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Endocrinology Vol. 138, No. 5 2043-2048
Copyright © 1997 by The Endocrine Society


Articles

The Effects of Interleukin-1ß (IL-1ß) on Human Thyrocyte Functions Are Counteracted by the IL-1 Receptor Antagonist1

Åse K. Rasmussen2, Marcus Diamant, Mogens Blichert-Toft, Klaus Bendtzen and Ulla Feldt-Rasmussen

Medical Department P, Endocrine Division (A.K.R., U.F.-R.); the Institute for Inflammation Research, (M.D., K.B.); and the Department of Endocrine Surgery (M.B.-T.), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark

Address all correspondence and requests for reprints to: Å. Krogh Rasmussen, M.D., Medical Department P2131, Endocrine Division, Rigshospitalet, Blegdamsvej 9, DK-2100 Copenhagen Ø, Denmark.


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The cytokine interleukin-1ß (IL-1ß) is an important regulator of thyroid cell function. IL-1 receptors are present on normal thyrocytes, but the signaling pathway is not fully clarified. As the adenylate cyclase is presumably not activated, we have in the present study investigated whether the cGMP pathway was involved in the actions of IL-1ß, whether the effects of IL-1ß on cultured human thyrocytes were reversible, and whether the effects were counteracted by IL-1 receptor antagonist (IL-1ra), a naturally occurring, specific blocker of IL-1 receptors on many cells. TSH-stimulated cultured human thyroid cells exposed for 72 h to IL-1ß (0.0002–20 µg/liter = 1–105 IU/liter) exhibited a dose-dependent and reversible inhibition of thyroglobulin and cAMP release and a dose-dependent stimulation of cGMP and IL-6 release. These effects were counteracted by coincubation with 250 or 125 µg/liter, but not with 25 and 2.5 µg/liter, IL-1ra. IL-1ra by itself inhibited the release of cAMP, but did not modulate the release of thyroglobulin, cGMP, or IL-6 from the thyrocytes, and IL-1ra was not produced in the extracellular compartment. The nitric oxide generator, sodium nitroprusside, dose dependently generated a TSH-independent release of nitric oxide and cGMP from the thyrocytes. These results indicate that all of the studied effects of IL-1ß on cultured human thyrocytes were exerted through activation of the IL-1 receptor with a signaling pathway involving activation of cGMP and inhibition of cAMP.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
INTERLEUKIN-1 (IL-1) is an essential mediator of immunoinflammatory processes and is responsible for a number of disease symptoms during infections and inflammatory conditions. It has been repeatedly shown that IL-1ß inhibited differentiated thyroid functions in vitro (reviewed in Ref.1). We have previously demonstrated that IL-1ß induced a dose-dependent inhibition of human thyroid cell adenylate cyclase (cAMP) and thyroglobulin (Tg) release (3, 4, 5) and at the same time increased IL-6 release (6). Inhibition of the production or function of IL-1 and/or IL-6 is of potential interest in the management of immunoinflammatory disorders. Thus, modulation of the effects of IL-1 on thyrocytes may have potential therapeutic implications.

High affinity IL-1 receptors have been demonstrated on thyroid cells in (7, 8). However, it remains to be clarified whether all functions of IL-1ß on the thyrocytes are mediated through these receptors and through which secondary pathways. For example, IL-1ß induced the production of nitric oxide (NO) in human thyrocytes (9, 9a), but this appeared to be unrelated to previously described effects of IL-1ß on the cells (9). NO exerts many of its effects via activation of guanylate cyclase and an increase in cGMP.

The aims of the present study were, therefore, to determine whether the cGMP pathway was involved in the action of IL-1 on human thyroid cells, and whether the naturally occurring IL-1 receptor antagonist (IL-1ra) could block all IL-1ß-induced functional changes in cultured monolayers of human thyrocytes. We also investigated whether these IL-1ß-induced effects were reversible.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cytokines
Human recombinant IL-1ß (5 IU/ng) was provided by K. Hejnæs (Novo-Nordisk, Bagsvaerd, Denmark), and human recombinant tumor necrosis factor-{alpha} (TNF{alpha}; 40 IU/ng) was provided by Dr. G. R. Adolf (Ernst Boehringer Institute, Vienna, Austria). The biological activity of IL-1ß was confirmed by EL4 bioassay (10), and the activity of recombinant TNF{alpha} was confirmed by an L-M fibroblast cytotoxicity assay (11). The activities were calibrated by the use of international interim reference preparations (National Institute of Biological Standards and Controls, Potters Bar, UK). IL-1ra was provided by Daniel Tracey (Upjohn Co., Kalamazoo, MI). The cytokine preparations contained less than 0.2 fg endotoxin/ng cytokine, as measured by a chromogenic Limulus amebocyte lysate assay (Struers, Rodovre, Denmark).

Thyroid cell cultures
Human thyroid tissue specimens were obtained from paraadenomatous tissue from 10 patients undergoing thyroidectomies. Informed consent was obtained from all subjects. Secondary cell cultures in monolayers were prepared as previously described (12). The cells were cultured in Ham’s F-12 medium modified by Coon’s medium supplemented with six hormones and growth factors [bovine TSH, 1 U/liter (Rhone-Poulenc-Rorer, Armour, Collegeville, PA); human insulin, 10 mg/liter (Boehringer Mannheim, Mannheim, Germany); somatostatin, 10 µg/liter (Novabiochem, Laufelfingen, Switzerland); human transferrin, 6 mg/liter (Boehringer Mannheim); hydrocortisone, 10-8 M (Calbiochem, La Jolla, CA); and glycyl-histidyl-lysine acetate, 10 µg/liter (Calbiochem)] and in the presence of L-glutamine (2 mM; Biological Industries, Beth Haemek, Israel), antibiotics (100 kU/liter penicillin and 100 mg/liter streptomycin; Biological Industries), as well as nonessential amino acids (Biological Industries) and 5% FCS. TSH stimulates thyroid function, whereas the other five hormones/growth factors did not (13). The purities of the cell preparations were high, as immunocytochemical analysis of the cells in secondary cultures revealed 99% Tg-positive cells (12).

Cell functions
The functions of the cells were evaluated by the release of Tg, cAMP, cGMP, and IL-6 into the medium. The medium was stored at -20 C until measurement. Tg and IL-6 were measured by enzyme-linked immunosorbent assays (12, 14), and cAMP was determined by a competitive protein binding assay (15) in the presence of the phosphodiesterase inhibitor, 3-isobutyl-L-methylxanthine (0.5 mM). cGMP was measured by a 125I RIA kit (Advanced Magnetics, Cambridge, MA).

To correct for the variation in cell numbers in the chambers, the concentrations of Tg, cAMP, cGMP, and IL-6 were related to the DNA contents of each chamber, as measured by a modification of the previously described diphenylamine method (16). IL-1ra production from the thyrocytes was measured by a double sandwich enzyme-linked immunosorbent assay using monospecific polyclonal rabbit antibodies against purified recombinant IL-1ra, as previously described for IL-1{alpha} (17). NO was quantified as previously described (9).

Experimental procedure
In all experiments the cells were deprived of TSH for 72 h before the test. The cells were exposed to rIL-1ß with an activity between 1–105 IU/liter (0.0002–20 µg/liter) or to IL-1ß (20 µg/liter = 105 IU/liter) in combination with TNF{alpha} (25 µg/liter = 106 IU/liter) for 72 h. IL-1ra (2.5–500 µg/liter) was added together with the cytokines. Thyroid cells were also preexposed to IL-1ß (2 or 20 µg/liter) for 48 h, followed by 24 h with IL-1ß in combination with IL-1ra (250–500 µg/liter). The influence of sodium nitroprusside (SNP; 1–10-100 µM), a chemical generator of NO, on cGMP release in the presence or absence of TSH was studied, and it was investigated whether the competitive inhibitor of NO synthase, L-NG-mono-methyl-arginine (L-NMMA; 0.1 mM), could modulate the IL-1ß-induced effect on cGMP release from the cells. Both SNP (S 0501, Sigma Chemical Co., St. Louis, MO) and L-NMMA (Sigma M 7033) were dissolved in medium immediately before use.

Statistics
The experiments were carried out in two to eight different cultures in at least triplicate. Results were expressed as the mean and SD and analyzed parametrically using unpaired Student’s t test (two-sample analysis) or one-way ANOVA, comparing the responses at different concentrations of the same cytokine (unbalanced design; Statgraphics version 2.6, STSC, Rockville, MD). P < 0.05 was considered statistically significant. Analogous results and conclusions were found using nonparametric analyses.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Influence of IL-1ß and TNF{alpha}
IL-1ß alone dose-dependently inhibited the release of Tg and cAMP from thyrocytes [Fig. 1Go and Table 1GoGo; P < 0.0001 (n = 9–38 depending on the IL-1ß level) and P < 0.0001 (n = 9–38), respectively, by one-way ANOVA], whereas TNF{alpha} (25 µg/liter) enhanced the IL-1ß-induced inhibition of both Tg (P = 0.003; n = 13/35) and cAMP (P = 0.02; n = 14/35; Table 1GoGo). Tg and cAMP release from the thyrocytes was significantly increased and almost restored after removal of IL-1ß (Fig. 1Go, A and B); at the same time, IL-1ß-induced IL-6 production decreased significantly after removal of IL-1ß (Fig. 1CGo). IL-1ß induced a dose-dependent release of cGMP (P < 0.001, by one-way ANOVA; n = 6–23), which was significantly reduced by the competitive inhibitor of NO synthase, L-NMMA (Fig. 2Go). In contrast, TNF{alpha} (2.5 and 25 µg/liter) was unable to induce cGMP production [mean ± SD, 520 ± 50 and 730 ± 100 fmol/µg DNA, respectively (n = 6), compared to the control (1,820 ± 1,420 fmol/µg DNA; n = 21)]. TNF{alpha} was also unable to enhance IL-1ß-induced cGMP release [IL-1ß (20 µg/liter) alone induced 12,540 ± 9,830 fmol cGMP/µg DNA, and IL-1ß (20 µg/liter) together with TNF{alpha} (25 µg/liter) induced 8,500 ± 4,870 fmol cGMP/µg DNA; P > 0.05; n = 17–23]. IL-6 production by thyroid cells was stimulated dose dependently by IL-1ß (Fig. 3Go; P < 0.0001, by one-way ANOVA; n = 9–29). TNF{alpha} (25 µg/liter) did not enhance this IL-1ß (20 µg/liter)-induced IL-6 production (P > 0.05; n = 14/29).



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Figure 1. Influence of IL-1ß (0.02–2-20 µg/liter) on TSH-stimulated 72-h release of Tg (100% = 372 ± 183 ng/µg DNA, mean percentage of the control ± SD; n = 18–33; A), cAMP (100% = 416 ± 128 pmol/µg DNA; n = 18–36; B), and IL-6 (picograms per µg DNA; n = 6–24; C; {square}; *, P < 0.05; **, P < 0.001 compared to the control), and release of Tg, cAMP, and IL-6 from the same human thyrocytes after removal of IL-1ß for an additional 72 h (; *, P < 0.05; **, P < 0.001 compared to the influence of 72-h IL-1ß).

 

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Table 1A. The 72-h release of Tg (nanograms per µg DNA; mean ± SD) from cultured human thyrocytes with or without IL-1ß and IL-1ra

 

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Table 1B. The 72-h release of cAMP (picomoles per µg DNA; mean ± SD) from cultured human thyrocytes with or without IL-1ß and IL-1ra

 


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Figure 2. Influence of L-NMMA (0.1 mM; ) and IL-1ra (125 µg/liter; ) on 72-h IL-1ß-induced release of cGMP (femtomoles per µg DNA; n = 6–23; *, P < 0.05; **, P < 0.001 compared to IL-1ß influence without L-NMMA or IL-1ra {square}, respectively). Data are shown as the mean ± SD.

 


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Figure 3. Influence of IL-1ra (250 µg/liter; ) on 72-h IL-1ß-induced release of Tg (nanograms per µg DNA; n = 9–38; A), cAMP (picomoles per µg DNA; n = 9–38; B), and IL-6 (picograms per µg DNA; n = 9–29; C; *, P < 0.05; **, P < 0.001 compared to the influence of IL-1ß without IL-1ra; {square}). Data are shown as the mean ± SD.

 
Influence of IL-1ra
IL-1ra (250 µg/liter) significantly diminished the inhibitory influence of IL-1ß (0.02, 2, and 20 µg/liter) for 72 h on the release of Tg (Fig. 3AGo and Table 1AGo) and cAMP (Fig. 3BGo and Table 1BGo). However, IL-1ra (250 µg/liter) could not totally eliminate the inhibitory influence of IL-1ß at the highest concentration. IL-1ra at low and medium concentrations (2.5 and 25 µg/liter) was unable to protect against the inhibition of Tg and cAMP (Tables 1AGo and 1BGo). The same pattern was found in IL-1{alpha}-exposed thyroid cells (data not shown). IL-1ra (250 µg/liter) significantly reduced the inhibitory influence on Tg release, but not cAMP induced by IL-1ß (20 µg/liter) combined with TNF{alpha} (25 µg/liter; Tables 1AGo and 1BGo). IL-1ra (250 µg/liter) by itself did not modify the release of Tg and cGMP, but inhibited the release of cAMP (P = 0.003; n = 34/38; Figs. 2Go and 3Go and Table 1GoGo). IL-1ra added after preexposure to IL-1ß for 48 h reduced the protective ability of IL-1ra against the inhibitory influence on Tg and cAMP production (Table 2Go). IL-1ra (125 µg/liter) further reduced IL-1ß (2 and 20 µg/liter)-induced cGMP release, which also was significantly reduced by L-NMMA (0.1 mM; Fig. 2Go).


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Table 2. Influence of delayed addition of IL-1ra on IL-1ß effects on Tg and cAMP production: IL-1ra added after IL-1ß (mean ± SD; n = 9–12)

 
No IL-1ra production could be detected in the supernatants from the thyrocytes.

IL-1ra (250 µg/liter) added together with IL-1ß significantly diminished IL-1ß-induced IL-6 production (Fig. 3CGo), but not the IL-6 production induced by IL-1ß (20 µg/liter) in combination with TNF{alpha} (25 µg/liter). IL-1ra (25 and 2.5 µg/liter) alone was unable to reduce the IL-6 production.

Influence of SNP
SNP (1–10-100 µM) enhanced the accumulation of cGMP dose-dependently in both the presence and absence of TSH (P < 0.001 and P < 0.0001, respectively, by one-way ANOVA; n = 12). At 100 µM SNP, TSH-stimulated cGMP release was 13,267 ± 7,829 fmol/µg DNA, and in the absence of TSH, it was 13,133 ± 7,803 fmol/µg DNA compared to 812 ± 133 fmol/µg DNA in the control. TSH by itself had no influence on cGMP release. Furthermore, SNP generated dose-dependent NO production independent of TSH. At 100 µM SNP, TSH-stimulated NO generation was 62.5 ± 14.1 µmol/liter; in the absence of TSH it was 58.5 ± 15.0 µmol/liter compared to 10.2 ± 0.4 µmol/liter in the control (P < 0.0001; n = 6). NO generation induced by SNP was significantly greater than cytokine-induced NO generation (data not shown).


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
IL-1ra is closely related to IL-1{alpha} and IL-1ß and consists of a single polypeptide chain of 17 kDa (18). It is produced by activated macrophages and monocytes, among other cells, and binds selectively to IL-1 receptors without causing internalization of the receptor or activating the target cell. IL-1ra competes with IL-1{alpha} and IL-1ß for occupancy of the IL-1 receptors, and it selectively blocks the biological activities of IL-1{alpha} and IL-1ß in several in vitro and in vivo models (reviewed in Refs. 19 and 20). Blockade of the binding of IL-1 to the thyroid cell could be a way to protect the cells from the effects of IL-1. However, perhaps not all of the effects of the IL-1 agonists IL-1{alpha}/ß are mediated through the presently described configurations of IL-1 receptors and accessory molecules (21).

The data presented here confirm previous findings that moderate levels of IL-1ß decrease TSH-stimulated human thyroid cell release of Tg and cAMP (3, 4, 5) and increase IL-6 production in human thyroid cells (6). All of these effects were counteracted by IL-1ra. The effects were reversible, indicating a noncytotoxic mechanism of the IL-1ß influence. Furthermore, IL-1ß stimulated the release of cGMP from the cells, an effect that was significantly decreased by L-NMMA and counteracted by IL-1ra. The effect of IL-1ß on IL-6 production by the thyrocytes was reduced in the presence of IL-1ra, in accordance with the findings of Granowitz et al. (22). The diminishing effect of IL-1ra on the effects of IL-1ß on human thyroid cells indicated that the described IL-1ß influences were mediated through IL-1 receptors on the thyrocytes. The demonstrated SNP-induced TSH-independent stimulation of cGMP release was also found by Millatt and co-workers (23), and also SNP-induced NO generation was independent of TSH, indicating that the NO-cGMP pathway is not involved after TSH receptor activation.

IL-1ra appeared to interfere with early processes initiated by IL-1ß, as the addition of IL-1ra after exposure of the cells to IL-1ß diminished their ability to counteract the effects of the cytokine. Even though IL-1ra has the same affinity for IL-1 receptor-bearing cells as IL-1{alpha} and IL-1ß, at least a 10-fold molar excess is usually required to block the biological activity of IL-1{alpha}/ß (20). This most likely reflects the fact that very few receptors need activation by IL-1{alpha} and/or IL-1ß to activate the target cells. Accordingly, a 10-fold molar excess of IL-1ra was required in this study to inhibit the IL-1-induced response in thyrocytes. In a different cell system of cultured rat pancreatic ß-cells, a 10- to 10,000-fold excess of IL-1ra was required to protect the cells against the effects of IL-1ß (24, 25). A total blockade of the effects of IL-1ß on thyrocyte function induced by IL-1ra could be obtained by the use of a lower concentration of IL-1ß combined with a high concentration of IL-1ra. Thus, it appears that the demonstrated IL-1ß effects are mediated entirely via specific IL-1 receptors on the thyrocytes.

The influence induced by IL-1ß and TNF{alpha} in combination was only sparsely counteracted by IL-1ra. This may partly be a question of the requirement for a higher concentration of IL-1ra, but may also suggest that at least part of the TNF{alpha} effect was direct and not mediated through TNF{alpha}-induced generation of IL-1 in the thyrocytes.

Naturally produced IL-1ra is thought to be an important in vivo inhibitor of IL-1-induced functions on various target cells. IL-1ß is cytotoxic to pancreatic rodent ß-cells and suppresses insulin production and release from the cells, and IL-1ra protects the insulin-producing cells from the effect of IL-1ß (24, 25, 26, 27). Similarly, sustained administration of IL-1ra can delay or prevent the diabetogenic processes in BB rats and in multiple low dose streptozotocin-treated mice (28, 29).

In conclusion, although IL-1ß inhibited adenylate cyclase-mediated pathways, it stimulated guanylate cyclase. Both effects could be blocked by IL-1ra, indicating that the effects were exerted through activation of specific IL-1 receptors on thyrocytes. IL-1 may act at multiple intracellular sites in the thyroid. It has been shown that some of the known effects of IL-1 on the thyroid are not mediated via the NO-cGMP pathway (9), and it is unclear which effects induced by IL-1 are mediated through an activation of this pathway. IL-1{alpha} has been demonstrated to induce loss of the thyroid epithelial barrier, measured as transepithelial resistance (30), an effect that might be mediated via NO release. Both guanylate cyclase- and adenylate cyclase-mediated pathways may be involved in the cellular response of the thyrocyte in thyroid autoimmunity.


    Acknowledgments
 
We thank K. Hejnæs (Novo-Nordisk, Bagsvaerd, Denmark) for provision of IL-1ß, and D. Tracey, Upjohn Co. (Kalamazoo, MI). The excellent technical assistance of Mathilde Brandt, Lisbeth Kirkegaard, Marianna Thomsen, and Vita Weibull is gratefully acknowledged.


    Footnotes
 
1 This work was supported by grants from the Foundation of the Danish Medical Association; the Danish Hospital Foundation for Medical Research-Region of Copenhagen, the Faroe Islands, and Greenland; the Danish Biotechnology Program; the Danish Medical Research Council; the Foundation of Jacob and Olga Madsen; the Foundation of 17–12-1981; the Novo Nordisk Foundation; and EC-Project SC1-CT91–0707. Back

2 Recipient of a fellowship award from the Alfred Benzon Foundation (Copenhagen, Denmark). Back

Received August 20, 1996.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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T. Mühlberg, W. Joba, C. Spitzweg, H.-D. Schworm, H.-J. Heberling, and A. E. Heufelder
Interleukin-1 Receptor Antagonist Ribonucleic Acid and Protein Expression by Cultured Graves' and Normal Orbital Fibroblasts Is Differentially Modulated by Dexamethasone and Irradiation
J. Clin. Endocrinol. Metab., February 1, 2000; 85(2): 734 - 742.
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D. F. Sellitti and S. Q. Doi
Regulation of Natriuretic Peptide Receptors by Thyrotropin in FRTL-5 Rat Thyroid Cells: Evidence for Nonguanylate Cyclase Atrial Natriuretic Factor-Binding Sites in Cells Lacking the Natriuretic Peptide Receptor C
Endocrinology, March 1, 1999; 140(3): 1365 - 1374.
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