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Keratinocytes (KCs), the predominant cells of the epidermis, have been confirmed to interact with sensory neurons and immune cells and be involved in chronic skin inflammatory diseases associated with pruritus. Initially, KCs and sensory neurons form a unique synapse\u2010like connection within the epidermis, serving as the structural foundation for their interaction. Additionally, several receptors, including toll\u2010like receptors and protease\u2010activated receptor 2, expressed on KCs, become activated in an inflammatory milieu. On the one hand, activated KCs are sources of pro\u2010inflammatory cytokines and neurotrophic factors, such as adenosine triphosphate, thymic stromal lymphopoietin, and nerve growth factor, which directly or indirectly participate in stimulating sensory neurons, thereby contributing to the itch sensations. On the other hand, KCs also function as primary transducers alongside intraepidermal nerve endings, directly initiating pruritic responses. This review summarizes the current literature and highlights the critical role of KCs in the development and persistence of chronic itch in inflammatory skin disorders.<\/jats:p>","DOI":"10.1111\/exd.15142","type":"journal-article","created":{"date-parts":[[2024,7,20]],"date-time":"2024-07-20T05:31:13Z","timestamp":1721453473000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["The involvement of keratinocytes in pruritus of chronic inflammatory dermatosis"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9819-9059","authenticated-orcid":false,"given":"Shiying","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Dermatology, Union Hospital, Tongji Medical College Huazhong University of Science and Technology  Wuhan 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