Abstract
Pretibial fibroblasts are considered to be targets of autoimmune attack in pretibial myxedema. A possibility of the pathogenesis of pretibial myxedema is that T cells, reacting with thyrotropin (TSH) receptor, will be targeting to the pretibial fibroblasts where, in the presence of antigen (TSH receptor), they will secrete various cytokines and stimulate fibroblasts to secrete glycosaminoglycans. We have demonstrated that TSH and TSH receptor antibody can bind to fibroblasts and the presence of RNA encoding the extracellular domain of the TSH receptor in fibroblasts derived from skin lesions of two patients with pretibial myxedema. The present study was designed to determine whether there are complete TSH receptor transcripts in pretibial fibroblasts obtained from patients with pretibial myxedema. RNA was prepared from pretibial fibroblasts obtained from 11 patients with pretibial myxedema and from four normal subjects, then reverse-transcribed by polymerase chain reaction using three sets of primers (−11/+8 and +754/+773; +353/+373 and +1265/+1285; +1000/ +1017 and +2284/+2301). The overlapped 2312 bp cDNA sequence was expected to contain the genetic sequences of the signal peptide (+1/+60), extracellular domain (+61/+1254), transmembrane domain (+1255/+2046), and cytoplasmic domain (+2047/ +2292) of the TSH receptor. The sequences were determined using dideoxy sequencing method. All of the 2312 nucleotide sequences in 15 samples were consistent with the reported TSH receptor sequence of transcripts in thyroid. These data suggest that the complete TSH receptor transcripts are very possible to be present in the fibroblasts derived from pretibial skin.
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Rees Smith B., McLachlan S.M., Furmaniak J. Autoantibodies to the thyrotropin receptor. Endocrinol. Rev. 9: 106, 1988.
Bahn R.S., Heufelder A.E. Pathogenesis of Graves’ ophthalmopathy. N. Engl. J. Med. 20: 1468, 1993.
Tsao M., Ferrarini M., Evans C., Ambro A., Whiteside T.L. Purification of a glycosaminoglycan-stimulatory lymphogne from supernatants of in vitro-activated human mononuclear cells. Clin. Immunol. Immunopathol. 50: 122, 1989.
Heufelder A.E., Smith T.J., Gorman C.A., Bahn R.S. Increased induction of HLA-DR by interferon-gamma in cultured fibroblasts derived from patients with Graves’ ophthalmopathy and pretibial dermopathy. J. Clin. Endocrinol. Metab. 73: 307, 1991.
Heufelder A.E., Dutton C.M., Sarkar G., Donovan K.A., Bahn R.S. Detection of TSH receptor RNA in cultured fibroblasts from patients with Graves’ ophthalmopathy and pretibial dermopathy. Thyroid 3: 297, 1993.
Mengistu M., Lukes Y.G., Nagy E.V., Burch H.B., Carr F.E., Lahiri S., Burman K.D. TSH receptor gene expression in retroocular fibroblasts. J. Endocrinol. Invest. 17: 437, 1994.
Chang T.C., Wu S.L., Hsiao Y.L., Kuo S.T., Chien L.F., Kuo Y.F., Chang C.C., Chang T.J. TSH and TSH receptor antibody-binding sites in fibroblasts of pretibial myxedema are related to the extracellular domain of entire TSH receptor. Clin. Immunol. Immunopathol. 71: 113, 1994.
Feliciello A., Porcellini A., Ciullo I., Bonavolonta G., Avvedimento E.V., Fenzi G. Expression of thyrotropin-receptor mRNA in healthy and Graves’ disease retro-orbital tissue. Lancet 342: 337, 1993.
Paschke R., Elisei R., Vassart G., Ludgate M. Lack of evidence supporting the presence of mRNA for the thyrotropin receptor in extraocular muscle. J. Endocrinol. Invest. 16: 329, 1993.
Chomczynski P., Sacchi N. Single-step method of RNA isolation by acid guanidinium thiocyanate-phenol-chloroform extraction. Anal. Biochem. 162: 156, 1987.
Nagayama Y., Kaufman K.D., Seto P., Rapoport B. Molecular cloning, sequence and functional expression of the cDNA for the human thyrotropin receptor. Biochem. Biophys. Res. Commun. 165: 1184, 1989.
Bahn R.S., Dutton C.M., Heufelder A.E., Sarkar G. A genomic point mutation in the extracellular domain of the thyrotropin receptor in patients with Graves’ ophthalmopathy. J. Clin. Endocrinol. Metab. 78: 256, 1994.
Ausubel F.M., Brent R., Kingston R.E., Moore D.D., Scidman J.G., Smith J.A., Struhl K. Current protocols in molecular biology. Wiley, New York, 1987, pp. 3.5.11–3.5.12 and 3.10.4–3.10.5.
Hattori M., Sakaki Y. Dideoxy sequencing method using denatured Plasmid templates. Anal. Biochem. 152: 232, 1986.
Frazier A.L., Robbins L.S., Stork P.J., Sprengel R., Segaloff D.L., Cone R.D. Isolation of TSH and LH/CG receptor cDNAs from human thyroid: regulation by tissue specific splicing. Mol. Endocrinol. 4: 1264, 1990.
Libert F., Lefort A., Gerard C., Parmentier M., Perret J., Ludgate M., Dumont J.E., Vassart G. Cloning, sequencing and expression of the human thyrotropin (TSH) receptor: evidence for binding of autoantibodies. Biochem. Biophys. Res. Commun. 165: 1250, 1989.
Misrahi M., Loosfelt H., Atger M., Sar S., Guiochon-Mantel A., Milgrom E. Cloning, sequencing and expression of human TSH receptor. Biochem. Biophys. Res. Commun. 166: 394, 1990.
Paschke R., Vassart G., Ludgate M. Current evidence for and against the TSH receptor being the common antigen in Graves’ disease and thyroid associated ophthalmopathy. Clin. Endocrinol. 42: 565, 1995.
Paschke R., Metcalfe A., Alcalde L., Vassart G., Weetman A.P., Ludgate M. Presence of nonfunctional thyrotropin receptor variant transcripts in retroocular and other tissues. J. Clin. Endocrinol. Metab. 79: 1234, 1994.
Gross B., Misrahi M., Sar S., Milgrom E. Composite structure of the human thyrotropin receptor gene. Biochem. Biophys. Res. Commun. 177: 679, 1991.
Drvota V., Janson A., Norman C., Sylven C., Haggblad J., Bronnegard M., Marcus C. Evidence for the presence of functional thyrotropin receptor in cardiac muscle. Biochem. Biophys. Res. Commun. 211: 426, 1995.
Watson P.F., French A., Pickerill A.P., Mcintosh R.S., Weetman A.P. Lack of association between a polymorphism in the coding region of the thyrotropin receptor gene and Graves’ disease. J. Clin. Endocrinol. Metab. 80: 1032, 1995.
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Wu, S.L., Chang, T.C., Chang, T.J. et al. Cloning and sequencing of complete thyrotropin receptor transcripts in pretibial fibroblast culture cells. J Endocrinol Invest 19, 365–370 (1996). https://doi.org/10.1007/BF03344971
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DOI: https://doi.org/10.1007/BF03344971