

FOLLOWUS
1. 1Department of Endocrinology, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, China
2. 2Department of Endocrinology, Weinan Central Hospital, Weinan, Shaanxi 714000, China
3. 3Department of Endocrinology, Nanjing First Hospital, Nanjing Medical University, Nanjing 210001, China
* Tel: 86-13572086079, Fax: 86-29-85323974(O), E-mail: plwzw999@163.com
Received:25 October 2019,
Published Online:30 September 2020,
Published:30 September 2020
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Liu Lianye, Shi Bingyin, Zhao Fengyi, et al. Effect of Dihydrotestosterone on CostimulatoryMolecules in a Mouse Model of Graves’ Disease[J]. Chinese medical sciences journal, 2020, 35(3): 215-225.
Liu Lianye, Shi Bingyin, Zhao Fengyi, et al. Effect of Dihydrotestosterone on CostimulatoryMolecules in a Mouse Model of Graves’ Disease[J]. Chinese medical sciences journal, 2020, 35(3): 215-225. DOI: 10.24920/003594.
目的
Graves病是最常见的自身免疫性甲状腺疾病
男性与女性的患病率和临床表现不尽相同。共刺激分子是调节自身免疫反应的重要因子。本研究旨在探讨二氢睾酮(DHT)治疗对自身免疫性Graves病BALB/c模型小鼠表达抑制性共刺激分子的影响。
方法
采用以腺病毒为载体的促甲状腺激素受体A亚单位免疫雌性BALB/c小鼠
3次免疫后建立Graves病模型。在第一次免疫接种前一周
在模型鼠颈部皮下植入含有3种不同剂量DHT及对应安慰剂的缓释剂。第三次免疫4周后处死小鼠
切除脾脏和胸腺。采用放射免疫法分析小鼠血清总甲状腺素和游离甲状腺素水平
RT-PCR测定小鼠脾脏和胸腺淋巴细胞中共刺激分子的表达
流式细胞术分析小鼠脾脏细胞CD4
+
T细胞百分比。
结果
DHT能降低模型小鼠血清总甲状腺素和游离甲状腺素水平。与安慰剂组相比
5mg DHT治疗组小鼠脾脏表达程序性凋亡因子1显著增加(0.635±0.296比0.327±0.212;
t
=2.714
P
=0.014);小鼠脾脏(1.004±0.338比0.646±0.314;
t
=2.205
P
=0.022)与胸腺(0.263±0.127比0.120±0.076;
t
=3.221
P
=0.004)表达TIM-3也显著增加;脾脏CD4
+
T细胞百分比显著下降(19.90%±3.985%比24.05%±2.587%;
t
=2.804
P
<
0.05)。DHT 5mg治疗组小鼠脾脏TIM-3的表达量与血清总甲状腺素水平(
r
=-0.7106
P
=0.014)和游离甲状腺素水平(
r
=-0.6542
P
=0.029)呈负相关。
结论
DHT能改善自身免疫性Graves病模型小鼠病情
其作用可能通过上调程序性凋亡因子1和TIM-3表达以及抑制小鼠脾脏CD4
+
T细胞生成实现。
Objective
Graves’ disease is the most common autoimmune thyroid disease and its prevalence and clinical manifestations are disparate between females and males. Costimulatory molecules play an essential role in regulating autoimmune responses. The objective of this study was to determine if expression of inhibitory molecules was correlated with treatment by dihydrotestosterone (DHT) in an
in vivo
BALB/c mouse model of experimental autoimmune Graves’ disease.
Methods
Female BALB/c mice were immunized three times with thyroid stimulating hormone receptor A-subunit encoded by adenovirus to establish a Graves’ disease model. Three different doses of DHT or a matching placebo were administered by implantation of slow-release pellets a week before the first immunization. Four weeks after the third immunization
the mice were euthanatized
and then the spleen and thymus were removed. Total thyroxine and free thyroxine levels in serum of mice were detected using a radioimmunoassay kit. Real-time polymerase chain reaction was performed to estimate the expression of costimulatory molecules in lymphocytes from the spleen and thymus. Flow cytometry was used to analyze the percentage of CD4
+
T cells in splenic lymphocytes. Quantitative data were compared with unpaired
t
-tests. Correlation between two variables was analyzed using Analysis of Variance.
Results
Treatment with DHT can dramatically reduce total thyroxine and free thyroxine levels. Higher expression of programmed death-1 was found in the spleen of Graves’ disease mice receiving 5 mg of DHT treatment (0.635±0.296
vs
. 0.327±0.212;
t
=2.714
P
=0.014)
similarly
T-cell immunoglobulin domain and mucin domain 3 (TIM-3) in both the spleen (1.004±0.338
vs
. 0.646±0.314;
t
=2.205
P
=0.022) and the thymus (0.263±0.127
vs
. 0.120±0.076;
t
=3.221
P
=0.004) also increased after 5 mg of DHT treatment compared with the parallel placebo model mice. Moreover
the percentage of CD4
+
T cells declined in the splenic lymphocytes of Graves’ disease mice treated with 5 mg of DHT (19.90%±3.985%
vs
. 24.05%±2.587%;
t
=2.804
P
=0.012). A significant negative association was observed between expression of TIM-3 in the spleen and serum levels of total thyroxine (
r
=-0.7106
P
=0.014) as well as free thyroxine (
r
=-0.6542
P
=0.029).
Conclusion
This study demonstrates that DHT can ameliorate experimental autoimmune Graves’ disease
which may occur by up-regulating expression of programmed death-1 and TIM-3 and inhibiting development of CD4
+
T cells.
Menconi F , Marcocci C , Marino M . Diagnosis and classification of Graves’ disease . Autoimmun Rev 2014 ; 4-5 ( 13 ): 398 - 402 . doi: 10.1016/j.autrev.2014.01.013 10.1016/j.autrev.2014.01.013 .
Bossowski A , Stasiak-Barmuta A , Urban M . Relationship between CTLA-4 and CD28 molecule expression on T lymphocytes and stimulating and blocking autoantibodies to the TSH-receptor in children with Graves’ disease . Horm Res 2005 ; 4 ( 64 ): 189 - 97 . doi: 10.1159/000088875 10.1159/000088875 .
Garapati VP , Lefranc MP . IMGT Colliers de Perles and IgSF domain standardization for T cell costimulatory activatory (CD28, ICOS) and inhibitory (CTLA-4, PDCD1 and BTLA) receptors . Dev Comp Immunol 2007 ; 10 ( 31 ): 1050 - 72 . doi: 10.1016/j.dci.2007.01.008 10.1016/j.dci.2007.01.008 .
Pawlak-Adamska E , Frydecka I , Bolanowski M , et al . CD28/CTLA-4/ICOS haplotypes confers susceptibility to Graves’ disease and modulates clinical phenotype of disease . Endocrine 2017 ; 1 ( 55 ): 186 - 99 . doi: 10.1007/s12020-016-1096-1 10.1007/s12020-016-1096-1 .
Watanabe N , Nakajima H . Coinhibitory molecules in autoimmune diseases . Clin Dev Immunol 2012 ; 2012 : 269756 . doi: 10.1155/2012/269756 10.1155/2012/269756 . https://www.ncbi.nlm.nih.gov/pubmed/22997525 https://www.ncbi.nlm.nih.gov/pubmed/22997525
Turka LA , Ledbetter JA , Lee K , et al . CD28 is an inducible T cell surface antigen that transduces a proliferative signal in CD3+ mature thymocytes . J Immunol 1990 ; 5 ( 144 ): 1646 - 53 .
Matsuoka N , Eguchi K , Kawakami A , et al . Lack of B7-1/BB1 and B7-2/B70 expression on thyrocytes of patients with Graves’ disease. Delivery of costimulatory signals from bystander professional antigen-presenting cells . J Clin Endocrinol Metab 1996 ; 11 ( 81 ): 4137 - 43 . doi: 10.1210/jcem.81.11.8923872 10.1210/jcem.81.11.8923872 .
Eagar TN , Karandikar NJ , Bluestone JA , et al . The role of CTLA-4 in induction and maintenance of peripheral T cell tolerance . Eur J Immunol 2002 ; 4 ( 32 ): 972 - 81 . doi: 10.1002/1521-4141(200204)32:4&#60;972::AID-IMMU972&#62;3.0.CO;2-M 10.1002/1521-4141(200204)32:4&#60;972::AID-IMMU972&#62;3.0.CO;2-M .
Hutloff A , Dittrich AM , Beier KC , et al . ICOS is an inducible T-cell co-stimulator structurally and functionally related to CD28 . Nature 1999 ; 6716 ( 397 ): 263 - 6 . doi: 10.1038/16717 10.1038/16717 .
Wassink L , Vieira PL , Smits HH , et al . ICOS expression by activated human Th cells is enhanced by IL-12 and IL-23: increased ICOS expression enhances the effector function of both Th1 and Th2 cells . J Immunol 2004 ; 3 ( 173 ): 1779 - 86 . doi: 10.4049/jimmunol.173.3.1779 10.4049/jimmunol.173.3.1779 .
Ishida Y , Agata Y , Shibahara K , et al . Induced expression of PD-1, a novel member of the immunoglobulin gene superfamily, upon programmed cell death . EMBO J 1992 ; 11 ( 11 ): 3887 - 95 . https://www.ncbi.nlm.nih.gov/pubmed/1396582 https://www.ncbi.nlm.nih.gov/pubmed/1396582
Carter LL , Carreno BM . Cytotoxic T-lymphocyte antigen-4 and programmed death-1 function as negative regulators of lymphocyte activation . Immunol Res 2003 ; 1 ( 28 ): 49 - 59 . doi: 10.1385/IR:28:1:49 10.1385/IR:28:1:49 .
Watanabe N , Gavrieli M , Sedy JR , et al . BTLA is a lymphocyte inhibitory receptor with similarities to CTLA-4 and PD-1 . Nat Immunol 2003 ; 7 ( 4 ): 670 - 9 . doi: 10.1038/ni944 10.1038/ni944 .
Sedy JR , Gavrieli M , Potter KG , et al . B and T lymphocyte attenuator regulates T cell activation through interaction with herpesvirus entry mediator . Nat Immunol 2005 ; 1 ( 6 ): 90 - 8 . doi: 10.1038/ni1144 10.1038/ni1144 .
Monney L , Sabatos CA , Gaglia JL , et al . Th1-specific cell surface protein Tim-3 regulates macrophage activation and severity of an autoimmune disease . Nature 2002 ; 6871 ( 415 ): 536 - 41 . doi: 10.1038/415536a 10.1038/415536a .
Zhu C , Anderson AC , Schubart A , et al . The Tim-3 ligand galectin-9 negatively regulates T helper type 1 immunity . Nat Immunol 2005 ; 12 ( 6 ): 1245 - 52 . doi: 10.1038/ni1271 10.1038/ni1271 .
Locksley RM , Killeen N , Lenardo MJ . The TNF and TNF receptor superfamilies: integrating mammalian biology . Cell 2001 ; 4 ( 104 ): 487 - 501 .
Hollenbaugh D , Grosmaire LS , Kullas CD , et al . The human T cell antigen gp39, a member of the TNF gene family, is a ligand for the CD40 receptor: expression of a soluble form of gp39 with B cell co-stimulatory activity . EMBO J 1992 ; 12 ( 11 ): 4313 - 21 .
Hassan GS , Merhi Y , Mourad WM . CD154 and its receptors in inflammatory vascular pathologies . Trends Immunol 2009 ; 4 ( 30 ): 165 - 72 . doi: 10.1016/j.it.2009.01.004 10.1016/j.it.2009.01.004 .
Watts TH . TNF/TNFR family members in costimulation of T cell responses . Annu Rev Immunol 2005 ; 23 : 23 - 68 . doi: 10.1146/annurev.immunol.23.021704.115839 10.1146/annurev.immunol.23.021704.115839 . DOI: 10.1146/annurev.immunol.23.021704.115839 http://doi.org/10.1146/annurev.immunol.23.021704.115839 https://www.ncbi.nlm.nih.gov/pubmed/15771565 https://www.ncbi.nlm.nih.gov/pubmed/15771565
Gramaglia I , Jember A , Pippig SD , et al . The OX40 costimulatory receptor determines the development of CD4 memory by regulating primary clonal expansion . J Immunol 2000 ; 6 ( 165 ): 3043 - 50 .
Lumachi F , Basso SM , Orlando R . Cytokines, thyroid diseases and thyroid cancer . Cytokine 2010 ; 3 ( 50 ): 229 - 33 . doi: 10.1016/j.cyto.2010.03.005 10.1016/j.cyto.2010.03.005 .
Ansar AS , Young PR , Penhale WJ . Beneficial effect of testosterone in the treatment of chronic autoimmune thyroiditis in rats . J Immunol 1986 ; 1 ( 136 ): 143 - 7 .
Fassler R , Dietrich H , Kromer G , et al . The role of testosterone in spontaneous autoimmune thyroiditis of Obese strain (OS) chickens . J Autoimmun 1988 ; 1 ( 1 ): 97 - 108 . DOI: 10.1016/0896-8411(88)90081-9 http://doi.org/10.1016/0896-8411(88)90081-9 https://www.ncbi.nlm.nih.gov/pubmed/3076054 https://www.ncbi.nlm.nih.gov/pubmed/3076054
Paschke R , Schuppert F , Taton M , et al . Intrathyroidal cytokine gene expression profiles in autoimmune thyroiditis . J Endocrinol 1994 ; 2 ( 141 ): 309 - 15 .
Endo T , Kobayashi T . Immunization with thyroglobulin induces Graves’-like disease in mice . J Endocrinol 2009 ; 2 ( 202 ): 217 - 22 . doi: 10.1677/JOE-09-0089 10.1677/JOE-09-0089 .
Liu L , Wu L , Gao A , et al . The influence of dihydrotestosterone on the development of Graves’ disease in female BALB/c mice . Thyroid 2016 ; 3 ( 26 ): 449 - 57 . doi: 10.1089/thy.2015.0620 10.1089/thy.2015.0620 .
Chen CR , Pichurin P , Nagayama Y , et al . The thyrotropin receptor autoantigen in Graves disease is the culprit as well as the victim . J Clin Invest 2003 ; 12 ( 111 ): 1897 - 904 . doi: 10.1172/JCI17069 10.1172/JCI17069 .
Nagayama Y , Mizuguchi H , Hayakawa T , et al . Prevention of autoantibody-mediated Graves’-like hyperthyroidism in mice with IL-4, a Th2 cytokine . J Immunol 2003 ; 7 ( 170 ): 3522 - 7 .
Mostafa S , Seamon V , Azzarolo AM . Influence of sex hormones and genetic predisposition in Sjogren’s syndrome: a new clue to the immunopathogenesis of dry eye disease . Exp Eye Res 2012 ; 1 ( 96 ): 88 - 97 . doi: 10.1016/j.exer.2011.12.016 10.1016/j.exer.2011.12.016 .
Wu L , Xun L , Yang J , et al . Induction of murine neonatal tolerance against Graves’ disease using recombinant adenovirus expressing the TSH receptor A-subunit . Endocrinology 2011 ; 3 ( 152 ): 1165 - 71 . doi: 10.1210/en.2010-0737 10.1210/en.2010-0737 .
Yessoufou A , Ple A , Moutairou K , et al . Docosahexaenoic acid reduces suppressive and migratory functions of CD4+CD25+ regulatory T-cells . J Lipid Res 2009 ; 12 ( 50 ): 2377 - 88 . doi: 10.1194/jlr.M900101-JLR200 10.1194/jlr.M900101-JLR200 .
Han LF , Qiu WM , Hu C , et al . Therapeutic effects of B and T lymphocyte attenuator extracellular domain and heat shock protein 70 antigen peptide on cervical cancer in mouse model . Zhonghua Fu Chan Ke Za Zhi 2010 ; 8 ( 45 ): 603 - 8 .
Bishop KD , Harris JE , Mordes JP , et al . Depletion of the programmed death-1 receptor completely reverses established clonal anergy in CD4(+) T lymphocytes via an interleukin-2-dependent mechanism . Cell Immunol 2009 ; 1-2 ( 256 ): 86 - 91 . doi: 10.1016/j.cellimm.2009.01.008 10.1016/j.cellimm.2009.01.008 .
Lech M , Susanti HE , Rommele C , et al . Quantitative expression of C-type lectin receptors in humans and mice . Int J Mol Sci 2012 ; 8 ( 13 ): 10113 - 31 . doi: 10.3390/ijms130810113 10.3390/ijms130810113 .
Teague TK , Tan C , Marino JH , et al . CD28 expression redefines thymocyte development during the pre-T to DP transition . Int Immunol 2010 ; 5 ( 22 ): 387 - 97 . doi: 10.1093/intimm/dxq020 10.1093/intimm/dxq020 .
Zang YS , Fang Z , Liu YA , et al . Repressor of GATA-3 can negatively regulate the expression of T cell cytokines through modulation on inducible costimulator . Chin Med J (Engl) 2012 ; 12 ( 125 ): 2188 - 94 .
Tone Y , Kojima Y , Furuuchi K , et al . OX40 gene expression is up-regulated by chromatin remodeling in its promoter region containing Sp1/Sp3, YY1, and NF-kappa B binding sites . J Immunol 2007 ; 3 ( 179 ): 1760 - 7 .
Vavassori S , Shi Y , Chen CC , et al . In vivo post-transcriptional regulation of CD154 in mouse CD4+ T cells . Eur J Immunol 2009 ; 8 ( 39 ): 2224 - 32 . doi: 10.1002/eji.200839163 10.1002/eji.200839163 .
Frauwirth KA , Thompson CB . Activation and inhibition of lymphocytes by costimulation . J Clin Invest 2002 ; 3 ( 109 ): 295 - 9 . doi: 10.1172/JCI14941 10.1172/JCI14941 .
Yoshie N , Watanabe M , Inoue N , et al . Association of polymorphisms in the ICOS and ICOSL genes with the pathogenesis of autoimmune thyroid diseases . Endocr J 2016 ; 1 ( 63 ): 61 - 8 . doi: 10.1507/endocrj.EJ15-0435 10.1507/endocrj.EJ15-0435 .
Wang H , Zhu LS , Cheng JW , et al . CD40 ligand induces expression of vascular cell adhesion molecule 1 and E-selectin in orbital fibroblasts from patients with Graves’ orbitopathy . Graefes Arch Clin Exp Ophthalmol 2015 ; 4 ( 253 ): 573 - 82 . doi: 10.1007/s00417-014-2902-1 10.1007/s00417-014-2902-1 .
Dong C , Nurieva RI , Prasad DV . Immune regulation by novel costimulatory molecules . Immunol Res 2003 ; 1 ( 28 ): 39 - 48 . doi: 10.1385/IR:28:1:39 10.1385/IR:28:1:39 .
Kaneyama T , Tomiki H , Tsugane S , et al . The TIM-3 pathway ameliorates Theiler’s murine encephalomyelitis virus-induced demyelinating disease . Int Immunol 2014 ; 7 ( 26 ): 369 - 81 . doi: 10.1093/intimm/dxt056 10.1093/intimm/dxt056 . DOI: 10.1093/intimm/7.3.369 http://doi.org/10.1093/intimm/7.3.369 https://academic.oup.com/intimm/article-lookup/doi/10.1093/intimm/7.3.369 https://academic.oup.com/intimm/article-lookup/doi/10.1093/intimm/7.3.369
Seki M , Oomizu S , Sakata KM , et al . Galectin-9 suppresses the generation of Th17, promotes the induction of regulatory T cells, and regulates experimental autoimmune arthritis . Clin Immunol 2008 ; 1 ( 127 ): 78 - 88 . doi: 10.1016/j.clim.2008.01.006 10.1016/j.clim.2008.01.006 .
Fijak M , Schneider E , Klug J , et al . Testosterone replacement effectively inhibits the development of experimental autoimmune orchitis in rats: evidence for a direct role of testosterone on regulatory T cell expansion . J Immunol 2011 ; 9 ( 186 ): 5162 - 72 . doi: 10.4049/jimmunol.1001958 10.4049/jimmunol.1001958 .
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