Thyroid disease

A Preclinical State of Graves' Ophthalmopathy Characterized by Hypoxia of T-cells Identified via Multiomics Analysis

J Clin Endocrinol MetabPublished Mechanistic study

Authors' conclusion

The pre-GO state was identified from GH and GO and characterized by upregulation of the hypoxia pathway that may promote effector CD4+ T-cells differentiation. These findings provide new insight into the pathogenesis and prevention of GO.

Study context

Population
Patients with Graves' hyperthyroidism, preclinical Graves' ophthalmopathy or Graves' ophthalmopathy
Participants
24 / 10 / 21
Comparison
Graves' hyperthyroidism (GH) vs pre-GO vs GO
  • GHn = 24
  • pre-GOn = 10
  • GOn = 21
Outcome
Differential expression and methylation; discrimination of pre-GO
Methodological detailsmultiomics analysis, transcription and DNA methylation profiling of PBMCs, in vitro flow cytometry verification
  • Multiomics analysis
  • Transcription and DNA methylation profiling of PBMCs
  • In vitro flow cytometry verification

Main finding

As reported in the abstract

Differentially expressed genes (DEGs), GH vs GO / pre-GO vs GO / GH vs pre-GO

731, 1214, and 372

Differentially methylated CpG sites (DMCs), GH vs GO / pre-GO vs GO / GH vs pre-GO

1583, 277, and 555

DIABLO discrimination of pre-GO via 17 DMC features, ROC

0.9975

DIABLO discrimination of pre-GO via 11 DEG features, ROC

0.9407

Original publication

A Preclinical State of Graves' Ophthalmopathy Characterized by Hypoxia of T-cells Identified via Multiomics Analysis. J Clin Endocrinol Metab. Published 11 April 2025. doi:10.1210/clinem/dgaf230

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