Increased Major Histocompatibility Complex (MHC) Expression in Nontoxic Goiters Is Associated with Iodide Depletion, Enhanced Ability of the Follicular Thyroglobulin to Increase MHC Gene Expression, and Thyroid Autoantibodies

Frank Schuppert, Dieter Ehrenthal, Andrea Frilling, Koichi Suzuki, Giorgio Napolitano, Leonard D. Kohn
2000 Journal of Clinical Endocrinology and Metabolism  
Recent studies suggest that thyroglobulin (TG) accumulated in the follicular lumen of colloid nodular goiters can increase major histocompatibility complex (MHC) class I gene expression in FRTL-5 thyrocytes. Iodide deficiency, also present in these patients, was separately suggested to enhance thyroidal MHC class I and class II gene expression in vivo and in vitro. To test the clinical relevance of these observations, we examined 41 nontoxic goiters surgically removed from patients who had
more » ... tients who had compression problems. Northern analysis revealed that there was a mean 3.9-fold increase in MHC class I expression and a 8.3-fold increase in class II expression by comparison to 9 normal glands. In situ hybridization showed that thyrocytes were the main source of class I and class II transcripts; histological examination revealed that lymphocytic infiltration was minimal to nonexistent. The iodine content of the 41 nontoxic goiters was significantly lower than in normal glands, consistent with increased MHC
doi:10.1210/jcem.85.2.6394 pmid:10690902 fatcat:vzub4mldtbe2jpv2rc5pt4pmru