Abstract
Over the past few years increasing evidence has suggested the nongenomic effects of thyroid hormone, such as the activation of the signal transduction pathways and the activation of nuclear factor-κB by the induction of oxidative stress. The present study was undertaken to investigate the effect of thyroid hormone on human polymorphonuclear leukocytes (PMNLs) which are known as important sources of reactive oxygen species in the circulation. The production of superoxide anion (O2−) and the activity of myeloperoxidase were determined in the presence and absence of several inhibitors of the signalling pathway. l-Thyroxine (T4) l-3,5,3′-tri-iodothyronine (T3) and l-3,5-di-iodothyronine (T2) stimulated O2− production in PMNLs in a dose-dependent manner within a few minutes of addition to cells. Thyroid hormone-stimulated O2− production was partially inhibited by pertussis toxin, an inhibitor of GTP-binding G protein, and was completely abolished by the protein kinase C inhibitors calphostin C and Ro-32–0432, and by a calcium chelator (BAPTA; bis-(o-aminophenoxy)ethane-N,N,N′,N′-tetra-acetic acid). Thyroid hormone stimulated myeloperoxidase activity and induced 125I− incorporation into PMNLs. Furthermore, thyroid hormone pre-incubation enhanced O2− production for n-formyl-methionyl-leucyl- phenylalanine (FMLP) stimulation. In conclusion, novel nongenomic actions of thyroid hormone, the induction of superoxide anion production and the stimulation of myeloperoxidase activity in PMNLs were demonstrated. The induction of O2− production requires calcium and is mediated by a pertussis toxin-sensitive G protein via stimulation of protein kinase C(s). These results suggest the existence of a membrane-bound binding site for thyroid hormone in PMNLs and a physiological role for thyroid hormone in the cellular defence mechanisms by stimulating free-radical production.
Introduction
Most effects of thyroid hormone are mediated by a direct modulation of gene activity via interaction of the thyroid hormone–nuclear receptor complex with specific DNA sequences (Ojamaa et al. 1996). Several results have showed that cellular uptake of thyroid hormone is mediated by carrier proteins and/or binding sites in various cells (Hennemann et al. 2001).
Actions of thyroid hormone that are independent of intranuclear ligand binding of hormone by nuclear thyroid hormone receptors are called nongenomic (Davis & Davis 1996). Over the past few years increasing evidence has been raised which suggests several nongenomic effects of thyroid hormone (Davis & Davis 1996, 2002), such as the stimulation of plasma membrane transport (Huang et al. 1999, Incerpi et al. 1999), the modulation of enzyme activities (adenylate cyclase, Ca2+-ATPase; Davis et al. 1989, Sakaguchi et al. 1996), the regulation of mitochondrial processes (Goglia et al. 1999), acute changes in the electrical properties of the cell membrane (Ribeiro et al. 1998, Sundquist et al. 1992), the activation of signal transduction pathways (Lanni et al. 1994, Szabo et al. 1996, Lin et al. 1999a) and the activation of nuclear factor-κB by the induction of oxidative stress (Tapia et al. 2003).
Nongenomic effects of thyroid hormone are distinguished from the nucleus-mediated actions by the structure–activity relationships and by the onset of actions (Davis & Davis 1996). Genomic actions are exerted by l-3,5,3′-tri-iodothyronine (T3) while l-thyroxine (T4), reverse T3 (rT3) or l-3,5-di-iodothyronine (T2) have predominantly nongenomic activity (Davis & Davis 1996). Specific binding sites for T3 have been identified in highly purified membrane preparations of various cell types such as liver cells, neuroblasts and pituitary cells (Segal 1990, Chapell et al. 1998, Davis & Davis 2002, Harvey & Williams 2002). However, the structure of the cell-surface receptor for thyroid hormone is unknown.
The physiological significance and molecular mechanisms of most nongenomic actions are incompletely understood. Recently, extranuclear actions of steroid hormone have also been recognized, and many similarities in the nongenomic effect of the steroids and thyroid hormone have been demonstrated (Davis et al. 2002).
Many years ago, increased metabolic activities in polymorphonuclear leukocytes (PMNLs) of hyperthyroid patients were described (Balazs et al. 1980). Alterations in the respiratory burst and arachidonic acid metabolism in PMNLs of patients with thyroid disorders have also been demonstrated (Videla et al. 1993, Szabo et al. 1996, Magsino et al. 2000). Based on these data, one can assume that thyroid hormone exerts a modulating effect in human PMNLs. Therefore, the aim of the present study was to investigate the effect of thyroid hormones (T2, T3 and T4) on human PMNLs and to evaluate the potential mechanisms of these actions. The possible physiological role of thyroid hormone was investigated by measuring O2− release, myeloperoxidase activity and incorporation of 125I− into PMNLs of healthy subjects. Basic and n-formyl-methionyl-leucyl-phenylalanine (FMLP)-induced O2− production in PMNLs of hyper- and hypothyroid patients was also determined.
Here we show that the rapid nongenomic effects of thyroid hormone in PMNLs are the stimulation of superoxide anion production via the activation of the protein kinase C (PKC) pathway, the induction of 125I− incorporation and the enhancement of myeloperoxidase activity.
Materials and Methods
Patients
20 female patients were included in the study. The diagnosis was confirmed by evaluating the clinical data and by measurement of free T4, free T3, sensitive thyroid-stimulating hormone (sTSH), and anti-thyroid peroxidase and anti-TSH receptor antibodies. 12 recently diagnosed, untreated patients suffering from Graves’ disease were hyperthyroid (mean age, 53±15 years). The mean free T4 was 51.36 pM (normal range, 7.2–23.3 pM). Eight patients suffered from hypothyroidism of various origins: two patients after thyroid surgery, four Graves’ patients following radioiodine treatment and two patients with Hashimoto thyroiditis (mean age, 51±9 years). The mean sTSH was 39.57 IU/l (normal range, 0.3–3 IU/l). 15 age-and sex-matched healthy volunteers served as controls. All patients and controls gave their informed consent, which conformed to the rules of the Ethical Committee of the University of Debrecen.
Materials
Cytochrome c , superoxide dismutase, FMLP, T2, T3, T4, pertussis toxin, staurosporine, Histopaque 1077, Hanks’ balanced salt solution (HBSS), propylthiouracil (PTU), RPMI 1640, phorbol myristate acetate (PMA), o-dianiside and H2O2 were purchased from Sigma (St Louis, MO, USA). 125I− as its sodium salt solution (15 GBq/ml) was from Izinta (Budapest, Hungary). Calphostin C and Ro-32–04432 were from Calbiochem (CN Bioscience Company, Darmstadt, Germany).
Preparation of thyroid hormone solution
Thyroid hormone (T2, T3 and T4) was dissolved in NaOH (0.3 M); 10−3 M stock solution was prepared. The stock solution was diluted immediately with HBSS to achieve the appropriate concentrations. The same amount of diluted NaOH solution was added to the control cells as to the thyroid hormone-treated cells. The diluted solution did not affect O2− production in PMNLs.
Isolation of PMNLs
After obtaining informed consent, PMNLs were isolated from blood of fasting healthy volunteers and fasting thyroid patients. Cells were separated by density centrifugation using Histopaque 1077 according to the method of Boyum (Boyum 1968). Contaminating erythrocytes were removed by hypotonic lysis and cells were suspended in HBSS at a cell density of 1×106 cells/ml. PMNLs were at least 95% viable, as judged by Trypan Blue exclusion test.
O2− release
O2− release was determined in HBSS by measuring the reduction of cytochrome c at λ=550 nm using a micro assay as published previously in detail (Czompa et al. 2000). Superoxide dismutase was also added to the samples to check that reduction of cytochrome c was due to formation of O2− T2, T3 and T4 were used in a concentration range of 10−4-10−9 M, FMLP at 10−8 M and PMA at 10−7 M. Pertussis toxin, an inhibitor of GTP-binding G protein, was used at a concentration of 100 ng/ml. Cells were incubated with pertussis toxin for 2 h at 37 °C in RPMI 1640. Staurosporine, a non-specific inhibitor of protein kinases, was used at a concentration of 100 nM and was added to cells 2 min prior to stimulation. Calphostin C, a cell-permeable, highly specific inhibitor of PKC(s), was used at 50 nM, Ro-32–0432, a selective inhibitor of PKCα and PKCβI, was used in a range of 1–10 nM, and BAPTA (bis-(o-aminophenoxy)ethane-N,N,N′,N′-tetra-acetic acid), a calcium chelator, was used at 10−5 M concentration. In all cases the pre-incubation time was 10 min. When the effect of thyroid hormone pre-treatment on FMLP-induced O2− release was studied, PMNLs were pre-incubated with T2, T3, and T4 for 5 min prior to stimulation with FMLP. Reduction in cytochrome c was recorded prior to stimulation (T=T0) and at the times indicated on the figures. Results were calculated by the equation: Absorbency=(T− T0)/(ε × N × l), where ε is the molar extinction coefficient of cytochrome c (2.1×10−2 μmol−1), N is the cell number and l is light passlength (cm). All experiments were performed in triplicate.
Effect of PTU on O2− release in PMLNs
Human PMNLs were preincubated with PTU at a concentration range of 50–1000 μM for 10 min prior to stimulation with thyroid hormone, FMLP or PMA. The latter stimulators were used to control the general effect of PTU, if any, on O2− production in PMNLs.
125I− incorporation into PMNLs was determined in the presence and absence of T3 and T4. PMNLs (5×106 cells/ml) were incubated with 15 μCi 125I− in the presence and absence of T3 and T4 (10−6-10−7 M) for 30 min. 125I was added as its sodium salt solution to HBSS at the same time thyroid hormone was added. The reaction was stopped by the addition of ice-cold HBSS. Cells were washed three times with ice-cold HBSS and the incorporated 125I− activity was determined in cell pellets by Gamma NK 350 counter.
Myeloperoxidase activity was determined, as described previously (Mohacsi et al. 1996). Namely, PMNLs (1×106 cells/ml) were incubated in HBSS in the presence of thyroid hormone (T2, T3 or T4) for 60 min. Cells were centrifuged (400 g, 10 min at 4 °C) after the incubation and supernatants of cells were assayed for myeloperoxidase activity in citrate buffer, pH 5.5, containing 0.32 mM o-dianiside and 0.08 mM H2O2. The reaction was started by the addition of the sample and was stopped after 1 min with 1 ml 35% perchloric acid. The absorbance of the samples was read at 560 nm in a Hewlett Packard spectrophotometer. The enzyme activity was expressed as nmol product/min per 1×106 cells using an extinction coefficient of 2×104 M−1 cm−1 at 560 nm. All measurements were performed in triplicate.
Statistical analysis was performed using ANOVA and paired Student’s t-test and differences were considered significant if P<0.05. Data are expressed as mean±s.d. from three independent experiments. All experiments were performed in triplicate.
Results
All of the studied thyroid hormone analogues (Fig. 1), T2, T3 and T4, enhanced the O2− release in PMNLs in a concentration-dependent manner. The highest stimulation was observed when thyroid hormones were used at 10−7-10−9 M (Fig. 1).
The kinetics of thyroid hormone-induced O2− release (Fig. 2) were compared with the time-dependent effect of FMLP, which is a well-known stimulator of respiratory burst in human PMNLs (Fig. 2). An increase in O2− production was observed after 3–7 min of incubation with thyroid hormone analogues, and a nearly linear rise in O2− formation was detected during 20 min of incubation. The pre-incubation of PMNLs with thyroid hormone prior to stimulation with FMLP resulted in an additive effect in terms of O2− production (Fig. 2).
In order to clarify the potential mechanism of thyroid hormone action, PMNLs were treated with several inhibitors of the signal transduction mechanisms (Figs 3 and 4). Effects of inhibitors on thyroid hormone-induced O2− release were compared with their effects on FMLP signalling. FMLP is the best-characterized activator of NADPH oxidase in neutrophils. It functions via a G protein-linked chemotactic peptide receptor, increases cytosolic free calcium concentration, and activates phospholipase C and PKC. Classical PKC isoenzymes are involved in the signal transduction of FMLP (Chen & Jan 2001). The O2− release of PMNLs induced by T2, T3 and T4 or FMLP was partially inhibited by pertussis toxin, an inhibitor of GTP-binding G proteins (Fig. 3). Staurosporine, a non-specific protein kinase inhibitor, entirely blocked O2− production induced by thyroid hormone analogues and FMLP (Fig. 3). Calphostin C, a general inhibitor of PKCs, which interacts with the regulatory domain of PKC by competing at the binding site of diacylglycerol and phorbol esters, and Ro-32–0432, a highly specific inhibitor of classical PKC isoenzymes (with IC50=9nM for PKCα and IC50=28 nM for PKCβI), abolished the thyroid hormone-and FMLP-induced O2− release to similar extents (Fig. 4). The inhibitory effect of Ro-32–0432 was significant at a very low concentration (1 nM; data not shown) and remained so when used at 10 nM (Fig. 4). Calcium chelator BAPTA also inhibited O2− release induced by thyroid hormone and FMLP to similar extents (Fig. 4). It should be noted that specific PKC inhibitors (Ro-32–0432 and calphostin C) and the calcium chelator (BAPTA) inhibited thyroid hormone-induced O2− production in PMLNs at all concentrations (10−6-10−9 M) tested (data not shown).
Theoretically it is possible that T2 is the only thyroid hormone responsible for the observed O2− production in PMNLs. T4 and T3 may be converted to T3 and T2 by peripheral deiodination in granulocytes. In order to investigate this opportunity, the effect of PTU, an inhibitor of peripheral deiodination, was also studied (Fig. 5). It was found that PTU at its therapeutic concentration (50 μM) decreased O2− production in PMNLs after all thyroid hormone (T2, T3 and T4), and FMLP (but not PMA) stimulation, but the inhibition did not reach the level of significance (Fig. 5). However, at higher concentrations (500–1000 μM) PTU significantly inhibited not only thyroid hormone (T4, T3 and T2) but also FMLP- and PMA-induced O2− production to similar extents (about 30%; Fig. 5). These results suggest that PTU has a general inhibitory effect on O2− production in PMNLs, as was suggested previously in rat erythrocyte membrane (Faure et al. 1991).
Previously it was demonstrated that thyroid hormone enhanced phagocytosis and the killing of bacteria by granulocytes. The presumed mechanism was the conversion of T4 to T3 to by PMNLs, freeing up iodide to kill microorganisms (Klebanoff & Green 1973). Considering our results, that PTU pre-incubation had no specific effect on T4-induced O2− production, we hypothesized that the source of halide for increased killing might be the thyroid hormone-induced halide incorporation into PMNLs. Therefore, the effect of thyroid hormone on 125I− incorporation in PMNLs of healthy subjects was determined (Table 1). It was found that both T3 and T4 stimulated 125I− incorporation into PMNLs. The effect was more pronounced at a higher concentration (10−6 M), especially in the case of T3 (Table 1). Considering the facts that myeloperoxidase is a halide-using enzyme, that PMNLs contain it in their cytoplasmic granules and that this enzyme is discarded in the phagosome after stimulation, the effect of thyroid hormone on myeloperoxidase activity was determined. As is shown in Table 1, thyroid hormone (T2, T3 and T4) enhanced myeloperoxidase activity in PMNLs of healthy subjects.
Finally, O2− production in PMNLs of thyroid disease patients after FMLP stimulation was determined. It has to be noted that O2− production in resting PMNLs of hyperthyroid patients was significantly elevated compared with either controls or hypothyroid patients (Fig. 6). Furthermore, PMNLs of hyperthyroid patients seem to be hyper-reactive to FMLP stimulation (Fig. 6). However, no significant differences were detected in O2− production of resting and FMLP-stimulated PMNLs of hypothyroid patients in comparison with controls. The difference among controls and hyperthyroid patients remained significant when the baseline O2− production was subtracted from the FMLP-stimulated O2− production (25.8±1.7 versus 35.5±3.2 nmol/106 cells per 20 min; P<0.01). Nevertheless, the results of hyperthyroid patients are very similar to the in vitro effect of thyroid hormone pre-incubation on FMLP-stimulated O2− production (Fig. 2).
Discussion
In the present study we demonstrated that T2, T3 and T4 are able to induce O2− production in human PMNLs in a dose-dependent manner. The time course of this action suggests a novel nongenomic effect of thyroid hormone on the respiratory-burst activity of PMNLs. Several inhibitors of calcium-dependent signalling inhibited thyroid hormone-induced O2− production, including pertussis toxin, the inhibitor of GTP-binding G protein, supporting the existence of a binding site for thyroid hormone on the surface of human PMNLs. Thyroid hormone induced 125I− incorporation into PMNLs and resulted in elevated myeloperoxidase activity. After thyroid hormone pre-incubation, more-pronounced O2− production for FMLP stimulation was observed in healthy PMNLs. Considering the fact that T3 and T4 concentrations are elevated in hyperthyroid patients, our results might explain the hyper-reactivity of PMNLs in these patients.
Our results concerning the stimulatory activity of thyroid hormone on superoxide anion production in human PMNLs are in good agreement with previous findings. Remarkable increases in the respiratory-burst activity of rat PMNLs, enhanced NADPH oxidase and myeloperoxidase activity were reported after 3 days of T3 treatment (Fernandez & Videla 1995). The stimulation of reactive oxygen species generation by T3 was demonstrated in euthyroid human subjects as well (Magsino et al. 2000). Others found rapid stimulation of oxygen consumption in human mononuclear blood cells by T2 (Kvetny 1992). Furthermore, T3 treatment of healthy volunteers caused significant increase in the phagocytic capacity and the chemiluminescent activity of PMNLs (Balazs et al. 1980). Some results in hyperthyroid patients also suggest that thyroid hormone might influence oxygen free-radical formation. Enhanced O2− production in PMNLs after FMLP stimulation was observed in hyperthyroid patients (Szabo et al. 1996), and the exacerbation of bronchial asthma in hyperthyroid patients was partially due to the enhanced O2− generation by neutrophils and alveolar macrophages (Kanazawa et al. 1992).
The stimulation of superoxide anion generation in PMNLs by thyroid hormone throws new light on the physiological role of thyroid hormone in the function of white blood cells. Many years ago it was demonstrated that thyroid hormone increased the phagocytosis and killing of bacteria by granulocytes. The presumed mechanism was the conversion of T4 to T3 by PMNLs, freeing up iodide to kill micro-organisms (Klebanoff & Green 1973). Based on our study a new concept about the role of thyroid hormone in cellular defence mechanisms may be outlined: the stimulation of free-radical production and halide (chloride and iodide ions) incorporation into PMNLs. All of these processes play an important role in the host defence mechanism.
Our knowledge about the nongenomic effects of thyroid hormone has increased rapidly over the past few years (Davis & Davis 1996). The physiologic significance of nongenomic effects was demonstrated on myocardial Na+ channel (Huang et al. 1999), sarcoplasmic reticulum Ca2+-ATPase activity (Warnick et al. 1993) and the contractile state of vascular smooth muscle cells (Ojamaa et al. 1996). All of these may contribute to the acute effect of thyroid hormone on cardiac output that has recently been described (Walker et al. 1994, 1995, Jamali et al. 1997, Davis & Davis 2002). The modulation of mitochondrial respiration by thyroid hormone is also well characterized (Lanni et al. 1994, Fernandez & Videla 1995, Goglia et al. 1999). The list of nongenomic effects is flared by actions on solute transport (Sakaguchi et al. 1996, Huang et al. 1999, Incerpi et al. 1999), regulation of actin polymerization (Siegrist-Kaiser et al. 1990), modulation of γ-aminobutyric acid (GABA) receptors (Chapell et al. 1998) and stimulation of TSH release from pituitary cells (Roussel et al. 1995). One of the most exciting effects of thyroxine is the potentiation of antiviral effect of interferon γ (Lin et al. 1996), which also supports the physiological role of thyroid hormone in the cellular defence mechanisms.
Despite the increasing amount of available data, the molecular mechanism of nongenomic thyroid hormone action is still incompletely understood. The binding site for thyroid hormone on the plasma membrane has not been established. The inconsistent results received in various experimental systems may suggest a number of binding sites for thyroid hormone with various features. The inhibitory effect of pertussis toxin on the thyroid hormone-induced O2− release, as was demonstrated here, supports the existence of a G protein-coupled receptor for thyroid hormone. The activation of mitogen-activated protein kinase pathway by thyroid hormone also assumes the presence of a G protein-coupled receptor (Lin et al.1999a). However, other binding sites are not associated with G proteins. The effect of T3 on TSH release by rat pituitary cells proved to be pertussis toxin-insensitive (Roussel et al. 1995). The regulation of cytoplasmic pyruvate kinase activity involves a direct interaction of hormone with an enzyme subunit (Ashizawa et al. 1991). Another possible binding site for thyroid hormone might be the plasma membrane Ca2+-ATPase (Davis et al. 1989).
The important role of classical PKC isoenzymes in the mechanism of thyroid hormone-induced superoxide anion generation has been established in the present study. All tested PKC inhibitors blocked the thyroid hormone-induced O2− release in PMNLs. The most pronounced effect was observed by Ro-32–0432, a specific PKCα and PKCβI inhibitor. Our findings are in accordance with previous reports. The possible signal transduction of the nongenomic effect of thyroid hormone was investigated in HeLa cells and the activation of both protein kinase A and PKC was demonstrated (Lin et al. 1999a). Most recently, the involvement of protein tyrosine kinase (PTK) and mitogen-activated protein kinase was published in the potentiation of epidermal growth factor action by thyroxine (Lin et al. 1999b).
Finally, PTU at its therapeutic and 10-fold higher concentrations did not modify differently the superoxid anion generation induced by T2, T3 and T4. O2− production induced by FMLP and PMA was similarly decreased by the high concentration of PTU. This result excludes the exclusive role of T2 in mediating the stimulation of O2− release in PMNLs and confirms that all the investigated thyroid hormone analogues can bind to the plasma membrane. Previously it was demonstrated that PTU at low concentration (<100 μM) inhibits myeloperoxidase activity but does not influence superoxide anion formation in PMA-stimulated neutrophils (Ross et al. 1998), as was demonstrated here. PTU prevented phagocytosis induced by A23187, a calcium ionophore, also by inhibiting myeloperoxidase (Lee et al. 1991) and inhibited PMA-induced chemiluminescence response in PMNLs (Imamura et al. 1986). It was demonstrated that PTU at low concentration prevented lipid peroxidation of erythrocyte plasma membrane (Faure et al. 1991), suggesting an antioxidant capacity of this anti-thyroid drug. However, it must be taken into account that lipid peroxidation is usually induced by hydroxyl radicals. It is possible that PTU in the low concentration range (<100 μM) is able to scavenge hydroxyl radical but not superoxide anion. However, at high concentrations (>500 μM) it can scavenge superoxide anion as well.
In summary, the present data indicate novel, nongenomic actions of thyroid hormone, the induction of superoxide anion production, incorporation of halides and stimulation of myeloperoxidase activity in human PMNLs. This suggests a new concept for the physiological role of thyroid hormone in cellular defence mechanisms, the stimulation of free-radical production and myeloperoxidase activity. This effect is exerted by T2, T3 and T4, and mediated by a pertussis toxin-sensitive G protein and by PKC(s). The model may serve as a tool for further characterization of nongenomic thyroid hormone actions.
Thyroid hormone (T2, T3 and T4, at either 10−6 or 10−7 M concentration) stimulated 125I− incorporation into PMNLs of healthy subjects and resulted in an increase in myeloperoxidase activity
125I− incorporation (c.p.m.) | MPO activity (nmol/min per 106 cells) | ||
---|---|---|---|
10−6 M | 10−7 M | 10−7 M | |
MPO, myeloperoxidase; n.d. not determined. | |||
*P<0.02, †P<0.008. | |||
Thyroid hormone | |||
None | 95 350±11 200 | – | 0.969±0.122 |
T2 | n.d. | n.d. | 3.383±0.922* |
T3 | 174 800±25 400* | 124 600±33 500 | 3.473±0.651* |
T4 | 190 400±41 000† | 148 600±31 800* | 3.292±0.926* |
This work was supported by a grant from the Hungarian Medical Research Council (ETT 186/2003). The authors thank Ms Gyongyi Sallai for her technical assistance. The authors declare that there is no conflict of interest that would prejudice the impartiality of this scientific work.
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