Thyroid disease

M1-Like Macrophages Modulate Fibrosis and Inflammation of Orbital Fibroblasts in Graves' Orbitopathy: Potential Relevance to Soluble Interleukin-6 Receptor

ThyroidPublished Case-control study

Authors' conclusion

Our study demonstrated the immunophenotypes of orbital-infiltrating macrophages that may activate OFs depending on the IL-6/sIL-6R signaling in GO.

Study context

Population
Orbital connective tissues from patients with Graves' orbitopathy and healthy controls
Participants
40 vs 20
Comparison
Graves' orbitopathy (GO) vs healthy controls
  • GOn = 40
  • Healthy controlsn = 20reference
Outcome
Macrophage immunophenotypes and effects on orbital fibroblasts (OFs)

Main finding

As reported in the abstract

  • GO orbital connective tissues displayed increased IL-6, sIL-6R, STAT3 and IL-17A levels
  • CD86+ M1-like macrophages predominant in active GO; stable GO tended to have more CD163+ M2-like macrophages
  • IL-6 expression higher in M1-like macrophages, TGF-β higher in M2-like macrophages, in situ in vivo and in vitro
  • IL-6/sIL-6R stimulation promoted fibrosis of both CD34+ and CD34- orbital fibroblasts (OFs) and induced MCP-1 expression in both subsets
  • IL-6/sIL-6R enhanced antigen processing of CD34+ OFs via upregulation of intact MHC I and antigen transporters
  • Thyrotropin receptor and IGF-1 receptor protein expression not directly increased by IL-6/sIL-6R in CD34+ OFs
  • sIL-6R was conducive to differentiation of CD8+ IL-17A-producing T cells

Observational data: associations, not effects.

Original publication

M1-Like Macrophages Modulate Fibrosis and Inflammation of Orbital Fibroblasts in Graves' Orbitopathy: Potential Relevance to Soluble Interleukin-6 Receptor. Thyroid. Published 20 February 2023. doi:10.1089/thy.2022.0254

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