靶向芳烃受体以减弱甲状腺眼病中的IGF1R信号传导。
Targeting the Aryl Hydrocarbon Receptor to Attenuate IGF1R Signaling in Thyroid Eye Disease.
作者信息
Roztocil Elisa, Husain Farha, Patrick Charkira C, Feldon Steven E, Woeller Collynn F
机构信息
Flaum Eye Institute, University of Rochester, Rochester, New York, USA.
出版信息
Thyroid. 2025 May;35(5):527-542. doi: 10.1089/thy.2024.0529. Epub 2025 Apr 21.
Thyroid eye disease (TED) is an autoimmune disorder characterized by proptosis, inflammation, and fibrosis. Elevated insulin-like growth factor 1 receptor (IGF1R) signaling in TED orbital fibroblasts (OFs) drives the proliferation and biosynthesis of hyaluronan, which causes enlargement of orbital tissue volume. The aryl hydrocarbon receptor (AHR) is a ligand-activated transcription factor that regulates cellular stress responses, metabolism, and inflammation. Given its important role in regulating cellular responses, we hypothesized that activation of the AHR could limit excessive IGF1R signaling in TED OFs, offering therapeutic potential. We measured IGF1R and AHR expression levels in TED, non-TED, and non-OF controls. OF activation was analyzed using proliferation, hyaluronan accumulation, and migration assays. RNA sequencing was used to detect transcriptome-wide changes in IGF1-treated TED OFs. After gene set enrichment analysis, select gene expression changes were validated by quantitative polymerase chain reaction. OFs were treated with the AHR ligands 6-formylindolo[3,2-b]carbazole (FICZ) or tapinarof with or without IGF1. Western blotting evaluated signaling pathways impacted by AHR and IGF1R signaling. TED OFs showed elevated IGF1R and AHR expression levels compared to controls. IGF1 significantly increased hyaluronan accumulation, proliferation, and migration in TED OFs compared to non-TED OFs. IGF1R signaling altered the expression of hundreds of genes controlling cell migration, proliferation, and metabolism in TED OFs. These genes included , , (upregulated), and and (downregulated). AHR activation blocked proliferation, migration, hyaluronan production, and gene expression mediated through IGF1R signaling. The AHR inhibited these pathways by reducing phosphorylation of GSK3β, an important mediator of IGF1R/β-catenin mediated signaling. AHR activation represents a promising therapeutic strategy for mitigating TED progression by inhibiting IGF1R signaling. Through modulation of GSK3β-mediated pathways, AHR activation may target additional pathologically relevant pathways beyond those affected by direct IGF1R inhibitors. This research provides novel insights into TED pathophysiology and offers a potential avenue for developing therapies to improve patient outcomes.
甲状腺眼病(TED)是一种自身免疫性疾病,其特征为眼球突出、炎症和纤维化。TED眼眶成纤维细胞(OFs)中胰岛素样生长因子1受体(IGF1R)信号通路的激活会驱动透明质酸的增殖和生物合成,从而导致眼眶组织体积增大。芳烃受体(AHR)是一种配体激活的转录因子,可调节细胞应激反应、代谢和炎症。鉴于其在调节细胞反应中的重要作用,我们推测AHR的激活可能会限制TED OFs中过度的IGF1R信号通路,具有治疗潜力。我们测量了TED、非TED和非OF对照中的IGF1R和AHR表达水平。使用增殖、透明质酸积累和迁移试验分析OF的激活情况。RNA测序用于检测IGF1处理的TED OFs全转录组范围的变化。经过基因集富集分析后,通过定量聚合酶链反应验证选定的基因表达变化。用AHR配体6-甲酰基吲哚并[3,2-b]咔唑(FICZ)或他扎罗汀处理OFs,同时添加或不添加IGF1。蛋白质印迹法评估受AHR和IGF1R信号通路影响的信号通路。与对照相比,TED OFs显示出IGF1R和AHR表达水平升高。与非TED OFs相比,IGF1显著增加了TED OFs中透明质酸的积累、增殖和迁移。IGF1R信号通路改变了TED OFs中数百个控制细胞迁移、增殖和代谢的基因的表达。这些基因包括(上调)、和(下调)。AHR激活阻断了通过IGF1R信号通路介导的增殖、迁移、透明质酸产生和基因表达。AHR通过降低GSK3β的磷酸化来抑制这些通路,GSK3β是IGF1R/β-连环蛋白介导信号的重要介质。AHR激活代表了一种通过抑制IGF1R信号通路来减轻TED进展的有前景的治疗策略。通过调节GSK3β介导的通路,AHR激活可能靶向除直接IGF1R抑制剂影响的通路之外的其他病理相关通路。这项研究为TED的病理生理学提供了新的见解,并为开发改善患者预后的治疗方法提供了一条潜在途径。