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Endocrinology Vol. 138, No. 6 2227-2232
Copyright © 1997 by The Endocrine Society


ARTICLES

Regulation by Thyroid-Stimulating Hormone of Sodium/Iodide Symporter Gene Expression and Protein Levels in FRTL-5 Cells

Takahiko Kogai, Toyoshi Endo, Tsukasa Saito, Asako Miyazaki, Akio Kawaguchi and Toshimasa Onaya

Third Department of Internal Medicine, Yamanashi Medical University, Yamanashi 409–38, Japan

Address all correspondence and requests for reprints to: Dr. T. Onaya, Third Department of Internal Medicine, Yamanashi Medical University, Tamaho, Yamanashi 409–38, Japan. E-mail: onayat{at}res.yamanashi-med.ac.jp


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
To investigate the mechanism of I- transport stimulation by TSH, we studied the effects of TSH on Na+/I- symporter (NIS) messenger RNA (mRNA) and protein levels in FRTL-5 cells and correlated these with I- transport activity. When 1 mU/ml TSH was added to quiescent FRTL-5 cells, a 12-h latency was observed before the onset of increased I- transport activity, which reached a maximum [~27 times basal (5H medium) levels] at 72 h. In contrast, Northern blot analysis, using rat NIS complementary DNA as a probe, revealed that addition of TSH to these cells significantly increased NIS mRNA at 3–6 h, reaching a maximum after 24 h (~5.9 times basal levels). Forskolin and (Bu)2cAMP mimicked this stimulatory effect on both the I- transport activity and mRNA levels. D-ribofranosylbenzimidazole, a transcription inhibitor, almost completely blocked TSH-induced stimulation of I- transport and NIS mRNA levels. Western blot analysis demonstrated that TSH increased NIS protein levels at 36 h, reaching a maximum at 72 h, in parallel with the kinetics of TSH-induced I- transport activity. However, it also showed that the amount of NIS protein already present in FRTL-5 cell membranes before the addition of TSH was about one third of the maximum level induced by TSH. These results indicate that stimulation of I- transport activity by TSH in thyrocytes is partly due to a rapid increase in NIS gene expression, followed by a relatively slow NIS protein synthesis. However, the existence of an abundant amount of protein in quiescent FRTL-5 cells with very low I- transport activity also suggests that this activity is controlled by another TSH-regulated factor(s).


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
RECENT STUDIES have revealed that iodide (I-) accumulated by thyrocytes is totally cotransported with Na+ (1, 2). Therefore, it has been thought that this process is catalyzed by the Na+/I- symporter (NIS) in the thyrocyte plasma membrane (1, 2). As I- accumulation is the first step in thyroid hormonogenesis and is also important for the evaluation and diagnosis of thyroid disease, the regulation of iodide transport activity, especially by TSH, has been analyzed extensively (2, 3, 4, 5, 6). However, the mechanism of TSH-induced stimulation of I- accumulation remains controversial.

Using FRTL-5 cells (7), a cultured rat thyroid follicular cell line, Weiss et al. found that TSH stimulates I- transport through cAMP signaling, and that this stimulation depends on cycloheximide-sensitive de novo protein synthesis (6). They also found that 12–24 h were needed for the onset of stimulation of I- transport by TSH.

Kaminsky et al. (8) demonstrated that membrane vesicles from TSH-deprived FRTL-5 cells have I--accumulating activity similar to that of vesicles from TSH-stimulated cells. From these observations, they proposed that iodide transporter molecules are present in the cell membrane even in the absence of TSH, and that TSH stimulates I- uptake via another unknown factor(s).

Recently, Dai et al. (9) succeeded in cloning rat NIS complementary DNA (cDNA) and revealed that it encodes an intrinsic membrane protein with 12 putative transmembrane domains. Their results opened the way to analyze the mechanism of iodide transport activation by TSH at the molecular level.

To determine whether TSH stimulates NIS gene expression and then increases the amount of NIS protein itself, we studied the effects of TSH on NIS messenger RNA (mRNA) and protein levels in FRTL-5 cells.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cell culture
FRTL-5 rat thyroid cells (7), kindly donated by Dr. L. D. Kohn (NIH, Bethesda, MD), were grown in 100-mm diameter dishes (for Northern or Western blot analysis), 24-well tissue culture dishes (for measurement of 125I uptake), or 35-mm diameter dishes (for measurement of iodide efflux) in Coon’s modified Ham’s F-12 medium supplemented with 5% calf serum and a six-hormone mixture containing insulin (1.3 x 10-6 M), hydrocortisone (10-6 M), transferrin (6.3 x 10-11 M), L-glycyl-histidyl-lysine (2.5 x 10-6 M), somatostatin (6.1 x 10-9 M), and TSH (1 mU/ml; 6H medium), as described previously (9). Cells were passaged every 8–10 days and fed a fresh medium every 2–3 days. They were used before passage 10.

When the cells reached 70–80% confluence, the medium was replaced, and the cells were washed twice with Hanks’ Balanced Salt Solution (HBSS) and then maintained in 5H medium (no TSH) or another medium for 8 days before use in individual experiments. It has been reported that the cells can be maintained in culture medium without TSH for at least 10 days and still remain viable (10).

Chinese hamster ovary cells (CHO-K1 cells), which were used as a negative control in Western blot analysis, were grown in 100-mm dishes in Coon’s modified Ham’s F-12 medium supplemented with 10% calf serum.

Measurement of 125I- uptake by FRTL-5 cells
Uptake of 125I- by FRTL-5 cells was measured as previously described (11). Briefly, the cells were washed twice with 1 ml modified HBSS (137 mM NaCl, 5.4 mM KCl, 1.3 mM CaCl2, 0.4 mM MgSO4, 0.5 mM MgCl2, 0.4 mM Na2HPO4, 0.44 mM KH2PO4, and 5.55 mM glucose with 10 mM HEPES buffer, pH 7.3) and incubated for 40 min at 37 C in 200 µl modified HBSS containing about 0.02 µCi carrier-free Na125I and 1.0 µM NaI, with a final specific activity of 10–20 mCi/mmol. When incubations were terminated, the cells were washed twice with ice-cold HBSS. Four hundred microliters of 95% ethanol were added to each well for 30 min, half of the well contents were then transferred into vials for counting with a {gamma}-counter. I- uptake was expressed as picomoles per µg DNA. The DNA content was determined for each well using the material not extracted with ethanol according to the method of Kissane et al. (12).

Measurement of iodide efflux
Iodide efflux was measured by the methods of Weiss et al. (11, 13) with minor modifications. FRTL-5 cells grown in 35-mm diameter dishes were incubated for 40 min at 37 C with 2 ml HEPES (10 mmol/liter)-buffered HBSS containing about 0.1 µCi carrier-free Na125I/ml and 1 µmol NaI/liter. At the end of the incubation, the medium was carefully removed and replaced every 2 min with 2 ml fresh nonradioactive buffered HBSS containing 1 µM NaI. After the last medium was removed, the cells were extracted with ethanol for counting, along with the previously collected medium samples.

Efflux data are presented as the rate coefficients based on the counts per min remaining (as a percentage of the total) at the indicated times and were calculated as described by Weiss et al. (11, 13).

Probe for detecting Na+/I- symporter mRNA
We prepared the NIS cDNA as previously described (14). Briefly, total RNA from rat thyroid gland was prepared by guanidine thiocyanate extraction and CsCl centrifugation (15), and mRNA was isolated using oligo(deoxythymidine)-Latex. For PCRs, mRNA was transcribed into cDNA with avian reverse transcriptase and then used as a template. The PCR primers used to obtain NIS cDNA were as follows [the A in the ATG initiation codon of rat NIS cDNA (8) is designated +1]: sense primer, nucleotide (nt) -29 to -9; and antisense primer, nt 1955 to 1975. PCR was performed for 30 cycles as follows: 0.5 min at 94 C, 1 min at 55 C, and 2 min at 74 C. NIS cDNA (extending from nt -29 to 1975) and rat ß-actin cDNA inserts were labeled with [{alpha}-32P]deoxy-CTP using a random primer labeling kit (Takara Shuzo, Tokyo, Japan).

Northern blot analysis
Total RNA from FRTL-5 cells was isolated by guanidine thiocyanate extraction and CsCl centrifugation (15). Total RNA (20 µg/lane) was electrophoresed on 1.2% agarose and transferred to cellulose acetate membranes (Zeta-Probe, Bio-Rad Laboratories, Richmond, CA). For normalization in the NIS mRNA stability examination, the electrophoresed 28S ribosomal RNA that was stained by ethidium bromide was quantified by densitometry. Blots were prehybridized overnight at 42 C in 50% formamide, 10 x Denhardt’s solution (0.2% Ficoll, 0.2% polyvinilpyrolidone, and 0.2% BSA), 5 x SSPE (20 x SSPE = 3 M NaCl, 0.2 M sodium phosphate, and 20 mM EDTA, pH 7.4), 0.1% SDS, 0.1 mg/ml heat-denatured salmon sperm DNA, and 1.0 µg/ml polyadenylase. Hybridization was performed at 42 C for 12 h with the radiolabeled probe in fresh hybridization solution. Filters were washed three times at room temperature in 2 x SSC (20 x SSC is 3 M NaCl and 0.3 M sodium acetate, pH 7.0) containing 0.1% SDS. Stringent washes were performed three times for 30 min each time at 55 C in 0.1 x SSC-0.1% SDS. An imaging plate was exposed to the filters for 2 h, and the results were analyzed with a Bas 2000 Image Analyzer (Fuji Film Co., Tokyo, Japan).

Western blot analysis
We prepared anti-NIS protein antibody as previously described (14, 16). Briefly, rat NIS cDNA obtained by PCR was ligated into pGEX-2T, and the glutathione-S-transferase (GST)/N-terminal portion of NIS (amino acids 1–231) fusion protein was purified. Serum from rabbits immunized with the fusion protein was shown to contain anti-NIS antibodies (14).

FRTL-5 cells or CHO-K1 cells were collected and resuspended in 5 vol homogenizing buffer \[10 mM Tris-HCl (pH 7.4), 5 mM NaCl, 1 mM EDTA, 0.1 mM phenylmethylsulfonylfluoride, and 50 µg/ml leupeptin\] containing 0.25 M sucrose. After gentle homogenization at 4 C, the lysates were centrifuged at 700 x g for 10 min at 4 C. The supernatants were further centrifuged at 100,000 x g for 90 min at 4 C to obtain the total postnuclear membrane fraction. The membranes were resuspended in the homogenizing buffer at a protein concentration of 1 mg/ml and kept at -80 C. The lysates (exactly 20 µg protein/lane) were added to the same volume of sample buffer (10% glycerol, 2% SDS, and 0.0625 M Tris-HCl, pH 6.8) and heated without 2-mercaptoethanol at 90 C. These were subjected to 0.1% SDS-10% PAGE. Electrotransfer to nitrocellulose membranes was performed. The blots were stained according to the method of Hawkes et al. (17). Briefly, after blocking with 5% low fat milk, blots were exposed to anti-NIS/GST fusion protein antibody (1:500) at 4 C for 12 h. Peroxidase-conjugated goat antirabbit IgG was added at a 1:1000 dilution for 1 h at room temperature. The binding of rabbit antisera to NIS was quantified by reflection densitometry. We had preliminarily confirmed that the quantitation of binding to the NIS protein was linear for the applied protein quantity of the membrane fraction (data not shown).

Protein measurements
Protein was measured using the Coomassie blue dye method (Bio-Rad protein assay, Bio-Rad Laboratories, Richmond, CA) with BSA as standard.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Effects of TSH on I- uptake and NIS mRNA level
We first evaluated the time course of effects of TSH on I- uptake and NIS mRNA levels in FRTL-5 cells.

When FRTL-5 cells were precultured in the absence of TSH for 8 days and then exposed to 6H medium (containing 1 mU/ml TSH), I- uptake by FRTL-5 cells increased after a latency period of 24 h, reaching a maximum [~27.5 times basal (0 h) levels; ~1.15 times the level before deprivation of TSH; data not shown] after 72 h (Fig. 1Go).



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Figure 1. Effect of TSH on I- uptake by FRTL-5 cells maintained in 5H medium (without TSH) for 8 days. I- uptake was determined, as described in Materials and Methods, at the indicated hour after the addition of TSH at time zero. Values are expressed as the mean ± SEM (n = 3). Inset, I- efflux studies in FRTL-5 cells. FRTL-5 cells were maintained in the absence of TSH for 8 days and then stimulated by TSH for 12 h ({circ}) or 60 h (X). I- efflux was measured as described in Materials and Methods.

 
To investigate the influence of I- efflux during the latency period, we measured I- efflux by FRTL-5 cells after 12 or 60 h of TSH stimulation. The results indicated that I- release at 12 h, during the latency period, was almost the same as that at 60 h (Fig. 1Go, inset); the efflux had no significant effect on the increase in I- uptake after TSH stimulation.

Northern blot analysis revealed a major mRNA species of 2.9 kilobases (Figs. 2Go, 3Go, and 5Go) and, in some cases, closely related minor faint bands (Figs. 2Go and 3Go). The former is similar in size to that found in a recent report (8). As the minor bands are not able to be detected in Fig. 5Go, it is likely that these faint bands are the degradation products of the message. Time-course studies revealed that NIS mRNA levels were markedly increased after 6 h of stimulation, reaching a maximum (~6.2 times basal levels) after 24 h and slowly declining to about 4.4 times basal levels after 72 h (Fig. 2Go).



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Figure 2. Time course of NIS mRNA induction by TSH. FRTL-5 cells were maintained in 5H medium (without TSH) for 8 days and then exposed to 1 mU/ml TSH for the indicated periods of time, at which time the total RNA was extracted from duplicate dishes of cells. Northern blot analysis was performed as described in Materials and Methods; the autoradiograms of the sequential hybridization with radiolabeled rat NIS and ß-actin probes are presented in A. Radioactivity was quantified by Bas 2000 image analyzer. The value in cells with no TSH (5H) for 8 days was the reference value for both NIS and ß-actin probes, and each was arbitrarily set at 1.0. Data in B are presented as a fraction of this control ratio. These data are the mean ± SEM from three separate experiments (n = 3) using different batches of cells.

 


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Figure 3. Effects of various TSH concentrations on the amount of NIS mRNA. TSH at the indicated concentration was added to FRTL-5 cells maintained in 5H (no TSH) medium for 8 days. At 24 h, total RNA was extracted from duplicate dishes of cells, and Northern blot analysis was performed as described in Materials and Methods; the autoradiograms of the sequential hybridization with radiolabeled NIS and ß-actin probes are presented in A. The ratio of NIS to ß-actin mRNA levels was calculated as detailed in Fig. 2Go, after arbitrarily setting the ratio of NIS to ß-actin mRNA in cells maintained in 5H (no TSH) medium for 8 days at 1.0.

 


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Figure 5. Effects of forskolin (FSK), (Bu)2cAMP (DBC), or tetradecanoyl phorbol acetate (TPA) on NIS mRNA levels in FRTL-5 cells. FRTL-5 cells were maintained in 5H medium (basal) for 8 days and then exposed 0.1 mU/ml TSH (6H), 10 µM FSK, 1 mM DBC, or 200 nM TPA, respectively, for 48 h, when total RNA isolation and sequentially Northern blot analysis were performed, as described in Materials and Methods. The autoradiograms of the hybridization with radiolabeled rat NIS and ß-actin probes are presented. The ratio of NIS to ß-actin mRNA levels is indicated in Table 2Go.

 
To examine the dose-response relationship between TSH and NIS expression, we harvested total RNA 24 h after the addition of TSH at various concentrations. A detectable stimulation of NIS mRNA levels was evident at 1.0 µU/ml TSH (~1.7 times control levels), and maximum stimulation was observed at 1.0 mU/ml, but the higher concentration of TSH increased NIS mRNA levels to a lesser extent (Fig. 3Go).

To assess the role of mRNA stability in the observed changes in NIS mRNA, RNA synthesis was blocked with 40 µM D-ribofranosylbenzimidazole before or 12 h after the addition of TSH, and the relative rates of disappearance of NIS mRNA were determined by Northern blot analysis (Fig. 4Go). Although NIS message levels are low in quiescent cells, long exposure of the blots to the imaging plate made it possible to obtain enough signals. We estimated the half-lives of NIS mRNA in TSH-deprived FRTL-5 cells and TSH-stimulated cells to both be approximately 7.2 h; TSH had no significant effect on the rate of disappearance of NIS mRNA during the first 6 h after exposure.



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Figure 4. Effect of TSH on the stability of NIS mRNAs. FRTL-5 cells, maintained in 5H (no TSH) medium for 8 days and then treated with 1 mU/ml TSH for 12 h ({circ}), or maintained in 5H medium for 8 days (X), were further treated with 40 µM D-ribofranosylbenzimidazole (DRB) for up to 6 h. Then, the total RNA was extracted from duplicate dishes of cells, and Northern blot analysis was performed as described in Materials and Methods. Each mRNA level was quantified by a Bas 2000 image analyzer and normalized by the quantity of electrophoresed 28S ribosomal RNA. Further control (0 h) values were normalized to a 1.0 arbitrary unit. Data were expressed as the mean ± SEM of values obtained from three separate experiments (n = 3).

 
To determine whether TSH exerts its action through newly synthesized protein, the effect of cycloheximide, a protein synthesis inhibitor, on TSH stimulation of NIS mRNA levels was examined. Precultured FRTL-5 cells were treated with or without 10 µg/ml cycloheximide in 6H medium for 48 h. The TSH-induced stimulation of NIS mRNA levels was markedly decreased by cycloheximide, as was the TSH-induced stimulation of I- uptake (Table 1Go).


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Table 1. Effects of D-ribofranosylbenzimidazole (DRB), or cycloheximide (CH) on I- uptake and NIS mRNA induction by TSH

 
To determine whether the stimulatory effect of TSH on NIS mRNA was mimicked by cAMP, precultured cells were exposed to 10 µM forskolin, an adenylate cyclase agonist, or 1 mM (Bu)2cAMP in 5H medium for 48 h. Forskolin increased I- uptake approximately 8.4-fold over basal levels and increased NIS mRNA approximately 6.3-fold over basal levels. (Bu)2cAMP also increased I- uptake (~10.3-fold over control levels) and NIS mRNA (~3.9-fold over basal levels; Fig. 5Go and Table 2Go).


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Table 2. Effects of forskolin (FSK), (Bu)2cAMP (DBC), or tetradecanoyl phorbol acetate (TPA) on I- accumulation and NIS mRNA levels in FRTL-5 cells

 
On the other hand, 200 nM tetradecanoyl phorbol acetate, an activator of protein kinase C, had no effect on I- uptake or NIS mRNA levels (Table 2Go).

Effects of TSH on Na+/I- symporter protein levels
As described above, NIS mRNA levels reached a maximum 24 h after TSH stimulation, although I- uptake reached a maximum at 72 h. To investigate whether this lag resulted from translational events, we performed Western blot analysis.

As described previously (14, 16), we produced the anti-GST/NIS fusion protein antibodies, which recognized an 80-kDa protein in FRTL-5 cell membranes, the size of which agrees well with that reported for NIS by Carrasco et al. (personal communication). As reported above, this 80-kDa positive staining was absorbed by the addition of the fusion protein, but the smaller Mr faint bands observed in Fig. 6Go were not. Preimmune serum also did not stain 80-kDa protein, but weakly bound the latter bands (14), suggesting that several faint bands below 65 kDa in Fig. 5Go were nonspecific staining. Using the anti-NIS antibody, we could not observe 80-kDa protein in the membrane fraction from nonthyroid cells, CHO-K1 cells (Fig. 6CGo).



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Figure 6. Effect of TSH on NIS protein levels in FRTL-5 cells. FRTL-5 cells were maintained in 5H (no TSH) medium for 8 days and then exposed to 1 mU/ml TSH for the indicated periods of time, at which time membrane fractions were prepared. Western blot analysis of the membrane fraction (20 µg protein) was performed as described in Materials and Methods. In B, the staining intensity is expressed as the mean ± SEM of values obtained from three separate experiments (n = 3). Basal (0 h) values are normalized to 1.0 arbitrary unit. The left panel of C shows the effect of cycloheximide on NIS protein level induced by TSH. FRTL-5 cells were maintained in 5H (no TSH) medium (basal) for 8 days and then exposed to 1 mU/ml TSH and 10 µM CH, or to only 1 mU/ml TSH (6H). At 48 h, Western blot analysis of the membrane fraction from these cells was performed as described in Materials and Methods. In the left panel of C, Western blot analysis of the membrane fraction from CHO cells is shown as a negative control. M.W., Mr marker.

 
Time-course studies revealed that the FRTL-5 cells precultured in 5H medium contained detectable levels of NIS protein; addition of TSH increased NIS protein levels after 36 h, reaching a maximum [~2.6-fold over basal (5H) levels; about the same level as before the deprivation of TSH] after 72 h of stimulation (Fig. 6BGo).

To determine whether the effect of cycloheximide on iodide accumulation was due to the decrease in NIS protein, we performed Western blot analysis using FRTL-5 cells maintained with 1 mU/ml TSH and 10 µg/ml cycloheximide for 48 h. The addition of cycloheximide decreased NIS protein by about 0.6-fold the 6H (stimulated by TSH for 48 h) levels.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Using FRTL-5 cells, we confirmed that TSH stimulates I- accumulation, and that a 24-h lag period is required for the onset of this effect. These results agree well with those of Weiss et al. (6).

As I- uptake by thyrocytes is influenced by various factors, the reasons for this lag has been actively debated (2, 6, 8, 18). One possibility may involve redistribution of NIS molecules to the plasma membrane. Exposure to TSH might trigger a redistribution of NIS molecules to the plasma membrane in an exocytosis-like fashion similar to the effect of insulin-induced transfer of glucose transporter molecules to the plasma membrane (19, 20, 21, 22, 23). However, this effect of insulin is observed within 10 min of exposure, making it difficult to explain the effect of TSH on NIS molecules by analogy to the action of insulin on glucose transporters.

Recently, Kaminsky et al. reported interesting data showing that membrane vesicles prepared from FRTL-5 cells cultured in the absence of TSH are able to accumulate iodide at the same rate as those from cells cultured in the presence of TSH (8). As the NIS activity of quiescent FRTL-5 cells is very low, they speculated that NIS molecules are present even in the absence of TSH, and that TSH may activate NIS through some modulator(s) (8).

However, our Northern blot analysis clearly demonstrates that TSH increased NIS mRNA itself in less than 6 h. Because TSH did not affect the degradation rate of NIS mRNA, TSH stimulated NIS gene transcription. Further, immunodetection of NIS protein by anti-NIS antibody demonstrated that TSH increased the amount of protein 12–24 h after the increase in mRNA. Despite the increase in protein, this does not directly mean that NIS protein synthesis is stimulated by TSH. To clarify this, further elucidation, such as a pulse-chase experiment and the study of the protein stability, will be needed. However, as the present data indicate that the marked increase in NIS mRNA is followed by the increase in protein, we presume that TSH increased NIS protein via a transcriptional mechanism.

On the other hand, despite the small amount of message, our Western blot analysis indicated that quiescent FRTL-5 cells contained about one third the amount of NIS protein found in maximally induced cells. The reason for this discrepancy remains obscure, but long exposure of the filter to the imaging plate made it possible to detect a weak signal of NIS message. Therefore, we presumed that NIS protein may be produced to a certain extent even in the absence of TSH. These data agree with the results of Kaminsky et al. (8) with regard to the presence of NIS protein in TSH-deprived cells.

In addition to the existence of NIS protein in the absence of TSH, it is of particular interest that iodide uptake is increased about 27-fold by TSH, whereas NIS protein levels increase only 2.6-fold. Further iodide uptake begin to increase at 24 h, whereas NIS protein increases at 36 h. These dissociations between uptake activity and NIS protein levels suggest variability in NIS activity.

Dai et al. (9) reported the existence of a putative consensus sequence for cAMP-dependent protein kinase phosphorylation on the cytoplasmic domain of NIS, suggesting that NIS activity may be modulated by cAMP-dependent protein phosphorylation. Furthermore, Marcocci et al. reported the superinduction of iodide transport in FRTL-5 cells by actinomycin D (18). TSH induces synthesis of different proteins between early phase (3–6 h after the addition of TSH) and late phase (12–24 h after TSH) (6, 18). Marcocci et al. (18) observed that actinomycin D inhibits TSH-stimulated I- accumulation when present during the early phase, but paradoxically increases TSH-stimulated I- accumulation when added during the late phase. They proposed that this superinduction may be attributable to inhibited synthesis of a repressor of I- accumulation (18).

These reports suggest that although, as indicated in this report, the number of NIS molecules is increased by TSH, there are unknown factors that regulate NIS activity in thyrocytes. If so, it is possible to interpret that the low iodine uptake observed upon treatment with cycloheximide results not only from a low NIS protein level, but also from the lack of synthesis of an activator of NIS.

The stimulation of iodine transport by TSH may conceivably involve mechanisms such as increased NIS protein, activation of NIS protein, or increased recycling of the protein; at present, distinction among these possibilities is limited. Further, clarification of the activation mechanism of NIS by TSH may contribute to the evaluation, diagnosis, and treatment of thyroid disorders, especially Graves’ disease and thyroid neoplasms.

Received October 11, 1996.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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