Contributed equally
Hashimoto's thyroiditis (HT) is the most common organ-specific autoimmune disease and is believed to be a predominately T cell-mediated autoimmunity. Signal transducer and activator of transcription (STAT)3 is a crucial transcription factor of T cell-mediated immunity, with key roles in the proliferation and migration of T helper (Th) cells, differentiation of Th cells into Th17 cells, and the balance between Treg cells and Th17 cells. Flavonoid luteolin has been shown to markedly inhibit Tyr705 activation/phosphorylation of STAT3 and exert anti-inflammatory effects in multiple sclerosis. In the present study, the effect of luteolin on experimental autoimmune thyroiditis (EAT) was analyzed in C57BL/6 mice. Hematoxylin and eosin examination showed that luteolin attenuated lymphocytic infiltration and follicle destruction in thyroid glands. Immunohistochemistry results demonstrated that luteolin significantly reduced the phosphorylation of STAT3 within the thyroid. An
Hashimoto's thyroiditis (HT) was first discovered by Hakaru Hashimoto in 1912. It is now recognized as the most common autoimmune disease (
Flavonoids, a plant-derived food, are considered to exert anti-inflammatory effects (
A total of 30 female 8-week-old C57BL/6 mice weighing 20.35±0.86 mg were purchased from Model Animal Research Center of Nanjing University (Nanjing, China). Prior to the study, the mice were housed in a clean-grade animal breeding center with an indoor temperature of 20–24°C and humidity of 50–70%, under alternate dark/light cycles. Tap water and laboratory feed were available
Luteolin was purchased from the National Institute for the Control of Pharmaceutical and Biological Products (Jilin, China). Luteolin (20 mg/ml) was dissolved in DMSO and stored at −20°C. Fetal bovine serum (FBS), Dulbecco's modified Eagle's medium (DMEM), penicillin and streptomycin were obtained from Invitrogen (Thermo Fisher Scientific, Inc., Waltham, MA, USA). Mouse T4 and TNF-α enzyme-linked immunosorbent assay (ELISA) kits were purchased from ExCell (Shanghai, China). Antibodies used in western blot and immunohistochemistry were as follows: Rabbit monoclonal phospho-STAT3 antibodies (Tyr705; #9145), rabbit monoclonal phospho-STAT1 antibodies (Tyr701; #9167), rabbit monoclonal STAT3 antibodies (#9139), rabbit monoclonal STAT1 antibodies (#14994) and rabbit COX2 antibodies (#12282), and were all purchased from Cell Signaling Technology, Inc. (Beverly, MA, USA). Rabbit GAPDH antibodies (#BS60630) and horseradish peroxidase (HRP)-conjugated goat anti-rabbit antibodies (#BS10043) were purchased from Bioworld Technology, Inc. (Nanjing, China).
Mice were divided into four groups: Luteolin (n=10), dexamethasone (Dex; n=5; positive control), Tg (n=10), and control (n=5). For the induction of autoimmune thyroiditis, 100 µg porcine Tg (pTg; Sigma-Aldrich; Merck Millipore, Darmstadt, Germany) was emulsified in 100 µl Freund's complete adjuvant (CFA; Sigma-Aldrich; Merck Millipore) and was subcutaneously injected into each mouse (except the control) on day 0. A second subcutaneous injection was administered on day 14 using the same amount of pTg in incomplete Freund's adjuvant (IFA; Sigma-Aldrich; Merck Millipore). Following the second immunization, Luteolin and Dex-treated mice were given daily intraperitoneal injections of luteolin (10 mg/kg/day) and dexamethasone (5 mg/kg/day; both Sigma-Aldrich; Merck Millipore), respectively, whereas TG mice were administered PBS instead. After 7 days of treatment, all mice were sacrificed by cervical dislocation following pentobarbital anesthesia (50 mg/kg, i.p.). Blood samples and thyroid tissues were obtained. Sera were stored at −80°C. Thyroid tissues were fixed in 4% paraformaldehyde solution, sectioned, and hematoxylin and eosin (H&E) staining and immunohistochemistry (IHC) were performed for histopathological examination. Mononuclear cell infiltration index was scored as follows: 0, no infiltration; 1, interstitial accumulation of cells between two or three follicles; 2, one or two foci of cells at least the size of one follicle; 3, extensive infiltration, 10–40% of total area; 4, extensive infiltration, 40–80% of total area; and 5, extensive infiltration >80% of total area.
Serum T4 was assayed using ELISA according to manufacturer's instructions. Antibodies against pTg were detected by ELISA. Briefly, flat-bottomed 96-well plates (Costar 3590; Corning, Inc., Corning NY, USA) were coated overnight at 4°C with 100 µl pTg (#T1126; Sigma-Aldrich; Merck Millipore) diluted to 100 µg/ml in PBS, and then washed twice with PBS with 0.05% Tween 20 (PBST). Free protein binding sites were blocked by adding 1% bovine serum albumin (BSA) for 2 h at 37°C. Following washing with PBST, the sera from individual mice were diluted 1:1,600 in PBS with 1% BSA and incubated overnight at 4°C. Following extensive washing of the plates, HRP-conjugated goat anti-mouse IgG (1030-05; Southern Biotech, Birmingham, AL, USA), diluted 1:5,000 in PBS with 1% BSA, was added and the plates were incubated for 1 h at 37°C and subsequently washed. The substrate, 50 µl/well tetramethylbenzidine, was added for 20 min and the reaction was terminated with 50 µl/well 2 NH2SO4, after which the optical density was measured at 450 nm.
RAW264.7 mouse macrophage cell line was obtained from the Type Culture Collection of the Chinese Academy of Sciences (Shanghai, China). Cells were maintained in DMEM supplemented with 10% FBS and antibiotics (100 U/ml penicillin and 100 U/ml streptomycin). In brief, cells were grown in 6-well plates and stimulated by human IFN-γ (10 ng/ml) overnight. Cells were treated with luteolin (20 µmol/l) for 6 h the next day.
Western blotting was performed to detect the expression of COX2, an anti-inflammatory marker, and STAT1 and STAT3 transcription factors, which are downstream of the interleukin (IL)-6 signaling pathway. Cells were washed with PBS, harvested and lysed using radioimmunoprecipitation assay buffer. Protein concentrations were determined using a bicinchoninic protein kit according to the manufacturer's instructions. Protein (50 µg) of each sample was resolved using 10% SDS-PAGE, then transferred to a PVDF membrane. The membrane was blocked with 5% BSA for 2 h at room temperature, then washed with TBST (1:1,000) three times. Phospho-STAT3 (Tyr705; #9145), phospho-STAT1 (Tyr701; #9167), total STAT3 (#9139), total STAT1 (#14994), COX2 (#12282) and GAPDH antibodies (#BS60630) were used at a dilution of 1:1,000 and incubated at 4°C overnight, followed by HRP-conjugated goat anti-rabbit antibodies (#BS10043) at a dilution of 1:20,000 for 80 min at room temperature. Detection of HRP-conjugated antibodies was performed using an ECL Plus Blotting Reagent and a Quality One documentation system (Bio-Rad Laboratories, Inc., Hercules, CA, USA).
TNF-α concentrations were measured in the supernatants of cultured RAW264.7 cells using a sandwich ELISA kit (#EM008-48; ExCell, Shanghai, China) according to the manufacturer's instructions.
Statistical analysis was performed using GraphPad Prism software, version 6.0 (GraphPad Software, Inc., La Jolla, CA, USA). Data was analyzed using the t-test and one-way analysis of variance. P<0.05 was considered to indicate a statistically significant difference.
Anatomical observation demonstrated that 4/10 mice manifested with a goiter (
T4 concentrations and anti-pTG antibodies were evaluated via ELISA assays. The results demonstrated that all three groups with EAT (Dex, Luteolin and TG) exhibited increased anti-TG antibodies compared with control mice, and luteolin and Dex treatment both significantly increased antibody levels compared with the TG group (P<0.05;
The effect of luteolin on the phosphorylation of STAT3 (Y705) in thyroid sections was evaluated by IHC. Phosphorylated STAT3 expression was significantly increased in TG mice compared with the control (P<0.05), whereas luteolin and Dex treatment markedly inhibited this alteration (
Western blot analysis of RAW264.7 macrophage cell line demonstrated that luteolin markedly inhibited the increased expression of COX2, phosphorylated (p)-STAT1 (Y701) and p-STAT3 (Y705) induced by IFN-γ treatment, whereas total STAT1 and STAT3 remained unchanged. These findings demonstrated the anti-inflammatory effect of luteolin by inhibiting the STAT1 and STAT3 signaling pathway
TNF-α concentrations were measured in the supernatants of RAW264.7 cells using ELISA kits. TNF-α concentration levels were significantly increased when treated with IFN-γ, whereas they were markedly decreased after treatment with luteolin (P<0.05;
STAT3 has an important role in T cell-mediated immunity, including the proliferation (
HT, which is also known as chronic lymphocytic thyroiditis, is the most common autoimmune disease. There is usually a long latency period before hypothyroidism occurs (
Anti-Tg antibodies were also elevated in the three EAT groups, as compared with the control; however, the treatment of luteolin and Dex appeared to further increase the antibodies. Although the mechanisms remain unknown, clinical data has shown that thyroid antibodies are elevated shortly after 131iodine treatment for hyperthyroidism (
Western blot analysis of RAW264.7 cells demonstrated that luteolin exerted anti-inflammatory effects by significantly inhibiting the IFN-γ-induced increase of COX2 and p-STAT1 (Y701) and p-STAT3 (Y705) expression, whereas total STAT1 and STAT3 remained unchanged. COX-2 is an inducible enzyme (
Additional experiments are required to elucidate the anti-inflammatory mechanisms of luteolin, which may include the IL-6/STAT1 and STAT3 pathways discussed in the present study or other pathways. Even if the immunosuppressive effects are mediated solely through the IL-6 pathway, additional proteins or molecules involved in the process remain to be discovered.
In conclusion, treatment with luteolin exhibited a significant immunosuppressive effect by attenuating lymphocytic infiltration and the destruction of the thyroid epithelia in thyroid glands, which is likely to have occurred via the inhibition of IL-6/STAT1 and STAT3 signaling pathway in the glands. The present study provides evidence for a promising novel therapeutic strategy for the early intervention of autoimmune thyroiditis. Further investigation is required to fully elucidate the mechanisms involved.
Luteolin significantly inhibited the infiltration of lymphocytes caused by autoimmune thyroiditis. (A) 4/10 mice exhibited enlargement of the thyroid glands. (B) Hematoxylin and eosin staining were performed in all mice; 40% of the section from TG-treated mice demonstrated a large amount of lymphocytic infiltration between the follicles compared with the control (magnification, ×40). Luteolin and Dex mice-treated exhibited markedly decreased levels of infiltration of immune cells. (C) Infiltration index of monocytes in the thyroid sections in each group, *P<0.05; **P<0.01. TG thyroglobulin; Dex, dexamethasone.
Luteolin inhibited the phosphorylation of STAT3 in thyroid glands. (A) Serum TG antibodies were detected by ELISA. All three groups with EAT (Dex, Luteolin and TG) exhibited increased anti-TG antibody levels compared with the control. (B) Serum T4 concentrations were detected by ELISA. TG-treated mice demonstrated mildly elevated T4 levels compared with the other groups, without significance (P>0.05). (C) Thyroid sections of TG mice stained positive for p-STAT3 (Y705) during immunohistochemical analysis (magnification, ×400), whereas the other groups stained negative. (D) Quantification analysis based on the percentage of positively stained cells in one visual field. Four visual fields were selected randomly in every section. All values are expressed as mean ± standard deviation. *P<0.05; **P<0.01. TG thyroglobulin; Dex, dexamethasone.
Luteolin inhibits the expression of COX2 and the phosphorylation of STAT1 and STAT3 and reduced TNF-α secretion in the RAW264.7 cell line. (A) RAW264.7 macrophages were stimulated by human IFN-γ (10 ng/ml) overnight, and treated with luteolin (20 µmol/l) for 6 h the following day. Western blot results demonstrated that luteolin exerts an anti-inflammatory effect by inhibiting the increased expression of COX2, p-STAT1 (Y701) and p-STAT3 (Y705) induced by IFN-γ treatment, whereas total STAT1 and total STAT3 remain unchanged. (B) Concentrations of TNF-α were measured in the supernatants of cultured RAW264.7 cells using ELISA kits. TNF-α levels were significantly increased when treated with IFN-γ, whereas they were markedly decreased after treatment with luteolin. *P<0.05. IFN, interferon; p, phosphorylated; STAT, signal transducer and activator of transcription; COX, cyclooxygenase; TNF, tumor necrosis factor.