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Journal of Clinical Endocrinology & Metabolism Vol. 70, No. 6 1735-1743
doi:10.1210/jcem-70-6-1735
Copyright © 1990 by the Endocrine Society.
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Inhibition of 125I Organification and Thyroid Hormone Release by Interleukin-1, Tumor Necrosis Factor-{alpha}, and Interferon-{gamma} in Human Thyrocytes in Suspension Culture*

KANJI SATO, TOMOKO SATOH, KAZUO SHIZUME, MINORU OZAWA, DOO CHOL HAN, HIDEHITO IMAMURA, TOSHIO TSUSHIMA, HIROSHI DEMURA, YOSHIHARU KANAJI, YUKIO ITO, TAKAO OBARA, YOSHIHIDE FUJIMOTO and YOSHIO KANAJI

Departments of Medicine (K.Sa., M.O., H.I., T.T., H.D.) and Endocrine Surgery (Yoshiha, K, Y.I., T.O., Y.F.) Institute of Clinical Endocrinology, Tokyo Women's Medical College Kawada-cho 8-1, Shinjuku-ku
Research Institute of the Foundation for Growth Science in Japan (T.S., K.Sh.) Wakamatsu-cho, Shinjukuku
Kanaji Hospital (Y.K.), and Saitama Medical College (D.C.) Kawagoe, Saitama-ken, Japan

Address requests for reprints to: Dr. Kanji Sato, Department of Medicine, Institute of Clinical Endocrinology, Tokyo Women's Medical College, Kawada-cho 8-1, Shinjuku-ku, Tokyo 162, Japan.

To elucidate the mechanism of decreased 131I uptake by the thyroid gland in patients with subacute thyroiditis and painless thyroiditis, human thyroid follicles were cultured with interleukin-1 (IL-1), tumor necrosis factor -{alpha} (TNF{alpha}), and/or interferon -{gamma} (IFN{gamma}), and the effects of these cytokines on thyroid function were studied in vitro.

When human thyrocytes were cultured in RPMI-1640 medium containing 0.5% fetal calf serum and TSH for 5–8 days, the cells incorporated 125I, synthesized de novo [125I]iodotyrosines and [125I]iodothyronines, and secreted [125I]T4 and [125I]T3 into the medium. IL-l{alpha} and IL-β inhibited 125I incorporation and [125I]iodothyronine release in a concentration-dependent manner. The minimal inhibitory effect was detected at 10 pg/ml. Electron microscopic examination revealed a marked decrease in lysosome formation in IL-1-treated thyrocytes. TNF{alpha} and IFN{gamma} also inhibited thyroid function in a concentration-dependent manner. Furthermore, when thyrocytes were cultured with IL-1, TNF{alpha} and IFN{gamma}, these cytokines more than additively inhibited thyroid function.

Although the main mechanism of 131I uptake suppression in the thyroid gland in subacute thyroiditis is due to cellular damage and suppression of TSH release, our present findings suggest that IL-1, TNF{alpha}, and IFN{gamma} produced in the inflammatory process within the thyroid gland further inhibit iodine incorporation and at least partly account for the decreased 131I uptake by the thyroid gland in destruction-induced hyperthyroidism.

* Presented in part at the 59th Meeting of the Japanese Endocrine Society, November 1987, Tokyo, Japan, and the 8th International Congress of Endocrine Society (Abstract 12-18-014), July 1988, Kyoto, Japan. This work was supported by a Grant-in-Aid for Scientific Research from the Ministry of Education, Science, and Culture of Japan (no. 61570563), the Kato Memorial Trust for Nambyo Research, and a research grant from the Foundation for Growth Science in Japan.

Received November 13, 1989.




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