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Endocrinology Vol. 138, No. 11 5019-5027
Copyright © 1997 by The Endocrine Society


ARTICLES

Fas (APO-1, CD95)-Mediated Apoptosis in Thyroid Cells Is Regulated by a Labile Protein Inhibitor1

Patricia L. Arscott, Jill Knapp, Michal Rymaszewski, Jeffrey L. Bartron, James D. Bretz, Norman W. T hompson and James R. Baker, Jr.

Departments of Medicine (P.L.A., J.K., M.R., J.L.B., J.D.B., J.R.B.) and Surgery (N.W.T.), University of Michigan Medical School, Ann Arbor, Michigan 48109-0666

Address all correspondence and requests for reprints to: James R. Baker, Jr., University of Michigan Medical School, 1520 MSRB I, Ann Arbor, Michigan 48109-0666.


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
To determine whether thyroid cell apoptosis observed in autoimmune thyroid disease could be related to activation of the Fas pathway, we examined the expression and function of Fas on thyroid follicular cells in vitro. Fas messenger RNA was found to be present using two different techniques and was expressed at equal levels in thyrocytes cultured either in the presence or absence of TSH. Fas antigen protein expression was demonstrated by Western blot of thyroid cell lysates and by immunohistochemical staining of thyrocytes, and the amount of Fas protein present did not appear to vary regardless of culture conditions. Despite expressing substantial amounts of Fas protein, thyrocytes treated with anti-Fas monoclonal antibody failed to undergo apoptosis. The addition of either interferon-{gamma} or interleukin-1ß to the anti-Fas-treated cell cultures also did not promote apoptotic signaling through this pathway. In contrast, the concomitant administration of cycloheximide allowed the induction of apoptosis through the activation of Fas in thyrocytes. These results suggest that Fas is constitutively expressed in thyrocytes, but that the induction of apoptosis through the Fas pathway is blocked by a labile protein inhibitor.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
APOPTOSIS, or programmed cell death, is an important process in maintaining tissue homeostasis, controlling abnormal cell growth, and the regulation of the immune system (1, 2). Apoptosis is a form of cell death distinct from necrosis in that it is an orderly course of events that results from specific triggers and has characteristic morphological changes including nuclear condensation, membrane blebbing, and DNA fragmentation (1, 3). In the thyroid, apoptosis is suspected of being involved in the regulation of normal glandular size and also appears to be one of the major modes of thyrocyte death in autoimmune thyroid disease (4, 5). In Hashimoto’s thyroiditis, the accumulation of thyroid reactive lymphocytes results in the destruction of the thyroid, and immunohistological staining of thyroid tissue indicates that one mechanism for thyrocyte death is apoptosis (4, 5). In contrast, Graves’ disease is caused by autoantibodies that stimulate thyroid growth, and in this disorder there is evidence of reduced cell death among thyrocytes (5). Defining which pathways are involved in the induction of apoptosis in the thyroid is important because clinical interventions to prevent either premature thyrocyte death or inappropriately increased thyroid cell numbers would require targeting specific pathways.

Currently, the mechanisms by which thyroid cells undergo apoptosis in thyroiditis are not well defined. One potential pathway involves activation of Fas antigen on thyroid cells by Fas ligand present on lymphocytes. Fas antigen is a type I membrane protein and a member of the nerve growth factor/tumor necrosis factor receptor family (6, 7). It is found constitutively expressed on lymphocytes and has been detected on some cells of nonhematopoeitic origin (7, 8). Activation of Fas antigen by Fas ligand initiates intracellular signals that result in the death of the cell through activation of caspases (7, 9). Regulation or modulation of this pathway can occur at multiple levels throughout the pathway including changes in the level of the expression of Fas antigen or its ligand (7, 8, 10, 11), the regulation of components of intracellular signaling (12, 13, 14, 15), and the expression of proteins that promote cell survival such as members of the Bcl-2 gene family (2, 14, 15, 16). It is possible that this system plays a role in the pathogenesis of thyroiditis, because CD8 lymphocytes are abundantly present in the thyroid in areas where apoptosis is observed, and the Fas pathway is a major mechanism of CD8-mediated cytotoxicity (7, 17). However, two recent reports have presented differing conclusions as to the expression and regulation of Fas and the induction of apoptosis on thyroid cells. One report indicated that Fas antigen is constitutively expressed on thyroid cells and is down-regulated by the addition of TSH (18). These studies also suggested that thyroid Fas antigen does not function to induce apoptosis unless the cells are exposed to interferon-{gamma} (IFN-{gamma}). However, this report only used a single technique to examine the cell surface expression of Fas protein (flow cytometry) and did not examine the expression of Fas messenger RNA (mRNA). Another recent publication suggested that Fas antigen was not constitutively expressed on thyroid cells, but that its expression was induced by interleukin-1ß (IL-1ß) leading to autologous apoptosis by thyrocyte expressed Fas ligand (19). However, these investigators did not use a cell death assay specific for apoptosis (rather than necrosis) and looked only at Fas protein expression. In addition, the acute and massive apoptosis that would be expected from autologous Fas activation is not observed in thyroiditis.

To determine whether thyroid cell apoptosis can be related to activation of the Fas pathway, we examined the expression and function of Fas antigen on thyroid follicular cells. We used two different techniques (immunohistochemical staining and western blotting) to examine Fas antigen protein expression, and two techniques (ribonuclease protection and RT-PCR) to examine and quantify mRNA for Fas antigen. We also employed techniques specific for apoptotic cell death (detection of fragmented DNA) and quantitative cell viability [3-(4, 5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT) conversion] to determine thyroid cell susceptibility to apoptosis from Fas activation, and the role of the inflammatory cytokines IL-1ß and IFN-{gamma} in modulating this process.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cells and cell lines
Thyroid tissue was obtained from four patients at thyroidectomy. Pathological diagnosis of these specimens included tissue from a Graves’ disease patient, two specimens from tissue surrounding either follicular or papillary carcinomas, and multinodular goiter (MNG) tissue. Tissue was obtained from the contralateral lobes in thyroids with tumors, and from affected tissue in the Graves’ and MNG cases. The Graves’ patient was male and had received antithyroid drug therapy before surgery. The three other patients were female and had received no treatment before surgery. The BJAB human lymphoma cell line (Deutsche Sammlung von Mikroorganismen und Zellkulturen, Braunschweig, Germany) was maintained in RPMI-1640 supplemented with 2 mM L-glutamine, 100 U penicillin, and 100 µg/ml streptomycin (all from GIBCO-BRL, Grand Island, NY) with 10% heat-inactivated FBS (Hyclone Laboratories, Logan, UT).

Thyroid cell culture
Thyroid tissue was digested overnight with 40 mg collagenase, 4 mg hyaluronidase, and 4 mg DNase I (all from Sigma Chemical Co., St. Louis, MO) in 40 ml RPMI-1640 (GIBCO-BRL). Red blood cells were lysed with ammonium chloride lysis buffer (0.15 M NH4Cl, 10 mM KPO4, and 1 mM EDTA, pH 7.3), and cells were cultured in RPMI-1640 with 20% NuSerum IV (Collaborative Biomedical Products, Bedford, MA) at 37 C in 5% CO2. After 24 h, nonadherent cells were removed by washing with RPMI. Adherent cells were weaned over 5 days from 20% NuSerum/RPMI to Cellgro media (Mediatech, Herndon, VA) either with or without supplementation of 10 mIU/ml bovine TSH every 1–2 days (Sigma Chemical). To assure that lymphocytes were not present in samples analyzed for RNA, cell cultures were washed daily with removal of the nonadherent cells and supernatant.

RT-PCR
RNA was isolated from cells using TRI Reagent (Molecular Research Center, Cincinnati, OH). RT was performed on 2–4 µg total RNA by first annealing with 100 ng oligo(dT)18 for 10 min at 70 C. The reaction was then brought to a final volume of 20 µl with 0.5 mM deoxynucleotide triphosphate, 32 U RNase inhibitor, 10 mM dithiothreitol, and 200 U SuperScript II reverse transcriptase in 1x RT buffer (all from Boehringer Mannheim Corp., Indianapolis, IN). A parallel reaction without reverse transcriptase was included as a negative control. Incubation at 42 C for 1 h was followed by 10 min at 94 C, after which the samples were kept at 4 C. PCR was carried out using 1/20 (1 µl) of the RT reaction as a template cDNA with sequence-specific primers for Fas, thyroglobulin (Tg), thyroid peroxidase (TPO), or ß-actin. Each 20-µl reaction contained 0.2 mM deoxynucleotide triphosphate, 1x AmpliTaq PCR buffer (Perkin Elmer Corp., Foster City, CA) containing 1.5 mM MgCl2, 40 ng each specific forward and reverse primer (listed below), and 0.5 U AmpliTaq DNA polymerase (Perkin Elmer). PCR was performed on a GeneAmp 2400 (Perkin Elmer) for 30 cycles of 94 C for 30 sec, 60 C for 30 sec, and 72 C for 45 sec, followed by a single incubation at 72 C for 7 min then 4 C. One half of each PCR reaction was evaluated for size and relative quantity of product by loading onto a 1.5% agarose gel. Amplified products were visualized by staining with ethidium bromide.

Primers (complementary nucleotides):

Fas (710–1019) forward-TAACTTGGGGTGGCTTTGTCT reverse-AACTTTCTGTTCTGCTGTGTCTTG

Tg (104–866) forward-CTTCGAGTACCAGGTTGATGCC reverse-GGTGGTTTCAGTGAAGGTGGAA

TPO (1512–2105) forward-TGTGTCCAACGTGTTCTCCACAG reverse-AAGACGTGGCTGTTCTCCCAC

ß-actin (258–657) forward-CACGGCATTGTAACCAACTG reverse-TCTCAGCTGTGGTGGTGAAG

Ribonuclease protection assay.
RiboQuant MultiProbe RNase Protection Assay System (Pharmingen, San Diego, CA) was used for the detection and quantitation of specific mRNA species. The following 32P-labeled antisense RNA probes were prepared using the Human Apoptosis hAPO-3 Template Set (Pharmingen), which included human Fas and human glyceraldehyde 3-phosphate dehydrogenase (GAPDH). The probes were hybridized with 10 µg total RNA (from treated thyrocytes), 10 µg poly A+ RNA from a human B-cell lymphoma cell line (BJAB, positive control for Fas message), 2 µg HeLa RNA (assay positive control), and 2 µg yeast transfer RNA (background control). After hybridization, the samples were subjected to RNase treatment followed by purification of RNase-protected probes. The protected probes were resolved on a 5% denaturing polyacrylamide gel. The quantity of specific transcripts present was analyzed by autoradiography and quantified using a 445 SI PhosphorImager (Molecular Dynamics, Sunnyvale, CA). Relative amounts of Fas message were corrected for RNA loading by comparing with the GAPDH band intensity for each sample.

Protein isolation and Western blot
Cellular proteins were isolated from TRI Reagent lysates of thyrocytes treated with or without TSH. After removal of the RNA fraction, proteins were precipitated from the phenol-ethanol supernatant, washed, and solubilized in 1% SDS following the vendor’s protocol. Total protein concentration was determined using BCA Protein Assay Reagent (Pierce Chemicals, Rockford, IL). SDS-PAGE to separate proteins was performed using standard techniques. Fourteen micrograms of total protein were mixed with 2x sample buffer (4% SDS, 10% ß-mercaptoethanol, 20% glycerol in 0.125 M Tris, pH 6.8) containing bromophenol blue, boiled for 3 min, and then separated by electrophoresis through a 12.5% SDS-polyacrylamide gel. A portion of the gel was stained with Coomassie blue to detect total protein content, and duplicate lanes were electrophoretically transferred to nitrocellulose. The membrane was then blocked with 10% milk in PBS with 0.02% sodium azide (PBS-A) for 2 h at 27 C. Specific proteins were detected using polyclonal rabbit anti-Fas (C-20 or N-18, Santa Cruz Biotechnology, Santa Cruz, CA) at 1 µg/ml or a monoclonal mouse IgG anti-TPO (FKA-10, a gift from Dr. Leslie DeGroot, University of Chicago) at 1:500 dilution. Incubation of primary antibody (Ab) for 16 h at 4 C was followed by washes with PBS-A with 0.05% Tween-20 then incubation with alkaline phosphatase-conjugated Abs against rabbit IgG (Sigma Chemical) or against mouse IgG (Jackson ImmunoResearch Labs., West Grove, PA) for 1–2 h at 27 C. After washing, the blots were developed using a BCIP/NBT substrate (0.05 mg/ml 5-bromo-4-chloro-3-indolyl phosphate, 0.1 mg/ml nitro blue tetrazolium, 4 mM MgCl2, in 0.15 M Tris/0.1 M NaCl, pH 9.6). The Western blots and protein-stained gel were scanned into TIFF format files in Adobe Photoshop for Macintosh (Adobe Systems, Mountain View, CA) using a flatbed scanner. Relative band intensities were evaluated using IPLab Gel 2.0a (Signal Analytics Corp., Vienna, VA).

Immunostaining
Thyroid cells were grown on Falcon chamber slides (Becton Dickinson, Franklin Lanes, NJ) or on glass coverslips. For immunostaining, slides were washed twice with PBS then fixed with methanol for 5 min at 4 C and briefly air dried and placed into PBS and blocked with 5% normal goat serum. Slides were incubated with 1.0 µg/ml affinity-purified rabbit anti-Fas (C-20 or N-18, Santa Cruz Biotechnology), rabbit antithyroglobulin (Dako Corp., Carpinteria, CA), or ChromPure rabbit IgG (Jackson ImmunoResearch Labs.) in 1.5% normal goat serum in PBS for 18 h at 4 C. Mouse monoclonal Ab (mAb) to Fas, IgG1 clones UB2 and ZB4 (MBL International, Watertown, MA), and IgM clone CH11 (Upstate Biotechnology, Lake Placid, NY), and purified mouse IgG1 or mouse IgM (Sigma Chemical) as controls, were also used at 1.0 µg/ml. After washing with PBS, slides were incubated with biotinylated Abs specific for rabbit IgG, mouse IgG, or mouse IgM, followed by detection using an avidin-biotin complex detection kit with glucose oxidase substrate (Vectastain ABC-GO kit, Vector Labs., Burlingame, CA). Slides were briefly counterstained with eosin and mounted with permount (Fisher Scientific, Fair Lawn, NJ).

Induction of apoptosis
After weaning to Cellgro media, cultured thyrocytes received pretreatment with or without 500 IU/ml human IFN-{gamma} (Boehringer Mannheim) for 48 h and were grown with or without TSH supplementation. Cells were then treated for 24 h with 0.4–0.8 µg/ml mouse monoclonal IgM anti-Fas, (clone CH11, Upstate Biotechnology) or purified mouse IgM (Sigma Chemical) as a control. Some cells also received 10 µg/ml cycloheximide (CHX) (Sigma Chemical) with the IgM Abs. Staurosporine treatment at 2 µM was included for positive induction of apoptosis in thyrocytes (9, 16).

Detection of apoptosis
Apoptosis was evaluated by examination of morphological changes in the cells such as membrane blebbing and cells rounding up and becoming nonadherent. In addition, the ApopTag Plus in situ apoptosis detection kit (Oncor, Gaithersburg, MD) was used to detect fragmented DNA specific for apoptosis in thyrocytes grown on coverslips. Briefly, cells were fixed with 4% formalin, then endogenous peroxidase was quenched, and DNA was labeled with digoxigenin using terminal deoxynucleotidyl transferase. Subsequent incubation with peroxidase conjugated antidigoxigenin followed by staining with diaminobenzidene substrate resulted in brown stained apoptotic nuclei. Methyl green was used as a counterstain for unaffected nuclei. Cells that became nonadherent were collected, fixed, and dried onto slides then stained as described.

Quantitation of cell death
Measurement of cell death used the MTT assay (20). Cultured thyrocytes were plated in triplicate in 96-well plates at the same cell density of 5,000–10,000 cells/well in 100 µl. Cells were treated to induce apoptosis as described. Metabolically active cells were then detected by adding MTT to a final concentration of 0.5 mg/ml for 4 h at 37 C. Isopropanol with 0.04 N HCl was added (100 µl/well), and the wells were mixed to solubilize the purple-colored product. Optical densities were read using a Microplate Reader (model 450, Bio-Rad Labs., Hercules, CA) at 595 nm with 630 nm reference wavelength.

Statistic analysis
Mean and SD of results were calculated using StatView software (Abacus Concepts, Berkeley, CA) on a Power Macintosh Computer. Means were compared for differences by ANOVA with significance set at a 95% confidence level.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Fas antigen mRNA detection
The presence of message for Fas antigen was demonstrated in thyrocytes isolated from normal tissue from two thyroids having localized carcinoma and from a Graves’ disease thyroid. RT-PCR amplification of Fas, TPO, Tg (data not shown), and ß-actin sequences yielded strong bands on ethidium bromide-stained gels (Fig. 1Go). The presence of message for TPO and Tg served as controls for the thyroid origin of this RNA. ß-actin message was amplified equivalently for each sample, indicating that approximately equal amounts of RNA were present. No specific bands for Fas, Tg, TPO, or ß-actin were amplified from duplicate samples that were not reverse transcribed.



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Figure 1. PCR of reverse transcribed (+ lanes) RNA from normal thyrocytes cultured either in presence (samples 1 and 3) or absence (samples 2 and 4) of TSH. Amplified messages were specific for Fas antigen (309 bp), TPO (593 bp), and ß-actin (399 bp). Parallel reactions with RNA samples that were not reverse transcribed (- lanes) were included for each of primer sets.

 
Fas message was present in cells when cultured either in the absence or presence of TSH as demonstrated by equivalent levels of amplified product. TPO expression was dependent on the presence of TSH with lower levels of TPO product amplified from thyrocytes deprived of TSH (Fig. 1Go).

Quantitative analysis of Fas message was performed using a ribonuclease protection assay system (RiboQuant, Pharmingen), with RNA concentrations in the analyzed samples corrected based on the amount of GAPDH transcript detected. The levels of Fas transcript were equivalent between the samples (0.26 ± 0.04 U) regardless of TSH treatment (Fig. 2Go). IFN-{gamma} pretreatment also did not appear to substantially alter the amount of Fas mRNA isolated from thyrocytes as determined by RT-PCR. The ribonuclease protection assay confirmed this as it measured less than twice as much Fas mRNA in IFN-{gamma}-treated cells compared with untreated cells (0.27 U with IFN-{gamma} vs. 0.19 U without IFN-{gamma}).



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Figure 2. Nuclease protection assay analysis of 10 µg RNA from normal thyrocytes treated with TSH (samples 1 and 3) or without TSH (samples 2 and 4). Message for Fas yielded a 316-bp band and message for GAPDH yielded a 96-bp band that was used as a control to standardize RNA concentrations. RNA from BJAB cells (+) was included as a positive control for Fas message.

 
Fas protein detection in thyrocytes
Fas antigen was detected in thyrocyte lysates by Western blot using a rabbit polyclonal Ab against the carboxyl terminus of Fas antigen (C-20) (Fig. 3Go). The detected band at 46 kDa corresponds to the published molecular weight of human Fas antigen of 43–48 kDa (6) and corresponded to a similar sized band in BJAB cell extracts (data not shown).



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Figure 3. Western blot (left) detection of Fas antigen (Mr 46 kDa) and TPO (Mr 110 kDa) in lysates from normal thyrocytes cultured with TSH (samples 1 and 3) or without TSH (samples 2 and 4). Relative protein content was determined by staining duplicate lanes with Coomassie blue (right). Densitometric analysis revealed no significant differences between TSH-positive and TSH-negative lanes.

 
Fas was present in thyrocytes in approximately equal amounts regardless of exposure to TSH (145 ± 32 U in TSH-treated cells and 129 ± 6 U in cells cultured without TSH; not significant). Coomassie blue staining of duplicate lanes demonstrated that equivalent amounts of total protein were loaded into each lane (Fig. 3Go). The FKA-10 mAb specific for TPO detected a band corresponding to TPO only in TSH-treated cultures (lanes 1 and 3), but not in cells deprived of TSH (lanes 2 and 4). This indicated that treatment with TSH had effectively induced TSH-specific promoter elements but had not altered the levels of Fas protein. Normal and MNG thyrocytes demonstrated no significant increase in Fas protein expression as a result of IFN-{gamma} pretreatment of thyrocytes as detected by Western blot (data not shown).

Fas protein was demonstrated on thyrocytes in vitro by immunohistochemical staining using rabbit polyclonal Abs to Fas antigen and Tg (Fig. 4Go). Similar patterns and intensity of staining were observed in all four patients examined. Diffuse staining with rabbit anti-Fas Ab was observed in the majority of cells, although the intensity varied. Rabbit polyclonal Abs to both the amino terminus (N-18) and to the carboxyl terminus (C-20) of Fas produced identical staining results (data not shown). Three mouse mAbs against Fas, clones UB2 and ZB4, and clone CH11, were also used to confirm Fas expression. These Abs positively stained thyrocytes in comparison with mouse control mAbs of the same isotypes. The pattern of staining with the mouse mAbs was similar to but less intense than that seen with the rabbit anti-Fas Abs (not shown). Intense anti-Tg staining was evident in the cytoplasm of nearly all of the cells and served as a positive control, indicating that the cells were indeed thyrocytes. Control rabbit Ab produced no background staining of the thyrocytes. The expression of Fas antigen was equivalent on cells grown with (Fig. 4Go, upper left) or without TSH (Fig. 4Go, upper right), whereas decreased intensity of staining for Tg in cells grown without TSH (Fig. 4Go, lower right) compared with cells grown in the presence of TSH (Fig. 4Go, lower left) verified the depletion of TSH in these cultures. Staining for Fas on thyrocytes from a MNG patient after treatment with IFN-{gamma} did not demonstrate any changes in the amount of Fas (data not shown).



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Figure 4. Immunostaining of thyrocytes isolated from a Graves’ disease thyroid and cultured in presence of TSH (TSH+) or in absence of TSH (TSH-). Abs against Fas or Tg or control Ab produced staining that was blue/purple compared with a pink eosin counterstain.

 
Activation of the Fas pathway by Ab cross-linking
Thyrocytes cultured from two normal thyroids and a MNG gland were examined for an apoptotic response via the Fas pathway. Thyrocytes were treated with either a mouse IgM anti-Fas mAb (clone CH11) to induce apoptosis or a control mouse IgM Ab. Apoptosis was not detected by either visual determination of morphological changes nor by staining for DNA fragmentation with ApopTag in any of the cells treated with Ab alone. These thyrocytes remained adherent, and only a few background apoptotic nuclei were present (staining was similar to Fig. 5Go, A and B). Treatment with staurosporine, which activates apoptosis through caspases directly, was used as a positive control and induced massive apoptosis in all the thyrocyte cultures. All of these cells became nonadherent and rounded with fragmented DNA detected in nearly all nuclei (Fig. 5CGo).



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Figure 5. ApopTag detection of apoptosis in thyrocytes from normal thyroid tissue. Thyrocytes treated with only IFN-{gamma} and anti-Fas mAb without CHX (A) or with IFN-{gamma}, CHX, and control IgM Ab combined (B) showed background levels of apoptosis. Thyrocytes treated with staurosporine (C) or with IFN-{gamma}, CHX, and anti-Fas mAb (clone CH11) combined (D) demonstrated similar positive apoptosis.

 
To determine whether a labile protein inhibitor was preventing the induction of apoptosis by anti-Fas mAb, thyrocytes were treated with CHX, an inhibitor of protein translation. Only in the presence of CHX did anti-Fas mAb induce morphologically identifiable apoptosis, and pretreatment with IFN-{gamma} augmented the induction of apoptosis by anti-Fas and CHX (Fig. 5DGo) to the point that the percent of nuclei with fragmented DNA was similar to thyrocytes treated with staurosporine. In contrast, thyrocytes treated with only IFN-{gamma} in combination with anti-Fas inducing mAb (Fig. 5AGo) or treated with control IgM Ab with CHX and IFN-{gamma} (Fig. 5BGo) failed to induce apoptosis. Control treatment with CHX alone or in combination with IFN-{gamma} similarly did not induce apoptosis (similar to Fig. 5Go, A and B). To determine whether TSH treatment altered susceptibility to the induction of apoptosis through the Fas pathway, thyrocytes were deprived of TSH and showed no difference from those cultured with TSH in their response to anti-Fas mAb (data not shown). Treatment with CHX was still required to induce apoptosis in the TSH-deprived thyrocytes, and IFN-{gamma} alone did not generate susceptibility to the induction of apoptosis in these cells.

Quantitation of apoptosis induced through the Fas pathway
The Fas-mediated induction of cell death in thyrocytes was also measured using the MTT assay to detect metabolically active cells. Treatment of thyrocytes with anti-Fas mAb failed to show significant cell death compared with control IgM Ab-treated cells (Fig. 6Go). The addition of CHX resulted in approximately 60% cell death in anti-Fas mAb-treated thyrocytes compared with CHX plus control IgM Ab-treated thyrocytes (P < 0.01) (Fig. 6Go). The presence of CHX did not affect cell viability in control IgM-treated cells, and comparisons were made between similarly treated cells receiving either anti-Fas mAb or control IgM Ab. The presence or absence of TSH again did not alter the response of thyrocytes to treatment with inducing Ab alone or to combined treatment with CHX and Ab (Fig. 6Go).



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Figure 6. MTT determination of thyrocyte viability after treatment to induce cell death. Thyrocytes were cultured either with TSH or in absence of TSH. Cells were treated with anti-Fas mAb (clone CH11) (solid bars) or control IgM Ab (gray bars) either alone or with addition of CHX during Ab treatment. Average OD values and SD from three wells are shown for MNG-derived thyrocytes and are also representative of thyrocytes isolated from normal thyroid tissue. *, P < 0.01 vs. CHX + control IgM.

 
Pretreatment of thyrocytes with either IFN-{gamma} or IL-1ß before induction with anti-Fas mAb alone failed to promote death. However, when either cytokine was added before CHX plus anti-Fas mAb treatment, overall cell death increased to greater than 90% of treated cells compared with similarly treated cultures using control Ab (P < 0.0001 for either IFN-{gamma} and IL-1ß vs. control value) (Fig. 7Go) and was equivalent to the quantitative cell death observed with staurosporine treatment (data not shown). This pattern of apoptotic response to anti-Fas, CHX, and inflammatory cytokines was consistent for thyrocytes from the three different donors (data not shown).



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Figure 7. Effects of cytokines on induction of death in thyrocytes from MNG tissue. Thyrocytes were pretreated with IFN-{gamma} or IL-1ß before induction with anti-Fas mAb (clone CH11) (solid bars) or control IgM Ab (gray bars) and in presence or absence of CHX. Average OD values and SD from three wells are shown for MNG-derived thyrocytes. *, P < 0.0001 vs. either IFN-{gamma} or IL-1ß + CHX treated control IgM; #, P < 0.001 vs. IFN-g + CHX-treated control IgM. Similar results were obtained with IFN-{gamma} pretreatment of thyrocytes from two normal thyroids.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We have demonstrated that Fas mRNA and protein are expressed by normal thyrocytes and have indicated that the expression of this antigen was not significantly altered by the presence or absence of TSH or IFN-{gamma}. Fas was also present in thyrocytes obtained from patients with Graves’ disease and MNG. The expression of the thyroid-specific proteins thyroid peroxidase and thyroglobulin was regulated by TSH, as previously reported (21, 22, 23), and documented the efficacy of TSH treatment in these cells. Together, this suggests that Fas is normally present on thyroid cells, and that the expression of Fas antigen is not altered by TSH.

Despite the presence of Fas antigen on thyroid cells, apoptosis of thyrocytes was not induced by the CH11 anti-Fas mAb that cross-links Fas and activates apoptosis through this pathway (24). CHX, an inhibitor of protein translation, has been used to increase the sensitivity of cells to induction of apoptosis by the Fas pathway by selectively reducing the relative concentrations of labile protein inhibitors (25, 26). This agent was able to restore anti-Fas mAb susceptibility in thyrocytes, in a manner similar to that observed in other cell types in which the Fas pathway is blocked by inhibitors (26). Given that Fas appears to be constitutively expressed on most cells, it appears that the major regulation of apoptosis in this pathway is distal to the receptor. Supporting this concept, Fas-mediated apoptosis is specifically blocked in lymphocytes and thymocytes despite the expression of Fas (27, 28). In addition, viral protein inhibitors that compete with the Fas-associating protein with death domain (FADD) and specifically block apoptosis have recently been described (29). Thus, it appears that the type of inhibition observed in thyroid cells is also observed in other cells and circumstances.

In contrast to previous reports (18, 19) our studies show pretreatment with either IFN-{gamma} or IL-1ß did not significantly alter the expression of either Fas message or protein, and did not enhance sensitivity to Fas-induced cell death in the absence of CHX. This suggests that that the rate-limiting step in apoptosis is likely to be a labile inhibitor that blocks signal transduction and not the cytokine-induced expression of Fas. Because staurosporine, which activates apoptosis directly through caspase activation (9), induced apoptosis in the absence of CHX, it is likely that the inhibitor is operative in the Fas-specific signaling that occurs before the common pathway. Therefore, the inhibitor in thyroid cells most likely operates after Fas receptor engagement but before the activation of caspases.

Exposure to TSH results in thyroid hyperplasia in vivo (30). This is thought to occur primarily through the proliferation of thyrocytes (reviewed in Ref.31). However, as a growth factor for thyrocytes, TSH also may be expected to decrease the sensitivity of thyrocytes to the induction of apoptosis. In this study, exposure to TSH did not alter the sensitivity of thyrocytes to Fas-induced apoptosis in vitro. These results suggest that the primary mechanism of TSH in promoting the growth of the thyroid is through proliferation, but does not rule out possible suppression of apoptotic pathways other than Fas.

Several recent studies have examined the expression of Fas on thyrocytes. In agreement with our findings, two studies have documented that Fas is constitutively expressed on both normal thyroid tissue (tissue adjacent to thyroid tumors) and on thyrocytes from Graves’ disease patients (5, 18). These studies present somewhat conflicting results in that the histology in Tanimoto et al.’s study (5) indicated that hyperplastic thyroid tissue from Graves’ glands had increased expression of Fas, whereas Kawakami et al. (18) indicated that TSH treatment of thyrocytes in vitro inhibited the expression of Fas antigen. Our results are in concordance with Tanimoto et al.’s immunohistochemical analysis (5), and a careful analysis of the flow cytometric technique used by Kawakami et al. (18) showed only very small differences in Fas expression (2-fold decreases) in vitro due to TSH that are likely to be without functional significance. Another group (19) recently reported that Fas protein was not present in normal thyroid tissue, and indicated that Fas protein expression was induced by IL-1ß. This study used only a single Ab technique to detect Fas antigen and did not examine the expression of Fas mRNA. In light of this, we used two different techniques and several different Abs to identify Fas protein expression, and two different techniques to detect and quantify Fas antigen mRNA; all of these techniques confirmed the expression of Fas in the thyroid. Another potential difference between our work and Giordano et al.’s study (19) that may account for the lack of expression of Fas is that they employed nontoxic goiter tissue as their source of normal thyroid. We have not had the opportunity to examine thyrocytes from this particular disorder, and therefore cannot comment on whether the expression of Fas in these cells mimics our findings in nondiseased thyrocytes.

The studies of Kawakami et al. (18) and Giordano et al. (19), also suggest that thyrocytes need to be exposed to cytokines, such as IL-1ß or IFN-{gamma}, to allow the induction of apoptosis through the Fas pathway. In contrast, our studies indicate that Fas is normally expressed on thyrocytes, but that an inhibitor of the Fas pathway blocks apoptosis. Also, although these two cytokines independently could not overcome the inhibitor, each did appear to enhance apoptosis in the presence of CHX. A reason for this difference may be the assays used to detect cell death. The two other studies used propidium iodide staining and flow cytometry to detect cells with hypodiploid DNA content. This assay is nonspecific, because it does not differentiate between cells undergoing necrosis compared with apoptosis. It is possible that the cytokines had nonspecific toxic effects on the thyrocytes that caused necrotic death that was presumed to be apoptosis. In our experiments, treatment with CHX and anti-Fas induced apoptosis that was more complete than the results demonstrated by flow cytometry in the other two studies. This may suggest that the changes in DNA content these investigators observed were not entirely due to the induction of apoptosis in these cells. The presence of the inhibitor may also explain why the expression of Fas ligand on thyroid cells, as presented in this study, does not induce explosive autologous apoptosis.

Our results demonstrate the Fas death pathway is normally blocked by a protein inhibitor in thyrocytes and can be activated when the inhibitor is suppressed. The susceptibility of thyrocytes to Fas-mediated apoptosis may be a limiting factor for thyroid destruction in thyroiditis, because it could modulate lymphocyte cytotoxicity in vivo. An understanding of the expression and function of the inhibitor of the Fas pathway in thyroid cells may therefore provide insights into the factors involved in promoting thyroiditis-induced thyroid damage.


    Acknowledgments
 
We gratefully acknowledge Dr. Vishva Dixit for providing reagents and for discussions of cell death pathways. We also acknowledge Dr. Thomas Giordano for his assistance in diagnosis of surgical thyroid specimens.


    Footnotes
 
1 This work was supported by NIAID Grant RO1 AI37141 and a supplemental grant from the Office for Research in Women’s Health at NIH. Portions were presented in abstract form at the Annual Meeting of the American Thyroid Association, San Diego, California, November 1996, and at the Annual Meeting of the American Academy of Allergy Asthma and Immunology, San Francisco, California, February 1997. Back

Received June 2, 1997.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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