The pathogenic role of circulating Hashimoto's Thyroiditis‐derived TPO‐positive IgG on fetal loss in naïve mice

Problem Antibody‐mediated autoimmune diseases, such as autoimmune thyroid diseases (ATD), systemic lupus erythematosus (SLE), and antiphospholipid syndrome (APS), often are associated with recurrent fetal loss. One of the ATD is Hashimoto's thyroiditis which recently showed association with com...

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Veröffentlicht in:American journal of reproductive immunology (1989) 2021-01, Vol.85 (1), p.e13331-n/a
Hauptverfasser: Borodina, Elena, Katz, Itai, Antonelli, Alessandro, Gzgzyan, Alexander M., Dzhemlikhanova, Liailia Kh, Ostrinski, Yuri, Niauri, Dariko, Khizroeva, Jamilya, Bitsadze, Victoria, Makatsariya, Alexander, Tincani, Angela, Nalli, Cecilia, Churilov, Leonid P., Shovman, Ora, Halpert, Gilad, Blank, Miri, Shoenfeld, Yehuda, Amital, Howard
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container_title American journal of reproductive immunology (1989)
container_volume 85
creator Borodina, Elena
Katz, Itai
Antonelli, Alessandro
Gzgzyan, Alexander M.
Dzhemlikhanova, Liailia Kh
Ostrinski, Yuri
Niauri, Dariko
Khizroeva, Jamilya
Bitsadze, Victoria
Makatsariya, Alexander
Tincani, Angela
Nalli, Cecilia
Churilov, Leonid P.
Shovman, Ora
Halpert, Gilad
Blank, Miri
Shoenfeld, Yehuda
Amital, Howard
description Problem Antibody‐mediated autoimmune diseases, such as autoimmune thyroid diseases (ATD), systemic lupus erythematosus (SLE), and antiphospholipid syndrome (APS), often are associated with recurrent fetal loss. One of the ATD is Hashimoto's thyroiditis which recently showed association with complications of pregnancy with increased levels of circulating autoantibodies reactive with epitopes on thyroid tissue such as thyroid peroxidase (anti‐TPO). In retrospective study of sera analyses in patients with Hashimoto's thyroiditis, all patients had mainly elevated circulating anti‐TPO autoantibodies. Aim We assessed the potential of human anti‐TPO highly positive IgG, derived from patients with Hashimoto's thyroiditis sera associated with complications of pregnancy, to cause directly complications of pregnancy in murine model. Method of study Naïve ICR female mice, infused intravenously with 100 μg of anti‐TPO‐positive IgG, showed increased fetal loss and embryo small for date (P 
doi_str_mv 10.1111/aji.13331
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One of the ATD is Hashimoto's thyroiditis which recently showed association with complications of pregnancy with increased levels of circulating autoantibodies reactive with epitopes on thyroid tissue such as thyroid peroxidase (anti‐TPO). In retrospective study of sera analyses in patients with Hashimoto's thyroiditis, all patients had mainly elevated circulating anti‐TPO autoantibodies. Aim We assessed the potential of human anti‐TPO highly positive IgG, derived from patients with Hashimoto's thyroiditis sera associated with complications of pregnancy, to cause directly complications of pregnancy in murine model. Method of study Naïve ICR female mice, infused intravenously with 100 μg of anti‐TPO‐positive IgG, showed increased fetal loss and embryo small for date (P &lt; .001) in comparison with mice passively transferred with commercial IgG or PBS. Moreover, we observed embryos small for date in the mice passively transferred with anti‐TPO‐positive IgG, exemplified by reduced weight of embryos and placentae (P = .001). Histopathological examination revealed delay in fetal development in 50% cases of anti‐TPO‐positive IgG‐treated mice. Importantly, pathological changes in the transition zone, state of glycogen cells, and significant structural changes in the labyrinth part of placenta were observed in all anti‐TPO‐positive IgG samples. Conclusion The current study shows in the first time, a direct proof of concept, on the association of human TPO‐positive IgG from Hashimoto's thyroiditis patients on fetal loss induction in murine model.</description><identifier>ISSN: 1046-7408</identifier><identifier>EISSN: 1600-0897</identifier><identifier>DOI: 10.1111/aji.13331</identifier><identifier>PMID: 32893404</identifier><language>eng</language><publisher>Denmark: Wiley Subscription Services, Inc</publisher><subject>Animal models ; Animals ; Antiphospholipid syndrome ; anti‐TPO ; Autoantibodies ; Autoantibodies - immunology ; Autoantigens - immunology ; Autoimmune diseases ; Embryos ; Epitopes ; Female ; Fetal Death ; Fetuses ; Glycogen ; Hashimoto Disease - blood ; Hashimoto Disease - immunology ; Hashimoto's thyroiditis ; Humans ; Immunoglobulin G ; Immunoglobulin G - immunology ; Iodide peroxidase ; Iodide Peroxidase - immunology ; Iron-Binding Proteins - immunology ; Mice ; Mice, Inbred ICR ; murine fetal loss ; Placenta ; Placenta - pathology ; Pregnancy ; Pregnancy complications ; Pregnancy Complications - immunology ; reproductive failure ; Systemic lupus erythematosus ; Thyroid diseases ; Thyroid gland ; Thyroiditis</subject><ispartof>American journal of reproductive immunology (1989), 2021-01, Vol.85 (1), p.e13331-n/a</ispartof><rights>2020 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd</rights><rights>2020 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd.</rights><rights>Copyright © 2021 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3531-114e4ed947297b7b8fa894985e8daff31f4ae4199894bbca0d327c2f4e6659fb3</citedby><cites>FETCH-LOGICAL-c3531-114e4ed947297b7b8fa894985e8daff31f4ae4199894bbca0d327c2f4e6659fb3</cites><orcidid>0000-0002-7801-7123 ; 0000-0002-5610-7347 ; 0000-0002-0725-9686 ; 0000-0001-8404-1042</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Faji.13331$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Faji.13331$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32893404$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Borodina, Elena</creatorcontrib><creatorcontrib>Katz, Itai</creatorcontrib><creatorcontrib>Antonelli, Alessandro</creatorcontrib><creatorcontrib>Gzgzyan, Alexander M.</creatorcontrib><creatorcontrib>Dzhemlikhanova, Liailia Kh</creatorcontrib><creatorcontrib>Ostrinski, Yuri</creatorcontrib><creatorcontrib>Niauri, Dariko</creatorcontrib><creatorcontrib>Khizroeva, Jamilya</creatorcontrib><creatorcontrib>Bitsadze, Victoria</creatorcontrib><creatorcontrib>Makatsariya, Alexander</creatorcontrib><creatorcontrib>Tincani, Angela</creatorcontrib><creatorcontrib>Nalli, Cecilia</creatorcontrib><creatorcontrib>Churilov, Leonid P.</creatorcontrib><creatorcontrib>Shovman, Ora</creatorcontrib><creatorcontrib>Halpert, Gilad</creatorcontrib><creatorcontrib>Blank, Miri</creatorcontrib><creatorcontrib>Shoenfeld, Yehuda</creatorcontrib><creatorcontrib>Amital, Howard</creatorcontrib><title>The pathogenic role of circulating Hashimoto's Thyroiditis‐derived TPO‐positive IgG on fetal loss in naïve mice</title><title>American journal of reproductive immunology (1989)</title><addtitle>Am J Reprod Immunol</addtitle><description>Problem Antibody‐mediated autoimmune diseases, such as autoimmune thyroid diseases (ATD), systemic lupus erythematosus (SLE), and antiphospholipid syndrome (APS), often are associated with recurrent fetal loss. One of the ATD is Hashimoto's thyroiditis which recently showed association with complications of pregnancy with increased levels of circulating autoantibodies reactive with epitopes on thyroid tissue such as thyroid peroxidase (anti‐TPO). In retrospective study of sera analyses in patients with Hashimoto's thyroiditis, all patients had mainly elevated circulating anti‐TPO autoantibodies. Aim We assessed the potential of human anti‐TPO highly positive IgG, derived from patients with Hashimoto's thyroiditis sera associated with complications of pregnancy, to cause directly complications of pregnancy in murine model. Method of study Naïve ICR female mice, infused intravenously with 100 μg of anti‐TPO‐positive IgG, showed increased fetal loss and embryo small for date (P &lt; .001) in comparison with mice passively transferred with commercial IgG or PBS. Moreover, we observed embryos small for date in the mice passively transferred with anti‐TPO‐positive IgG, exemplified by reduced weight of embryos and placentae (P = .001). Histopathological examination revealed delay in fetal development in 50% cases of anti‐TPO‐positive IgG‐treated mice. Importantly, pathological changes in the transition zone, state of glycogen cells, and significant structural changes in the labyrinth part of placenta were observed in all anti‐TPO‐positive IgG samples. Conclusion The current study shows in the first time, a direct proof of concept, on the association of human TPO‐positive IgG from Hashimoto's thyroiditis patients on fetal loss induction in murine model.</description><subject>Animal models</subject><subject>Animals</subject><subject>Antiphospholipid syndrome</subject><subject>anti‐TPO</subject><subject>Autoantibodies</subject><subject>Autoantibodies - immunology</subject><subject>Autoantigens - immunology</subject><subject>Autoimmune diseases</subject><subject>Embryos</subject><subject>Epitopes</subject><subject>Female</subject><subject>Fetal Death</subject><subject>Fetuses</subject><subject>Glycogen</subject><subject>Hashimoto Disease - blood</subject><subject>Hashimoto Disease - immunology</subject><subject>Hashimoto's thyroiditis</subject><subject>Humans</subject><subject>Immunoglobulin G</subject><subject>Immunoglobulin G - immunology</subject><subject>Iodide peroxidase</subject><subject>Iodide Peroxidase - immunology</subject><subject>Iron-Binding Proteins - immunology</subject><subject>Mice</subject><subject>Mice, Inbred ICR</subject><subject>murine fetal loss</subject><subject>Placenta</subject><subject>Placenta - pathology</subject><subject>Pregnancy</subject><subject>Pregnancy complications</subject><subject>Pregnancy Complications - immunology</subject><subject>reproductive failure</subject><subject>Systemic lupus erythematosus</subject><subject>Thyroid diseases</subject><subject>Thyroid gland</subject><subject>Thyroiditis</subject><issn>1046-7408</issn><issn>1600-0897</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kcFO3DAQhq2qqFDaQ18AWeoBOATs2BvHxxUqsBUSPWzPkeOMd71K4sVOQHvrI_AmPETfhCdh6FIOSPgy49-ffo3nJ-QbZyccz6lZ-RMuhOAfyB4vGMtYqdVH7JksMiVZuUs-p7RiDHWhPpFdkWMjmdwjw3wJdG2GZVhA7y2NoQUaHLU-2rE1g-8X9NKkpe_CEA4TnS83MfjGDz49_rlvIPpbaOj81zXe1iGhfgt0trigoacOBtPSNqREfU978_cB3zpv4QvZcaZN8PWl7pPf5z_mZ5fZ1fXF7Gx6lVkxETzjXIKERkuVa1WrunSm1FKXEygb45zgThqQXGtU69oa1ohc2dxJKIqJdrXYJ0db33UMNyOkoep8stC2pocwpiqXkhWF4loi-v0Nugpj7HE6pEqOyEQVSB1vKRvxVxFctY6-M3FTcVY9R1FhFNW_KJA9eHEc6w6aV_L_7hE43QJ3voXN-07V9Odsa_kE8IWVLQ</recordid><startdate>202101</startdate><enddate>202101</enddate><creator>Borodina, Elena</creator><creator>Katz, Itai</creator><creator>Antonelli, Alessandro</creator><creator>Gzgzyan, Alexander M.</creator><creator>Dzhemlikhanova, Liailia Kh</creator><creator>Ostrinski, Yuri</creator><creator>Niauri, Dariko</creator><creator>Khizroeva, Jamilya</creator><creator>Bitsadze, Victoria</creator><creator>Makatsariya, Alexander</creator><creator>Tincani, Angela</creator><creator>Nalli, Cecilia</creator><creator>Churilov, Leonid P.</creator><creator>Shovman, Ora</creator><creator>Halpert, Gilad</creator><creator>Blank, Miri</creator><creator>Shoenfeld, Yehuda</creator><creator>Amital, Howard</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7801-7123</orcidid><orcidid>https://orcid.org/0000-0002-5610-7347</orcidid><orcidid>https://orcid.org/0000-0002-0725-9686</orcidid><orcidid>https://orcid.org/0000-0001-8404-1042</orcidid></search><sort><creationdate>202101</creationdate><title>The pathogenic role of circulating Hashimoto's Thyroiditis‐derived TPO‐positive IgG on fetal loss in naïve mice</title><author>Borodina, Elena ; Katz, Itai ; Antonelli, Alessandro ; Gzgzyan, Alexander M. ; Dzhemlikhanova, Liailia Kh ; Ostrinski, Yuri ; Niauri, Dariko ; Khizroeva, Jamilya ; Bitsadze, Victoria ; Makatsariya, Alexander ; Tincani, Angela ; Nalli, Cecilia ; Churilov, Leonid P. ; Shovman, Ora ; Halpert, Gilad ; Blank, Miri ; Shoenfeld, Yehuda ; Amital, Howard</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3531-114e4ed947297b7b8fa894985e8daff31f4ae4199894bbca0d327c2f4e6659fb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Animal models</topic><topic>Animals</topic><topic>Antiphospholipid syndrome</topic><topic>anti‐TPO</topic><topic>Autoantibodies</topic><topic>Autoantibodies - immunology</topic><topic>Autoantigens - immunology</topic><topic>Autoimmune diseases</topic><topic>Embryos</topic><topic>Epitopes</topic><topic>Female</topic><topic>Fetal Death</topic><topic>Fetuses</topic><topic>Glycogen</topic><topic>Hashimoto Disease - blood</topic><topic>Hashimoto Disease - immunology</topic><topic>Hashimoto's thyroiditis</topic><topic>Humans</topic><topic>Immunoglobulin G</topic><topic>Immunoglobulin G - immunology</topic><topic>Iodide peroxidase</topic><topic>Iodide Peroxidase - immunology</topic><topic>Iron-Binding Proteins - immunology</topic><topic>Mice</topic><topic>Mice, Inbred ICR</topic><topic>murine fetal loss</topic><topic>Placenta</topic><topic>Placenta - pathology</topic><topic>Pregnancy</topic><topic>Pregnancy complications</topic><topic>Pregnancy Complications - immunology</topic><topic>reproductive failure</topic><topic>Systemic lupus erythematosus</topic><topic>Thyroid diseases</topic><topic>Thyroid gland</topic><topic>Thyroiditis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Borodina, Elena</creatorcontrib><creatorcontrib>Katz, Itai</creatorcontrib><creatorcontrib>Antonelli, Alessandro</creatorcontrib><creatorcontrib>Gzgzyan, Alexander M.</creatorcontrib><creatorcontrib>Dzhemlikhanova, Liailia Kh</creatorcontrib><creatorcontrib>Ostrinski, Yuri</creatorcontrib><creatorcontrib>Niauri, Dariko</creatorcontrib><creatorcontrib>Khizroeva, Jamilya</creatorcontrib><creatorcontrib>Bitsadze, Victoria</creatorcontrib><creatorcontrib>Makatsariya, Alexander</creatorcontrib><creatorcontrib>Tincani, Angela</creatorcontrib><creatorcontrib>Nalli, Cecilia</creatorcontrib><creatorcontrib>Churilov, Leonid P.</creatorcontrib><creatorcontrib>Shovman, Ora</creatorcontrib><creatorcontrib>Halpert, Gilad</creatorcontrib><creatorcontrib>Blank, Miri</creatorcontrib><creatorcontrib>Shoenfeld, Yehuda</creatorcontrib><creatorcontrib>Amital, Howard</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; 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One of the ATD is Hashimoto's thyroiditis which recently showed association with complications of pregnancy with increased levels of circulating autoantibodies reactive with epitopes on thyroid tissue such as thyroid peroxidase (anti‐TPO). In retrospective study of sera analyses in patients with Hashimoto's thyroiditis, all patients had mainly elevated circulating anti‐TPO autoantibodies. Aim We assessed the potential of human anti‐TPO highly positive IgG, derived from patients with Hashimoto's thyroiditis sera associated with complications of pregnancy, to cause directly complications of pregnancy in murine model. Method of study Naïve ICR female mice, infused intravenously with 100 μg of anti‐TPO‐positive IgG, showed increased fetal loss and embryo small for date (P &lt; .001) in comparison with mice passively transferred with commercial IgG or PBS. Moreover, we observed embryos small for date in the mice passively transferred with anti‐TPO‐positive IgG, exemplified by reduced weight of embryos and placentae (P = .001). Histopathological examination revealed delay in fetal development in 50% cases of anti‐TPO‐positive IgG‐treated mice. Importantly, pathological changes in the transition zone, state of glycogen cells, and significant structural changes in the labyrinth part of placenta were observed in all anti‐TPO‐positive IgG samples. Conclusion The current study shows in the first time, a direct proof of concept, on the association of human TPO‐positive IgG from Hashimoto's thyroiditis patients on fetal loss induction in murine model.</abstract><cop>Denmark</cop><pub>Wiley Subscription Services, Inc</pub><pmid>32893404</pmid><doi>10.1111/aji.13331</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-7801-7123</orcidid><orcidid>https://orcid.org/0000-0002-5610-7347</orcidid><orcidid>https://orcid.org/0000-0002-0725-9686</orcidid><orcidid>https://orcid.org/0000-0001-8404-1042</orcidid></addata></record>
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subjects Animal models
Animals
Antiphospholipid syndrome
anti‐TPO
Autoantibodies
Autoantibodies - immunology
Autoantigens - immunology
Autoimmune diseases
Embryos
Epitopes
Female
Fetal Death
Fetuses
Glycogen
Hashimoto Disease - blood
Hashimoto Disease - immunology
Hashimoto's thyroiditis
Humans
Immunoglobulin G
Immunoglobulin G - immunology
Iodide peroxidase
Iodide Peroxidase - immunology
Iron-Binding Proteins - immunology
Mice
Mice, Inbred ICR
murine fetal loss
Placenta
Placenta - pathology
Pregnancy
Pregnancy complications
Pregnancy Complications - immunology
reproductive failure
Systemic lupus erythematosus
Thyroid diseases
Thyroid gland
Thyroiditis
title The pathogenic role of circulating Hashimoto's Thyroiditis‐derived TPO‐positive IgG on fetal loss in naïve mice
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