The multiple pathways for itch and their interactions with pain

Steve Davidson, Glenn J. Giesler

Research output: Contribution to journalReview articlepeer-review

196 Scopus citations


Multiple neural pathways and molecular mechanisms responsible for producing the sensation of itch have recently been identified, including histamine-independent pathways. Physiological, molecular, behavioral and brain imaging studies are converging on a description of these pathways and their close association with pain processing. Some conflicting results have arisen and the precise relationship between itch and pain remains controversial. A better understanding of the generation of itch and of the intrinsic mechanisms that inhibit itch after scratching should facilitate the search for new methods to alleviate clinical pruritus (itch). In this review we describe the current understanding of the production and inhibition of itch. A model of itch processing within the CNS is proposed.

Original languageEnglish (US)
Pages (from-to)550-558
Number of pages9
JournalTrends in Neurosciences
Issue number12
StatePublished - Dec 2010

Bibliographical note

Funding Information:
We thank Hannah Moser, Maria Elena Morales and Dr. Donald Simone for critically reading the manuscript. Funding was provided by the W.M. Keck Foundation (S.D.) and the National Institute of Neurological Disorders and Stroke NS047399 (G.J.G.).


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