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Curr Allergy Asthma Rep (2011) 11:21–28
DOI 10.1007/s11882-010-0162-7
The Role of the Histamine H4 Receptor in Atopic Dermatitis
Susanne Mommert Maria Gschwandtner
Ralf Gutzmer Thomas Werfel
Published online: 23 November 2010
# Springer Science+Business Media, LLC 2010
Abstract The pathology of atopic dermatitis is orchestrated Introduction
on the cellular level by several different cell types in the
characteristic skin lesions. In such lesions, histamine as a Atopic dermatitis (AD) is a chronic inflammatory skin
mediator of many biological functions is also present in disease with a characteristic phenotype of intensely
high concentrations. Most of the cells involved in the pruritic, erythematous papules associated with excoriation
inflammatory responses express the histamine H1 and H2 and oozing exudation [ 1]. It has been shown that AD has
receptors, but drugs targeting these receptors are not a complex etiology by activating multiple immunologic
clinically effective. The discovery of the fourth histamine and inflammatory pathways [2]. AD inflammation dis-
receptor, which is differentially expressed on immune and plays two phases that are orchestrated by a differential
nonimmune cells, has shed new light on the actions of infiltrate of mononuclear cells in the dermis and by a
histamine in the complexity of atopic dermatitis. In this switch of the local tissue expression of proinflammatory
review, we describe a possible genetic impact on the cytokines and chemokines. The initial phase is associated
expression level of the histamine H4 receptor and summa- with an increase in T-helper type 2 (Th2) cells
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