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Published on: March 17, 2023
Decrease in TSH Receptor Autoantibodies during Antithyroid Treatment: Relationship with a Long Noncoding Heg RNA and
Niels Juel Christensen1, Gurli Habekost, Palle Bratholm
1Endocrine Research Laboratory, Medical Department O, Herlev Hospital, University of Copenhagen, 2730 Herlev, Denmark.
Abstract:
We have previously shown that a long noncoding RNA transcript Heg is negatively correlated with TSH receptor autoantibodies (TRAb) in patients with untreated Graves' disease and with CD14 mRNA in treated patients and controls. Thus patients with high concentrations of Heg RNA have low levels of TRAb or CD14 mRNA, respectively. Here we show that an additional factor, gene expression of Cdk1 in mononuclear cells, is positively related to concentrations of TRAb in patients with untreated Graves' disease. Cdk1 mRNA is very important for regulation of cell cycle activity. It is well known that TRAb decrease significantly during treatment with antithyroid drugs. This decrease during treatment cannot be explained by Heg RNA, which remains unchanged. Cdk1 mRNA decreased significantly during treatment to values below values obtained in normal subjects. Thus both Heg RNA and Cdk1 mRNA may influence the level of TSH receptor autoantibodies but by different mechanisms.
Insights
Long noncoding RNA Heg and Cdk1 gene expression influence TSH receptor autoantibodies (TRAb) in Graves' disease. Heg RNA inversely correlates with TRAb, while Cdk1 expression positively correlates, with both changing during treatment.
Area of Science:
- Endocrinology
- Molecular Biology
- Immunology
Background:
- Graves' disease is an autoimmune disorder characterized by elevated TSH receptor autoantibodies (TRAb).
- Previous studies indicated a negative correlation between long noncoding RNA Heg and TRAb in untreated patients.
- The role of gene expression, specifically Cdk1, in relation to TRAb levels remained unclear.
Purpose of the Study:
- To investigate the relationship between Cdk1 gene expression and TRAb concentrations in Graves' disease.
- To explore the influence of Heg RNA and Cdk1 mRNA on TRAb levels during disease progression and treatment.
- To elucidate the distinct mechanisms by which Heg RNA and Cdk1 mRNA may affect TRAb.
Main Methods:
- Analysis of Heg RNA and Cdk1 mRNA expression in mononuclear cells from Graves' disease patients and controls.
- Correlation analysis between RNA levels and TRAb concentrations in untreated and treated patients.
- Comparison of RNA levels before and after antithyroid drug treatment.
Main Results:
- Cdk1 gene expression in mononuclear cells is positively associated with TRAb levels in untreated Graves' disease patients.
- Heg RNA levels remain unchanged during antithyroid drug treatment, while Cdk1 mRNA significantly decreases.
- Cdk1 mRNA levels in treated patients fall below those observed in normal subjects.
Conclusions:
- Both Heg RNA and Cdk1 mRNA play a role in modulating TSH receptor autoantibodies in Graves' disease.
- Heg RNA and Cdk1 mRNA appear to influence TRAb levels through distinct mechanisms.
- Cdk1, involved in cell cycle regulation, shows a significant decrease during treatment, suggesting its involvement in TRAb reduction.
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