PMID- 7531718 OWN - NLM STAT- MEDLINE DCOM- 19950310 LR - 20061115 IS - 0021-972X (Print) IS - 0021-972X (Linking) VI - 80 IP - 2 DP - 1995 Feb TI - Human histocompatibility leukocyte antigen-DR and heat shock protein-70 expression in eye muscle tissue in thyroid-associated ophthalmopathy. PG - 685-91 AB - To investigate the expression and localization of human leukocyte antigen (HLA)-DR and heat shock protein-70 (HSP-70) in orbital tissue from patients with thyroid-associated ophthalmopathy (TAO), we carried out an immunohistochemical study using anti-HLA-DR and anti-HSP-70 monoclonal antibodies and a streptavidin-biotinperoxidase detection system. Eye muscle tissues were obtained at surgery from 38 patients with TAO and 8 control subjects. HLA-DR expression on eye muscle cells was demonstrated in orbital tissue from 2 of 3 untreated patients and 2 of 35 patients who had been treated with orbital irradiation or corticosteroids, in all of whom lymphocytic infiltration was also demonstrated. HLA-DR was not detected on eye muscle cells from 8 normal controls studied. HLA-DR was expressed on endothelial cells and interstitial cells from almost all patients with TAO and all 8 control subjects. HSP-70 was detected in eye muscle cells from 31 of the patients with TAO, including all 3 untreated patients, and 3 of the controls. Although the degree of HSP-70 expression did not correlate with the severity of the ophthalmopathy, significant expression of HSP-70 in eye muscle cells was more often demonstrated in patients with eye disease of short duration (83%) than in those with disease of longer duration (33%). These results support the notion that eye muscle fiber is an important target of the orbital autoimmune reactions that characterize TAO. FAU - Hiromatsu, Y AU - Hiromatsu Y AD - Department of Medicine, Kurume University School of Medicine, Japan. FAU - Tanaka, K AU - Tanaka K FAU - Ishisaka, N AU - Ishisaka N FAU - Kamachi, J AU - Kamachi J FAU - Kuroki, T AU - Kuroki T FAU - Hoshino, T AU - Hoshino T FAU - Inoue, Y AU - Inoue Y FAU - Wall, J R AU - Wall JR FAU - Nonaka, K AU - Nonaka K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Clin Endocrinol Metab JT - The Journal of clinical endocrinology and metabolism JID - 0375362 RN - 0 (HLA-DR Antigens) RN - 0 (HSP70 Heat-Shock Proteins) SB - IM MH - Adult MH - Aged MH - Eye Diseases/*etiology/*metabolism/therapy MH - Female MH - HLA-DR Antigens/*metabolism MH - HSP70 Heat-Shock Proteins/*metabolism MH - Humans MH - Immunohistochemistry MH - Male MH - Middle Aged MH - Oculomotor Muscles/*metabolism/pathology MH - Staining and Labeling MH - Thyroid Diseases/*complications EDAT- 1995/02/01 00:00 MHDA- 1995/02/01 00:01 CRDT- 1995/02/01 00:00 PHST- 1995/02/01 00:00 [pubmed] PHST- 1995/02/01 00:01 [medline] PHST- 1995/02/01 00:00 [entrez] AID - 10.1210/jcem.80.2.7531718 [doi] PST - ppublish SO - J Clin Endocrinol Metab. 1995 Feb;80(2):685-91. doi: 10.1210/jcem.80.2.7531718.