Department of General Surgery (Thyroid Surgery), the Affiliated Hospital of Southwest Medical University, Luzhou, China.
Department of Clinical Nutrition, the Affiliated Hospital of Southwest Medical University, Luzhou, China.
Front Endocrinol (Lausanne). 2022 Oct 20;13:1042511. doi: 10.3389/fendo.2022.1042511. eCollection 2022.
Leptin has been found to be involved in the development and progression of many autoimmune diseases. As an organ-specific autoimmune disease, the pathogenesis of Hashimoto's thyroiditis has not been fully elucidated. It has been reported that serum leptin level is increased in Hashimoto's thyroiditis, but other studies have not shown any difference. We replicated a mouse model of experimental autoimmune thyroiditis (EAT) with a high-iodine diet and found that injection of the leptin receptor antagonist Allo-aca reduced thyroid follicle destruction and inflammatory cell infiltration in EAT mice, and thyroxine and thyroid autoimmune antibody levels. Further investigation revealed that Allo-aca promotes the differentiation of Treg cells and inhibits the differentiation of Th17 cells. We believe that Allo-aca can alter the differentiation of Treg/Th17 cells by inhibiting the leptin signaling pathway, thereby alleviating thyroid injury in EAT mice. Interfering with the leptin signaling pathway may be a novel new approach to treat treating and ameliorating Hashimoto's thyroiditis.
瘦素已被发现参与许多自身免疫性疾病的发生和进展。作为一种器官特异性自身免疫性疾病,桥本甲状腺炎的发病机制尚未完全阐明。有报道称桥本甲状腺炎患者血清瘦素水平升高,但其他研究并未显示出任何差异。我们用高碘饮食复制了实验性自身免疫性甲状腺炎(EAT)的小鼠模型,发现注射瘦素受体拮抗剂 Allo-aca 可减少 EAT 小鼠甲状腺滤泡破坏和炎症细胞浸润,并降低甲状腺素和甲状腺自身抗体水平。进一步研究表明,Allo-aca 可促进 Treg 细胞的分化,抑制 Th17 细胞的分化。我们认为,Allo-aca 可以通过抑制瘦素信号通路改变 Treg/Th17 细胞的分化,从而减轻 EAT 小鼠的甲状腺损伤。干扰瘦素信号通路可能是治疗桥本甲状腺炎的一种新的治疗方法。