test confirmed that subjects suffered from AIGA, skin punch biopsies (4–5 mm in diameter) were taken from anhidrotic (uncolored) and hidrotic (colored) areas. RNA for transcriptomic analysis was prepared from stored biopsy samples collected from four patients after the Minor’s test as described above. Details of the cases are described in
table 2. During this process, sweat glands, isolated from those specimens by using laser microdissection (LMD 7000, Leica), were used as the source of RNA-preparation.
Table 2Demographic and clinical characteristics of the four AIGA patients.
Four AIGA patients were recruited into this study after approval from the Institutional Review Board of Nagasaki University Hospital. Two of the patients were male and two were female, and all provided written informed consent.
RNA sequencing analysis
Total RNA was extracted from cells using an miRNeasy FFPE kit (QIAGEN, Hilden, Germany) according to the manufacturer’s protocol. Next-generation sequencing library preparation was conducted using the SMARTer ® Stranded Total RNA Sample Prep Kit-Pico Input Mammalian (Clontech, TaKaRa) kit according to the manufacturer’s instructions. Sequencing was performed on an Illumina HiSeq 2500 platform in 75-base single-end mode. Illumina Casava1.8.2 software was used for base calling. Sequenced reads were mapped to the human reference genome sequence (hg19) using TopHat v2.0.13 software in combination with Bowtie2 ver. 2.2.3 and SAMtools ver. 0.1.19 software. Fragments per kilobase of exon per million mapped fragments were calculated with Cuffnorm version 2.2.1. Raw data were deposited in the NCBI Gene Expression Omnibus database (GSE 193125).
In situ hybridization
ISH was performed as described previously (
Htun et al., 2021- Htun MW
- Shibata Y
- Soe K
- Koji T
Nuclear Expression of Pygo2 Correlates with Poorly Differentiated State Involving c-Myc, PCNA and Bcl9 in Myanmar Hepatocellular Carcinoma.
,
Koji and Brenner, 1993Localization of estrogen receptor messenger ribonucleic acid in rhesus monkey uterus by nonradioactive in situ hybridization with digoxigenin-labeled oligodeoxynucleotides.
). Briefly, sections were deparaffinized, rehydrated, treated with 0.2 N HCl for 20 min, and then treated with 50 μg/ml proteinase K (Wako, Osaka, Japan) at 37°C for 15 min. After fixation with 4% paraformaldehyde in 0.1 M phosphate-buffered saline (PBS, pH 7.4) for 5 min, sections were immersed in 2 mg/ml glycine in PBS for 15 min and then maintained in 40% deionized formamide in 4x SSC (1x SSC: 0.15 M sodium chloride and 0.015 M sodium citrate, pH 7.0) until hybridization. Hybridization was carried out at 37°C overnight with 2 μg/ml digoxigenin-labeled sense or antisense oligo-DNAs (Thermo-Fisher, Waltham, Massachusetts) dissolved in hybridization medium containing 10 mM Tris-HCl (pH 7.4), 1 mM ethylenediaminetetraacetic acid (EDTA), 0.6 M NaCl, 1x Denhardt’s solution, 250 mg/ml yeast transfer RNA, 125 mg/ml salmon sperm DNA, and 40% deionized formamide. After hybridization, sections were washed four times with 40% deionized formamide in 2x SSC for 1 h at 37°C, immersed in blocking solution for 1 h, treated with horseradish peroxidase (HRP)-conjugated goat anti-digoxigenin antibody overnight, and washed three times with 0.075% Brij 35 in PBS for 15 min. After rinsing with PBS, visualization was performed with 3,3’-diaminobenzidinetetrahydrochloride (DAB; Dojindo, Kumamoto, Japan), H
2O
2, CoCl
2, and NiSO
4. Antisense oligo-DNA sequences complementary to portions of human OR51A7, OR6C74, and OR4A15 sense sequences were selected (
Table 3). We also prepared oligo-DNA complementary to part of human 28S ribosomal RNA (rRNA) as a positive control probe (
Yoshii et al., 1995- Yoshii A
- Koji T
- Ohsawa N
- Nakane PK
In situ localization of ribosomal RNAs is a reliable reference for hybridizable RNA in tissue sections.
) .
Table 3List of RNA probes used for ISH.
Total RNA sequences were searched for using the NCBI database. ISH probes were designed based on the number of bases and the GC ratio. 28S rRNA was used as the positive control.
Immunohistochemical staining
The skin samples used in the immunohistological study were obtained from a different subject than the samples used in the transcriptome assay. Skin samples were fixed in a 10% formalin neutral buffer solution overnight. For staining, paraffin-embedded skin samples were sectioned (4 μm), deparaffinized, and dehydrated. Some sections were stained with HE, and other sections underwent antigen retrieval in 10 mM sodium citrate buffer pH 6.0 at 121°C for 3 min. Samples were blocked with 5% NGS/TBST for 60 min, incubated with primary antibodies at 4°C overnight, and then washed three times with PBS. The following antibodies were used: OR51A7 (Invitrogen, Waltham, Massachusetts), OR51E2 (Invitrogen, Waltham, Massachusetts), GNAL (abcam, Cambridge, England), and GNAQ (abcam, Cambridge, England). Then, samples were incubated with secondary antibodies (Dako, LSAB2 system-HRP, Agilent, Santa Clara, California) at room temperature for 30 min and washed three times with PBS. Signals were visualized using the DAB substrate kit (BD, Franklin Lakes, New Jersey). As a negative control, 5% bovine serum albumin in PBS was used instead of the primary antibody (data not shown).
Construction of OR51A7 and OR51E2 expression vectors
Full-length canonical human OR51A7 and OR51E2 cDNAs were purchased from GenScript Biotech and cloned into the pCAGGS vector (Riken, Tokyo, Japan) containing the cytomegalovirus immediate-early enhancer, chicken β-actin, and the rabbit β-globulin (CAG) heterozygous promoter for expression in mammalian cells. Sequences are shown in
Table 4.
Table 4OR1A7 and OR51E2 cDNA sequence data.
The cDNA sequences of OR51A7 and OR51E2 were extracted from the NCBI database.
AP-TGFα shedding reporter assay
The TGF-α shedding assay was performed as described previously (
Inoue et al., 2019- Inoue A
- Raimondi F
- Kadji FMN
- Singh G
- Kishi T
- Uwamizu A
- et al.
Illuminating G-Protein-Coupling Selectivity of GPCRs.
) with minor modifications. HEK293T cells were cultured in RPMI1640 medium supplemented with 10% FCS, 100 IU/ml penicillin, and 100 μg/ml of streptomycin at 37°C in a humidified atmosphere with 5% CO
2. Cells (8 × 10
5 cells/4 ml) were transfected with the AP-TGFα-encoding plasmid (4 μg), the OR-encoding plasmid (3.2 μg), and/or G-protein-encoding plasmids (1.6 μg) using Lipofectamine 2000 (Invitrogen, Carlsbad, CA). After 12 h, the transfected cells were harvested using trypsin/EDTA, pelleted by centrifugation at 600
g for 5 min at 4°C, washed once with Dulbecco’s modified Eagle’s medium, and resuspended in Hanks’ balanced salt solution (HBSS). Cell suspensions (180 μl each) were seeded into a 96-well culture plates, 20 μl of β-ionone solution (10×, diluted in HBSS containing 0.01% (w/v) fatty acid-free and protease-free grade bovine serum albumin; Sigma-Aldrich, St. Louis, Missouri).was added to each well, and the plates were incubated for 60 min at 37°C. Then, the plates were centrifuged at 600
g for 2 min at 4°C, cell supernatants (80 μl) were transferred to fresh 96-well plates, and 80 μl of AP reaction solution (10 mM
p-NPP, 120 mM Tris-HCl buffer pH 9.5, 40 mM NaCl, and 10 mM MgCl
2) was added to each well. Before and after a 2 h incubation at 37°C, absorbances at 405 nm were measured using a microplate reader.
Impact of topical β-ionone on sweating measured by the Quantitative Sudomotor Axon Reflex Test (QSART)
In this study, the volume of acetylcholine-induced sweating was measured quantitatively by QSART based on the method established by Lee et al (
Lee et al., 2009- Lee JB
- Bae JS
- Matsumoto T
- Yang HM
- Min YK
Tropical Malaysians and temperate Koreans exhibit significant differences in sweating sensitivity in response to iontophoretically administered acetylcholine.
). Briefly, subjects were asked to remain quiet for 20 min before undergoing QSART in a hospital outpatient clinic at constant temperature (20°C) and humidity (60%). The multicompartmental sweat capsule used in QSART consists of two independent compartments. Acetylcholine (100 mg/ml) applied iontophoretically to the skin from the outer compartment stimulates the underlying sweat glands directly; simultaneously, the central compartment of the capsule collects the sweat on the skin surface and measures sweat volume during the 5 min of iontophoresis. The integrated value of the sweat volume during the 5 min was regarded as the sweating ability (
Kijima et al., 2012- Kijima A
- Murota H
- Matsui S
- Takahashi A
- Kimura A
- Kitaba S
- et al.
Abnormal axon reflex-mediated sweating correlates with high state of anxiety in atopic dermatitis.
) (
Takahashi et al., 2016- Takahashi A
- Tani S
- Murota H
- Katayama I
Histamine Modulates Sweating and Affects Clinical Manifestations of Atopic Dermatitis.
).
The effect of β-ionone topical application was evaluated in a side-by-side comparison with glycerol on both forearms of healthy subjects. This study was approved by the Institutional Ethical Committee of Nagasaki University (ID 20062602), and written informed consent was obtained from all study subjects. Briefly, 100 μl of β-ionone or glycerol (control) was applied on each forearm topically and separately. Immediately after topical application, ventilated sweat capsules that functioned in iontophoresis of acetylcholine (100 mg/ml) and that were attached to an additional outer compartment of sponge were placed onto the application areas. Integrated values of sweat volumes during the 5 min acetylcholine iontophoresis after β-ionone and glycerol treatment were compared.
QSART activates postganglionic nerve fibers by both acetylcholine and electric stimulation, and once an axon is activated, the effect will be sustained for a certain period. Therefore, this test was performed once on the same subject to avoid erroneous results.
Article info
Publication history
Accepted:
February 14,
2023
Received in revised form:
January 28,
2023
Received:
March 30,
2022
Publication stage
In Press Accepted ManuscriptFootnotes
AUTHOR CONTRIBUTIONS
Conceptualization: HM, NM; Data Curation: DO; Formal Analysis: HM, NM; Funding Acquisition: HM, YT, NM; Investigation: YT, NM, TM; Methodology: YT, NM; Project Administration: HM, NM; Resources: YT, JA, AI; Software: YT, NM; Supervision: HM; Validation: YT, NM; Visualization: NM; Writing - Original Draft Preparation: NM; Writing e Review and Editing: NM, HM
Acknowledgements We thank Ms. Mariko Yozaki for her technical assistance with the immunohistochemistry.
Conflict of Interest
HM, NM, and YT have a patent pending. This study was supported by the Platform Project for Supporting Drug Discovery and Life Science Research, Japan Agency for Medical Research and Development, under grant number JP17am0101001 (support number 2259) and a grant from the Ministry of Education, Culture, Science and Technology under grant number 20K17320.
Copyright
© 2023 Published by Elsevier Inc.