Brown R S, Keating P, Livingston P G, Bullock L
Department of Pediatrics, University of Massachusetts Medical School, Worcester.
Thyroid. 1992 Summer;2(2):125-30. doi: 10.1089/thy.1992.2.125.
Feline hyperthyroidism bears a strong clinical and pathologic resemblance to toxic nodular goiter in humans. To evaluate whether the observed thyroid growth might be due to circulating thyroid antibodies, as has been postulated in humans, we studied the effect of purified immunoglobulin (Ig) G preparations on a rat thyroid follicular (FRTL-5) cell line. When compared with control, hyperthyroid cat IgG caused significantly increased [3H]-thymidine (Tdr) incorporation into DNA (p less than 0.02) and stimulated cellular proliferation 15-fold. Stimulation of 3H-Tdr incorporation tended to be biphasic and could be inhibited completely by a potent, specific TSH receptor blocking antibody. Hyperthyroid cat IgG also significantly inhibited 125I-bTSH binding to porcine thyroid membranes, an effect that could be reproduced using electrophoretically pure IgG and normal cat thyroid membranes. Unlike its effect on growth, hyperthyroid cat IgG did not stimulate intracellular cAMP, and there was no correlation between thyroid function in vivo and IgG growth-promoting activity in vitro. These data suggest that elevated titers of thyroid growth IgGs, probably acting through the TSH receptor, are present in feline hyperthyroidism and may play a role in goiter formation. Unlike growth, the thyroid hyperfunction observed is not IgG dependent. Further study of feline hyperthyroidism may contribute important insights into human nodular goiter and into the mediation of thyroid growth in general.
猫甲状腺功能亢进在临床和病理上与人类毒性结节性甲状腺肿极为相似。为了评估观察到的甲状腺生长是否如人类所推测的那样是由于循环甲状腺抗体所致,我们研究了纯化的免疫球蛋白(Ig)G制剂对大鼠甲状腺滤泡(FRTL - 5)细胞系的影响。与对照组相比,甲状腺功能亢进猫的IgG导致[³H] - 胸腺嘧啶核苷(Tdr)掺入DNA的量显著增加(p<0.02),并刺激细胞增殖达15倍。³H - Tdr掺入的刺激作用呈双相性,且可被一种强效、特异性的促甲状腺激素(TSH)受体阻断抗体完全抑制。甲状腺功能亢进猫的IgG还显著抑制¹²⁵I - bTSH与猪甲状腺膜的结合,使用电泳纯的IgG和正常猫甲状腺膜也可重现这一效应。与对生长的影响不同,甲状腺功能亢进猫的IgG不刺激细胞内环磷酸腺苷(cAMP),且体内甲状腺功能与体外IgG促生长活性之间无相关性。这些数据表明,甲状腺功能亢进猫体内存在甲状腺生长IgG的高滴度,可能通过TSH受体发挥作用,且可能在甲状腺肿形成中起作用。与生长不同,观察到的甲状腺功能亢进并非IgG依赖性。对猫甲状腺功能亢进的进一步研究可能会为人类结节性甲状腺肿以及甲状腺生长的一般调节机制提供重要见解。