on of AD. However, as is the case for allergic airway disease, the role of CRTH2 in skin inflammatory diseases such as AD has not been fully assessed. Epicutaneous sensitization with allergens is thought to play an important role in the pathogenesis of AD. Similarly, chronic epicutaneous sensitization of mice with a protein antigen, chick egg ovalbumin, leads to the development of localized skin inflammation and this mouse model exhibits many of the characteristics of AD. For instance, the inflammatory infiltrate in this chronic model is composed primarily of T cells and eosinophils and local production of Th2 cytokines, such as IL-4 and IL-5 as well as IFN-c and IL-17A. In vitro OVA challenge of draining lymph node cells from epicutaneously immunized mice resulted in the production of IL-17A, IL-4 and IFN-c. In this study, skin-derived CD11c+ dendritic cells were shown to play a key role in eliciting cytokine production by capturing antigen and migrating from the skin to the dLNs. Here, we use a highly specific and potent small molecule antagonist of CRTH2 to investigate the role of this PGD2 receptor in chronic models of cutaneous inflammation and the underlying immune response. Our results show that inhibition of CRTH2 leads to a decrease in the inflammatory infiltrate, locally produced pro-inflammatory cytokines and chemokines, as well as a reduction in antigen-specific antibodies. This reduction in antibody levels is mediated by CRTH2 and is associated with a decrease in 
cytokines produced in the spleen following epicutaneous immunization. Furthermore, this effect can be directly correlated with a decreased ability of skin DC from CRTH2-blocked mice to elicit cytokine production by naive T lymphocytes. Materials and methods Materials All reagents were purchased from Sigma unless otherwise stated. The animal care and use committee approved all animal experimentation prior to implementation. All mice were purchased from The Jackson Laboratories and were females 46 weeks of age. Compound A is a selective and proprietary CRTH2 antagonist developed at Actimis Pharmaceuticals, Inc. and is represented under patent WO2005/ 073234A3. Radioligand-MedChemExpress GW 5074 binding assays demonstrated the IC50 values of Compound A inhibiting PGD2 binding to CRTH2: murine CRTH2, 3.7 nM IC50, human CRTH2, 4.5 nM. Compound A did not effectively antagonize other prostanoid, thromboxane or cysteinyl leukotriene receptors as the IC50 values for Compound A inhibiting DP1, BLT1, CysLT1, CysLT2, EP1, EP2, EP3, EP4, FP, IP and TP are all >10 lM. Compound A displayed no activity on a large and diverse panel of G protein-coupled receptors as determined by a PanLabs screen . In 1-week FITC-induced ear swelling assays in mice, the ED50 of Compound A was calculated to be;0.13 mg kg1. Collectively, this biological and pharmacological profile of Compound A demonstrates that it is a highly potent and selective CRTH2 antagonist. Epicutaneous sensitization of mice Epicutaneous sensitization of BALB/cJ mice was PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/19825521 carried out as described previously. In brief, the mice were anaesthetized using isoflurane and the dorsal skin was shaved. A 1 3 1 cm2 section of gauze was soaked in either PBS or 1% ovalbumin solution and placed on the exposed dorsal skin. This was held in place using a transparent bioocclusive dressing. After the initial 3 days, a fresh patch was placed on the same area for a 4-day period; hence, each sensitization period was for a total of 7 days. For the chronic 50-day model de