The oxazolone-induced mice model is mostly used as a DTH model. After oxazolone (hapten) application, acute phase of DTH appears as an initial increase in ear thickness due to onset of inflammation. Later, with multiple oxazolone challenges over an extended time (days), the extent of ear thickness might stabilize (normal control) or continue to increase depending on the treatment given (oxazolone/vehicle and oxazolone/clobetasol) (Figure 1). A further increment in ear thickness indicates chronic DTH that involves persistent inflammation and immune cell infiltration. This shift from a typical acute DTH response to a chronic inflammatory response (Figure 1) is characteristic of AD.

Figure 1: Delayed-type hypersensitivity (DTH) response post oxazolone application in normal control, oxazolone/ vehicle and oxazolone/ clobetasol groups.
Oxazolone application induces AD-like skin symptoms in mice that manifest as histopathological changes such as acanthosis (thickening of the epidermis), parakeratosis (excessive keratin formation), hyperkeratosis (skin thickening due to excessive keratin deposition), and continued inflammation. Treatment with clobetasol attenuates these AD-like skin symptoms as depicted from the figure 2A (H & E staining) and figure 2B (ear histopathology score). Clobetasol is a potent topical steroid exhibiting anti-inflammatory, immunosuppressive, vasoconstrictive, and cellular effects that bestow it therapeutic efficacy against dermatological conditions like eczema, dermatitis, psoriasis, etc.