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The Journal of Clinical Endocrinology & Metabolism Vol. 84, No. 8 2896-2902
Copyright © 1999 by The Endocrine Society


Original Studies

Functional Fas Ligand Expression in Thyrocytes from Patients with Graves’ Disease

Yuji Hiromatsu, Tomoaki Hoshino, Hideo Yagita, Mari Koga, Shotaro Sakisaka, Junnichi Honda, Damu Yang, Nobuhiko Kayagaki, Ko Okumura and Kyohei Nonaka

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.), 2–1-1 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 Hashimoto’s thyroiditis. This manuscript addressed a role for Fas/FasL interaction in the pathogenesis of Graves’ disease (GD). Apoptosis was detected in 0.5–5.0% 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-{gamma}-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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