Department of Endocrinology and Metabolism, Binzhou Medical University Hospital, Binzhou, 256600, People's Republic of China.
Department of Dermatology, Binzhou Medical University Hospital, Binzhou, 256600, People's Republic of China.
J Endocrinol Invest. 2024 Aug;47(8):1971-1986. doi: 10.1007/s40618-023-02293-z. Epub 2024 Jan 29.
Autoimmune Thyroiditis (AIT) is the most common thyroid disease; however, there were no measures to prevent the progression of the disease. The present study attempts to identify that Notch signaling regulates the differentiation of T helper 17 (Th17) cells by activating downstream Phosphatidylinositol-3 kinase/protein kinase/mechanistic target of rapamycin complex 1 (PI3K/AKT/mTORC1) pathway participating in the thyroid injury of the experimental autoimmune thyroiditis (EAT).
In vivo experiments, mice were randomly divided into 4 groups: a control group, an EAT group, and two groups with LY294002 treatment (pTg plus 25 mg/kg or 50 mg/kg LY294002, respectively). The degrees of thyroiditis were evaluated, and the percentage of Th17 cells, expression of interleukin-17A (IL-17A), and the main components of the Notch-PI3K signaling pathway were detected in different groups. In vitro experiments, two different dosages of LY294002 (25 and 50 μM) were used to intervene splenic mononuclear cells (SMCs) from EAT mice to further evaluate the regulatory effect of Notch-PI3K pathway on Th17 cells.
Our data demonstrate that the infiltration of Th17 cells and the expressions of IL-17A, Notch, hairy and split 1 (Hes1), p‑AKT (Ser473), p‑AKT (Thr308), p‑mTOR (Ser2448), S6K1, and S6K2 increased remarkably in EAT mice. After PI3K pathway was blocked, the degrees of thyroiditis were significantly alleviated, and the proportion of Th17 cells, the expression of IL-17A, and the above Notch-PI3K pathway-related molecules decreased in a dose-dependent manner. Additionally, the proportion of Th17 cells was positively correlated with the concentration of serum thyroglobulin antibody (TgAb), IL-17A, and Notch-PI3K pathway-related molecules mRNA levels.
Notch signal promotes the secretion of IL-17A from Th17 cells by regulating the downstream PI3K/AKT/mTORC1 pathway through Hes-Phosphatase and tensin homolog (PTEN) and participates in thyroid autoimmune damage, and the PI3K pathway inhibitor may play important effects on AIT by affecting Th17 cells differentiation.
自身免疫性甲状腺炎(AIT)是最常见的甲状腺疾病,但目前尚无预防疾病进展的措施。本研究试图通过激活下游磷脂酰肌醇 3 激酶/蛋白激酶 B/雷帕霉素复合物 1(PI3K/AKT/mTORC1)途径,发现 Notch 信号调节辅助性 T 细胞 17(Th17)细胞的分化,参与实验性自身免疫性甲状腺炎(EAT)的甲状腺损伤。
体内实验中,将小鼠随机分为 4 组:对照组、EAT 组、2 组 LY294002 处理组(pTg 加 25mg/kg 或 50mg/kg LY294002)。评估甲状腺炎程度,检测各组 Th17 细胞百分比、白细胞介素 17A(IL-17A)表达及 Notch-PI3K 信号通路主要成分。体外实验中,采用两种不同剂量的 LY294002(25μM 和 50μM)干预 EAT 小鼠脾单个核细胞(SMCs),进一步评价 Notch-PI3K 通路对 Th17 细胞的调控作用。
数据表明,EAT 小鼠 Th17 细胞浸润及 IL-17A、Notch、Hairy and Split 1(Hes1)、p-AKT(Ser473)、p-AKT(Thr308)、p-mTOR(Ser2448)、S6K1、S6K2 表达显著增加。PI3K 通路被阻断后,甲状腺炎程度明显减轻,Th17 细胞比例、IL-17A 表达及 Notch-PI3K 通路相关分子呈剂量依赖性下降。此外,Th17 细胞比例与血清甲状腺球蛋白抗体(TgAb)、IL-17A 及 Notch-PI3K 通路相关分子 mRNA 水平呈正相关。
Notch 信号通过调节下游 PI3K/AKT/mTORC1 通路,通过磷酸酶和张力蛋白同源物(PTEN)促进 Th17 细胞分泌 IL-17A,参与甲状腺自身免疫损伤,PI3K 通路抑制剂可能通过影响 Th17 细胞分化对 AIT 发挥重要作用。