Brown T R, Sundick R S, Dhar A, Sheth D, Bagchi N
Department of Medicine, Immunology and Microbiology, Wayne State University, Detroit, Michigan 48201.
J Clin Invest. 1991 Jul;88(1):106-11. doi: 10.1172/JCI115265.
To assess the importance of the role of thyroidal iodine in the pathogenesis of thyroiditis in the obese strain (OS) chicken, a model of spontaneous and severe disease, we studied the effect of antithyroid drugs that reduce thyroidal iodine or prevent its metabolism. Reduction of thyroidal iodine was achieved with KClO4, an inhibitor of iodine transport and mononitrotyrosine (MNT), a drug that promotes loss of thyroidal iodine as iodotyrosines. A regimen consisting of KClO4 and MNT administration beginning in ovo and continuing after hatching reduced thyroidal infiltration to 2% of control values and decreased thyroglobulin antibody (TgAb) production for as long as 9 wk. Untreated birds had severe disease by 5 wk of age. The suppression of disease was independent of TSH, not mediated by generalized immunosuppression and reversed by excess dietary iodine. Two drugs that inhibit the metabolism of iodine, propylthiouracil (PTU) and aminotriazole, reduced thyroidal infiltration and TgAb levels, although to a lesser extent. When splenocytes from OS chickens with thyroiditis were transferred to Cornell strain (CS) chickens, a related strain that develops late onset mild disease, only the recipients that were iodine supplemented developed thyroiditis. In conclusion, autoimmune thyroiditis in an animal model can be prevented by reducing thyroidal iodine or its metabolism and optimal effects require intervention at the embryonic stage.
为评估甲状腺碘在肥胖品系(OS)鸡甲状腺炎发病机制中的作用,该品系鸡会自发罹患严重甲状腺炎,我们研究了能减少甲状腺碘或阻止其代谢的抗甲状腺药物的作用。用碘转运抑制剂高氯酸钾(KClO4)和促进甲状腺碘以碘化酪氨酸形式流失的药物单硝基酪氨酸(MNT)来减少甲状腺碘。从胚胎期开始并在孵化后持续给予KClO4和MNT的方案,可将甲状腺浸润减少至对照值的2%,并在长达9周的时间内降低甲状腺球蛋白抗体(TgAb)的产生。未经治疗的鸡在5周龄时会出现严重疾病。疾病的抑制与促甲状腺激素无关,不是由全身性免疫抑制介导的,且可被过量的膳食碘逆转。两种抑制碘代谢的药物,丙硫氧嘧啶(PTU)和氨基三唑,虽程度较轻,但也减少了甲状腺浸润和TgAb水平。当将患有甲状腺炎的OS鸡的脾细胞转移到康奈尔品系(CS)鸡(一种会发生迟发性轻度疾病的相关品系)时,只有补充了碘的受体才会发生甲状腺炎。总之,动物模型中的自身免疫性甲状腺炎可通过减少甲状腺碘或其代谢来预防,且最佳效果需要在胚胎期进行干预。