title: Coexpression of CD40 and class II antigen HLA-DR in Graves' disease thyroid epithelial cells.
abstract: In Graves' disease, thyroid epithelial cells abnormally express HLA-DR Class II molecules in the vicinity of lymphocyte infiltrates, suggesting that lymphocyte proliferation is sustained by the appropriate presentation of antigenic material. The ability of thyroid epithelial cells to provide the necessary second signals has however not been documented. The expression of HLA-DR, CD40, CD40L, CD80, and CD28 was investigated on thyroid samples from 30 patients (Graves' disease, n = 16; benign toxic adenoma, n = 8; multinodular goiter, n = 6). Apoptotic cells were searched for using the TUNEL method. CD40 appeared to be coexpressed with HLA-DR in Graves' disease patients samples and in two control samples also containing lymphoid infiltrates. Almost no apoptotic cells were found. These data suggest that thyroid epithelial cells from Graves' disease patients have the ability to successfully present autoantigens. The near absence of apoptotic cells in surrounding lymphoid infiltrates is in keeping with this efficient provision of a rescue second signal.
authors.affiliation: Laboratoire d'Immunologie du CHU, Faculté de Médecine de Nancy, Vandoeuvre les Nancy, France.
authors.forename: G C
authors.initials: GC
authors.lastname: Faure
authors.forename: D
authors.initials: D
authors.lastname: Bensoussan-Lejzerowicz
authors.forename: M C
authors.initials: MC
authors.lastname: Bene
authors.forename: V
authors.initials: V
authors.lastname: Aubert
authors.forename: J
authors.initials: J
authors.lastname: Leclere
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D019013:CD40 Antigens / Q000032:analysis / Q000235:genetics*; D004847:Epithelial Cells; D005260:Female; D019084:Fluorescent Antibody Technique, Indirect; D015870:Gene Expression; D006111:Graves Disease / Q000235:genetics / Q000276:immunology* / Q000473:pathology*; D006684:HLA-DR Antigens / Q000032:analysis / Q000235:genetics*; D000949:Histocompatibility Antigens Class II / Q000032:analysis / Q000235:genetics*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013961:Thyroid Gland / Q000166:cytology* / Q000276:immunology*
chemical_list: D019013:CD40 Antigens; D006684:HLA-DR Antigens; D000949:Histocompatibility Antigens Class II