Simons P J, Delemarre F G, Drexhage H A
Department of Immunology, Erasmus University Rotterdam, The Netherlands.
Endocrinology. 1998 Jul;139(7):3148-56. doi: 10.1210/endo.139.7.6110.
An accumulation of antigen-presenting dendritic cells (DC) in the thyroid gland, followed by thyroid autoimmune reactivity, occurs in normal Wistar rats during iodine deficiency, and spontaneously in diabetic-prone Biobreeding rats. This intrathyroidal DC accumulation coincides with an enhanced growth rate and metabolism of the thyrocytes, suggesting that both phenomena are related. Because DC are known to regulate the hormone synthesis and growth in other endocrine systems (i.e. the pituitary, the ovary, and the testis), we tested the hypothesis that DC, known for their superb accessory cell function in T cell stimulation, act as regulators of thyrocyte proliferation (and hormone secretion). We investigated the effect of (Nycodenz density gradient) purified splenic DC from Wistar rats on the growth rate of and thyroid hormone secretion by Wistar thyroid follicles (collagenase dispersion) in culture. Various numbers of DC and follicles were cocultured during 24 h. The proliferative capacity of thyrocytes was measured by adding tritiated thymidine (3H-TdR) and bromodeoxyuridine, the hormone secretion into the culture fluid was measured by using a conventional T3 RIA. Furthermore, antibodies directed against interleukin-1beta (IL-1beta), IL-6, and tumor necrosis factor-alpha (TNF-alpha) were added to these cocultures to determine the role of these cytokines in a possible DC regulation of thyrocyte growth. Cocultures were also carried out in the presence of antimajor histocompatibility complex-class I (MHC I), anti-MHC II, antiintercellular adhesion molecule-1 (ICAM-1), and antilymphocyte function-associated antigen-1alpha (LFA-1alpha) antibodies to possibly interfere with DC-thyrocyte interactions. The addition of DC to thyroid follicles clearly inhibited their 3H-TdR uptake, particularly at a 10:1 ratio, in comparison to follicle cultures alone, both under basal conditions and after TSH stimulation (75 +/- 7% and 49 +/- 11% reduction, respectively, n = 4). The follicle T3 secretion (after TSH stimulation) was also suppressed by DC in this system, but to a lesser extent (at best at an 1:1 ratio, 25 +/- 7% reduction, n = 4). The DC-induced inhibition of thyroid follicle growth was totally abrogated after addition of anti-IL-1beta antibodies; anti-IL-6 only had effect on the DC inhibition of non-TSH-stimulated thyrocytes, whereas anti-TNF-alpha demonstrated no effect at all. The antibodies to MHC and to adhesion molecules had also no effect on this DC-induced growth inhibition. The effect of the different anti-cytokine and anti-adhesion antibodies on the T3 secretion from thyroid follicles was not investigated. The clear inhibition of thyrocyte growth by splenic DC (classical antigen-presenting cells) again demonstrates the regulatory role of DC in endocrine systems. Proinflammatory cytokines such as IL-1beta and IL-6 are important mediators in this regulation. The here shown dual role of DC represents a link between the immune and endocrine system, which may form the gateway to the understanding of the initiation of thyroid autoimmune reactions and the thyroid autoimmune phenomena seen in iodine deficiency.
在碘缺乏的正常Wistar大鼠中,甲状腺内会出现抗原呈递树突状细胞(DC)的积聚,随后出现甲状腺自身免疫反应;而在易患糖尿病的BioBreeding大鼠中则会自发出现这种情况。这种甲状腺内DC的积聚与甲状腺细胞的生长速率加快和代谢增强相吻合,表明这两种现象是相关的。由于已知DC可调节其他内分泌系统(即垂体、卵巢和睾丸)中的激素合成和生长,我们检验了这样一个假设:以在T细胞刺激中具有出色辅助细胞功能而闻名的DC,可作为甲状腺细胞增殖(和激素分泌)的调节因子。我们研究了从Wistar大鼠中(通过Nycodenz密度梯度法)纯化的脾DC对培养的Wistar甲状腺滤泡(胶原酶分散法)生长速率和甲状腺激素分泌的影响。在24小时内将不同数量的DC和滤泡共培养。通过添加氚标记的胸腺嘧啶核苷(3H-TdR)和溴脱氧尿苷来测量甲状腺细胞的增殖能力,通过使用传统的T3放射免疫分析法来测量培养液中的激素分泌。此外,将针对白细胞介素-1β(IL-1β)、IL-6和肿瘤坏死因子-α(TNF-α)的抗体添加到这些共培养物中,以确定这些细胞因子在DC对甲状腺细胞生长的可能调节中的作用。还在抗主要组织相容性复合体I类(MHC I)、抗MHC II、抗细胞间黏附分子-1(ICAM-1)和抗淋巴细胞功能相关抗原-1α(LFA-1α)抗体存在的情况下进行共培养,以可能干扰DC与甲状腺细胞的相互作用。与单独的滤泡培养相比,向甲状腺滤泡中添加DC明显抑制了它们对3H-TdR的摄取,特别是在10:1的比例下,无论是在基础条件下还是在促甲状腺激素(TSH)刺激后(分别降低75±7%和49±11%,n = 4)。在该系统中,DC也抑制了滤泡的T3分泌(TSH刺激后),但程度较小(最多在1:1的比例下降低25±7%,n = 4)。添加抗IL-1β抗体后,DC诱导的甲状腺滤泡生长抑制完全被消除;抗IL-6仅对DC对非TSH刺激的甲状腺细胞的抑制有作用,而抗TNF-α则完全没有作用。针对MHC和黏附分子的抗体对这种DC诱导的生长抑制也没有作用。未研究不同抗细胞因子和抗黏附抗体对甲状腺滤泡T3分泌的影响。脾DC(经典的抗原呈递细胞)对甲状腺细胞生长的明显抑制再次证明了DC在内分泌系统中的调节作用。促炎细胞因子如IL-1β和IL-6是这种调节中的重要介质。这里所示的DC的双重作用代表了免疫和内分泌系统之间的联系,这可能是理解甲状腺自身免疫反应的起始以及碘缺乏时出现的甲状腺自身免疫现象的关键。