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Scratch injury to epidermal keratinocytes upregulates the production and release of chemokine (C\u2010C motif) ligand 20 (CCL20) <jats:italic>in vitro<\/jats:italic>, which selectively chemoattracts interleukin (IL)\u201017A\u2010producing immune cells that express chemokine (C\u2010C motif) receptor 6 (CCR6). In IL\u201017A\u2010dominant psoriasis, scratch\u2010induced CCL20 upregulation and subsequent accumulation of IL\u201017A\u2010producing immune cells and CCR6<jats:sup>+<\/jats:sup> mature dendritic cells may trigger the development of psoriatic lesions, a process known as the Koebner phenomenon. In IL\u20104\/IL\u201013\u2010dominant atopic dermatitis, pruritus and subsequent scratching are the primary symptoms. Scratch\u2010induced CCL20 production from keratinocytes may explain why IL\u201017A levels are also elevated in atopic dermatitis. In contrast, mechanical scratching is likely to negatively regulate IL\u201013 signaling by upregulating the expression of IL\u201013 receptor \u03b12, which serves as a decoy receptor for IL\u201013 in keratinocytes. In this review, we summarize current reports on topics related to the pathogenic role of epidermal scratch injury in psoriasis and atopic dermatitis.<\/jats:p>","DOI":"10.1111\/1346-8138.15507","type":"journal-article","created":{"date-parts":[[2020,7,17]],"date-time":"2020-07-17T05:50:56Z","timestamp":1594965056000},"page":"979-988","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Pathogenic implication of epidermal scratch injury in psoriasis and atopic dermatitis"],"prefix":"10.1111","volume":"47","author":[{"given":"Kazuhisa","family":"Furue","sequence":"first","affiliation":[{"name":"Department of Dermatology Graduate School of Medical Sciences Kyushu University Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dugarmaa","family":"Ulzii","sequence":"additional","affiliation":[{"name":"Department of Dermatology Graduate School of Medical Sciences Kyushu University Fukuoka 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