Xu Wencan, Chen Shenren, Huang Jiexiong, Zheng Zhichao, Chen Linxing, Zhang Wei
The First Hospital of Shantou University Medical College, Shantou, Guangdong 51504, China.
Cell Mol Immunol. 2004 Oct;1(5):378-82.
To investigate the expression and distribution of S-100 protein and CD 83 in the thyroid tissues of autoimmune thyroid diseases (ATDs), and to study the role of the dendritic cells in the pathogenesis of ATDs, immunohistochemical staining was used on pathological tissues of 20 patients with Hashimoto's thyroiditis (HT) and 20 patients with Graves' disease (GD) to check the expression and distribution of S-100 protein and CD 83. Compared with control group (20 cases of thyroid follicular adenoma, TFA), the higher expressions of S-100 in HT (139.38+/-5.92 vs 59.47+/-11.69) and GD (119.42+/-14.48 vs 59.47+/-11.69) were observed respectively (p<0.001). The increased positive expressions of CD 83 which is known as a marker of mature and activated DCs in HT (22.58+/-13.96 vs 5.19+/-8.08) and GD (29.92 +/-14.43 vs 5.19+/-8.08) were also found respectively (p<0.001). Serum TPO antibody (TPO-Ab, 67.3+/-11.6%) and Tg antibody (Tg-Ab, 59.8+/-10.1%) in HT were higher than those in GD (28.4+/-5.7%, 23.1+/-4.9%) and TFA (6.1+/-3.4%, 7.2 +/-4.6%) (p<0.01). Serum TR-Ab in GD (16.3+/-5.6 U/L) was higher than those in HT (4.8+/- 2.3 U/L) and TFA (2.5+/-1.2 U/L) (p<0.01). Our findings suggest that the high expression of DCs' markers may be related to the pathogenesis of HT and GD. The upregulation of both the number and the matured functions of DCs, may lead to present more antigens and to produce more auto-antibodies (such as Tg-Ab and TPO-Ab in HT, TR-Ab in GD), which may be involved in pathogenesis of the autoimmune thyroid diseases.
为研究自身免疫性甲状腺疾病(ATDs)甲状腺组织中S-100蛋白和CD 83的表达及分布情况,并探讨树突状细胞在ATDs发病机制中的作用,采用免疫组化染色法检测20例桥本甲状腺炎(HT)患者和20例格雷夫斯病(GD)患者病理组织中S-100蛋白和CD 83的表达及分布。与对照组(20例甲状腺滤泡性腺瘤,TFA)相比,HT组(139.38±5.92 vs 59.47±11.69)和GD组(119.42±14.48 vs 59.47±11.69)中S-100的表达均较高(p<0.001)。HT组(22.58±13.96 vs 5.19±8.08)和GD组(29.92±14.43 vs 5.19±8.08)中CD 83(成熟和活化树突状细胞的标志物)的阳性表达也分别增加(p<0.001)。HT组血清甲状腺过氧化物酶抗体(TPO-Ab,67.3±11.6%)和甲状腺球蛋白抗体(Tg-Ab,59.8±10.1%)高于GD组(28.4±5.7%,23.1±4.9%)和TFA组(6.1±3.4%,7.2±4.6%)(p<0.01)。GD组血清促甲状腺素受体抗体(TR-Ab,16.3±5.6 U/L)高于HT组(4.8±2.3 U/L)和TFA组(2.5±1.2 U/L)(p<0.01)。我们的研究结果表明,树突状细胞标志物的高表达可能与HT和GD的发病机制有关。树突状细胞数量及其成熟功能的上调,可能导致呈递更多抗原并产生更多自身抗体(如HT中的Tg-Ab和TPO-Ab,GD中的TR-Ab),这可能参与自身免疫性甲状腺疾病的发病机制。