PMID- 22090273 OWN - NLM STAT- MEDLINE DCOM- 20120409 LR - 20120207 IS - 1945-7197 (Electronic) IS - 0021-972X (Linking) VI - 97 IP - 2 DP - 2012 Feb TI - Overexpression of metallothionein I/II: a new feature of thyroid follicular cells in Graves' disease. PG - 446-54 LID - 10.1210/jc.2011-1429 [doi] AB - CONTEXT: One salient feature of autoimmune thyroid disease is the inappropriate expression of human leukocyte antigen (HLA) class II molecules by thyroid follicular cells. Metallothioneins (MT) are small proteins induced by tissue stress that can contribute to restoring homeostasis of tissue inflammation and have been found to be increased in a transcriptomic analysis of Graves' disease (GD) glands. METHODOLOGY: To assess the role of MT in the pathogenesis of GD, we analyzed MT-I and -II expression and distribution in GD-affected thyroid glands (n = 14) compared with other thyroid diseases (n = 20) and normal thyroid glands (n = 5). Two-color indirect immunofluorescence and semiquantitative morphometry were applied. The relationship between MT and HLA class II expression was analyzed by their degree of colocalization in GD sections, and in vitro induction kinetics and expression of these molecules on the HT93 thyroid cell line were compared by quantitative RT-PCR and flow cytometry using interferon-gamma and zinc as stimuli. RESULTS: MT were clearly overexpressed in nine of 14 GD glands. MT expression distribution in GD was almost reciprocal to that of HLA class II. In vitro analysis of MT and HLA class II demonstrated that MT is induced more slowly and at a lower level than HLA. Moreover, the main MT inducer, zinc, reduces interferon-gamma-induced class II expression. CONCLUSIONS: These findings show that MT and HLA class II play very different roles in the autoimmune process by affecting the thyroid gland, thereby pointing to the possible role of MT as a marker of cell stress and homeostasis restoration in GD. FAU - Ruiz-Riol, M AU - Ruiz-Riol M AD - Laboratory of Immunobiology for Research and Applications to Diagnosis, Universitat Autonoma de Barcelona, 08916 Badalona, Spain. FAU - Martinez-Arconada, M J AU - Martinez-Arconada MJ FAU - Alonso, N AU - Alonso N FAU - Soldevila, B AU - Soldevila B FAU - Marchena, D AU - Marchena D FAU - Armengol, M P AU - Armengol MP FAU - Sanmarti, A AU - Sanmarti A FAU - Pujol-Borrell, R AU - Pujol-Borrell R FAU - Martinez-Caceres, E M AU - Martinez-Caceres EM LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20111116 PL - United States TA - J Clin Endocrinol Metab JT - The Journal of clinical endocrinology and metabolism JID - 0375362 RN - 9038-94-2 (Metallothionein) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Cells, Cultured MH - Cohort Studies MH - Female MH - Gene Expression Regulation MH - Graves Disease/*genetics/metabolism/pathology MH - Humans MH - Male MH - Metallothionein/*genetics/metabolism MH - Middle Aged MH - Stress, Physiological/genetics/physiology MH - Thyroid Gland/*metabolism/pathology MH - Up-Regulation/genetics MH - Young Adult EDAT- 2011/11/18 06:00 MHDA- 2012/04/10 06:00 CRDT- 2011/11/18 06:00 PHST- 2011/11/18 06:00 [entrez] PHST- 2011/11/18 06:00 [pubmed] PHST- 2012/04/10 06:00 [medline] AID - jc.2011-1429 [pii] AID - 10.1210/jc.2011-1429 [doi] PST - ppublish SO - J Clin Endocrinol Metab. 2012 Feb;97(2):446-54. doi: 10.1210/jc.2011-1429. Epub 2011 Nov 16.