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Division of Endocrinology and Metabolism, Department of Medicine (Y.H., M.K., D.Y., K.N.), Department of Immunology (T.H.), and Department of Internal Medicine (S.S., J.H.), Kurume University School of Medicine, 67 Asahimachi, Kurume, Fukuoka 830-0011; and the Department of Immunology, Juntendo University School of Medicine (H.Y., N.K., K.O.), 21-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan
Address all correspondence and requests for reprints to: Yuji Hiromatsu, M.D., Division of Endocrinology and Metabolism, Department of Medicine, Kurume University School of Medicine, 67 Asahimachi, Kurume, Fukuoka 830-0011, Japan. E-mail: yuji{at}med.kurume-u.ac.jp
Fas/Fas ligand (FasL) interaction has been suggested to play a role in
the pathogenesis of Hashimotos thyroiditis. This manuscript addressed
a role for Fas/FasL interaction in the pathogenesis of Graves disease
(GD). Apoptosis was detected in 0.55.0% of GD thyrocytes, but not in
normal thyrocytes from patients with adenoma (N). Fas was
constitutively expressed on the basement membrane of both GD and N
thyrocytes. Thyrocytes expressed Bcl-2 constitutively in both GD and N
thyrocytes. FasL was detected at the messenger ribonucleic acid level
in thyroid tissue and cultured thyroid cells by Northern blotting and
RT-PCR. FasL protein was detected in the cytoplasm and basolateral
surface of thyrocytes from GD, but not in N. Cell surface expression of
FasL on cultured thyrocytes disappeared within 48 h after their
isolation. However, it was retained by culturing the cells with a
matrix metalloproteinase inhibitor. Coculture with thyrocytes induced
apoptosis of Fas transfectants, which was blocked by an anti-FasL
antibody. Although cultured thyrocytes expressed Fas on the surface,
they were not killed by an agonistic anti-Fas antibody.
Interferon-
-induced Fas up-regulation was suppressed by TSH. These
results suggest that the increased expression of FasL in GD thyrocytes,
the down-regulation of Fas expression by TSH or possibly by TSH
receptor autoantibody, and the overexpression of Bcl-2, which could
render thyrocytes resistant to FasL-mediated elimination, may thus be
involved in the pathogenesis of GD.
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