Immunological Microenvironment Alterations in Follicles of Patients With Autoimmune Thyroiditis

Autoimmune thyroiditis (AIT) is the most prevalent autoimmune endocrine disease, with a higher incidence in women than in men. Immunological abnormalities may lead to the impairment of ovarian folliculogenesis; however, whether the presence of AIT affects immunological microenvironment in follicles...

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Autores principales: Ning Huang, Dandan Liu, Ying Lian, Hongbin Chi, Jie Qiao
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:53b5760c6f29478e9b4f61df74b9a0d62021-11-17T04:52:07ZImmunological Microenvironment Alterations in Follicles of Patients With Autoimmune Thyroiditis1664-322410.3389/fimmu.2021.770852https://doaj.org/article/53b5760c6f29478e9b4f61df74b9a0d62021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fimmu.2021.770852/fullhttps://doaj.org/toc/1664-3224Autoimmune thyroiditis (AIT) is the most prevalent autoimmune endocrine disease, with a higher incidence in women than in men. Immunological abnormalities may lead to the impairment of ovarian folliculogenesis; however, whether the presence of AIT affects immunological microenvironment in follicles remains controversial. We performed a cross-sectional study including 122 patients, aged 20–40 years, who underwent IVF/ICSI treatment owing to isolated male or tube factor infertility. Patients were divided into AIT and control groups according to clinical presentation, thyroid function, and thyroid autoantibody measurements. Follicular fluid was collected and the distribution of cytokines/chemokines in follicular fluid was measured by flow cytometry using multiplex bead assays between the two groups. Based on differences in levels of intrafollicular chemokines and cytokines between the AIT and control groups, the relevant inflammatory cascade was further demonstrated. Among the 12 chemokines analyzed, three (CXCL9, CXCL10, and CXCL11) showed significantly elevated levels in the follicular fluid of patients with AIT. Among the 11 cytokines detected, compared with those in the control group, significantly higher levels of IFNγ were observed in patients with AIT. IFNγ dose-dependently stimulated the expression and secretion of CXCL9/10/11 in cultured primary granulosa cells. The percentage of CXCR3+ T lymphocytes was significantly elevated in the follicular microenvironment of patients with AIT. We concluded that the IFNγ-CXCL9/10/11-CXCR3+ T lymphocyte inflammatory cascade is activated in the follicular microenvironment of patients with AIT. These findings indicate that a considerable immune imbalance occurred in the follicular microenvironment of patients with AIT.Ning HuangNing HuangNing HuangNing HuangDandan LiuDandan LiuDandan LiuDandan LiuYing LianYing LianYing LianYing LianHongbin ChiHongbin ChiHongbin ChiHongbin ChiJie QiaoJie QiaoJie QiaoJie QiaoFrontiers Media S.A.articleautoimmune thyroiditisovarian microenvironmentfollicle developmentIFNγ-CXCL9/10/11-CXCR3+ T lymphocytefollicular fluidImmunologic diseases. AllergyRC581-607ENFrontiers in Immunology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic autoimmune thyroiditis
ovarian microenvironment
follicle development
IFNγ-CXCL9/10/11-CXCR3+ T lymphocyte
follicular fluid
Immunologic diseases. Allergy
RC581-607
spellingShingle autoimmune thyroiditis
ovarian microenvironment
follicle development
IFNγ-CXCL9/10/11-CXCR3+ T lymphocyte
follicular fluid
Immunologic diseases. Allergy
RC581-607
Ning Huang
Ning Huang
Ning Huang
Ning Huang
Dandan Liu
Dandan Liu
Dandan Liu
Dandan Liu
Ying Lian
Ying Lian
Ying Lian
Ying Lian
Hongbin Chi
Hongbin Chi
Hongbin Chi
Hongbin Chi
Jie Qiao
Jie Qiao
Jie Qiao
Jie Qiao
Immunological Microenvironment Alterations in Follicles of Patients With Autoimmune Thyroiditis
description Autoimmune thyroiditis (AIT) is the most prevalent autoimmune endocrine disease, with a higher incidence in women than in men. Immunological abnormalities may lead to the impairment of ovarian folliculogenesis; however, whether the presence of AIT affects immunological microenvironment in follicles remains controversial. We performed a cross-sectional study including 122 patients, aged 20–40 years, who underwent IVF/ICSI treatment owing to isolated male or tube factor infertility. Patients were divided into AIT and control groups according to clinical presentation, thyroid function, and thyroid autoantibody measurements. Follicular fluid was collected and the distribution of cytokines/chemokines in follicular fluid was measured by flow cytometry using multiplex bead assays between the two groups. Based on differences in levels of intrafollicular chemokines and cytokines between the AIT and control groups, the relevant inflammatory cascade was further demonstrated. Among the 12 chemokines analyzed, three (CXCL9, CXCL10, and CXCL11) showed significantly elevated levels in the follicular fluid of patients with AIT. Among the 11 cytokines detected, compared with those in the control group, significantly higher levels of IFNγ were observed in patients with AIT. IFNγ dose-dependently stimulated the expression and secretion of CXCL9/10/11 in cultured primary granulosa cells. The percentage of CXCR3+ T lymphocytes was significantly elevated in the follicular microenvironment of patients with AIT. We concluded that the IFNγ-CXCL9/10/11-CXCR3+ T lymphocyte inflammatory cascade is activated in the follicular microenvironment of patients with AIT. These findings indicate that a considerable immune imbalance occurred in the follicular microenvironment of patients with AIT.
format article
author Ning Huang
Ning Huang
Ning Huang
Ning Huang
Dandan Liu
Dandan Liu
Dandan Liu
Dandan Liu
Ying Lian
Ying Lian
Ying Lian
Ying Lian
Hongbin Chi
Hongbin Chi
Hongbin Chi
Hongbin Chi
Jie Qiao
Jie Qiao
Jie Qiao
Jie Qiao
author_facet Ning Huang
Ning Huang
Ning Huang
Ning Huang
Dandan Liu
Dandan Liu
Dandan Liu
Dandan Liu
Ying Lian
Ying Lian
Ying Lian
Ying Lian
Hongbin Chi
Hongbin Chi
Hongbin Chi
Hongbin Chi
Jie Qiao
Jie Qiao
Jie Qiao
Jie Qiao
author_sort Ning Huang
title Immunological Microenvironment Alterations in Follicles of Patients With Autoimmune Thyroiditis
title_short Immunological Microenvironment Alterations in Follicles of Patients With Autoimmune Thyroiditis
title_full Immunological Microenvironment Alterations in Follicles of Patients With Autoimmune Thyroiditis
title_fullStr Immunological Microenvironment Alterations in Follicles of Patients With Autoimmune Thyroiditis
title_full_unstemmed Immunological Microenvironment Alterations in Follicles of Patients With Autoimmune Thyroiditis
title_sort immunological microenvironment alterations in follicles of patients with autoimmune thyroiditis
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/53b5760c6f29478e9b4f61df74b9a0d6
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