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TOXKOLOGICAL SCIENCES 46, 31-37 (1998) ARTICLE NO. TX982510 Dose-Response Examination of UDP-Glucuronosyltransferase Inducers and Their Ability to Increase both TGF-/3 Expression and Thyroid Follicular Cell Apoptosis1 Kyle L. Kolaja2 and Curtis D. Klaassen3 Department of Pharmacology, Toxicology, and Therapeutics, University of Kansas Medical Center, Kansas City, Kansas 66160 Received January 7, 1998; accepted May 29, 1998 Certain hepatic microsomal-inducing chemicals that also induce hepatic UDP-glucuronosyltransferase (UDP-GT) can cause thyroid follicular cell hyperplasia and, ultimately, thyroid adenomas (Hill et al, 1989). Induction of UDP-GT may cause thyroid proliferation by reducing serum thyroid horExposure to certain microsomal enzyme inducers that increase mones (triiodothyronine, T3, and thyroxine, T4) leading to UDP-glucuronosyltransferase (UDP-GT) activity decreases thy- feedback secretion of thyrotropin (TSH) (Hill et al, 1989). In roid hormone levels, which may lead to a subsequent Increase in fact, the UDP-GT inducers phenobarbital (PB) and pregthyroid-stimulating hormone (TSH). This elevation of serum TSH nenolone-16a-carbonitrile (PCN) decrease thyroid hormone has many effects on the thyroid, including increasing thyroid levels (Baiter and Klaassen, 1994). Because serum thyroid follicular cell proliferation, leading to hyperplasia. While induchormones are regulated by the hypothalamus-pituitary-thyroid tion of UDP-GT activity decreases thyroid hormone levels by enhancing biotransformation and subsequent biliary secretion, axis, reduction in serum thyroid hormone levels causes a only certain UDP-GT inducers exhibit the ability to increase concomitant TSH release (Hill et al, 1989). TSH then stimuserum TSH levels. For example, phenobarbital (PB) and preg- lates the thyroid gland to increase thyroid hormone synthesis nenolone-16a-carbonitrile (PCN) increase serum levels of TSH, and secretion, as well as producing follicular cell hyperplasia while 3-methylcholanthrene (3MC) and Aroclor 1254 (PCB) do and hypertrophy. Indeed, treatment with UDP-GT inducers, not. Increased serum TSH concentration also enhances thyroid PCN and PB, increased serum levels of TSH (Liu et al, 1995) gland expression of TGF-/3,, an anti-proliferative, pro-apoptotic and increased thyroid weight, thyroid follicular cell proliferaprotein. In a previous study in our laboratory, rats were treated for tion, and apoptosis (Hood et al, 1995; Kolaja et al, 1997). various times (up to 90 days) with PB and PCN, which increased In contrast to PCN and PB, other UDP-GT inducers do not TGF-/3, protein and apoptosis. The present study was designed to increase TSH despite a dramatic reduction of serum T4 levels examine the dose-response effect of TSH-increasing (PB and PCN) and nonincreasing (3MC and PCB) UDP-GT inducers on (Barter and Klaassen, 1994). Aroclor 1254 (PCB), a polyapoptosis and TGF-/3,. PB and PCN, UDP-GT inducing com- chlorinated biphenol mixture, and 3-methylcholanthrene inpounds which increase serum TSH, increased the percentage of duce UDP-GT activity and decrease T 4 levels, yet no subseTGF-/3,-positive follicular cells and increased apoptosis. In con- quent increase in TSH is observed (Liu et al, 1995). In trast, UDP-GT inducers that did not increase TSH (3MC and addition, these compounds that do not increase serum levels of PCB) did not alter cell death or TGF-0 production. These data TSH and also do not increase thyroid follicular cell proliferasuggest that the increase of TGF-0 by TSH may serve to regulate tion (Hood et al, 1995). The exact mechanism of this discrepthe growth of hyperplastic thyroid, e IWS sodaj of Toufcotoc. ancy is not understood. The effects on the thyroid gland of PB, Key Words: apoptosis; thyroid; phenobarbital (PB); pregnenolo- PCN, PCB, and 3-methylcholanthrene (3MC) are summarized ne-16a-carbonitrile (PCN); 3-methylcholanthrene (3-MC); Aro- in the legend to Table 1 (Barter and Klaassen, 1995; Hood clor 1254 (PCB); and TGF-0,. et al, 1995; Liu et al, 1995). TSH enhances the expression of TGF-/3,, a potent growth 1 inhibitor of many epithelial cell types, in thyroid follicular cells This work was supported in part by USPHS Grant ES-03192. 2 This author was supported in part by USPHS Training Grant ES-07079, (Rogers, 1996). Propylthiouracil (PTU) and methimazole NRSA ES-05812, and the Kansas Health Foundation. (MM1) treatments, both of which increase serum TSH levels, 3 To whom correspondence and reprint requests should be addressed at also increase thyroid follicular cell TGF-/3, mRNA and protein Department of Pharmacology, Toxicology, and Therapeutics, University of (Logan et al, 1994; Morosini et al, 1996). In addition, TSH Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS, 66160infusion stimulates thyroid gland production of TGF-/3, (Mo7417. Fax: (913) 588-7501; E-mail: [email protected]. Dose-Response Examination of UDP-Glucuronosyltransferase Inducers and Their Ability to Increase both TGF-/J Expression and Thyroid Follicular Cell Apoptosis. Kolaja, K. L., and Klaassen, C. D. (1998). Toxicol. Sci. 46, 31-37. 31 1096-6080/98 $25.00 Copyright C 1998 by the Society of Toxicology. All rights of reproduction in any form reserved. 32 KOLAJA AND KLAASSEN rosini et al., 1996). The apparent paradoxical increased expression of TGF-/3!, a negative growth factor, may help blunt the proliferative stimulus of excess TSH and stabilize the growth of the thyroid (Morosini et al., 1996), possibly by inducing apoptosis. In this study, we hypothesize that the UDP-GT inducers PCN and PB, which have been shown to increase serum TSH (Barter and Klaassen, 1994; Liu et al., 1995), will also increase TGF-/3, expression, whereas 3MC and Aroclor 1254, which do not increase TSH, will not increase TGF-/3, expression. Because TGF-/3, induces apoptosis in a variety of tissues, including thyroid follicular cells, we speculate that in treatment groups where increased TGF-/3, is observed, an induction of apoptosis will be observed. The immunohistochemical detection of TGF-/3J and the histologic presence of apoptosis will be used to examine the above parameters. This study will provide histologic insight for the possible growth regulating mechanisms of the increase of TGF-/3, by TSH in thyroid follicular cells. MATERIALS AND METHODS Chemicals. PB was purchased from Spectrum Chemical Manufacturing Corp. (Gardena, CA). PCN was prepared from 16-dehydropregnenolone (Pfaltaz & Bauer, Inc., Watbury, CT). 3MC was purchased from Sigma Chemical Co. (St. Louis, MO). Aroclor 1254 was kindly provided by Dr. Steven Aust (Utah State University, Logan, UT). Animals and experimental design. One hundred and fifty (150) pathogenfree male Sprague-Dawley rats, aged-matched (between 225 and 250 g: Sasco, Omaha, NE), were divided randomly into groups of six rats, housed in polypropylene cages, and maintained at 70°F on a 12-h light/dark cycle. Throughout the entire study, all rats were maintained in an AAALAC-accredited animal facility according to the NTH Guide for the Care and Use of Laboratory Animals. During a 1-week acclimation period, rats were administered both tap water and standard laboratory rodent chow (Ralston-Purina, Chicago, IL) ad libitum. After the acclimation period, rats were randomly separated into one of the 17 dose groups outlined in Table 1. Five rats per group per time point were euthanized after 14 days of dietary treatment. Rats were asphyxiated with CO 2 , weighed, and necropsied. Thyroid glands were removed, weighed, Formalin-fixed (>24 h), paraffin-embedded, sectioned (5 /im), and mounted on glass slides for histologic analysis. Apoptosis. Microscopic evaluation of hematoxylin and eosin-stained slides was used to quantify the incidence of apoptosis in the thyroid. Apoptosis was defined by morphologic characteristics similar to those described in other tissues (Bursch et al., 1984, 1985; Kolaja et al., 1996), which include increased cytoplasmic eosinophilia, increased nuclear condensation, fragmentation of DNA, and separation from surrounding follicular cells. At least 5000 thyroid follicular cells per slide were examined for the histologic presence of apoptosis. In addition, the morphologic presence of apoptosis was verified by immunohistochemical detection of fragmented DNA (Apoptag kit, ONCOR, Gaithersburg, MD). Apoptotic index was determined by dividing the number of apoptotic follicular cells by the total number of follicular nuclei observed. TGF-P, immunohistochemistry. TGF-0, immunohistochemistry was performed on Formalin-fixed, paraffin-embedded tissue was previously described with minor modifications (Logan et al, 1994). Briefly, slides were incubated with primary antibody (Santa Cruz Biotechnology, Santa Cruz, CA) for 48 h (4°C) at a dilution of 1:25. An avidin-biotin complex kit (Santa Cruz TABLE 1 Group Group name 1 2 3 4 5 Control 300 PB 600 PB 1200 PB 2400 PB 200 PCN 400 PCN 800 PCN 1600 PCN 25 3MC 50 3MC 100 3MC 200 3MC 25PCB 50PCB 100 PCB 200 PCB 6 7 8 9 10 11 12 13 14 15 16 17 Treatment Control diet 300 mg Phenobarbital/kg of diet 600 mg Phenobarbital/kg of diet 1200 mg Phenobarbital/kg of diet 2400 mg Phenobarbital/kg of diet 200 mg Pregnenolone-16a-carbonitrile/kg of diet 400 mg Pregnenolone-16a-carbonitrile/kg of diet 800 mg Pregnenolone-16a-carbonitrile/kg of diet 1600 mg Pregnenolone-16a-carbonitrile/kg of diet 25 mg 3-Methylcholanthrene/kg of diet 50 mg 3-Methylcholanthrene/kg of diet 100 mg 3-Methylcholanthrene/kg of diet 200 mg 3-Methylcholanthrene/kg of diet 25 mg Aroclor 1254/kg of diet 50 mg Aroclor 1254/kg of diet 100 mg Aroclor 1254/kg of diet 200 mg Aroclor 1254/kg of diet Note. Previously, we have shown that certain doses of UDP-GT inducers used in this study will alter thyroid hormone status and TSH levels (Liu et al., 1995; Hood et al., 1996). For instance, 7-day treatment with PB (600 and 1200 ppm) decreased T 4 levels and increased serum TSH. Similarly, PCN treatment with 200 ppm and above decreased T 4 levels and increased serum TSH. In contrast, 3MC and PCB at doses examined (PCB:50-400 ppm; 3MC 0-200 ppm) did not alter serum TSH values, yet PCB (25 ppm and greater) and 3MC (100 ppm and greater) decreased thyroid hormone. Importantly, increased serum TSH was observed in PB- and PCN-treated rats, but not 3MC- and PCB-treated rats (Hood et al., 1995). Biotechnology) was used according to the manufacturer's instructions for secondary, tertiary, and diaminobenzidine chromagen reagents. TGF-/3, was visualized by the presence of brown pigment in TGF-/3,-positive cells compared to the unstained, nonlabeled cells. TGF-P, labeling index was determined by dividing the number of follicular cells with TGF-B,-positive nuclei by the total number of follicular nuclei observed. At least 3000 thyroid follicular cells per slide were scored for the immunohistochemical presence of TGF-8,. Statistics. Statistical difference (p < 0.05) from the control group was determined by ANOVA, followed by Duncan's multiple-range post-hoc test (Gad and Weil, 1986). RESULTS Apoptosis Apoptosis, detected by morphologic criteria (see Fig. 1; Bursch et al, 1984, 1985), was validated by immunohistochemical expression of fragmented DNA (Kolaja et al., 1996). Figure 2 shows the incidence of apoptotic follicular thyroid cells after treatment with PB, PCN, 3MC, or PCB. As shown in Fig. 2A, PB treatment of doses of 300, 600, and 1200 ppm lead to an increase in the incidence of apoptosis. Interestingly, 2400 ppm PB did not increase apoptosis (Fig. 2A) or increase TSH (Hood et al., 1995). All doses of PCN examined (200, 400, 800, and 1600 ppm) increased the percentage of apoptotic 33 THYROID APOPTOSIS AND TGF-/3 EXPRESSION FIG. 1. (A) An H&E-stained control rat thyroid (200x). Note the large colloidal spaces that contain thyroglobulin. Both 3MC- and PCB-treated thyroids had a similar morphologic appearance. (B) An H&E staining of a hyperplastic rat thyroid (200 X). Both PB and PCN treatment led to thyroid follicular cell hyperplasia. A representative example shown here is treated with PCN. Note the lack of colloidal space as well as an apoptotic thyrocyte (denoted by an arrow). thyroid follicular cells (Fig. 2B). In contrast, neither PCB nor 3MC, at any dose examined, effected apoptosis in the thyroid gland (Figs. 2C and 2D). Immunohistochemical Detection of TGF-fi, The immunohistochemical expression of TGF-8, was detected on sectioned thyroid tissue treated with PB, PCN, 3MC, and PCB (Fig. 3 and 4). PB treatment at doses of 300, 600, and 1200 ppm lead to an increase in TGF-0, immunohistochemical expression in thyroid follicular cells (Fig. 4A). These same doses of PB also increased apoptosis (Fig. 4A). PCN treatment increased the percentage of thyroid follicular cells that express TGF-/3, (Fig. 4B). Similar to PB, the same doses of PCN that increased TGF-0, also increased apoptosis (Figs. 2B and 4B). 3MC (Fig. 4C) and PCB (Fig. 4D) did not affect TGF-/3, expression in thyroid follicular cells. DISCUSSION Treatment with the microsomal enzyme inducers that induce UDP-GT activity, PCN and PB, increased the inci- KOLAJA AND KLAASSEN 04 A 0) O ! 0 3 •a T* - - | 0 2- i£ Control Control B • ll I11 300 PB 600 PB T 1200 PB 2400 PB 50 3-MC 100 3-MC 200 3-MC 400 3-MC 0.3- 0.2- 01- 0- T* ^ I- II iMJ i II i Control Control T* H 200 PCN 400 PCN 800 PCN 1600 PCN 25PCB 50PCB 100 PCB 200 PCB FIG. 2. Incidence of apoptotic thyroid follicular cells of rats treated with 300, 600, 1200, and 2400 mg phenobarbital/kg of diet (PB), 200, 400, 800, and 1600 ppm pregnenolone-16a-carbonitrile (PCN)/kg of diet, 50, 100, 200, and 400 3-methylcholanthrene (3-MQ/kg of diet, and 25, 50, 100, and 200 mg 1254 Aroclor (PCB)/kg of diet. Values represent the mean ±SE of 5-6 rats per group. Statistical significance (»p < 0.05) was determined by ANOVA followed by Duncan's post-hoc test dence of apoptosis. In contrast, no change in thyroid follic- els of TSH and increased observation of apoptosis in thyroid ular cell apoptosis in 3MC- and PCB-treated rats was ob- follicular cells suggest a modulating mechanism is also inserved. This increase in programmed cell death was volved. The enhanced production of TGF-/3, by TSH offers an associated with increased immunohistochemical detection attractive solution. The induction of apoptosis in hyperplastic, proliferating of the anti-proliferative, pro-apoptotic growth factor TGF/3j. Of importance, compounds that elevate serum TSH also thyroid glands, at first, appears to be paradoxical. The inincrease TGF-/3, and apoptosis. These data suggest that creased apoptosis in thyroid follicular cells occurs, however, at TSH's ability to increase TGF-0, may lead to apoptosis of a 10-fold lower rate than the proliferation (Hood et al, 1995). thyroid follicular cells. The increased apoptosis may serve as a mechanism to elimiOur laboratory has previously characterized the effects of nate the older cells as the thyroid struggles to maintain cellular UDP-GT treatment on thyroid hormone economy (Hood et al, equilibrium, as seen in involuting tissue (Bursch et al, 1984, 1995; Liu et al, 1995). After 7 days of treatment, free T 4 was 1985). decreased in PB (1200 ppm; 50% of control), PCN (1600 ppm; TGF-0,, a 25-kDa peptide, is a cytokine growth factor 46%), 3MC (400 ppm; 45%), and PCB (200 ppm; 18%). This that is involved in regulating both proliferation and cell decrease in T 4 was a dose-response phenomenon (Hood et al., death (Sporn and Roberts, 1985). TGF-/3, has been sug1995). TSH serum concentrations, however, were increased gested to be the initiating stimulus for apoptotic cell death only in rats treated with PB (140% of control) and PCN (Oberhammer et al, 1993). TGF-/3, treatment to cultured (185%). This increase in serum TSH leads to increased thyroid feline goiters, cultured porcine thyrocytes, and a rodent proliferation (Hood et al., 1995). thyroid cell line, FRTL-5 cells, lead to cell death (Asmis et An increase in serum TSH also stimulates the production al, 1993, 1996). Several thyroid diseases such as adenomas, and secretion of TGF-0,. Interestingly, TGF-0 stimulates a carcinomas, Hashimoto's disease, and Graves' Disease exfurther release of TGF-0, (Islam etal, 1997). In contrast to the hibit increased TGF-/3, and increased apoptosis in the redata presented, TSH inhibits Fas-antigen-mediated apoptosis in spective thyroid follicular cells (Okanayu et al, 1995). thyroid follicular cells (Kawakami et al, 1996). Elevated lev- Recent evidence indicates that TGF-/3, increased the forma- THYROID APOPTOSIS AND TGF-0 EXPRESSION 35 FIG. 3. Immunohistochemical staining for TGF-/3, in (A) control rat thyroid and (B) the thyroid from a PCN-treated rat (800 ppm). Note the positive staining of the C cells (parafollicular cells) in control thyroid (denoted by arrow). In the thyroid of the PCN-treated rat (as well as PB), the TGF-0,-positive thyroid follicular cells tended to be in clusters or focal areas. tion of reactive oxygen species, known inducers of apoptosis (Islam et ai, 1997). Taken together, these data suggest that a relationship among elevated TSH, elevated TGF-/3,, and apoptosis in hyperplastic thyroid exists. The lack of direct dose-related increases in TGF-0, expression and apoptosis are not cause for alarm. Measurement of TGF-/3,-positive thyroid follicular cells does not indicate the quantitative amount of protein that is present, but rather, a qualitative assessment of the expression of TGF-0, in UDP-GT inducer-treated rodent thyroid. In addition to method-based concerns, the nonlinear dose-response relationship may also be explained by physiologic mechanisms. Although nonlinear, both responses are parallel and these data presented indicate that a relationship between increased TSH and TGF-/3, and apoptosis are indicated. Taken together, the present data suggest that there is an association between the induction of TSH by PB and PCN and an increase in apoptosis in thyroid follicular cells. This conclusion is supported by the fact that no increase in apoptosis was observed in thyroid follicular cells from 3MC- and Aroclor 1254-treated rats. The increased cell death may be due, in part, to an increased production of the anti-proliferative, pro-apoptotic protein TGF-0,. KOLAJA AND KLAASSEN u 10 O » 9 3 8 £ > M 7- * 5- I 4- 2- 6 13« Control 5 9 || 1,1,1, p 3- 300 PB 600 PB 1200 PB 2400 PB Control U" c 9- 18 8- i 6 6- 200 PCN 400 PCN 800 PCN 1600 PCN D 7- 54- 8 4 1 3H 3- ^ 2 I- & 1 2- 1- S °" Control • • 50 3-MC 100 3-MC 200 3-MC 400 3-MC 1- m m -r 0Control 25PCB 50 PCB 100 PCB 200 PCB FIG. 4. Immunohistochemical expression of TGF-/3, in thyroid follicular cells (% of total follicular cell population) treated with 300, 600, 1200, and 2400 mg PB/kg of diet, 200, 400, 800 and 1600 ppm PCN/kg of diet, 50, 100, 200, and 400 3-MC/kg of diet, and 25, 50, 100, and 200 mg PCB/kg of diet. Values represent the mean ±SE of 5-6 rats per group. 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