Pendrin is a novel autoantigen recognized by patients with autoimmune thyroid diseases

Akio Yoshida, Ichiro Hisatome, Shinichi Taniguchi, Yasuaki Shirayoshi, Yasutaka Yamamoto, Junichiro Miake, Tsuyoshi Ohkura, Takeshi Akama, Osamu Igawa, Chiaki Shigemasa, Keiichi Kamijo, Shoichiro Ikuyama, Patrizio Caturegli, Koichi Suzuki

Research output: Contribution to journalArticle

Abstract

Context: Pendrin is an apical protein of thyroid follicular cells, responsible for the efflux of iodide into the follicular lumen via an iodide-chloride transport mechanism. It is unknown whether pendrin is recognized by autoantibodies. Objective: Our objective was to examine the prevalence of pendrin antibodies in autoimmune thyroid diseases and compare with that of thyroglobulin, thyroperoxidase, TSH receptor, and sodium iodide symporter antibodies. Design: In a prevalent case-control study, we analyzed the sera of 140 autoimmune thyroid disease cases (100 with Graves' disease and 40 with Hashimoto's thyroiditis) and 80 controls (50 healthy subjects, 10 patients with papillary thyroid cancer, 10 with systemic lupus erythematosus, and 10 with rheumatoid arthritis). Pendrin antibodies were measured by immunoblotting using extract of COS-7 cells transfected with pendrin and a rabbit polyclonal pendrin antibody. Results: Pendrin antibodies were found in 81% of the cases and 9% of controls (odds ratio = 44; P < 0.0001). Among cases, pendrin antibodies were more frequent and of higher titers in Hashimoto's thyroiditis than in Graves' disease. Pendrin antibodies correlated significantly with thyroglobulin, thyroperoxidase, and sodium iodide symporter antibodies but not with TSH receptor antibodies. Pendrin antibodies were equally effective as thyroglobulin and thyroperoxidase antibodies in diagnosis of autoimmune thyroid diseases, especially Hashimoto's thyroiditis. Conclusions: The study identifies pendrin as a novel autoantigen recognized by patients with autoimmune thyroid diseases and proposes the use of pendrin antibodies as an accurate diagnostic tool.

Original languageEnglish (US)
Pages (from-to)442-448
Number of pages7
JournalJournal of Clinical Endocrinology and Metabolism
Volume94
Issue number2
DOIs
StatePublished - Feb 2009

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Biochemistry
  • Endocrinology
  • Clinical Biochemistry
  • Biochemistry, medical

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    Yoshida, A., Hisatome, I., Taniguchi, S., Shirayoshi, Y., Yamamoto, Y., Miake, J., Ohkura, T., Akama, T., Igawa, O., Shigemasa, C., Kamijo, K., Ikuyama, S., Caturegli, P., & Suzuki, K. (2009). Pendrin is a novel autoantigen recognized by patients with autoimmune thyroid diseases. Journal of Clinical Endocrinology and Metabolism, 94(2), 442-448. https://doi.org/10.1210/jc.2008-1732