The JI
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     
 


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Nagayama, Y.
Right arrow Articles by Niwa, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Nagayama, Y.
Right arrow Articles by Niwa, M.
The Journal of Immunology, 2002, 168: 2789-2794.
Copyright © 2002 by The American Association of Immunologists

A Novel Murine Model of Graves’ Hyperthyroidism with Intramuscular Injection of Adenovirus Expressing the Thyrotropin Receptor

Yuji Nagayama1,*, Masako Kita-Furuyama{dagger}, Takao Ando{dagger}, Kazuhiko Nakao{ddagger}, Hiroyuki Mizuguchi§, Takao Hayakawa§, Katsumi Eguchi{dagger} and Masami Niwa*

Departments of * Pharmacology 1 and {dagger} Internal Medicine 1, Nagasaki University School of Medicine, and {ddagger} Health Research Center, Nagasaki University, Nagasaki, Japan; and § Division of Biological Chemistry and Biologicals, National Institute of Health Sciences, Tokyo, Japan


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In this work we report a novel method to efficiently induce a murine model of Graves’ hyperthyroidism. Inbred mice of different strains were immunized by i.m. injection with adenovirus expressing thyrotropin receptor (TSHR) or {beta}-galactosidase (1 x 1011 particles/mouse, three times at 3-wk intervals) and followed up to 8 wk after the third immunization. Fifty-five percent of female and 33% of male BALB/c (H-2d) and 25% of female C57BL/6 (H-2b) mice developed Graves’-like hyperthyroidism with elevated serum thyroxine (T4) levels and positive anti-TSHR autoantibodies with thyroid-stimulating Ig (TSI) and TSH-binding inhibiting Ig (TBII) activities. In contrast, none of female CBA/J (H-2k), DBA/1J (H-2q), or SJL/J (H-2s) mice developed Graves’ hyperthyroidism or anti-TSHR autoantibodies except SJL/J, which showed strong TBII activities. There was a significant positive correlation between TSI values and T4 levels, but the correlations between T4 and TBII and between TSI and TBII were very weak. TSI activities in sera from hyperthyroid mice measured with some chimeric TSH/lutropin receptors suggested that their epitope(s) on TSHR appeared similar to those in patients with Graves’ disease. The thyroid glands from hyperthyroid mice displayed diffuse enlargement with hypertrophy and hypercellularity of follicular epithelia with occasional protrusion into the follicular lumen, characteristics of Graves’ hyperthyroidism. Decreased amounts of colloid were also observed. However, there was no inflammatory cell infiltration. Furthermore, extraocular muscles from hyperthyroid mice were normal. Thus, the highly efficient means that we now report to induce Graves’ hyperthyroidism in mice will be very useful for studying the pathogenesis of autoimmunity in Graves’ disease.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Autoimmune thyroid diseases such as Graves’ disease and Hashimoto thyroiditis involve abnormal autoimmune reactions to thyroid-specific proteins, including the thyrotropin receptor (TSHR),2 thyroglobulin (Tg), and thyroid peroxidase (TPO) (1). In Graves’ disease, autoantibodies directed against TSHR mimic the action of TSH and are therefore called thyroid-stimulating Ig (TSI). TSI cause overstimulation of the thyroid gland and hyperthyroidism (2, 3).

Animal models are very useful tools to study the pathophysiology of autoimmune thyroid disease. There are some spontaneous animal models of autoimmune thyroiditis in which the autoimmune response is directed to Tg or TPO (4). Immunization of certain animals with Tg or TPO in combination with classical immunological adjuvants has also been reported to successfully induce thyroiditis (5, 6). In contrast, there are no spontaneous animal models of Graves’ hyperthyroidism, and numerous attempts using TSHR protein expressed in bacteria or insect cells and classical immunization protocols have failed to establish a disease model (3, 7, 8). However, some new approaches for generating animal models of Graves’ hyperthyroidism have recently been demonstrated. First, a novel, pioneering immunization protocol using transfected fibroblasts (a L cell line) coexpressing TSHR and MHC class II Ag has been described by Shimojo et al. (9) to induce hyperthyroidism in a small proportion (~20%) of immunized syngeneic AKR mice. This model was later confirmed by two other groups (10, 11). Later, B lymphoblastoid cells (a M12 cell line) expressing TSHR have also been used in a similar protocol with a high proportion of the syngeneic BALB/c mice becoming hyperthyroid (12). Furthermore, genetic immunization with an eukaryotic expression vector containing TSHR cDNA has proved to be useful in inducing hyperthyroidism in a small proportion (~20%) of outbred NMRI (13), not inbred BALB/c, mice (14). Although these methods opened new ways to investigate the autoimmune reaction to TSHR, they have some drawbacks, such as use of cell lines available only for certain strains of mice (9, 12) and a low rate of disease induction (9, 14).

Therefore, the present studies were designed to establish a better means for inducing disease. Our first attempt was the genetic immunization protocol mentioned above modified by combining the TSHR expression plasmid and the cytokine expression plasmids (GM-CSF or M-CSF). However, no significant immune response was observed. We then used recombinant adenovirus to achieve higher transgene expression in the muscle. We show in this study that repeated administration of recombinant adenovirus vector expressing TSHR into the muscle efficiently generates anti-TSHR autoantibodies and induces Graves’-like hyperthyroidism in BALB/c (H-2d), and to a lesser extent in C57BL/6(H-2b), mice. Our data also indicate the similarity of epitope(s) on TSHR ectodomain recognized by TSI from Graves" patients and those from hyperthyroid mice.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Construction of the recombinant adenovirus expressing hTSHR

pBluescript-human (h)TSHR (15) was digested with EcoRI, blunt ended with T4 DNA polymerase, and digested with XbaI. The TSHR cDNA fragment was then ligated into pHMCMV6 (15), which had been digested with NheI, blunt-ended, and digested with XbaI. The resultant plasmid, pHMCMVTSHR, was then digested with I-Ceu I/PI-Sce I and ligated into I-Ceu I/PI-Sce I-digested pAdHM4 (16, 17). pAdHM4CMVTSHR was linealized with PacI and transfected into 293 human embryonal kidney cells with SuperFect (Qiagen, Tokyo, Japan) according to the manufacturer’s instructions. Recombinant adenovirus expressing TSHR (designated AdCMVTSHR) was then plaque-purified. Adenovirus was propagated in 293 human embryonal kidney cells and purified through two rounds of CsCl density gradient centrifugation (18). The multiplicity of infection (MOI) was defined as the ratio of total number of particles used in a particular infection divided by the number of cells. The viral particle concentration was determined by measuring the absorbance at 260 nm following the incubation of the virus solution in 10 mM Tris-HCl, 1 mM EDTA, and 0.1% SDS at 56°C for 10 min; an absorbance of 1 corresponds to 1.1 x 1012 particles/ml (19). Adenovirus expressing {beta}-galactosidase (AxCALacZ) (18) was used as a negative control.

Immunization protocols

BALB/c (H-2d), CBA/J (H-2k), C57BL/6 (H-2b), DBA/1J (H-2q), and SJL/J (H-2s) 6-wk-old mice were purchased from Charles River Breeding Laboratories (Tokyo, Japan). All experiments were conducted in accordance with the principles and procedures outlined in the Guideline for the Care and Use of Laboratory Animals in Nagasaki University (Nagasaki, Japan). Mice were kept in a specific pathogen-free condition through the experiments. For DNA vaccination, groups of mice were injected in the leg muscle with 50 µl 25% sucrose in PBS containing 100 µg of pCAGTSHR (20) alone or in combination with the expression plasmid for GM-CSF or M-CSF (RIKEN DNA Bank, Saitama, Japan). Injection was repeated twice at 3-wk intervals. For immunization with adenovirus, mice were i.m. injected with 50 µl PBS containing 1 x 1011 particles of AdCMVTSHR or AxCALacZ. The same immunization schedule was repeated twice at 3-wk intervals.

125I-TSH binding and TSH-induced cAMP synthesis in COS cells or muscle injected with adenovirus or plasmid

A total of 1 x 105 COS cells in a 24-well culture plate were infected with AdCMVTSHR or AxCALacZ at a MOI of 1,000 or 10,000 (particles/cell). Two days later, 125I-TSH binding to intact cells and intracellular cAMP measurements were performed with 125I-bovine TSH (TRAb kit; RSR, Cardiff, U.K.) and with a cAMP radioimmunoassay kit (Yamasa, Tokyo, Japan), respectively, as previously described (20). Unlabeled TSH used in TSH binding study was of bovine origin (Sigma-Aldrich, St. Louis, MO).

125I-TSH binding was also performed with 50 µg crude membranes prepared as previously described (20) from muscles 5 days after injection of either 1 x 1011 particles of AdCMVTSHR or 100 µg of pCAGTSHR.

Thyroid function test

Total thyroxine (T4) in murine sera was measured with a commercially available radioimmunoassay kit (Eiken Chemical, Osaka, Japan). The normal range was defined as the mean ± 3 SD of control mice.

TSI and TBII measurements

TSI activities in murine sera were measured with FRTL5 cells (20) or CHO cells stably expressing wild-type (wt)-hTSHR or chimeric TSH-lutropin receptor (LHR)-6 and TSH-LHR-8 (21). The cDNAs for wt-TSHR and chimeric TSHR/LHRs were ligated into the eukaryotic expression vector pCR3 with the constitutive CMV promoter (Invitrogen, Groningen, The Netherlands). The cells were seeded at 3 x 104 cells/well in a 96-well culture plate and incubated in 50 µl hypotonic HBSS containing 1 mM isobutyl-methylxanthine, 20 mM HEPES, 0.25% BSA, and 5 µl serum for 2 h at 37°C. cAMP >150% of control mice was judged as positive.

TSH-binding inhibiting Ig (TBII) values were determined with a commercially available TRAb kit. Ten microliters of serum was used for each assay. A value >15% for inhibition of control binding was judged as positive.

Thyroid and eye histology

Thyroid tissues and extraocular muscles were removed and fixed with 10% formalin in PBS. Tissues were embedded in paraffin and 5-µm-thick sections were prepared and stained with H&E.

Data analysis

Data were analyzed by unpaired Student’s t test or by the {chi}2 test. Correlations among T4 and autoantibodies were assessed by linear regression using StatView 4.02 software (Abacus Concepts, Berkeley, CA). Values of p < 0.05 were considered statistically significant.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Our first attempt at a model for Graves’ disease was to immunize female BALB/c mice with the expression plasmid for TSHR (pCAGTSHR) alone or in combination with the expression vectors for M-CSF or GM-CSF. We expected that the cytokines expressed would enhance the immune reaction against TSHR and that M-CSF and GM-CSF would shift the immune response to Th1 and Th2, respectively (22). In contrast to the previous reports (13, 14), however, this approach did not elicit any significant immune response to TSHR (data not shown). Lack of the immune response to DNA vaccination in BALB/c mice has also been described recently (23). One reason for this difference may be housing conditions (specific pathogen-free conditions in our study and Ref. 23 vs conventional housing in Ref. 14).

Therefore, we next challenged the animals with recombinant adenovirus expressing TSHR (AdCMVTSHR) to increase transgene expression in the muscle. Integrity of AdCMVTSHR was confirmed by specific 125I-TSH binding and by TSH-induced cAMP synthesis in COS cells infected with AdCMVTSHR, not with AxCALacZ (a negative control) (Fig. 1Go, A and C). Furthermore, a higher expression level of TSHR was observed in muscle with AdCMVTSHR infection as compared with that withpCAGTSHR (Fig. 1GoB). In this experiment, TSH binding induced with pCAGTSHR was negligible.



View larger version (23K):
[in this window]
[in a new window]
 
FIGURE 1. 125I-TSH binding and TSH-stimulated cAMP synthesis in COS cells or muscles transduced with AdCMVTSHR, AxCALacZ, orpCAGTSHR. A, 125I-TSH binding in COS cells infected with AdCMVTSHR or AxCALacZ (MOI of 10,000 particles/cell) in the presence or absence of unlabeled 10-6 M TSH was performed as described in Materials and Methods. 125I-TSH used in each experiment was ~10,000 cpm. B, 125I-TSH binding in 50 µg crude membranes from muscles injected with AdCMVTSHR, AxCALacZ (1 x 1011 particles), or pCAGTSHR (100 µg). C, cAMP response to TSH stimulation in COS cells infected with AdCMVTSHR or AxCALacZ. {circ}, Cells infected with AxCALacZ at a MOI of 10,000 particles/cell; •, cells infected with AdCMVTSHR at a MOI of 1,000; {square}, cells infected with AdCMVTSHR at a MOI of 10,000. Data are representative of two separate experiments; each point represents the mean ± SD of triplicate experiments. *, p < 0.01; **, p < 0.05 vs AxCALacZ infection.

 
Groups of five different mouse strains were immunized with 1 x 1011 particles of AdCMVTSHR or AxCALacZ three times at 3-wk intervals. Between 5 and 6 wk after the last immunization, one female BALB/c mouse died spontaneously and was found to have a large diffuse goiter (see below). Two female BALB/c mice and one C57BL/6 mouse were sacrificed because they exhibited significant weight loss and exhaustion. All other mice were sacrificed 8 wk after the last immunization. Thyroid hormone and anti-TSHR autoantibody levels in sera, as well as thyroid and eye histology, were then examined. Means ± 3 SD of serum T4 levels in naive mice were 4.9 ± 0.31 µg/dL (ranging from 4.7 to 5.5) in BALB/c, 4.2 ± 0.99 (3–4.7) in C57BL/6, 3.6 ± 0.53 (3.1–4.4) in CBA/J, 1.96 ± 0.51 (1.2–2.6) in DBA/1J, and 1.2 ± 0.12 (1.1–1.3) in SJL/J mice. As shown in Fig. 2GoA, serum T4 levels were increased over mean ± 3 SD in 10 of 19 (53%) female BALB/c, three of nine (33%) male BALB/c, and two of eight (25%) female C57BL/6 mice, but in none of CBA/J, DBA/1J, or SJL/J mice. Thus, by including the one female BALB/c mouse, which died as mentioned above, 11 of 20 (55%) female BALB/c mice appeared to develop hyperthyroidism. There was no significant difference in the rate of disease induction between male and female BALB/c mice. No mice showed any significant decrease in T4. BALB/c mice immunized with AxCALacZ were all in a euthyroid state (T4, 4.5 ± 0.57 µg/dL).



View larger version (27K):
[in this window]
[in a new window]
 
FIGURE 2. T4, TSI, and TBII values in mice immunized withAdCMVTSHR or AxCALacZ. {circ}, Female mice; {square}, male mice. TSI was determined with FRTL5 cells as described in Materials and Methods. The normal upper limits are shown by horizontal lines.

 
TSI determined with FRTL5 cells are shown in Fig. 2GoB. Sera from all but one mice with increased T4 levels displayed positive TSI. No euthyroid mice of any strain showed TSI activity. As shown in Fig. 3GoA, there was a significant positive correlation between TSI values and T4 levels (r = 0.89). Thus, BALB/c and, to a lesser degree, C57B/6 mice are susceptible to TSI generation and disease induction.



View larger version (19K):
[in this window]
[in a new window]
 
FIGURE 3. Relationship between T4 and TSI (A), T4 and TBII (B), and TSI and TBII (C). Data shown in Fig. 2Go were used. Correlation coefficients are 0.89 in A, 0.38 in B, and 0.40 in C.

 
However, as shown in Fig. 2GoC, TBII assay revealed that not only BALB/c and C57B/6 but also SJL/J mice are susceptible to TBII generation. Besides all the hyperthyroid and some other euthyroid BALB/c and C57B/6 mice (16 of 19 (84%) female BALB/c, five of nine (56%) male BALB/c, and six of eight (75%) C57BL/6 mice), six of eight (75%) SJL/J mice were positive for TBII, the values being the highest among five groups. There was no significant correlation between T4 levels and TBII values (r = 0.38) (Fig. 3GoB), and correlation between TSI and TBII values was significant but extremely poor (r = 0.40) (Fig. 3GoC).

To delineate the epitope(s) on TSHR for TSI in the sera of hyperthyroid mice, TSI activities were also measured with two chimeric TSH/LHRs, TSHR-LHR-6 and -8, in which the C-terminal and the N-terminal two-fifths of TSHR ectodomain were, respectively, replaced with the corresponding region of LHR (Fig. 4GoA). Although wt-TSHR and TSH-LHR-6 expressed on CHO cells responded well to stimulation by TSH and TSI of both human and mouse origin, TSH-LHR-8 did so only to TSH stimulation, not to TSI (Fig. 4GoB). These data are essentially identical to those previously reported with human Graves’ sera (24, 25), suggesting the crucial role of the N-terminal region of TSHR ectodomain in both human and murine TSI.



View larger version (43K):
[in this window]
[in a new window]
 
FIGURE 4. A, Scheme of the ectodomain of wt-TSHR and chimeric TSH-LHRs. {square}, TSHR segments; , LHR segments. LHR is 50-aa shorter in the D domain than TSHR as shown by a thin horizontal line. B, TSI activities in CHO cells stably expressing wt-TSHR or chimeric TSH/LHRs. cAMP synthesis in response to stimulation by TSH and murine sera was examined in CHO cells stably expressing wt-TSHR, TSH-LHR-6, or TSH-LHR-8 as described under Materials and Methods. Two representative sera from hyperthyroid mice and one human TSI positive serum were used. The data are mean ± SE (n = 4) of two separate experiments determined in duplicates.

 
In histological examination, the thyroid glands from all the hyperthyroid mice and the one that died spontaneously (see above) exhibited diffuse enlargement with hypertrophy and hypercellularity of follicular epithelia with occasional protrusion into the follicular lumen, all consistent with Graves’ hyperthyroidism in humans. These findings are consistently observed in most follicles in the thyroid glands from hyperthyroid mice with higher T4 (>11~12 µg/dL), as shown in Fig. 5Go, C and D (compared with the normal thyroid in Fig. 5Go, A and B), but are less evident and heterogeneous in hyperthyroid mice with lower T4; papillary protrusion of the follicular epithelia was sparsely observed and the epithelia consisted of either flat cells (inactive) or columnar cells (hyperactive), as previously reported (14). Decreased amounts of colloid were also observed. However, no inflammatory cell infiltration was observed. Furthermore, extraocular muscles from hyperthyroid mice were normal (data not shown).



View larger version (135K):
[in this window]
[in a new window]
 
FIGURE 5. Thyroid histology. H&E-stained paraffin sections of the thyroid glands from normal and hyperthyroid mice (T4, 15.7 µg/dL). A, Control (x40 magnification); B, control (x200); C, hyperthyroid (x40); D, hyperthyroid (x200).

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In this article, we succeeded in establishing a novel method to efficiently induce Graves’ hyperthyroidism. This was achieved by repeated injection of recombinant adenovirus expressing TSHR into the muscle. Although several disease models have been described recently (9, 12, 14), our method clearly possesses at least two advantages. First, the rate of disease induction in our model is much higher than those reported by Shimojo et al. (9) and Vassart et al. (14) (55% vs ~20%). Although Prabhakar and his colleagues have reported to be able to induce Graves’-like hyperthyroidism in nearly 100% of BALB/c mice (12), thyroid histology from affected mice in their study showed "hypertrophy and enlargement of colloids with thinning of the thyroid epithelium." This finding contradicts that in Graves’ disease, in which thyroid epithelial cells are tall and columnar and sometimes extend as papillary folds into the follicles, indications of hypertrophy and hypercellularity.

Second, in contrast to previously reported methods that are applied only to certain strains of inbred mice or to outbred mice, our method can be used for any mouse strain, which allows analysis of the genetic influence(s) on the immune response to TSHR. Our data clearly show that BALB/c (H-2d) and, to a lesser degree, C57BL/6 (H-2b) mice are susceptible to generation of TSI and induction of Graves’ hyperthyroidism. These data, together with a previous report (26), suggest the genetic backgrounds play a role in susceptibility to an induced form of Graves’ disease in mice. Indeed Graves’ disease is known to be a multigenic disease in humans (27); both HLA and non-HLA genes, such as CTLA-4, are associated with a predisposition to autoimmune thyroid disease (28, 29). In addition, immunized SJL/J mice show negative TSI and strongly positive TBII, the highest among five groups of different strains, suggesting that the genetic factor(s) crucial for Graves’ disease/TSI induction and those for TBII generation may also be different. Our results may explain a lower incidence of disease induction in Shimojo’s model (AKR with H-2k) (9) and Vassart’s model (NMR outbred mice with H-2q) (14) and a high incidence in BALB/c mice (12). It is also suggested that the reason for the failure to produce effective stimulating autoantibodies in BALB/c mice by DNA vaccination may not be related to their genetic background as the authors have speculated (14). It is known that expression level of transgene by adenovirus infection is higher than that with DNA vaccination (30). We showed higher expression level of TSHR in muscle injected with adenovirus than that with plasmid. Although adenovirus-specific neutralizing Abs can be elicited not only following i.v. injection but also following i.m. injection of adenovirus, the concentration of these Abs in the muscle may be lower than that in the serum, allowing effective multiple dosing to the muscle (30). Thus, adenovirus infection seems to elicit superior immune response to DNA vaccination. Indeed, serum T4 levels, which reflect the degree of the immune reaction induced, in our model are higher than those in Vassart’s model (9–20 vs 8–10 µg/dL) (14). Usefulness of adenovirus as a means to induce strong in vivo immune response has also been reported recently by Chen et al. (31).

It is generally believed that autoimmune reaction in human Graves’ disease is Th2 dominant (32). In animal models, previous studies performed by Kita et al. (10) have also demonstrated that immunization of AKR mice with L cells expressing TSHR and MHC class II with the pertussis toxin, a Th2 response-inducing adjuvant, led to Graves’ disease in a higher proportion of mice, and use of CFA, a Th1 adjuvant, delayed the disease onset. Indeed, BALB/c mice are reported to inherently elicit Th2-dominant immune response (33, 34). This could be one of the reasons for high susceptibility of BALB/c mice to Th2-dominant Graves’ hyperthyroidism.

However, recent studies indicate that the immune response induced in Shimojo’s and Vassart’s models is not simply Th2 dominant. First, monoclonal anti-TSHR Abs established from BALB/c mice immunized with DNA vaccination are IgG2a, an isotype predominant in Th1 immune response (13). Second, splenocytes from immunized mice in Shimojo’s and Vassart’s models produce IFN-{gamma}, a Th1 cytokine, spontaneously and in response to TSHR Ag, respectively (23, 35). Although Vassart et al. (14) have described that the immune response occurred in the thyroid gland is Th2 dominant, DNA vaccination with plasmid generally leads to Th-1-biased immune response, because plasmids propagated in bacteria contain unmethylated CpG sequences that induce T cells to a Th1 proinflammatory immune response (36). Although Th1/Th2 balance in our model is at present unknown, this finding may be another reason for low prevalence of Graves’ disease in these models.

In contrast to Vassart’s model (14), female bias, intrathyroidal lymphocyte infiltration, or eye lesion (one of the extrathyroidal manifestations of Graves’ disease) were not observed in hyperthyroid mice in our study as in Shimojo’s models (9, 10, 11). Although the exact reasons for this difference are presently unknown, it is plausible that different experimental protocols may induce the subtle distinct immune responses. It is apparently suggested, as Vassart et al. (14) have mentioned, that a purely humoral immune response is induced in our and Shimojo’s models (9), which, however, does not simply indicate the Th2-dominant immune response as mentioned above. It is at present uncertain whether the adequate murine model of Graves’ disease should include these three findings. Pathophysiology of Graves’ disease in human seems more complex than that in an animal model induced with TSHR as a single immunogen, because not only TSHR but also Tg and TPO are autoantigens in the former (1). Further studies will be required to address these issues.

Our study with chimeric receptors suggests that the epitopes on TSHR recognized by TSI in our model appear very similar to those observed in human disease (24, 25), suggesting the involvement of the N terminus of TSHR ectodomain in both human and murine TSI. This is in agreement with the studies by Kikuoka et al. (37), who have shown the importance of the N terminus of TSHR ectodomain (domains A and B in our chimeras) in induction of Graves’ hyperthyroidism with Shimojo’s model. The N terminus of TSHR ectodomain contains a major portion of the B cell epitope(s) for TSI, although this region does not appear to contain T cell epitopes.

In summary, in this work we report a novel murine model of Graves’ disease in which repeated i.m. injection of adenovirus expressing TSHR efficiently induces anti-TSHR Abs with thyroid-stimulating activity, resembling TSI, and hyperthyroidism. Our results demonstrate that BALB/c (H-2d) and, to a lesser degree, C57BL/6 (H-2b) mice appear susceptible to the disease. This new model will be a useful tool to study the pathogenesis of autoimmunity in Graves’ disease; the high disease penetrance in our model is particularly advantageous over other methods for some studies, such as identification of susceptibility genes and development of new therapeutic approaches.


    Acknowledgments
 
We thank Profs. B. Rapoport and S. M. McLachlan (Autoimmune Disease Unit, Cedars-Sinai Research Institute, Los Angeles, CA) for critical review of the manuscript, Yoko Iwasaki (Department of Internal Medicine, Nagasaki University School of Medicine) for technical assistance, and RIKEN DNA Bank for the expression plasmids for GM-CSF and M-CSF.


    Footnotes
 
1 Address correspondence and reprint requests to Dr. Yuji Nagayama, Department of Pharmacology 1, Nagasaki University School of Medicine, 1-12-4 Sakamoto, Nagasaki 852-8523, Japan. E-mail address: nagayama{at}net.nagasaki-u.ac.jp Back

2 Abbreviations used in this paper: TSHR, thyrotropin receptor; T4, thyroxine; Tg, thyroglobulin; TPO, thyroid peroxidase; MOI, multiplicity of infection; TBII, TSH-binding inhibiting Ig; TSI, thyroid-stimulating Ig; LHR, lutropin receptor; wt, wild type. Back

Received for publication August 31, 2001. Accepted for publication January 16, 2002.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Marcocci, C., L. Chiovato. 2000. Thyroid-directed antibodies. L. E. Braverman, and R. D. Utiger, eds. Werner & Ingber’s The Thyroid 414. Lippincott, Philadelphia.
  2. Rees Smith, B., S. M. McLachlan, J. Furmaniak. 1988. Autoantibodies to the thyrotropin receptor. Endocr. Rev. 9:106.[Abstract/Free Full Text]
  3. Rapoport, B., G. D. Chazenbalk, J. C. Jaume, S. M. McLachlan. 1998. The thyrotropin (TSH) receptor: interaction with TSH and autoantibodies. Endocr. Rev. 19:673.[Abstract/Free Full Text]
  4. Rasmussen, A. K., M.-L. Hartoft-Nielsen, U. Feldt-Rasmussen. 1999. Models to study the pathogenesis of thyroid autoimmunity. Biochimie 81:511.[Medline]
  5. Kotani, T., K. Umeki, K. Hirai, S. Ohtaki. 1990. Experimental murine thyroiditis induced by porcine thyroid peroxidase and its transfer by the antigen-specific T cell line. Clin. Exp. Immunol. 80:11.[Medline]
  6. Vladutiu, A. O., N. R. Rose. 1971. Autoimmune murine thyroiditis relation of histocompatibility (H-2) type. Science 174:1137.[Abstract/Free Full Text]
  7. Ludgate, M.. 2000. Animal models of Graves’ disease. Eur. J. Endocrinol. 142:1.[Abstract]
  8. Shimojo, N., T. Arima, K. Yamaguchi, S. Kikuoka, L. D. Kohn, Y. Kohno. A novel mouse model of Graves’ disease: implications for a role of aberrant MHC class II expression in its pathogenesis. Intern. Rev. Immunol. 19:619.
  9. Shimojo, N., Y. Kohno, K. Yamaguchi, S. Kikuoka, A. Hoshioka, H. Niimi, A. Hirai, Y. Tamura, Y. Saito, L. D. Kohn, K. Tahara. 1996. Induction of Graves’-like disease in mice by immunization with fibroblasts transfected with the thyrotropin receptor and a class II molecule. Proc. Natl. Acad. Sci. USA 93:11074.[Abstract/Free Full Text]
  10. Kita, M., L. Ahmad, R. C. Marians, H. Vlase, P. Unger, P. N. Graves, T. F. Davies. 1999. Regulation and transfer of a murine model of thyrotropin receptor antibody mediated Graves’ disease. Endocrinology 140:1392.[Abstract/Free Full Text]
  11. Jaume, J. C., B. Rapoport, S. M. McLachlan. 1999. Lack of female bias in a mouse model of autoimmune hyperthyroidism (Graves’ disease). Autoimmunity 29:269.[Medline]
  12. Kaithamana, S., J. Fan, Y. Osuga, S.-G. Liang, B. S. Prabhakar. 1999. Induction of experimental autoimmune Graves’ disease in BALB/c mice. J. Immunol. 163:5157.[Abstract/Free Full Text]
  13. Costagliola, S., P. Rodien, M.-C. Many, M. Ludgate, G. Vassart. 1998. Genetic immunization against the human thyrotropin receptor causes thyroiditis and allows production of monoclonal antibodies recognizing the native receptor. J. Immunol. 160:1458.[Abstract/Free Full Text]
  14. Costagliola, S., M.-C. Many, J.-F. Dehef, J. Pohlenz, S. Refetoff, G. Vassart. 2000. Genetic immunization of outbred mice with thyrotropin receptor cDNA provides a model of Graves’ disease. J. Clin. Invest. 105:803.[Medline]
  15. Nagayama, Y., K. D. Kaufman, P. Seto, B. Rapoport. 1989. Molecular cloning, sequencing and functional expression of the cDNA for the human thyrotropin receptor. Biochem. Biophys. Res. Commun. 165:1184.[Medline]
  16. Mizuguchi, H., M. A. Kay. 1998. Efficient construction of a recombinant adenoviral vector by an improved in vitro ligation method. Hum. Gene Ther. 9:2577.[Medline]
  17. Mizuguchi, H., M. A. Kay. 1999. A simple method for constructing E1- and E4-deleted recombinant adenoviral vector. Hum. Gene Ther. 10:2013.[Medline]
  18. Nagayama, Y., E. Nishihara, H. Namba, H. Yokoi, M. Hasegawa, H. Mizuguchi, T. Hayakawa, S. Yamashita, M. Niwa. 2001. Targeting the replication of adenovirus to p53-defective thyroid carcinoma with a p53-regulated Cre-loxP system. Cancer Gene Ther. 8:36.[Medline]
  19. Mittereder, N., K. L. March, B. C. Trapnell. 1996. Evaluation of the concentration and bioactivity of adenovirus vectors for gene therapy. J. Virol. 70:7498.[Abstract]
  20. Nagayama, Y., H. Namba, N. Yokoyama, S. Yamashita, M. Niwa. 1998. Role of asparagine-linked oligosaccharides in protein folding, membrane targeting, and thyrotropin and autoantibody binding of human thyrotropin receptor. J. Biol. Chem. 273:33423.[Abstract/Free Full Text]
  21. Nagayama, Y., H. L. Wadsworth, G. D. Chazenbalk, D. Russo, P. Seto, B. Rapoport. 1991. Thyrotropin (TSH)-luteinizing hormone/chorionic gonadotropin receptor extracellular domain chimeras as probes for TSH receptor function. Proc. Natl. Acad .Sci. USA 88:902.[Abstract/Free Full Text]
  22. Kim, J. J., J. S. Yang, D. J. Lee, D. M. Wilson, L. K. Nottingham, L. Morrison, A. Tsai, J. Oh, K. Dang, T. Dentchev, et al 2000. Macrophage colony-stimulating factor can modulate immune responses and attract dendritic cells in vivo. Hum. Gene Ther. 11:305.[Medline]
  23. Pichurin, P., X.-M. Yan, L. Farilla, J. Guo, G. D. Chazenbalk, B. Rapoport, S. M. McLachlan. 2001. Naked TSH receptor DNA vaccination: a Th1 T cell response in which interferon-{gamma} production, rather than antibody, dominates the immune responses in mice. Endocrinology 142:3530.[Abstract/Free Full Text]
  24. Nagayama, Y., H. L. Wadsworth, D. Russo, G. D. Chazenbalk, B. Rapoport. 1991. Binding domain of stimulatory and inhibitory thyrotropin (TSH) receptor autoantibodies determined with chimeric TSH-lutropin/chorionic gonadotropin receptors. J. Clin. Invest. 88:336.
  25. Tahara, K., T. Ban, T. Minegishi, L. D. Kohn. 1991. Immunoglobulins from Graves’ disease patients interact with different sites on TSH receptor/LH-CG receptor chimeras than either TSH or immunoglobulins form idiopathic myxedema patients. Biochem. Biophys. Res. Commun. 179:70.[Medline]
  26. Yamaguchi, K., N. Shimojo, S. Kikuoka, A. Hoshioka, A. Hirai, K. Tahara, L. D. Kohn, Y. Kohno, H. Niimi. 1997. Genetic control of anti-thyrotropin receptor antibody generation in H-2k mice immunized with thyrotropin receptor-transfected fibroblasts. J. Clin. Endocrinol. Metab. 82:4266.[Abstract/Free Full Text]
  27. Tomer, Y., T. F. Davies. 1997. The genetic susceptibility to Graves’ disease. Baillieres Clin. Endocrinol. Metab. 11:431.[Medline]
  28. Yanagawa, T., Y. Hidaka, V. Guimaraes, M. Soloman, L. J. DeGroot. 1995. CTLA-4 gene polymorphism associated with Graves’ disease in a Caucasian population. J. Clin. Endocrinol. Metab. 80:41.[Abstract]
  29. Vaidya, B., H. Imrie, P. Perros, E. T. Young, W. F. Kelly, D. Carr, D. M. Large, A. D. Toft, M. I. McCarthy, P. Kendall-Taylor, S. H. Pearce. 1999. The cytotoxic T lymphocyte antigen-4 is a major Graves’ disease locus. Hum. Mol. Genet. 8:1195.[Abstract/Free Full Text]
  30. Chen, J., B. T. Huber, R. J. Grand, W. Li. 2001. Recombinant adenovirus coexpressing covalent peptide/MHC class II complex and B7-1: in vitro and in vivo activation of myelin basic protein-specific T cells. J. Immunol. 167:1297.[Abstract/Free Full Text]
  31. Chen, P., I. Kovesdi, J. T. Bruder. 2000. Effective repeat administration with adenovirus vectors to the muscle. Gene Ther. 7:587.[Medline]
  32. Elson, C. J., R. N. Barker. 2000. Helper T cells in antibody-mediated, organ-specific autoimmunity. Curr. Opin. Immunol. 12:664.[Medline]
  33. Fowell, D. J., M. Bix, K. Shinkai, D. Lacy, R. M. Locksley. 2000. Disease susceptibility and development of the cytokine repertoire in the murine Leishmania major model. Eur. Cytokine Netw. 9:102.
  34. Mossman, T. R., R. L. Coffman. 1989. Th1 and Th2 cells: different patterns of lymphokine secretion lead to different functional properties. Annu. Rev. Immunol. 7:145.[Medline]
  35. Yan, X.-M., J. Guo, P. Pichurin, K. Tanaka, J. C. Jaume, B. Rapoport, S. M. McLachlan. 2000. Cytokines, IgG subclasses and costimulation in a mouse model of thyroid autoimmunity induced by injection of fibroblasts co-expressing MHC class II and thyroid autoantigens. Clin. Exp. Immunol. 122:170.[Medline]
  36. Chu, R. S., O. S. Targoni, A. M. Kreig, P. V. Lehmann, C. V. Harding. 1997. CpG oligodeoxynucleotides act as adjuvants that switch on T helper 1 (Th1) immunity. J. Exp. Med. 186:1623.[Abstract/Free Full Text]
  37. Kikuoka, S., N. Shimojo, K. Yamaguchi, Y. Watanabe, A. Hoshioka, A. Hirai, Y. Saito, K. Tahara, L. D. Kohn, N. Maruyama, et al 1998. The formation of thyrotropin receptor (TSHR) antibodies in a Graves’ animal model requires the N-terminal segment of the TSHR extracellular domain. Endocrinology 139:1891.[Abstract/Free Full Text]



This article has been cited by other articles:


Home page
J EndocrinolHome page
T. Endo and T. Kobayashi
Immunization with thyroglobulin induces Graves'-like disease in mice
J. Endocrinol., August 1, 2009; 202(2): 217 - 222.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
A. V. Misharin, Y. Nagayama, H. A. Aliesky, Y. Mizutori, B. Rapoport, and S. M. McLachlan
Attenuation of Induced Hyperthyroidism in Mice by Pretreatment with Thyrotropin Receptor Protein: Deviation of Thyroid-Stimulating to Nonfunctional Antibodies
Endocrinology, August 1, 2009; 150(8): 3944 - 3952.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
A. V. Misharin, Y. Nagayama, H. A. Aliesky, B. Rapoport, and S. M. McLachlan
Studies in Mice Deficient for the Autoimmune Regulator (Aire) and Transgenic for the Thyrotropin Receptor Reveal a Role for Aire in Tolerance for Thyroid Autoantigens
Endocrinology, June 1, 2009; 150(6): 2948 - 2956.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
M. Nakahara, Y. Nagayama, O. Saitoh, R. Sogawa, S. Tone, and N. Abiru
Expression of Immunoregulatory Molecules by Thyrocytes Protects Nonobese Diabetic-H2h4 Mice from Developing Autoimmune Thyroiditis
Endocrinology, March 1, 2009; 150(3): 1545 - 1551.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
A. Misharin, M. Hewison, C.-R. Chen, V. Lagishetty, H. A. Aliesky, Y. Mizutori, B. Rapoport, and S. M. McLachlan
Vitamin D Deficiency Modulates Graves' Hyperthyroidism Induced in BALB/c Mice by Thyrotropin Receptor Immunization
Endocrinology, February 1, 2009; 150(2): 1051 - 1060.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
S. M. McLachlan, H. A. Aliesky, P. N. Pichurin, C.-R. Chen, R. W. Williams, and B. Rapoport
Shared and Unique Susceptibility Genes in a Mouse Model of Graves' Disease Determined in BXH and CXB Recombinant Inbred Mice
Endocrinology, April 1, 2008; 149(4): 2001 - 2009.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
O. Saitoh, N. Abiru, M. Nakahara, and Y. Nagayama
CD8+CD122+ T Cells, a Newly Identified Regulatory T Subset, Negatively Regulate Graves' Hyperthyroidism in a Murine Model
Endocrinology, December 1, 2007; 148(12): 6040 - 6046.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
S. M. McLachlan, Y. Nagayama, P. N. Pichurin, Y. Mizutori, C.-R. Chen, A. Misharin, H. A. Aliesky, and B. Rapoport
The Link between Graves' Disease and Hashimoto's Thyroiditis: A Role for Regulatory T Cells
Endocrinology, December 1, 2007; 148(12): 5724 - 5733.
[Abstract] [Full Text] [PDF]


Home page
J. Clin. Endocrinol. Metab.Home page
E. C. Ridgway, Y. Tomer, and S. M. McLachlan
Update in Thyroidology
J. Clin. Endocrinol. Metab., October 1, 2007; 92(10): 3755 - 3761.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
T. Kaneda, A. Honda, A. Hakozaki, T. Fuse, A. Muto, and T. Yoshida
An Improved Graves' Disease Model Established by Using in Vivo Electroporation Exhibited Long-Term Immunity to Hyperthyroidism in BALB/c Mice
Endocrinology, May 1, 2007; 148(5): 2335 - 2344.
[Abstract] [Full Text] [PDF]


Home page
J Mol EndocrinolHome page
S.-C. Ho, S.-S. Goh, I. H C Kee, P. K H Chow, C.-P. Yeo, and D. H C Khoo
Effects of genetic immunization of Swiss outbred mice with human thyroid stimulating hormone receptor cDNA plasmids harboring gain-of-function mutations
J. Mol. Endocrinol., February 1, 2007; 38(2): 277 - 288.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
C.-R. Chen, G. D. Chazenbalk, K. A. Wawrowsky, S. M. McLachlan, and B. Rapoport
Evidence that Human Thyroid Cells Express Uncleaved, Single-Chain Thyrotropin Receptors on Their Surface
Endocrinology, June 1, 2006; 147(6): 3107 - 3113.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
H. A. Aliesky, P. N. Pichurin, C.-R. Chen, R. W. Williams, B. Rapoport, and S. M. McLachlan
Probing the Genetic Basis for Thyrotropin Receptor Antibodies and Hyperthyroidism in Immunized CXB Recombinant Inbred Mice
Endocrinology, June 1, 2006; 147(6): 2789 - 2800.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
O. Saitoh and Y. Nagayama
Regulation of Graves' Hyperthyroidism with Naturally Occurring CD4+CD25+ Regulatory T Cells in a Mouse Model
Endocrinology, May 1, 2006; 147(5): 2417 - 2422.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
J. A. Gilbert, A. G. Gianoukakis, S. Salehi, J. Moorhead, P. V. Rao, M. Z. Khan, A. M. McGregor, T. J. Smith, and J. P. Banga
Monoclonal pathogenic antibodies to the thyroid-stimulating hormone receptor in Graves' disease with potent thyroid-stimulating activity but differential blocking activity activate multiple signaling pathways.
J. Immunol., April 15, 2006; 176(8): 5084 - 5092.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
K. J. Land, P. Gudapati, M. H. Kaplan, and G. S. Seetharamaiah
Differential Requirement of Signal Transducer and Activator of Transcription-4 (Stat4) and Stat6 in a Thyrotropin Receptor-289-Adenovirus-Induced Model of Graves' Hyperthyroidism
Endocrinology, January 1, 2006; 147(1): 111 - 119.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
P. N. Pichurin, C.-R. Chen, G. D. Chazenbalk, H. Aliesky, N. Pham, B. Rapoport, and S. M. McLachlan
Targeted Expression of the Human Thyrotropin Receptor A-Subunit to the Mouse Thyroid: Insight into Overcoming the Lack of Response to A-Subunit Adenovirus Immunization
J. Immunol., January 1, 2006; 176(1): 668 - 676.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
J. Guo, S. M. McLachlan, P. N. Pichurin, C.-R. Chen, N. Pham, H. A. Aliesky, C. S. David, and B. Rapoport
Relationship between Thyroid Peroxidase T Cell Epitope Restriction and Antibody Recognition of the Autoantibody Immunodominant Region in Human Leukocyte Antigen DR3 Transgenic Mice
Endocrinology, November 1, 2005; 146(11): 4961 - 4967.
[Abstract] [Full Text] [PDF]


Home page
Endocr. Rev.Home page
S. M. McLachlan, Y. Nagayama, and B. Rapoport
Insight into Graves' Hyperthyroidism from Animal Models
Endocr. Rev., October 1, 2005; 26(6): 800 - 832.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
E. M. Jacobson, E. Concepcion, T. Oashi, and Y. Tomer
A Graves' Disease-Associated Kozak Sequence Single-Nucleotide Polymorphism Enhances the Efficiency of CD40 Gene Translation: A Case for Translational Pathophysiology
Endocrinology, June 1, 2005; 146(6): 2684 - 2691.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
G. Baker, G. Mazziotti, C. von Ruhland, and M. Ludgate
Reevaluating Thyrotropin Receptor-Induced Mouse Models of Graves' Disease and Ophthalmopathy
Endocrinology, February 1, 2005; 146(2): 835 - 844.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
S. M. McLachlan, H. Braley-Mullen, C.-R. Chen, H. Aliesky, P. N. Pichurin, and B. Rapoport
Dissociation between Iodide-Induced Thyroiditis and Antibody-Mediated Hyperthyroidism in NOD.H-2h4 Mice
Endocrinology, January 1, 2005; 146(1): 294 - 300.
[Abstract] [Full Text] [PDF]


Home page
Mol. Endocrinol.Home page
S. Costagliola, M. Bonomi, N. G. Morgenthaler, J. Van Durme, V. Panneels, S. Refetoff, and G. Vassart
Delineation of the Discontinuous-Conformational Epitope of a Monoclonal Antibody Displaying Full in Vitro and in Vivo Thyrotropin Activity
Mol. Endocrinol., December 1, 2004; 18(12): 3020 - 3034.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
P. N. Pichurin, G. D. Chazenbalk, H. Aliesky, O. Pichurina, B. Rapoport, and S. M. McLachlan
"Hijacking" the Thyrotropin Receptor: A Chimeric Receptor-Lysosome Associated Membrane Protein Enhances Deoxyribonucleic Acid Vaccination and Induces Graves' Hyperthyroidism
Endocrinology, December 1, 2004; 145(12): 5504 - 5514.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
C.-R. Chen, H. Aliesky, P. N. Pichurin, Y. Nagayama, S. M. McLachlan, and B. Rapoport
Susceptibility Rather than Resistance to Hyperthyroidism Is Dominant in a Thyrotropin Receptor Adenovirus-Induced Animal Model of Graves' Disease as Revealed by BALB/c-C57BL/6 Hybrid Mice
Endocrinology, November 1, 2004; 145(11): 4927 - 4933.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
T. Ando, R. Latif, S. Daniel, K. Eguchi, and T. F. Davies
Dissecting Linear and Conformational Epitopes on the Native Thyrotropin Receptor
Endocrinology, November 1, 2004; 145(11): 5185 - 5193.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
Y. Nagayama, S. M. McLachlan, B. Rapoport, and K. Oishi
Graves' Hyperthyroidism and the Hygiene Hypothesis in a Mouse Model
Endocrinology, November 1, 2004; 145(11): 5075 - 5079.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
K. J. Land, J. S. Moll, M. H. Kaplan, and G. S. Seetharamaiah
Signal Transducer and Activator of Transcription (Stat)-6-Dependent, But Not Stat4-Dependent, Immunity Is Required for the Development of Autoimmunity in Graves' Hyperthyroidism
Endocrinology, August 1, 2004; 145(8): 3724 - 3730.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
J. Guo, P. N. Pichurin, J. C. Morris, B. Rapoport, and S. M. McLachlan
"Naked" Deoxyribonucleic Acid Vaccination Induces Recognition of Diverse Thyroid Peroxidase T Cell Epitopes
Endocrinology, August 1, 2004; 145(8): 3671 - 3678.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
Y. Nagayama, K. Watanabe, M. Niwa, S. M. McLachlan, and B. Rapoport
Schistosoma mansoni and {alpha}-Galactosylceramide: Prophylactic Effect of Th1 Immune Suppression in a Mouse Model of Graves' Hyperthyroidism
J. Immunol., August 1, 2004; 173(3): 2167 - 2173.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
T. Muehlberg, J. A. Gilbert, P. V. Rao, A. M. McGregor, and J. P. Banga
Dynamics of Thyroid-Stimulating and -Blocking Antibodies to the Thyrotropin Receptor in a Murine Model of Graves' Disease
Endocrinology, April 1, 2004; 145(4): 1539 - 1545.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
P. N. Pichurin, O. Pichurina, R. C. Marians, C.-R. Chen, Terry. F. Davies, B. Rapoport, and S. M. McLachlan
Thyrotropin Receptor Knockout Mice: Studies on Immunological Tolerance to a Major Thyroid Autoantigen
Endocrinology, March 1, 2004; 145(3): 1294 - 1301.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
C.-R. Chen, P. Pichurin, G. D. Chazenbalk, H. Aliesky, Y. Nagayama, S. M. McLachlan, and B. Rapoport
Low-Dose Immunization with Adenovirus Expressing the Thyroid-Stimulating Hormone Receptor A-Subunit Deviates the Antibody Response toward That of Autoantibodies in Human Graves' Disease
Endocrinology, January 1, 2004; 145(1): 228 - 233.
[Abstract] [Full Text] [PDF]


Home page
Endocr. Rev.Home page
B. S. Prabhakar, R. S. Bahn, and T. J. Smith
Current Perspective on the Pathogenesis of Graves' Disease and Ophthalmopathy
Endocr. Rev., December 1, 2003; 24(6): 802 - 835.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
L. Schwarz-Lauer, P. N. Pichurin, C.-R. Chen, Y. Nagayama, C. Paras, J. C. Morris, B. Rapoport, and S. M. McLachlan
The Cysteine-Rich Amino Terminus of the Thyrotropin Receptor Is the Immunodominant Linear Antibody Epitope in Mice Immunized Using Naked Deoxyribonucleic Acid or Adenovirus Vectors
Endocrinology, May 1, 2003; 144(5): 1718 - 1725.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
Y. Nagayama, H. Mizuguchi, T. Hayakawa, M. Niwa, S. M. McLachlan, and B. Rapoport
Prevention of Autoantibody-Mediated Graves'-Like Hyperthyroidism in Mice with IL-4, a Th2 Cytokine
J. Immunol., April 1, 2003; 170(7): 3522 - 3527.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
T. Ando, M. Imaizumi, P. Graves, P. Unger, and T. F. Davies
Induction of Thyroid-Stimulating Hormone Receptor Autoimmunity in Hamsters
Endocrinology, February 1, 2003; 144(2): 671 - 680.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
P. V. Rao, P. F. Watson, A. P. Weetman, G. Carayanniotis, and J. P. Banga
Contrasting Activities of Thyrotropin Receptor Antibodies in Experimental Models of Graves' Disease Induced by Injection of Transfected Fibroblasts or Deoxyribonucleic Acid Vaccination
Endocrinology, January 1, 2003; 144(1): 260 - 266.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Nagayama, Y.
Right arrow Articles by Niwa, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Nagayama, Y.
Right arrow Articles by Niwa, M.


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS