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MECHANISM OF ONSET AND AGGRAVATION OF THYROTOXICOSIS IN PATIENTS WITH GRAVES' DISEASE

Research Project

Project/Area Number 10671047
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Endocrinology
Research InstitutionKANSAI MEDICAL UNIVERSITY

Principal Investigator

NISHIKAWA Mitsushige  INSTITUTOIN, DEPARTMENT, TITLE OF POSITION ; KANSAI MEDICAL UNIVERSITY, FACULTY OF MEDICINE, PROFESSOR, 医学部, 教授 (40156055)

Co-Investigator(Kenkyū-buntansha) TOYODA Nagaoki  INSTITUTOIN, DEPARTMENT, TITLE OF POSITION ; KANSAI MEDICAL UNIVERSITY, FACULTY OF MEDICINE, ASSISTANT PROFESSOR, 医学部, 助手 (90278630)
Project Period (FY) 1998 – 2000
Project Status Completed (Fiscal Year 2000)
Budget Amount *help
¥3,200,000 (Direct Cost: ¥3,200,000)
Fiscal Year 2000: ¥800,000 (Direct Cost: ¥800,000)
Fiscal Year 1999: ¥1,000,000 (Direct Cost: ¥1,000,000)
Fiscal Year 1998: ¥1,400,000 (Direct Cost: ¥1,400,000)
Keywordsdeiodinase / Graves' disease / mRNA / PKA / PKC / thyroid / thyrotoxicosis / gene / リンパ球 / TSH
Research Abstract

Type 1 and 2 iodothyronine deiodinases(D1 and D2)catalyze T4 activation. In human thyroid, unlike rodents, both D1 and D2 are expressed. To evaluate the regulatory mechanism of D1 and D2 expression in Graves' disease, we have measured the D1 mRNA in peripheral blood mononuclear cells(PBMC). We also have investigated the effects of TSH, (Bu)2cAMP, and TPA on the D2 mRNA levels and activity in cultured human thyroid cells.
D1 mRNA levels in PBMC were measured by using competitive reverse transcriptase-polymerase chain reaction with the deleted complimentary RNA of D1 as the standard for quantification. They increased significantly in Graves' disease than in normal controls. There was a significant positive correlation between D1 mRNA and serum T3 concentration. D1 mRNA levels increased by adding T3 dose-dependently in cultured PBMC.D2 mRNA levels in the cultured human thyroid cells, which were obtained from patients with Graves' disease at the time of thyroidectomy, were increased by TSH and(Bu)2cAMP.The increase of D2 mRNA was faster and the increment was greater than that of D1 mRNA levels. The increment of the Vmax value for D2 by(Bu)2cAMP stimulation was similar to that of D2 mRNA levels, suggesting that(Bu)2cAMP enhances D2 activity mainly at the pretranslational level. On the other hand, TPA suppressed the D2 mRNA levels in the absence and presence of(Bu)2cAMP.
These data suggest that (1) D1 gene expression in human PBMC is up-regulated by T3 and is responsible for the exacerbation of thyrotoxicosis in Graves' disease, and (2) D1 and D2 expression in human thyroid cells are regulated differently by the PKA and PKC pathways and both D1 and D2 could contribute to thyrotoxicosis in patients with Graves' disease.

Report

(4 results)
  • 2000 Annual Research Report   Final Research Report Summary
  • 1999 Annual Research Report
  • 1998 Annual Research Report
  • Research Products

    (27 results)

All Other

All Publications (27 results)

  • [Publications] Nishikawa M, et al: "Quantitative measurement for type 1 deiodinase messenger ribonucleic acid in human deripheral mononuclear cells : mechanism of the preferntial increase of T3 in hyperthyroid Graves disease."Biochemical and Biophysical Research Communication . 250. 642-646 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Gondou A, et al: "Induction of type 2 deiodinase activity by cyclic guanosine 3', 5'-monophosphate in cultured rat glial cells."Thyroid. 8. 615-622 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yonemoto T, et al: "Type 1 iodothyronine deiodinase in the heart : Effects of triiodothyronine and angiotenin II on its activity and mRNA in cultured rat myocytes."Endocrine Journal. 46. 621-628 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Ogawa Y, et al: "Age-and sex-related changes in type 1 iodothyronine deiodinase messenger ribo-nucleic acid in rat liver and kidney."Hormone and Metabolic Research. 31. 295-299 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Tabata S, et al: "Effect of triiodothyronine administraton on reduced expression of type 1 iodothyronine deiodinase messenger ribonucleic acid in streptozotocin-induced diabetic rats."Endocrine Journal. 46. 367-374 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Gondou A, et al: "Effect of nicotine on type 2 deiodinase activity in cultured rat glial cells."Endocrine Journal. 46. 107-112 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Mitsushige Nishikawa, Nagaoki Toyoda, Toshinaga Yonemoto, Yoshifumi Ogawa, Sakuyoshi Tabata, Noriko Sakaguchi, Toshiko Tokoro, Atsushi Gondou, Masayoshi Yoshimura, Norio Yoshikawa, Mitsuo Inada.: "Quantitative measurement for type 1 deiodinase messenger ribonucleic acid in human peripheral mononuclear cells : mechanism of the preferential increase of T3 in hyperthyroid Graves' disease."Biochem Biophys Res Commun. 250. 642-646 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Atsushi Gondou, Nagaoki Toyoda, Mitsushige Nishikawa, Sakuyoshi Tabata, Toshinaga Yonemoto, Yoshifumi Ogawa, Toshiko Tokoro, Noriko Sakaguchi, Fangzheng Wang, Mitsuo Inada.: "Induction of type 2 deiodinase activity by cyclic guanosine 3', 5'-monophosphate in cultured rat glial cells."Thyroid. 8. 615-622 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Toshinaga Yonemoto, Mitsushige Nishikawa, Hiroaki Matsubara, Yasukiyo Mori, Nagaoki Toyoda, Atsushi Gondou, Toshiji Iwasaka, Mitsuo Inada.: "Type 1 iodothyronine deiodinase in the heart : Effects of triiodothyronine and angiotensin II on its activity and mRNA in cultured rat myocytes."Endocrine J. 46. 621-628 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yoshifumi Ogawa, Mitsushige Nishikawa, Nagaoki Toyoda, Toshinaga Yonemoto, Atsushi Gondou, Mitsuo Inada.: "Age- and sex-related changes in type 1 iodothyronine deiodinase messenger ribo-nucleic acid in rat liver and kidney."Horm Metab Res. 31. 295-299 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Sakuyoshi Tabata, Mitsushige Nishikawa, Nagaoki Toyoda, Toshinaga Yonemoto, Yoshifumi Ogawa, Mitsuo Inada.: "Effect of triiodothyronine administration on reduced expression of type 1 iodothyronine deiodinase messenger ribonucleic acid in streptozotocin-induced diabetic rats."Endocrine J. 46. 367-374 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Atsushi Gondou, Nagaoki Toyoda, Mitsushige Nishikawa, Toshinaga Yonemoto, Noriko Sakaguchi, Toshio Tokoro, Mitsuo Inada.: "Effect of nicotine on type 2 deiodinase activity in cultured rat glial cells."Endocrine J. 46. 107-112 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Sakuyoshi Tabata, Nagaoki Toyoda, Mitsushige Nishikawa, Toshinaga Yonemoto, Atsushi Gondou, Yoshifumi Ogawa, Noriko Sakaguchi, Toshiko Tokoro, Fangzheng Wang, Tamayo Kadobayashi, Yuko Imai, Mitsuo Inada.: "Effect of streptozotocin-induced diabetes mellitus on type 1 deiodinase (D1) in inherited D1-deficient mice."Endocrine J. 46. 497-504 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Shimizu H, et al: "Serum concentration and renal handling of 1,5-anhydro-D-glucitol in patients with chronic renal failure"Annals of Clinical Biochemistry. 36. 749-754 (1999)

    • Related Report
      2000 Annual Research Report
  • [Publications] Tokoro T, et al: "Immunological abnormalities.in patients on hemodialysis : improvement of autologous mixed lymphocytes reaction by erythropoietin treatment and the study of peripheral blood mononuclear cells in severe combined immunodeficient mice"The Journal of kansai Medical University. 51. 150-158 (1999)

    • Related Report
      2000 Annual Research Report
  • [Publications] Hayakawa T, et al: "Effects of beraprost and cilostazol and renal function on serum thrombomodulin levels in diabetic patients"Arzneimittel-Forschung/Drug research. 50. 535-538 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Shouzu A, et al: "Effect of sarpogrelate hydrochloride on platelet-derived microparticles and various soluble adhesion molecules in diabetes mellitus"Clinical and Applied Thrombosis/Hemostasis. 6. 139-143 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Nomura S, et al: "Significance of chemokines and activated platelets in patients with diabetes"Clinical and Experimental Immunology. 121. 437-443 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Nishikawa M, et al.: "Measurement of serum leptin in patients with chronic renal failure on hemodialysis."Clinical Nephrology. 51・5. 296-303 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Yonemoto T, et al.: "Type 1 iodothyronine deiodinase in heart:Effects of triiodothyronine and angiotenin II on its activity and mRNA in cultured rat myocytes."Endocrine Journal. 46・5. 621-628 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Ogawa Y, et al.: "Age- and sex-related changes in type 1 iodothyronine deiodinase messenger ribonucleic acid in rat liver and kidney."Hormone and Metabolic Research. 31・. 295-299 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Tabata S, et al.: "Effect of triiodothyronine administration on reduced expression of type 1 iodothyronine deiodinase messenger ribonucleic acid in streptozotocin-induced diabetic rats."Endocrine Journal. 46・5. 367-374 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Tabata S, et al.: "Effect of streptozotocin-induced diabetes mellitus on type 1 deiodinase (D1) in inherited D1-deficient mice."Endocrine Journal. 46・4. 497-504 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Nishikawa M,Toyada N,Yonemoto T et al.: "Quantitative measurements for type 1 deiiodinase messenger ribonucleic acid in human peripheral blood mononuclear cells:mechanism of the preferential increase in T3 in hyperthyroid Graves' disease." Biochem Biophys Res Commun. 250・3. 642-646 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Ishihara T,Nishikawa M,: "Thyroxine(T4)metabolism in an athyreotic patient who took a large amount of T4 at one time." Endocrine Journal. 45・3. 371-375 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Gondou A,Toyoda N,Nishikawa M,et al.: "Induction of type 2 deiodinase activity by cyclic guanosine 3',5'-monophosphate in cultured rat glyal cells." Thyroid. 8・7. 615-622 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Gondou A,Toyoda N,Nishikawa M,et al.: "Effect of nicotine on type 2 deiodinase activity in cultured rat glial cells." Endocrine Journal. 46(in press). (1999)

    • Related Report
      1998 Annual Research Report

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Published: 1998-04-01   Modified: 2016-04-21  

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