title: Antithyroperoxidase antibody-dependent cytotoxicity in autoimmune thyroid disease.
abstract: BACKGROUND
  Thyroid antibody-dependent cytotoxicity has been reported in autoimmune thyroid disease (AITD). Indeed, the role of thyroperoxidase (TPO) autoantibodies (aAbs) in complement-mediated damage by binding to TPO expressed on the surface of human thyroid cells was demonstrated, whereas their activity in antibody-dependent cell cytotoxicity (ADCC) is not well established.
  
  
  OBJECTIVE
  The aim of this study was to define the partners involved in antibody and complement-dependent cytotoxicity (CDC) in AITD and characterize which effector cells are involved in cytotoxicity mediated by anti-TPO aAbs using a chromium release assay.
  
  
  RESULTS
  The relative capability of anti-TPO aAbs to mediate ADCC using human thyroid cells in culture varies from 11 to 74.5%, depending on the effectors cells used. The human monocyte cell line HL60 gives a better lysis than the THP-1 cell line as effector cells. It seems obvious that the mechanism of ADCC is mediated quite exclusively by FcgammaRI. Indeed, the two effector cell lines differ by the level of the FcgammaRI expression (91.83% for HL-60 cells and 22.55%t for the THP-1). In addition to ADCC, the anti-TPO aAbs mediate the destruction of thyrocytes by CDC (56%).
  
  
  CONCLUSIONS
  These results demonstrate that anti-TPO aAbs can damage cultured thyroid cells by ADCC and CDC mechanisms. The monocytes, via their FcgammaRI, are important effector cells in ADCC mediated by anti-TPO aAbs and may contribute with T cells to the destruction of thyroid gland in AITD.
authors: Centre National de la Recherche Scientifique, Unit Mixté de Recherche 5232, Faculté de Pharmacie, 15 Avenue Charles Flahaut, 34093 Montpellier Cedex 5, France.
authors: Sandra A
authors: SA
authors: Rebuffat
authors: Brigitte
authors: B
authors: Nguyen
authors: Bruno
authors: B
authors: Robert
authors: Françoise
authors: F
authors: Castex
authors: Sylvie
authors: S
authors: Peraldi-Roux
mesh_terms: D000920:Antibody-Dependent Cell Cytotoxicity; D001323:Autoantibodies / Q000276:immunology*; D002478:Cells, Cultured; D015922:Complement C1q / Q000378:metabolism; D006111:Graves Disease / Q000276:immunology*; D006801:Humans; D007453:Iodide Peroxidase / Q000276:immunology*; D013967:Thyroiditis, Autoimmune / Q000276:immunology*
chemical_list: D001323:Autoantibodies; D015922:Complement C1q; D007453:Iodide Peroxidase