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Endocrinology Vol. 139, No. 2 703-712
Copyright © 1998 by The Endocrine Society


ARTICLES

Tumor Necrosis Factor, Ceramide, Transforming Growth Factor-ß1, and Aging Reduce Na+/I- Symporter Messenger Ribonucleic Acid Levels in FRTL-5 Cells1

A. Eugene Pekary, Jerome M. Hershman, with the technical assistance of and Loretta Berg

Endocrinology Research Laboratory, West Los Angeles VA Medical Center, University of California, Los Angeles, California 90073

Address all correspondence and requests for reprints to: Dr. Jerome M. Hershman, West Los Angeles VA Medical Center, Endocrinology 111D, 11301 Wilshire Boulevard, Los Angeles, California 90073. E-mail: jhershman{at}ucla.edu


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Iodide uptake, which is necessary for thyroid hormone synthesis, can be inhibited by aging, withdrawal of TSH, or increased tumor necrosis factor (TNF) and transforming growth factor (TGF)-ß1 levels resulting from the nonthyroid illness syndrome. TNF induces receptor-mediated activation of sphingomyelinase, which converts sphingomyelin to ceramide, a mediator of TNF actions. Thyroid follicular cells transport iodide from blood into the follicular lumen against an iodide gradient by means of coupled transport of Na+ ions and I- ions via the Na+/I- symporter (NIS). An inward Na+ gradient is maintained by Na+/K+-ATPase. The recent cloning and sequencing of the rat NIS complementary DNA has made possible studies on the mechanism by which TSH, aging, and cytokines regulate I- uptake by thyroid cells.

Young (<20 passages) and aged (>40 passages) FRTL-5 cells grown with or without TSH were treated with various concentrations of TNF, TGF-ß1, sphingomyelinase, or ceramide. NIS messenger RNA (mRNA) levels in aged cells were only 2% of those in young cells. Withdrawal of TSH from young cells reduced NIS mRNA levels by more than 90%. TNF reduced NIS mRNA levels in young cells grown with TSH at t1/2 = 0.62 days, a cycloheximide inhibitable effect. Similar treatments with TGF-ß1, sphingomyelinase, or ceramide reduced NIS mRNA by 70–90%. Ceramide reduced 125I--uptake by 50%. The addition of TNF increased both the sphingomyelin and ceramide levels 3- to 5-fold in young and old cells.

We conclude that 1) the decline in iodide uptake due to aging, a fall in serum TSH or an increase in TNF or TGF-ß1 is mediated primarily by a reduction in thyroid NIS expression; and 2) that receptor-mediated activation of sphingomyelinase is an important, protein synthesis-dependent, intracellular pathway for inhibition of NIS expression by TNF.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
THE RECENT CLONING and sequencing of the rat (1) and human (2) Na+/I- symporter complementary DNAs (cDNAs) has facilitated studies on the mechanisms by which severe nonthyroid illness (NTI) and aging reduce most categories of differentiated thyroid cell function in vivo, including iodide transport (3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18).

Withdrawal of TSH, cytokine treatment, or aging have inhibitory effects on this initial step in thyroid hormone synthesis (6, 7, 12, 13, 18, 19, 20, 21, 22, 23, 24). Thyroid follicular cells transport iodide from blood into the follicular lumen against an iodide gradient by means of an inward Na+ gradient maintained by Na+/K+-ATPase and coupled transport of Na+ and I- ions via the Na+/I--symporter (NIS) (25). Expression and activity of Na+/K+-ATPase is also reduced by TSH withdrawal, aging, or tumor necrosis factor (TNF) treatment (10). The last step in thyroid hormone synthesis, conversion of T4 to T3 by type I deiodinase, is also inhibited by these same factors (4, 5). Aging-dependent increase in the sphingomyelin and ceramide content of the plasma membrane and decrease in its phosphatidylcholine content (26) are important components of cellular senescence (27). Reduction in the expression of the TSH (11) and TNF (6) receptors, possibly an adaptive response to altered phospholipid composition and second messenger signaling in the plasma membrane, may contribute to the increased incidence of abnormal regulation of iodide uptake and thyroid hormone metabolism with aging (12).

The mechanisms of signal transduction that follow binding of TNF to its receptors is a very active area of biomedical research. Two different receptors, TNF-R1 (55 kDa) and TNF-R2 (75 kDa), mediate the effects of TNF. Two cytoplasmic regions within TNF-R1 have been identified, the neutral sphingomyelinase activation domain (NSD) and the death domain, and they are responsible for activating signaling cascades initiated by neutral sphingomyelinase and NF-{kappa}B, respectively (28). TRADD is a TNF-R1-associated signal transducer that directly interacts with TRAF2 and FADD, signal transducers that activate NF-{kappa}B and induce apoptosis, respectively (29). Activation of NF-{kappa}B results in increased expression of a number of cytokines including IL-6 (30, 31). IL-6 complexed with soluble IL-6 receptor binds to gp130, an IL-6 signal transducer in the plasma membrane of thyroid and other cells, resulting in reduced iodide uptake and thyroid hormone synthesis by human thyroid follicles in culture (18). Serum IL-6 levels can increase 50-fold in NTI and serum T3 and T4 levels are negatively correlated with serum IL-6 levels (19).

Phospholipase A2 (PLA2) has recently been reported to be an early step in one of the second messenger signaling systems for TNF, IL-1ß, and IFN-{gamma} (26, 32, 33). Activated PLA2 hydrolyzes phosphatidylcholine, releasing arachidonic acid. This product, which is a potent mediator of inflammation, then activates sphingomyelinase, which, in turn, converts sphingomyelin to ceramide. Phosphatidylcholine lysophosphatidylcholine + arachidonic acid Sphingomyelin ceramide + phosphocholine

TNF, IL-1ß, IFN-{gamma} and ceramide have recently been reported (4, 5) to have marked inhibitory effects on the expression and activity of the type I deiodinase, a selenoenzyme (34), in FRTL-5 rat thyroid cells. On the other hand, transforming growth factor (TGF)-ß1, which has potent antiinflammatory and growth inhibitory effects on epithelial cells (35, 36), does not activate sphingomyelinase (37) and has no effect on the expression of this enzyme. Nevertheless, TGF-ß1 potently suppresses Na+/K+-ATPase expression and activity and iodide transport in FRTL-5 cells (7, 10).

In the present studies we examine in more detail the mechanisms by which TSH, aging, TNF, and TGF-ß1, which play important roles in the nonthyroid illness syndrome and the age-associated hypothyroidism, regulate the expression of NIS, and thereby the uptake of iodide, by rat thyroid cells in culture.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Materials
Recombinant human TNF-{alpha} (4.03 x 107 U/mg) and mouse TNF-{alpha} (5 x 107 U/mg) were a generous gift of Genentech (South San Francisco, CA). Recombinant human TGF-ß1 (1 x 106 U/mg) was donated by Amgen (Thousand Oaks, CA). N-palmitoyl-D-sphingosine (ceramide), sphingomyelinase (S. aureus) in 50% glycerol containing 0.25 M phosphate buffer, pH 7.5, platelet factor 4 (PF 4) and cycloheximide were obtained from Sigma Chemical (St. Louis, MO). Glycerol, which is toxic to FRTL-5 cells at a final concentration as low as 0.5%, was removed from sphingomyelinase by dilution in sterile saline and centrifugal ultrafiltration with Ultrafree-MC filter units, NMWL: 10,000 (Sigma). Other chemicals, hormones, and reagents were purchased from Sigma.

Cells
The rat thyroid cells used in the present studies were either less than 20 passages (young, doubling time 48 h, cuboidal shape) or more than 40 passages after subcloning (aged, doubling time 36 h, stellate shape). Young FRTL-5 cells were kindly provided by Dr. Leonard D. Kohn (NIH, Bethesda, MD). The aged FRTL-5 cell line was developed in our laboratory by repeated passages for more than 3 months (6). These cells have markedly increased expression of TGF-ß (15), an important, senescence-associated characteristic of aging cells, both in vitro and in vivo (20, 38, 39). FRTL-5 cells were cultured in Coon’s modified Ham’s F-12 medium supplemented with six hormones (bTSH, 2 U/liter; insulin, 246 U/liter; somatostatin, 10 µg/liter; hydrocortisone, 10 nM; transferrin, 5 mg/liter; glycyl-histidyl-lysine, 2.5 µg/liter), 5% calf serum and antibiotics (6H medium), as previously described (13, 14). Cells were maintained in a 5% CO2-95% air atmosphere at 37 C with a change of medium every third day and passed every 7 days. Cells to be studied in TSH-free (5H) medium were rinsed once with sterile saline and the TSH-free medium was changed 3 days before and on the day of test substance addition. Three days was the minimum time required for TSH-stimulated effects on NIS expression to dissipate. FRTL-5 cells survive for 10 days in TSH-free medium.

RNA extraction and electrophoresis
Total RNA was extracted by a guanidinium thiocyanate method from cultured cells (40). Quadruplicate aliquots of each sample, 10 µg RNA/lane, were electrophoresed from tandem wells cast in the end and middle of two 1% agarose gels containing 1.0% formaldehyde (15). Following electrophoresis, half of one of the gels was stained with ethidium bromide. The other half of this gel and the complete tandem gel were Northern blotted on nitrocellulose (Schleicher & Schuell, Inc., Keene, NH) by capillary transfer with 10 x SSC and baked for 1 h at 80 C under vacuum. Following Northern blotting, the gels were stained with ethidium bromide to verify the quantitative transfer of RNA onto the nitrocellulose filter.

Hybridization
We used a full-length rat NIS cDNA probe, a gift of Dr. Nancy Carrasco and Dr. Orlie Levy (Albert Einstein College of Medicine, Bronx, NY) (1). Filters were prehybridized for 4 h at 65 C in 10 ml of hybridization solution [composed of 1.5 x SSPE (0.15 M NaCl, 0.01 M NaH2PO4, 0.001 M EDTA)/7% SDS/10% PEG (polyethylene glycol mol wt 8000)] and augmented with 100 µg/ml sonicated and heat-denatured salmon sperm DNA and 250 µg/ml heparin and hybridized overnight at 65 C with hybridization solution containing 50 ng 32P-labeled cDNA probe (250 µCi/µg). Filters were washed twice for 10 min at room temperature with wash buffer (0.1 x SSC, 0.1% SDS) and twice for 10 min at 65 C with wash buffer (41). Relative messenger RNA (mRNA) ratios were determined by scanning densitometry of the autoradiograms and normalized by the fluorescence intensities of the corresponding ethidium bromide-stained 18S and 28S ribosomal RNA bands.

Blots were also hybridized with 32P-labeled cDNA probes for rat type I deiodinase (Dr. P. Reed Larsen, Brigham and Women’s Hospital, Boston, MA), Na+/K+-ATPase {alpha}- and ß-subunits (Dr. Jerry Lingrel, University of Cincinnati, Cincinnati, OH) and TGF-ß isoforms 1, 2, and 3 (Dr. Rik Derynck, University of California, San Francisco, CA) to establish the specificity of the NIS mRNA suppression by the various treatments used.

Treatment of cells with ceramide
C16-ceramide is not soluble in aqueous solutions or ethanol. Recently, a solvent mixture of ethanol and dodecane (98:2 vol/vol) has been reported to fully solubilize C16-ceramide (42). When diluted in serum-free medium to a final concentration of ethanol and dodecane of 0.5% and 0.01%, respectively, the C16-ceramide is readily taken up by cells and incorporated into sphingomyelin. At the doses used, ethanol and dodecane had no effect on cell proliferation. Another factor that interferes with C16-ceramide uptake by cells is its affinity for the hydrophobic binding site on albumin (43). To minimize this competitive binding effect, which may greatly diminish or abolish cellular uptake of this test substance, cell culture medium containing only 0.05% BSA instead of 5% calf serum was used in all experiments with C16-ceramide.

125I uptake
FRTL-5 cells were seeded in 24-well plates (0.5 x 105 cells/well). Cells were maintained in standard, TSH-containing medium and medium was changed every third day. On the seventh day, the medium was changed and test agents were added. After 48 h, the cells were washed twice with 1 ml of cold HBSS, 25 µl (12,000–15,000 cpm) Na125I in 10 µM KI were added to each well and incubated at 37 C for 40 min, then nontransported 125I was washed off with 1 ml HBSS. Intracellular Na125I was released by incubating with 25 µl 20 mM KClO4 in 0.5 ml HBSS for an additional 30 min. The medium of each well was counted for 125I.

DNA content
The total DNA content of each well was measured by the fluorometric mithramycin-binding method (44). The total DNA per well was used to normalize the 125I-uptake results.

Cell labeling with 3H-palmitic acid
FRTL-5 cells were grown to near confluency in FRTL-5 medium containing 2 U/liter bTSH. Cells were washed with sterile saline, and then fresh medium with various concentrations of TSH (0 to 2 U/liter) was added with or without 50 ng/ml TNF. After 24 h incubation, 3H-palmitic acid (DuPont-New England Nuclear Research Products, Boston, MA; 30–60 Ci/mmol, 1 µCi/ml) was added to each flask. After an additional 48-h incubation, cells were washed with saline. Fresh, serum-free medium was then added, which had the same TSH concentration as the original medium but did not contain TNF or tracer. Three hours later, the cells were washed with homogenization buffer (50 mM NaF, 5 mM EGTA, 25 mM HEPES, pH 7.4) and then homogenized with 2 ml of homogenization buffer using 50 strokes of a tight-fitting Dounce homogenizer. The homogenate was centrifuged for 5 min at 500 x g.

Lipid extraction and chromatography
Lipids in the supernatant were extracted with 1 ml of chloroform:methanol: concentrated hydrochloric acid (100:100:1) and 0.3 ml of 0.01 M EDTA in BSS. The glycerophospholipids were saponified with 0.1 M KOH for 1 h at 37 C. After drying under nitrogen and redissolving the samples in chloroform:methanol (1:1), 3H-labeled sphingomyelin was isolated from the organic phase by TLC (silica gel G, Analtech, Newark, DE) using chloroform: methanol:acetic acid:H2O (25:15:4:1.5). Sphingomyelin standards were visualized by iodine vapor and radioactivity was determined by scraping and counting 3H-labeled fractions (45). 3H-ceramide was fractionated by silica gel TLC using heptane:ethyl acetate:acetic acid (80:20:1) with unlabeled sphingomyelin (RF 0.00), and ceramide (RF 0.133), stained with iodine vapor, and 3H-palmitic acid (RF 0.467) as markers for scraping and counting 3H-labeled fractions. The nuclear pellet was saved for DNA measurement by the mithramycin fluorescent dye binding method (44).

Statistical analysis
Results presented are representative of at least three replicate experiments. Error bars represent 1SD. When error bars are not visible, they are obscured by the symbol for the mean. Results were analyzed by one-way ANOVA using the Scheffé’s post hoc factorial contrasts.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
TSH increases NIS mRNA levels in young FFTL-5 cells
NIS mRNA levels in cells grown for 3 days in TSH-free medium rose 80-fold (95% confidence limits: 33 and 460) to a maximum level by 32 h after addition of 2 U/liter bovine TSH (Fig. 1Go, left panels). Addition for 3 days of various doses of TSH, to similarly treated cells, produced a monotonic increase in NIS mRNA levels to a plateau value, 17-fold (95% confidence limits: 7.5 and 33) above the baseline, at 222 mU/liter bovine TSH (Fig. 1Go, right panels). The mRNA transcript in cells maintained in TSH-free medium was readily detectable using longer exposure times of the Northern blot. These results are consistent with earlier reports on the time and concentration-dependent induction of NIS mRNA by TSH in vitro and in vivo (21, 24).



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Figure 1. Time-dependent effect after adding 2 U/liter (top left panel) and 3-day treatment with various concentrations of bovine TSH (top right panel) on NIS mRNA levels in young FRTL-5 cells. Optical density of bands from three replicate Northern blots, hybridized with a rat NIS cDNA probe (middle panel), was normalized by the fluorescence intensity from the corresponding ethidium bromide-stained gel (bottom panel).

 
TNF reduces NIS mRNA levels only in young cells because aged cells have low NIS expression
Human TNF (41 ng/ml) added to young FRTL-5 cells grown in TSH-containing medium reduced the NIS mRNA levels with t1/2 = 0.62 days (Fig. 2AGo). One-day treatment with various doses of human TNF reduced NIS mRNA levels in an approximately linear log dose-response manner (Fig. 2BGo). NIS mRNA levels in aged cells grown in TSH-containing medium were low but readily detectable (2–5% of the corresponding young cell values) and were not affected by adding TNF to the medium (Fig. 2AGo). In contrast with the continuous reduction of NIS mRNA levels in response to human TNF, as seen in panel A, the NIS mRNA level began to increase after reaching a nadir of 14% of the control value at 1 day after the start of treatment with mouse TNF and returned to almost the initial value by 3 days of treatment, as seen in panel C. Two-day treatment with various doses of mouse TNF up to 100 ng/ml reduced NIS mRNA levels in a dose-dependent manner to 22% of the untreated control as seen in panels D and E.



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Figure 2. Time- and concentration-dependent effects of recombinant human TNF (A and B) and recombinant mouse TNF (C and D) on NIS mRNA levels in FRTL-5 cells grown with 2 U/liter TSH. Cells treated for 0 to 3 days with 41 ng/ml human TNF (A) or 100 ng/ml mouse TNF (C). Young cells treated with various doses of human TNF for 1 day (B) or mouse TNF for 2 days (D). Densitometry of three replicate Northern blots (arbitrary units) for panel D (one of these blots is displayed in panel (E) was normalized by the fluorescence of the corresponding 18S ribosomal RNA band, as seen in panel F. *, P < 0.05 by one-way ANOVA.

 
Sphingomyelinase and ceramide suppress NIS mRNA levels
Glycerol-free sphingomyelinase reduced the NIS mRNA steady-state levels in FRTL-5 cells grown in TSH-containing medium in a dose and time-dependent manner (Fig. 3Go). Ceramide (37 µM) reduced NIS mRNA levels by 89% after 24 h treatment (Fig. 4Go). No morphologic changes, loss of cell viability, or alteration in growth rate were detected in response to these treatments. Two-day treatment with ceramide (20 µg/ml) also reduced 125I uptake by 50% (Fig. 5Go).



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Figure 3. NIS mRNA levels in young FRTL-5 cells grown with TSH and treated one day with sphingomyelinase at various doses (upper left panel) or for increasing time with 0.3 U/ml sphingomyelinase (upper right panel). The average optical density of three replicate Northern blots (arbitrary units) corresponding to the upper right panel (one of these blots is displayed in the lower left panel) was normalized by the fluorescence of the corresponding 18S ribosomal RNA band, as seen in the lower right panel. *, P < 0.05 by one-way ANOVA.

 


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Figure 4. NIS mRNA levels in young FRTL-5 cells grown with TSH and treated one day with various doses of ceramide. *, P < 0.05 by one-way ANOVA.

 


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Figure 5. 125I-uptake in young FRTL-5 cells grown with TSH and treated for 2 days with various doses of C16-Ceramide. *, P < 0.05 by one-way ANOVA.

 
The suppressive effect of ceramide on NIS mRNA levels in young FRTL-5 cells grown in TSH-containing medium is specific. Rehybridization of the blot for Fig. 4Go and related blots with a 32P-labeled rat type I iodothyronine deiodinase (D1) cDNA probe revealed no time- or dose-dependent effects of ceramide on D1 mRNA levels (16).

Cycloheximide (CHX) blocks TNF suppression of NIS expression and activity
As shown in Table 1Go, treatment of cells grown in TSH-containing medium and 50 ng/ml TNF, CHX, or both TNF and CHX revealed that TNF significantly reduced iodide uptake by 45% and NIS mRNA levels by 57%, but CHX (5 or 10 µg/ml) did not change NIS mRNA levels by itself. However, 5 and 10 µg/ml CHX reversed the inhibitory effect of TNF on iodide uptake, whereas 10 µg/ml CHX (but not 5 µg/ml CHX) blocked the suppressive effect of TNF on NIS mRNA levels. C16-ceramide inhibition of iodide uptake (54%) was also reversible by simultaneous treatment with CHX.


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Table 1. A, Effect of 20-h treatment with cycloheximide (CHX) and 18-h treatment with either 50 ng/ml human TNF or 12 µM C16-ceramide on iodide uptake1 ; B, effect of 8-h treatment with CHX and 6-h treatment with 50 ng/ml human TNF or 20-h treatment with CHX and 18-h treatment with 12 µM C16-ceramide on NIS mRNA levels in FRTL-5 cells grown in TSH-containing medium2

 
Reduction of NIS mRNA levels (22%) by C16-ceramide, on the other hand, was not reversed by CHX. Moreover, coadministration of 5 µg/ml or 10 µg/ml CHX increased the suppressive effect of ceramide to 36% and 42%, respectively. These results are consistent with a protein synthesis dependence of sphingomyelinase induction by TNF and protein synthesis independence of the reduction of NIS mRNA levels by C16-ceramide. Short-term inhibition of protein synthesis does not affect the total NIS protein level which has a t1/2 > 48 h (24). CHX blockade of both TNF and C16-ceramide-induced inhibition of iodide uptake suggests the existence of a protein synthesis requiring mechanism for NIS protein translocation to the plasma membrane (24).

Hybridization of these same blots with a type I deiodinase (D1) cDNA probe revealed that both 5 and 10 µg/ml CHX were sufficient to quantitatively block the suppressive effect of TNF on D1 mRNA levels (16).

TGF-ß1 reduces NIS mRNA levels
TGF-ß1 suppressed NIS mRNA levels in a dose- and time-dependent manner (Fig. 6Go). One-day treatment with 50 ng/ml TGF-ß1 (Fig. 6Go, top right panel) or two-day treatment with 6.25 ng/ml TGF-ß1 (Fig. 6Go, top left panel) reduced NIS mRNA levels by 76% and 80%, respectively. PF 4, a competitive inhibitor of TGF-ß1 binding to the type I TGF-ß receptor (46), did not reverse the suppressive effect of 6.25 ng/ml TGF-ß1 on NIS mRNA levels, as seen in Fig. 6Go, middle panel. The TGF-ß1-dependent increase in ß-actin mRNA is opposite to the decrease in NIS mRNA levels seen in the corresponding lanes of the Northern blot of Fig. 6Go. This effect is consistent with the TGF-ß1-induced change in young cells from cuboidal to flattened stellate morphology.



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Figure 6. NIS mRNA levels in young FRTL-5 cells grown with TSH and treated for various times with 50 ng/ml human TGF-ß1 (top right panel) or for 1 day with various doses of TGF-ß1 (top left panel). Densitometry of three replicate Northern blots (arbitrary units) was normalized by the the fluorescence of the corresponding 18S ribosomal RNA band. *, P < 0.05 by one-way ANOVA (top panels). Corresponding Northern blot (middle panel) and ethidium bromide stained gel (bottom panel). Platelet factor 4 (PF4), a specific inhibitor of TGF-ß1 binding to the type I TGF-ß, did not alter the reduction in NIS mRNA levels resulting from treating cells for two days with 6.25 ng/ml TGF-ß1 (lower left panel). TGF-ß1 increased ß-actin mRNA levels relative to the corresponding ethidium bromide-stained ribosomal RNA bands.

 
TNF increases both sphingomyelin and ceramide levels in FRTL-5 cells
We found that ceramide and sphingomyelin levels were increased 3.4 and 4.8-fold, respectively, by treating young FRTL-5 cells with 50 ng/ml TNF in the absence of TSH, but the ceramide/sphingomyelin ratio decreased significantly (Table 2Go). TSH increased the level of sphingomyelin 5-fold in young cells but did not change the level of ceramide, in the absence of added TNF. Similar results were obtained in aged cells (results not shown). In the presence of 2 U/liter TSH, however, both ceramide and sphingomyelin levels fell in young cells with TNF treatment (Table 1Go). However, the decline of sphingomyelin was greater than that of ceramide, resulting in a significant increase in the ceramide/sphingomyelin ratio.


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Table 2. Effect of TNF (50 ng/ml) and TSH (2 U/L) on levels of 3H-sphingomyelin (SM), 3H-ceramide (Cer) and the Cer/SM ratio in young FRTL-5 cells labeled for 2 days with 3H-palmitic acid

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Mouse TNF binds to both rat TNF receptors while human TNF binds only to the type I rat receptor
Our laboratory and others have reported that cytokines, including TNF and TGF-ß1, inhibit thyroid function in vivo and in vitro and are therefore likely to be major contributors to the nonthyroid illness syndrome (3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16). Mouse TNF, upon binding to the two rat TNF receptors, p55 and p75, activates a number of second messenger systems including G proteins, adenylate cyclase (cAMP, protein kinase A), phosphatidylinositol-specific phospholipase C (diacylglycerol release, protein kinase C activation, Ca2+ release from intracellular stores), NF{kappa}B (increased expression of proinflammatory cytokines), PLA2 (arachidonic acid, leukotrienes), tyrosine kinase, and phosphorylation of nuclear transcription factors (6, 13, 14, 30, 31, 47). The arachidonic acid second messenger pathway in liver cells has recently been shown to be coupled to another signaling system, conversion of sphingomyelin to ceramide by sphingomyelinase (32, 33). Human TNF binds only to the rat p55 receptor for TNF (48, 49). This difference in range of receptor binding by human and mouse TNF may explain, at least in part, the difference in the time dependence of the suppressive effect of these two TNF molecules on NIS mRNA noted in Fig. 2Go.

TNF increases the level of both sphingomyelin and ceramide in FRTL-5 cells
TNF markedly increased the levels of both sphingomyelinase and ceramide in both young and aged cells in the absence of TSH. Ceramide is a second messenger that mediates programmed cell death (apoptosis) induced by proinflammatory cytokines, such as TNF and IL-1ß, by heat shock and by serum withdrawal (50). Growth factors such as platelet-derived growth factor activate ceramidase and sphingosine kinase, which convert ceramide to sphingosine-1-phosphate, a potent antagonist of the apoptotic action of ceramide (50). TSH-induced depletion of the TNF-enhanced sphingomyelin and ceramide pools in young cells may be the result of both the growth-stimulating (anti-apoptotic) effect of TSH and its second messengers cAMP, Ca2+ (51), and sphingosine-1-phosphate (52) and increased utilization of ceramide for the synthesis of mannose-inositol-phosphoceramide-anchored proteins (53) of thyroid cells (54).

The effects of sphingomyelinase treatment on FRTL-5 cells are consistent with increased conversion of sphingomyelin to ceramide
Addition of exogenous sphingomyelinase to FRTL-5 cells, a standard method for elevating intracellular ceramide, produced the same reduction in differentiated thyroid cell functions that normally occur after activation of the endogenous sphingomyelinase by proinflammatory cytokines (26, 32, 33). Recent observations that sphingomyelinase and ceramide inhibit 5'-DI expression and activity in FRTL-5 cells (16, 17), as do TNF-{alpha}, IL-1ß, and IFN-{gamma} (4, 5), are also consistent with activation of sphingomyelinase by proinflammatory cytokines in this cell line.

TNF effects are protein synthesis-dependent
TNF effects on the expression of a number of genes, positive or negative, are protein synthesis dependent. For example, glucosylceramide (Glc-Cer) synthase, an enzyme that transfers a glucose moiety from uridine diphosphate (UDP)-glc to ceramide, thus forming the first member of a large family of glucosphingolipids, may be an important branch in the intracellular signaling cascade stimulated by increased production of ceramide (55). Both CHX and actinomycin D, inhibitors of translational and transcriptional protein synthesis, cause much of this synthase activity, which is induced by ceramide, to disappear in 6 h (55). Treatment of U937 human promonocytic cells with TNF, bacterial sphingomyelinase, or ceramide increases tyrosine phosphorylation of a 23-kDa nuclear protein (P23) concomitantly with the occurrence of DNA fragmentation (42). The tyrosine kinase inhibitor, herbimycin A, inhibited tyrosine phosphorylation of P23 and DNA fragmentation, suggesting that the p23 phosphoprotein may be involved in the TNF-induced changes in the nucleus (42).

TGF-ß1 suppresses both Na+/K+-ATPase and NIS expression and activity
TGF-ß1, upon binding to a heteromeric complex of the type I and type II TGF-ß receptors, activates one or more classes of second messengers including mitogen-activated protein kinase (MAPK) and Mad signaling pathways (37, 56). Some of the MAPK pathways are not involved in the mitogenic response. In the budding yeast Saccharomyces cerevisiae, for example, six MAPK pathways have been identified, each of which regulates distinct functions such as mating, response to high osmolarity, and spore formation (37). Mad proteins are essential for embryogenesis and transduce signals for specific subclasses of TGF-ß ligands (56). The cellular response to TGF-ß1 in mammalian tissues is cell specific (36, 37, 38, 56). TGF-ß1 potently suppresses Na+/K+-ATPase expression and activity in young FRTL-5 cells (10) and, as shown here, also suppresses NIS mRNA. Thus, TGF-ß1 has a dual action in inhibiting iodide transport.

In vitro and in vivo aging of epithelial cells is associated with increased TGF-ß expression
TGF-ß expression increases substantially with aging in FRTL-5 cells (15, 20). Aging also facilitates the TSH- and TNF-dependent increase in expression of TGF-ß1 by FRTL-5 cells (15). The family of antiinflammatory TGF-ß cytokines are potent inhibitors of epithelial cell growth and function (35, 36). The marked reduction in NIS mRNA levels in aged FRTL-5 cells suggests that reduced 125I uptake in this cell line and in the thyroids of mammals with aging may be due primarily to inadequate numbers of NIS molecules, perhaps secondary to progressive increase in TGF-ß synthesis and secretion (10, 15).

Summary
TNF, sphingomyelinase, and ceramide, a TNF-inducible second messenger in FRTL-5 rat thyroid cells, substantially reduce NIS mRNA levels in this cell line. This pattern of inhibitory effects is consistent with an important role for the sphingomyelinase signaling pathway in mediating the inhibitory effect of proinflammatory cytokines on thyroid cell function, including iodide uptake. The TNF-initiated suppression of NIS expression is a protein synthesis-dependent process. Because TGF-ß1 also reduces iodide uptake, but by a different second messenger signaling pathway, a regulatory process downstream from both the TNF-activated sphingomyelinase and TGF-ß-activated MAP kinase and MAD protein pathways may be responsible for the reduction in NIS expression. Aging also reduces NIS mRNA levels and iodide transport, in part, by a substantial increase in the expression and secretion of TGF-ß.


    Acknowledgments
 
The authors thank Dr. Nancy Carrasco and Dr. Orlie Levy (Albert Einstein College of Medicine, Bronx, NY) for their careful evaluation of the manuscript. The excellent artwork and photographic services of the Medical Media Staff of the West Los Angeles VA is also acknowledged.


    Footnotes
 
1 This work was supported by the Department of Veterans Affairs Medical Research Service Funds. Back

Received July 22, 1997.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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