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Why target IL-31 for itch?

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This review argues IL-31/IL-31R drive pruritus across skin diseases and highlights nemolizumab as the late-stage antibody against the IL-31 receptor.

Source

Interleukin-31 as a Clinical Target for Pruritus Treatment

Kabashima K, Irie H · Frontiers in medicine · 2021

doi.org/10.3389/fmed.2021.638325Read the full paper ↗82 citationscc by

What they did

Synthesized evidence that IL-31 (identified 2004) and its receptor contribute to itch and barrier/inflammatory signs, summarizing elevated IL-31 signaling in atopic dermatitis, prurigo nodularis, and psoriasis and surveying emerging anti-IL-31 strategies.

What they found

Elevated IL-31 or receptor levels appear in multiple pruritic diseases; serum IL-31 in atopic dermatitis tracks severity/itch. Current antipruritics are often inadequate. Among pipeline agents, only nemolizumab (anti-IL-31R mAb) had successfully completed late-stage clinical studies at the time of writing.

The limits

What it doesn't show

Narrative review—not a new RCT meta-analysis; drug landscape may have changed after 2021 publication.

Key terms

IL-31
T-cell-derived cytokine strongly linked to pruritus.
IL-31RA
IL-31 receptor alpha chain targeted by some therapies.
Pruritus
Itch that impairs sleep, mood, and daily function.
Nemolizumab
Humanized mAb against the IL-31 receptor.
Atopic dermatitis
Common inflammatory skin disease with prominent itch.

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IL-31 was first identified in:

Common questions

When was IL-31 identified?

2004.

Diseases with elevated IL-31 signaling examples?

Atopic dermatitis, prurigo nodularis, psoriasis.

Leading late-stage agent named?

Nemolizumab (anti-IL-31 receptor).

Clinical need emphasized?

Current antipruritic treatments are often ineffective.