Thyroid glands affected by Graves' disease (GD) show striking leukocytic in
filtration, mainly by T-cells. The mechanisms by which the various leukocyt
es are maintained in the thyroid are unknown. Growth-regulated oncogene-alp
ha (GFO-alpha) in interaction with its receptor CXCR2 is a chemoattractant
for both T-cells and neutrophils and may be one of the chemokines involved
in the cell maintenance.
GRO-alpha and CD18 mRNA as a marker of leukocytic infiltration were quantif
ied in thyroid tissue using competitive RT-PCR. We found very high GRO-alph
a mRNA levels in all thyroid tissues. In GD patients (n=16), the GRO-alpha
mRNA did not correlate with the CD18 mRNA level or thyroid peroxidase and T
SH-receptor antibodies in patients' sera. In thyroid autonomy (n=10), the G
RO-alpha mRNA levels were significantly lower in autonomous single adenomas
compared with the corresponding normal tissue.
In order to define the cellular source of GRO-alpha mRNA and protein, we ex
amined various thyroid-derived cells. Thyrocytes, thyroid-derived leukocyte
s and fibroblasts showed basal GRO-alpha mRNA and protein expression, which
was remarkably upregulated by different stimuli in vitro. The expression o
f GRO-alpha by thyroid carcinoma cell lines confirms that thyrocytes may ac
tually produce GRO-alpha. As shown by flow cytometry and immunohistology, C
D68(+) monocytes/macrophages are the only cell population strongly expressi
ng CXCR2 in the thyroid.