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Thyroid and Related Autoimmune Disorders: Challenging the Dogmas

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Abstract

When, in 1973, one of us (GFB) joined Deborah Doniach and the Autoimmunity Group in the Department of Immunology at The Middlesex Hospital in London, the main area of research was the pathogenesis of autoimmune liver diseases. Indeed, it is of interest to recall that another young Italian research fellow in the team at that time was Mario Rizzetto who, a few years later, discovered the Delta particle, and thus made a fundamental advance in the understanding of viral hepatitis. No doubt he had the right training! But to return to the story of the young fellow from Venice, he knew that the Department was famous all over the world for the investigation of endocrine autoimmunity and he was hesitant to become involved in the ‘diversion’ of liver disorders. There is nothing wrong with this subject but, after all, Ivan Roitt and Deborah Doniach were the discoverers of human thyroid autoimmunity 17 years previously and had persued this line of novel investigation for several years. ‘What about turning the emphasis again towards the first ‘love’ of endocrine autoimmunity?’ he asked. Deborah Doniach enthusiastically agreed. It was in 1974 when he then tested a few sera of patients with Addison’s disease on sections of human pancreas by the indirect immunofluorescence technique, that he observed the islets shining out against the dark background of the exocrine acini. With Alex Florin-Christensen, who actively collaborated in this new approach, the first dogma was thus challenged: a year previously during the first meeting on ‘Immunology of Diabetes’ held in Brussels, it was stated: ‘We are afraid that islet cell antibodies do not exist’.

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References

  • Adams, D.D.,1956, The clinical status of patients whose sera have given the abnormal response when assayed for thyrotropin, Proc. Univ. Otago. Med. Sch., 34:29–35.

    Google Scholar 

  • Aichinger, G., Fill, H., & Wick. G., 1985, In situ immune complexes, lymphocyte subpopulations and HLA-DR positive epithelial cells in Hashimoto thyroiditis. Lab. Invest., 52:132–140.

    PubMed  CAS  Google Scholar 

  • Belfiore, A., Bottazzo, G.F., 1987, Epidemiology of autoallergic human thyroiditis. Monographs in Allergy, Karger, Basel (in press).

    Google Scholar 

  • Belfiore, A., Pujol-Borrell, R., Mauerhoff, T., Mirakian, R. & Bottazzo, G.F., 1986, Effect of SV-40 transformaton on HLA expression by thyroid follicular cells: arise of a population of DR positive thyrocytes. Annales d’endocrinol, 47:17 (abstract).

    Google Scholar 

  • Bottazzo, G.F., 1984, Beta cell damage in diabetic insulitis: are we approaching the solution?, Diabetologia, 26:241–249.

    Article  PubMed  CAS  Google Scholar 

  • Bottazzo, G.F., 1986, Death of a Beta Cell: Homicide or Suicide? Diabetic Med., 3:119–130.

    Article  PubMed  CAS  Google Scholar 

  • Bottazzo, G.F., Dean, B.M., McNally, J.M., MacKay, E.H., Swift, P.G.F. & Gamble, D.R.,1985, In situ characterization of autoimmune phenomena and expression of HLA molecules in the pancreas in diabetic insulitis, N. Engl. J. Med., 313:353–360.

    Article  PubMed  CAS  Google Scholar 

  • Bottazzo, G.F., Florin-Christensen, A., Doniach, D., 1974, Islet cell antibodies in diabetes mellitus with autoimmune polyendocrine deficiencies, Lancet, ii:1279–1283.

    Article  Google Scholar 

  • Bottazzo, G.F., Pujol-Borrell, R., Gale, E., 1986, Autoimmunity and diabetes: progress, consolidation and controversy, The Diabetes Annual/2: K.G.M.M. Alberti & L.P. Krall Eds, Elsevier Science Pub., Amsterdam, ppl3–29.

    Google Scholar 

  • Bottazzo, G.F., Pujol-Borrell, R., Hanafusa, T. & Feldmann, M., 1983, Role of aberrant HLA-DR expression and antigen presentation in induction of endocrine autoimmunity, Lancet, ii: l115–1119.

    Google Scholar 

  • Bottazzo, G.F., Todd, I., Pujol-Borrell, R., 1984, Hypothesis for the genetic contribution to the aetiology of diabetes mellitus. Immunol. Today, 5:230–231.

    Article  Google Scholar 

  • Bovo, P., Mirakian, R.-, Merigo, F., Angelini, G., Pujol-Borrell, R., Cavallini, G., Bottazzo, G.F. & Scuro, L.A., 1985, Chronic alcoholic pancreatitis: is autoimmunity involved?, Dig. Pis. Sci., 30:967 (Abstract).

    Google Scholar 

  • Chiovato, L., Hammond, L.J., Hanafusa, T., Pujol-Borrell, R., Doniach, D., Bottazzo, G.F., 1983, Detection of thyroid growth immunoglobulins (TGI) by [ H] thymidine incorporation in cultured rat thyroid follicles. Clin. Endocrinol., 19:581–590.

    Article  CAS  Google Scholar 

  • Chiovato, L., Vitti, P., Lombardi, A., Kohn, L.D. & Pinchera, A., 1985, Expression of the microsomal antigen on the surface of continuously cultured rat thyroid cells is modulated by thyrotropin, J. Clin. Endocrinol. Metab., 61:12–16.

    Article  PubMed  CAS  Google Scholar 

  • Czarnocka, B., Ruf, J., Ferrand, M., Carayon, P., Lissitzky, S., 1985, Purification of the human thyroid peroxidase and its identification as the microsomal antigen involved in autoimmune thyroid diseases. FEBS Lett., 190:147–152.

    Article  PubMed  CAS  Google Scholar 

  • Davies, T.F., 1985, Cocultures of human thyrid monolayer cells and autologous T cells: impact of HLA Class II antigen expression, J. Clin. Endocrinol. Metab., 61:418–422.

    Article  PubMed  CAS  Google Scholar 

  • De Lazzari, F., Mirakian, R., Hammond, L., Venturi, C., Bartolami, M., Naccarato, R., Doniach, D., Bottazzo, G.F., 1986, Are there immunological forms of duodenal ulcer (DU) as a consequence of gastric parietal cell stimulating antibodies? Gut, 20:1116 (Abstract).

    Google Scholar 

  • Del Prete, G.F., Maggi, E., Mariotti, S., Tiri, A., Vercelli, D., Parronchi, P., Macchia, D., Pinchera, A., Ricci, M., Romagnani, S., 1986, Cytotoxic T lymphocytes with natural killer activity in thyroid infiltrate of patients with Hashimoto’s thyroiditis: analysis at clonal level, Clin. Endocrinol. Metab., 62:1–6.

    Article  Google Scholar 

  • Dobi, S., Lenkey, B.,1982, Role of secretagogue immunoglobulin in gastric acid secretion. Acta Physiol. Acad. Sci. Hung., 69:9–25.

    Google Scholar 

  • Doniach, D., 1976, Clinical observations and hypotheses related to TSH receptors, in ‘Biochemical Basis of stimulation and thyroid hormone action’, A.V. Muhlen & M. Schleusener, eds. Georg Thieme, Stuttgard, pp24–36.

    Google Scholar 

  • Drexhage, H.A., Bottazzo, G.F., Bitensky, L., Chayen, J., Doniach, D., 1981, Thyroid growth-blocking antibodies in primary myxedema, Nature, 289:594–596.

    Article  PubMed  CAS  Google Scholar 

  • Drexhage, H.A., Bottazzo, G.F., Doniach, D., Bitensky, L., Chayen, J., 1980, Evidence for thyroid growth stimulating immunoglobulins in some goitrous thyroid diseases, Lancet, ii:287–292.

    Article  Google Scholar 

  • Ealey, P.A., Emmerson, J.M., Bidey, S.P., Marshall, N.J., 1985, Thyrotropin stimulation of the rat thyroid cell strain FRTL-5: a metaphas index assay for the detection of thyroid growth stimulators. J. Endocrinol., 106:203–210.

    Article  PubMed  CAS  Google Scholar 

  • Feldmann, M., Doniach, D., Bottazzo, G.F., 1986, The heterogeneity of autoimmune response. in: ‘Immunology of Rheumatic Disease’ S. Gupta & N. Talal, eds., Plenum Pub., New York, pp271–300.

    Google Scholar 

  • Feutren, G., Assau, R., Karrenty, G., DuRostu, H., Sizumai, J., Papoz, L., Vialettes, B., Vexian, P., Rodier, M., Lallemand, A., Bach, J.F.,1986, Cyclosporin increases the rate and length of remissions in insulin-dependent diabetes of recent onset - results of a multicentre double-blind trail, Lancet, i:l19–124.

    Google Scholar 

  • Foulis, A.K., Bottazzo, G.F., 1987, Insulitis - 1986. in ‘The Pathology of the Endocrine Pancreas in Diabetes’. P. Lefebvre & D. Pipeleers Eds. Springer-Verlag, Berlin (in press).

    Google Scholar 

  • Foulis, A.K. & Farquharson, M.A., 1986, Aberrant expression of HLA-DR antigens by insulin containing beta cells in recent onset Type I (insulin-dependent) diabetes mellitus, Diabetes, (in press).

    Google Scholar 

  • Hanafusa, T., Pujol-Borrell, R., Chiovato, L., Doniach, D., Bottazzo, G.F.,1984, In vitro and in vivo reversal of thyroid epithelial polarity: its relevance for autoimmune thyroid disease. Clin, exp. Immunol., 57:639–646.

    CAS  Google Scholar 

  • Hanafusa, T., Pujol-Borrell, R., Chiovato, L., Russell, R.C.G., Doniach, D. & Bottazzo, G.F.,1983, Aberrant expression of HLA-DR antigen on thyrocytes in Graves’ disease: relevance for autoimmunity, Lancet, 11:1111–1115.

    Article  Google Scholar 

  • Hohlfeld, R., Toyka, K.V., Heininger, K., Gross-Wilde, H., Kalies, I.,1984, Autoimmune human T lymphocytes specific for acetylcholine receptor, Nature, 310:244–246.

    Article  PubMed  CAS  Google Scholar 

  • Iwatani, Y., Gerstein, H.C, Iitaka, M., Row, U.U. & Volpe, R.,1986, Thyrocyte HLA-DR expression and interferon-gamma in autoimmune thyroid disease, J. Clin. Endocrinol. Metab., 63:695–708.

    Article  PubMed  CAS  Google Scholar 

  • Jansson, R., Karlsson, A. & Forsum, U., 1985, Intrathyroid HLA-DR expression and T lymphocyte phenotypes in Graves’ thyrotoxicosis, Hashimoto’s thyroiditis and nodular colloid goitre, Clin, exp. Immunol., 58:264–272.

    Google Scholar 

  • Jalkanen, S., Steere, A.C., Fox, R.I. & Butcher, E.C.,1986, A distinct endothelial cell recognition system that controls lymphocyte traffic into inflamed synovium, Science, 233:556–558.

    Article  PubMed  CAS  Google Scholar 

  • Khoury, E.L., Bottazzo, G.F., Roitt, I.M.,1984, The thyroid ’microsomal 1 antibody revisited: Its paradoxical binding in vivo to the apical surface of the follicular epithelium, J. Exp. Med., 159: 577–591.

    Article  PubMed  CAS  Google Scholar 

  • Khoury, E.L., Hammond, L., Bottazzo, G.F., Doniach, D., 1981, Presence of organ-specific ’microsomal’ autoantigen on the surface of human thyroid cells in culture: its involvement in complement-mediated cytotoxicity, Clin, exp. Immunol., 45:316–328.

    CAS  Google Scholar 

  • Lendrum, R., Walker, S.G., Gamble, D.R.,1975, Islet cell antibodies in juvenile diabetes mellitus of recent onset, Lancet, i:880–882.

    Article  Google Scholar 

  • Londei, M., Bottazzo, G.F. & Feldmann, M.,1985, Human T cell clones from autoimmune thyroid glands: specific recognition of autologous thyroid cells. Science, 228:85–89.

    Article  PubMed  CAS  Google Scholar 

  • Londei, M., Lamb, J.R., Bottazzo, G.F. & Feldmann, M.,1984, Epithelial cells expressing aberrant MHC Class II determinants can present antigen to cloned human T cells, Nature, 312:639–641.

    Article  PubMed  CAS  Google Scholar 

  • Loveridge, N., Bitensky, L., Chayen, J., Hausamer, T.U., Fischer, J.M., Taylor, K.B., Gardner, J.D., Bottazzo, G.F., Doniach, D.,1980, Inhibition of parietal cell function by human gamma-globulin containing gastric parietal cell antibodies, Clin, exp. Immunol., 41:264–270.

    CAS  Google Scholar 

  • Lucas-Martin, A., Foz, M., Todd, I., Bottazzo, G.F., Pujol-Borrell, R., Inappropriate HLA Class II expression in a wide variety of thyroid diseases, (submitted for publication).

    Google Scholar 

  • Nitsch, L. & Wollman, S.H.,1980, Ultrastructure of intermediate stages in polarity reversal of thyroid epithelium in follicles in suspension culture. J. Cell. Biol., 86:875–882.

    Article  PubMed  CAS  Google Scholar 

  • Nunez, G., Ball, E.J. & Stastny, P.,1983, Accessory cell function of human endothelial cells. I. A subpopulation of la positive cells is required for antigen presentation. J. Immunol., 131:666–673.

    PubMed  CAS  Google Scholar 

  • Pinchera, A., Fenzi, G.F., Mariotti, S., Vitti, P., Macchia, E., Chiovato, L., Marcocci, C., Bartalena, L.,1984, Membrane antigens in thyroid autoimmune diseases.in: ‘Endocrinology’ F. Labri & L. Proulx, eds., Excerpta Medica, Amsterdam, pp 469–472.

    Google Scholar 

  • Plotz, P.H.,1983, Autoantibodies are anti-idiotype antibodies to antiviral antibodies, Lancet, ii:824–826.

    Article  Google Scholar 

  • Pujol-Borrell, R., Hanafusa, T., Chiovato, L. & Bottazzo, G.F.,1983, Lectin-induced expression of DR antigen on human cultured follicular thyroid cells. Nature, 303:71–73.

    Article  Google Scholar 

  • Pujol-Borrell, R., Todd, I., Adolf, G.R., Feldmann, M. & Bottazzo, G.F.,1986a, In vivo and in vitro demonstration of HLA Class II products on human islet beta cells. In ‘Proceedings of Symposium on Immunology of Diabetes, Edmonton, Canada, June 1986’ G.D. Molnan & M.A. Jaworski, eds. (in press). Elsevier Science Publishers, Amsterdam.

    Google Scholar 

  • Pujol-Borrell, R., Todd, I., Doshi, M., Gray, D., Feldmann, M. & Bottazzo, G.F.,1986b, Differential expression and regulation of MHC products in the endocrine•and exocrine cells of the human pancreas, Clin, exp. Immunol., 65:128–139.

    CAS  Google Scholar 

  • Sibley, D.K., Sutherland, D.F.R., Goetz, F.C., Michael, A.F. (1985). Recurrent diabetes mellitus in the pancreas iso and allograft : a light and electron microscopic and immuno-histochemical analysis. Lab. Invest., 53:132–145.

    PubMed  CAS  Google Scholar 

  • Smyth, P.P.A., McMullan, N.M., Grubeck-Loebenstein, B., O’Donovan, D.,1986, Thyroid growth-stimulating immunoglobulins in goitrous disease, Acta Endocrinol., in press.

    Google Scholar 

  • Stiller, C.R., Dupre, J., Gent, M., Venmer, M.R, Keown, P.A., Laupacis, A., Mar tell, R., Rodger, N.W., Groffenied, B.V., Wolfe, B.J.J.,1984, Effect of cyclosporine immunosuppression in insulindependent diabetes mellitus of recent onset. Science, 223:1363–1367.

    Article  Google Scholar 

  • Todd, I., Abdul-Karim, B.A.S., Pujol-Borrell, R., Feldmann, M. & Bottazzo, G.F.,1986a, Dissection and characterization of the spontaneous and induced expression of HLA-D/DR by thyroid epithelium, in: ‘Frontiers in Thyroidology’, Plenum Press, New York, pp. 1587–1592.

    Google Scholar 

  • Todd, I., Lucas Martin, A., Abdul-Karim, B.A.S., Hammond, L.J. & Bottazzo, G.F., 1986b, HLA-D subregion expression by thyrocytes is associated with the occurrence of circulating thyroid autoantibodies, Ann d’Endocrinol, 47:20 (Abstract).

    Google Scholar 

  • Todd, I., McNally, J.M., Hammond, L.J. & Pujol-Borrell, R., 1986c, TSH enhances expression by thyrocytes of interferon-gamma induced HLAD/ DR, in ‘Frontiers in Thyroidology’, Plenum Press, New York, pp. 1551–1554.

    Google Scholar 

  • Todd, I., Pujol-Borrell, R., Hammond, L.J., Bottazzo, G.F., Feldmann, M.,1985. Interferon-gamma induces HLA-DR expression by thyroid epithelium. Clin, exp. Immunol., 61:265–273.

    CAS  Google Scholar 

  • Todd, I., Pujol-Borrell, R., Londei, M., Feldmann, M., Bottazzo, G.F.,1986c, Inappropriate HLA Class II expression on epithelial cells: consolidation and progress, in ‘The Thyroid and Autoimmunity’, H.A. Drexhage and W.M. Wiersinga, eds. International Congress Series, 711. Excerpta Medica, Amsterdam, pp 112–138.

    Google Scholar 

  • Van der Gaag, R.D., Drexhage, H.A., Dussault, J.H.,1985a, Role of maternal immunoglobulin blocking TSH-induced thyroid growth in sporadic forms of congenital hypothyroidism, Lancet, i:246–250.

    Article  Google Scholar 

  • Van der Gaag, H.A., Drexhage, H.A., Wiersinga, W.M., Brown, R.S., Docter, R., Bottazzo, G.F., Doniach, D., 1985b, Further studies on thyroid growth-stimulating immunoglobulins in euthyroid nonendemic goiter, J. Clin. Endocrinol. Metah, 60: 972–979.

    Article  Google Scholar 

  • Wulffraat, N.M. & Drexhage, H.A.,1986, Immunoglobulins stimulating and blocking adrenal growth, In: Proceedings of First International Conference on Hormones and Immunity, Toronto, July 1986, (Abstract).

    Google Scholar 

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Bottazzo, G.F., Todd, I., Mirakian, A.B.R., Pujol-Borrell, R. (1987). Thyroid and Related Autoimmune Disorders: Challenging the Dogmas. In: Pinchera, A., Ingbar, S.H., McKenzie, J.M., Fenzi, G.F. (eds) Thyroid Autoimmunity. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-0945-1_19

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