Abstract
Iodine excess may cause and aggravate autoimmune thyroiditis (AIT), which is regarded as a typical kind of autoimmune disease mainly mediated by CD4+ T cells. Thus far, it is unclear whether T helper (Th) 9 cells, a novel subpopulation of CD4+ T cells, play a potential role in AIT. Therefore, in the present study, changes in Th9 cells were detected in murine models of AIT induced by excess iodine intake to explore the possible immune mechanism. Female C57BL/6 mice were divided into 7 groups (n = 8) and were supplied with water containing 0.005% sodium iodide for 0, 2, 4, 6, 8, 10, and 12 weeks. With the extension of the high-iodine intake duration, the incidence of thyroiditis and the spleen index were significantly increased, and serum thyroglobulin antibody (TgAb) titers and interleukin 9 (IL-9, major cytokine from Th9 cells) concentrations were also increased. Additionally, it was revealed that the percentages of Th9 cells in spleen mononuclear cells (SMCs) and thyroid tissues were both markedly elevated and accompanied by increased mRNA and protein expression of IL-9 and key transcription factors of Th9 cells (PU.1 and IRF-4). Significantly, dynamic changes in Th9 cells were found, with a peak at 8 weeks after high iodine intake, the time point when thyroiditis was the most serious. Importantly, Th9 cells were detected in the areas of infiltrating lymphocytes in thyroid sections. In conclusion, the continuously increasing proportions of Th9 cells may play an important role in the occurrence and development of AIT induced by high iodine intake.
Similar content being viewed by others
Data Availability
The data used to support the findings of this study are available from the corresponding author upon request.
References
Caturegli P, De Remigis A, Rose NR (2014) Hashimoto thyroiditis: clinical and diagnostic criteria. Autoimmun Rev 13(4–5):391–397. https://doi.org/10.1016/j.autrev.2014.01.007
Zaletel K, Gaberscek S (2011) Hashimoto’s thyroiditis: from genes to the disease. Curr Genomics 12(8):576–588. https://doi.org/10.2174/138920211798120763
Hu S, Rayman MP (2017) Multiple nutritional factors and the risk of Hashimoto’s thyroiditis. Thyroid 27(5):597–610. https://doi.org/10.1089/thy.2016.0635
Katagiri R, Yuan X, Kobayashi S, Sasaki S (2017) Effect of excess iodine intake on thyroid diseases in different populations: a systematic review and meta-analyses including observational studies. Plos One 12(3):e173722. https://doi.org/10.1371/journal.pone.0173722
Farebrother J, Zimmermann MB, Andersson M (2019) Excess iodine intake: sources, assessment, and effects on thyroid function. Ann N Y Acad Sci 1446(1):44–65. https://doi.org/10.1111/nyas.14041
Leung AM, Braverman LE (2014) Consequences of excess iodine. Nat Rev Endocrinol 10(3):136–142. https://doi.org/10.1038/nrendo.2013.251
Zhao H, Tian Y, Liu Z, Li X, Feng M, Huang T (2014) Correlation between iodine intake and thyroid disorders: a cross-sectional study from the south of China. Biol Trace Elem Res 162(1–3):87–94. https://doi.org/10.1007/s12011-014-0102-9
Murphy KM, Reiner SL (2002) The lineage decisions of helper T cells. Nat Rev Immunol 2(12):933–944. https://doi.org/10.1038/nri954
Perumal NB, Kaplan MH (2011) Regulating Il9 transcription in T helper cells. Trends Immunol 32(4):146–150. https://doi.org/10.1016/j.it.2011.01.006
Gerlach K, Hwang Y, Nikolaev A, Atreya R, Dornhoff H, Steiner S, Lehr HA, Wirtz S, Vieth M, Waisman A, Rosenbauer F, Mckenzie AN, Weigmann B, Neurath MF (2014) TH9 cells that express the transcription factor PU.1 drive T cell-mediated colitis via IL-9 receptor signaling in intestinal epithelial cells. Nat Immunol 15(7):676–686. https://doi.org/10.1038/ni.2920
Nalleweg N, Chiriac MT, Podstawa E, Lehmann C, Rau TT, Atreya R, Krauss E, Hundorfean G, Fichtner-Feigl S, Hartmann A, Becker C, Mudter J (2015) IL-9 and its receptor are predominantly involved in the pathogenesis of UC. Gut 64(5):743–755. https://doi.org/10.1136/gutjnl-2013-305947
Ouyang H, Shi Y, Liu Z, Feng S, Li L, Su N, Lu Y, Kong S (2013) Increased interleukin9 and CD4+IL-9+ T cells in patients with systemic lupus erythematosus. Mol Med Rep 7(3):1031–1037. https://doi.org/10.3892/mmr.2013.1258
Yang J, Li Q, Yang X, Li M (2015) Interleukin-9 is associated with elevated anti-double-stranded DNA antibodies in lupus-prone mice. Mol Med 21:364–370. https://doi.org/10.2119/molmed.2014.00237
Ciccia F, Guggino G, Rizzo A, Manzo A, Vitolo B, La Manna MP, Giardina G, Sireci G, Dieli F, Montecucco CM, Alessandro R, Triolo G (2015) Potential involvement of IL-9 and Th9 cells in the pathogenesis of rheumatoid arthritis. Rheumatology (Oxford) 54(12):2264–2272. https://doi.org/10.1093/rheumatology/kev252
Vyas SP, Srivastava RN, Goswami R (2021) Calcitriol attenuates TLR2/IL-33 signaling pathway to repress Th9 cell differentiation and potentially limits the pathophysiology of rheumatoid arthritis. Mol Cell Biochem 476(1):369–384. https://doi.org/10.1007/s11010-020-03914-4
Schlapbach C, Gehad A, Yang C, Watanabe R, Guenova E, Teague JE, Campbell L, Yawalkar N, Kupper TS, Clark RA (2014) Human TH9 cells are skin-tropic and have autocrine and paracrine proinflammatory capacity. Sci Transl Med 6(219):218r–219r. https://doi.org/10.1126/scitranslmed.3007828
Singh TP, Schon MP, Wallbrecht K, Gruber-Wackernagel A, Wang XJ, Wolf P (2013) Involvement of IL-9 in Th17-associated inflammation and angiogenesis of psoriasis. Plos One 8(1):e51752. https://doi.org/10.1371/journal.pone.0051752
Zivancevic-Simonovic S, Mihaljevic O, Majstorovic I, Popovic S, Markovic S, Milosevic-Djordjevic O, Jovanovic Z, Mijatovic-Teodorovic L, Mihajlovic D, Colic M (2015) Cytokine production in patients with papillary thyroid cancer and associated autoimmune Hashimoto thyroiditis. Cancer Immunol Immunother 64(8):1011–1019. https://doi.org/10.1007/s00262-015-1705-5
Xue H, Wang W, Shan Z, Li Y, Li Y, Teng X, Gao Y, Fan C, Teng W (2011) Dynamic changes of CD4+CD25 + regulatory T cells in NOD.H-2h4 mice with iodine-induced autoimmune thyroiditis. Biol Trace Elem Res 143(1):292–301. https://doi.org/10.1007/s12011-010-8815-x
Allen EM, Appel MC, Braverman LE (1986) The effect of iodide ingestion on the development of spontaneous lymphocytic thyroiditis in the diabetes-prone BB/W rat. Endocrinology 118(5):1977–1981. https://doi.org/10.1210/endo-118-5-1977
Fischer PW, Campbell JS, Giroux A (1989) Effect of dietary iodine on autoimmune thyroiditis in the BB Wistar rats. J Nutr 119(3):502–507. https://doi.org/10.1093/jn/119.3.502
Bagchi N, Brown TR, Sundick RS (1995) Thyroid cell injury is an initial event in the induction of autoimmune thyroiditis by iodine in obese strain chickens. Endocrinology 136(11):5054–5060. https://doi.org/10.1210/endo.136.11.758824
Rasooly L, Burek CL, Rose NR (1996) Iodine-induced autoimmune thyroiditis in NOD-H-2h4 mice. Clin Immunol Immunopathol 81(3):287–292. https://doi.org/10.1006/clin.1996.0191
Teng X, Shan Z, Teng W, Fan C, Wang H, Guo R (2009) Experimental study on the effects of chronic iodine excess on thyroid function, structure, and autoimmunity in autoimmune-prone NOD.H-2h4 mice. Clin Exp Med 9(1):51–59. https://doi.org/10.1007/s10238-008-0014-0
Kasagi K, Kousaka T, Higuchi K, Iida Y, Misaki T, Alam MS, Miyamoto S, Yamabe H, Konishi J (1996) Clinical significance of measurements of antithyroid antibodies in the diagnosis of Hashimoto’s thyroiditis: comparison with histological findings. Thyroid 6(5):445–450. https://doi.org/10.1089/thy.1996.6.445
Jiang HY, Li HS, Carayanniotis K, Carayanniotis G (2007) Variable influences of iodine on the T-cell recognition of a single thyroglobulin epitope. Immunology 121(3):370–376. https://doi.org/10.1111/j.1365-2567.2007.02584.x
Taylor PN, Albrecht D, Scholz A, Gutierrez-Buey G, Lazarus JH, Dayan CM, Okosieme OE (2018) Global epidemiology of hyperthyroidism and hypothyroidism. Nat Rev Endocrinol 14(5):301–316. https://doi.org/10.1038/nrendo.2018.18
Latrofa F, Fiore E, Rago T, Antonangeli L, Montanelli L, Ricci D, Provenzale MA, Scutari M, Frigeri M, Tonacchera M, Vitti P (2013) Iodine contributes to thyroid autoimmunity in humans by unmasking a cryptic epitope on thyroglobulin. J Clin Endocrinol Metab 98(11):E1768–E1774. https://doi.org/10.1210/jc.2013-2912
Chen CR, Hamidi S, Braley-Mullen H, Nagayama Y, Bresee C, Aliesky HA, Rapoport B, Mclachlan SM (2010) Antibodies to thyroid peroxidase arise spontaneously with age in NOD.H-2h4 mice and appear after thyroglobulin antibodies. Endocrinology 151(9):4583–4593. https://doi.org/10.1210/en.2010-0321
Yang X, Gao T, Shi R, Zhou X, Qu J, Xu J, Shan Z, Teng W (2014) Effect of iodine excess on Th1, Th2, Th17, and Treg cell subpopulations in the thyroid of NOD.H-2h4 mice. Biol Trace Elem Res 159(1–3):288–296. https://doi.org/10.1007/s12011-014-9958-y
Duntas LH (2015) The role of iodine and selenium in autoimmune thyroiditis. HormMetab Res 47(10):721–726. https://doi.org/10.1055/s-0035-1559631
Dardalhon V, Awasthi A, Kwon H, Galileos G, Gao W, Sobel RA, Mitsdoerffer M, Strom TB, Elyaman W, Ho IC, Khoury S, Oukka M, Kuchroo VK (2008) IL-4 inhibits TGF-beta-induced Foxp3+ T cells and together with TGF-beta, generates IL-9+ IL-10+ Foxp3(-) effector T cells. Nat Immunol 9(12):1347–1355. https://doi.org/10.1038/ni.1677
Veldhoen M, Uyttenhove C, van Snick J, Helmby H, Westendorf A, Buer J, Martin B, Wilhelm C, Stockinger B (2008) Transforming growth factor-beta ‘reprograms’ the differentiation of T helper 2 cells and promotes an interleukin 9-producing subset. Nat Immunol 9(12):1341–1346. https://doi.org/10.1038/ni.165
Jabeen R, Kaplan MH (2012) The symphony of the ninth: the development and function of Th9 cells. CurrOpin Immunol 24(3):303–307. https://doi.org/10.1016/j.coi.2012.02.001
Chang HC, Sehra S, Goswami R, Yao W, Yu Q, Stritesky GL, Jabeen R, Mckinley C, Ahyi AN, Han L, Nguyen ET, Robertson MJ, Perumal NB, Tepper RS, Nutt SL, Kaplan MH (2010) The transcription factor PU.1 is required for the development of IL-9-producing T cells and allergic inflammation. Nat Immunol 11(6):527–534. https://doi.org/10.1038/ni.1867
Pesu M, Aittomaki S, Valineva T, Silvennoinen O (2003) PU.1 is required for transcriptional activation of the Stat6 response element in the Igepsilon promoter. Eur J Immunol 33(6):1727–1735. https://doi.org/10.1002/eji.200323680
Tamiya T, Ichiyama K, Kotani H, Fukaya T, Sekiya T, Shichita T, Honma K, Yui K, Matsuyama T, Nakao T, Fukuyama S, Inoue H, Nomura M, Yoshimura A (2013) Smad2/3 and IRF4 play a cooperative role in IL-9-producing T cell induction. J Immunol 191(5):2360–2371. https://doi.org/10.4049/jimmunol.1301276
Staudt V, Bothur E, Klein M, Lingnau K, Reuter S, Grebe N, Gerlitzki B, Hoffmann M, Ulges A, Taube C, Dehzad N, Becker M, Stassen M, Steinborn A, Lohoff M, Schild H, Schmitt E, Bopp T (2010) Interferon-regulatory factor 4 is essential for the developmental program of T helper 9 cells. Immunity 33(2):192–202. https://doi.org/10.1016/j.immuni.2010.07.014
Pan HF, Leng RX, Li XP, Zheng SG, Ye DQ (2013) Targeting T-helper 9 cells and interleukin-9 in autoimmune diseases. Cytokine Growth Factor Rev 24(6):515–522. https://doi.org/10.1016/j.cytogfr.2013.09.001
Elyaman W, Bradshaw EM, Uyttenhove C, Dardalhon V, Awasthi A, Imitola J, Bettelli E, Oukka M, van Snick J, Renauld JC, Kuchroo VK, Khoury SJ (2009) IL-9 induces differentiation of TH17 cells and enhances function of FoxP3+ natural regulatory T cells. Proc Natl Acad Sci USA 106(31):12885–12890. https://doi.org/10.1073/pnas.0812530106
Nowak EC, Noelle RJ (2010) Interleukin-9 as a T helper type 17 cytokine. Immunology 131(2):169–173. https://doi.org/10.1111/j.1365-2567.2010.03332.x
Stephens GL, Swerdlow B, Benjamin E, Coyle AJ, Humbles A, Kolbeck R, Fung M (2011) IL-9 is a Th17-derived cytokine that limits pathogenic activity in organ-specific autoimmune disease. Eur J Immunol 41(4):952–962. https://doi.org/10.1002/eji.201040879
Funding
This work was supported by grants from the Natural Science Foundation of Shandong Province (no. ZR2013HM049, ZR2022MH175), Medical Science and Technology Development Project of Shandong Province (no. 2015WS0485), Reserve Leading Talents Project of Binzhou Medical University Hospital (no. JC2019-03), Scientific Research and Innovation Team Project of Binzhou Medical University Hospital (no. 202031), and Innovation Program of Post-graduate Education of Shandong Province (no. 20038612).
Author information
Authors and Affiliations
Contributions
Yiwen Li was responsible for carrying out the experiments, analyzing the data, and writing the manuscript. Hao Liu and Chengyan He were responsible for carrying out the experiments. Yawen Lin participated in carrying out the experiments and data analysis. Lei Ma and Haibo Xue were responsible for the design of the study and reviewed and edited this article. All authors commented on previous versions of the manuscript and approved the final manuscript.
Corresponding author
Ethics declarations
Ethics Approval
The present study was approved (approval no. 20210808–54) by the Laboratory Animal Ethics Committee of Binzhou Medical University Hospital (Binzhou, China). All procedures performed in the present study involving animals were in accordance with the ethical standards of the institution.
Competing Interest
The authors declare no competing interests.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Li, Y., Liu, H., He, C. et al. IL-9-Producing Th9 Cells Participate in the Occurrence and Development of Iodine-Induced Autoimmune Thyroiditis. Biol Trace Elem Res 201, 5298–5308 (2023). https://doi.org/10.1007/s12011-023-03598-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12011-023-03598-z