In the first study to use imaging technology to see what goes on in the brain when we scratch, researchers at Wake Forest University Baptist Medical Center have uncovered new clues about why scratching may be so relieving – and why it can be hard to stop. The work is reported online in the Journal of Investigative Dermatology and will appear in a future print issue.
“Our study shows for the first time how scratching may relieve itch,” said lead author Gil Yosipovitch, M.D., a dermatologist who specializes in itch. “It’s important to understand the mechanism of relief so we can develop more effective treatments. For some people, itch is a chronic condition that affects overall health.”
The study involved 13 healthy participants who underwent testing with functional magnetic resonance imaging (MRI) technology that highlights areas of the brain activated during an activity. Participants were scratched on the lower leg with a small brush. The scratching went on for 30 seconds and was then stopped for 30 seconds – for a total of about five minutes.
“To our surprise, we found that areas of the brain associated with unpleasant or aversive emotions and memories became significantly less active during the scratching,” said Yosipovitch. “We know scratching is pleasurable, but we haven’t known why. It’s possible that scratching may suppress the emotional components of itch and bring about its relief.”
The reduced brain activity occurred in the anterior cingulate cortex, an area associated with aversion to unpleasant sensory experiences, and the posterior cingulate cortex, which is associated with memory. When participants reported that the scratching felt most intense, activation in these areas was lowest.
Yosipovitch said patients occasionally report that intense scratching – to the point of drawing blood – is the only thing that relieves chronic itch.
“This is the first real scientific evidence showing that itch may be inhibited by scratching,” he said. “Of course, scratching is not recommended because it can damage the skin. But understanding how the process works could lead to new treatments. For example, drugs that deactivate this part of the brain might be effective.”
The imaging studies also showed that some areas of the brain were made more active by the scratching, including the secondary somatosensory cortex, a sensory area involved in pain, and the prefrontal cortex, which is associated with compulsive behavior.
“This could explain the compulsion to continue scratching,” said Yosipovitch.
One drawback to the study is that the scratching occurred in the absence of itch. Yosipovitch’s team is continuing the research by evaluating whether the findings will apply to chronic itch.
Understanding more about chronic itch is important, Yosipovitch said, noting that more than 30 million Americans suffer from eczema and that almost half (42 percent) of kidney dialysis patients are bothered by moderate to severe itch. In fact, those kidney dialysis patients with itch have a 17 percent higher mortality rate, likely from a loss of sleep, according to a report in Nephrology Dialysis Transplantation.
The study was supported by the National Institutes of Health and the Center for Biomolecular Imaging of Wake Forest. Co-researchers were Yozo Ishuiji,MD, Tajesh Patel, M.D., Maria Isabel Hicks, M.D., Yoshitetsu Oshiro, M.D., Robert Kraft, Ph.D., Erica Winnicki, M.D., and Robert C. Coghill, Ph.D., senior author, all from Wake Forest.
- PHYSICAL SCIENCES
- EARTH SCIENCES
- LIFE SCIENCES
- SOCIAL SCIENCES
Subscribe to the newsletter
Stay in touch with the scientific world!
Know Science And Want To Write?
- How A Former Naturopath Can Help Unravel The Trickery of Alternative Medicine
- Tidal Disruption Event: Black Hole Eats Star, Beams Signal To Earth
- Dear California: Why Is Farming Science A Bad Thing Again?
- Psychiatric Diagnoses Not Valid For African-Americans, Says Sociologist
- 5 Laws About Corpses That May Spook You
- 9,000 Years: Origin Of Farmed Rice Gets Pushed Back
- Dengue Virus Exposure May Amplify Zika Infection
- "Hello, I am also wondering who is paying you to lie......I have pictures of it and so do all my..."
- "Oh, excellent transition! Thank you for making this very difficult change in your life. I think..."
- "Wait a second. You said Hillary gets a check because she wants to increase NIH and NSF budgets..."
- "I've known a few people with fake celiacs and I've known a few real celiacs. You can find a lot..."
- "This is an interesting set of lecture notes by Cranmer from TASI, https://sites.google.com/a/colorado..."
- ACSH Applauds Media Awareness of the Fentanyl Crisis
- Counting Bites Examined, to Help Decrease Food Intake
- The Safe And Unsafe Nutty Treats For Your Pup
- Mr. Potato Head Needs a New Warning Label!
- Shark Finning is Banned in the US; Banning Trade in Fins May Be Next
- Move Over Zika, It’s Yellow Fever’s Turn
- Should I stay or should I go?
- New cancer immunotherapy drugs linked to arthritis in some patients
- Simulations foresee hordes of colliding black holes in LIGO's future
- Analysis of genetic repeats suggests role for DNA instability in schizophrenia
- Analysis of media reporting reveals new information about snakebites and how and when they occur