Pathogenesis of Autoimmune Hypothyroidism Induced by Lymphokine-Activated Killer (LAK) Cell Therapy: In Vitro Inhibition of Human Thyroid Function by Interleukin-2 in the Presence of Autologous Intrathyroidal Lymphocytes

Lymphokine-activated killer (LAK) cell therapy frequently results in primary hypothyroidism. To elucidate the responsible mechanism, we investigated the effects of interleukin-2 (IL-2) on thyroid function of cultured human thyroid follicles in the presence or absence of autologous thyroid-derived lymphoid cells (TDLC). Human thyroid follicles, obtained by subtotal thyroidectomy from patients with Graves' disease, were cultured in serum-free medium containing bTSH and various concentrations of human IL-2, with or without TDLC. After 5 days of culture, ¹²⁵I was added, and after an additional 3 days of culture, ^l25I incorporated into thyroid follicles and organic ¹²⁵I (¹²⁵I-T₄ + ¹²⁵I-T₃) released into the culture medium were estimated. In the absence of TDLC, IL-2 did not affect bTSH-induced thyroid function. In the presence of TDLC, however, IL-2 inhibited the bTSH-stimulated thyroid function in a concentration-dependent manner. The minimum IL-2 concentration required to inhibit thyroid function was 1 U/ml. At 100 U/ml, IL-2 inhibited thyroid function completely. IL-2 increased the concentration of IFN-γ in the culture medium conditioned by TDLC but not by thyroid follicles. When both were cocultured, IL-2 more significantly increased the concentration of IFN-γ to an extent sufficient for inhibiting thyroid function per se. Furthermore, the addition of anti-IFN-γ antibody to the medium partially restored the IL-2-inhibited thyroid function. In summary, by coculturing human thyroid follicles and autologous intrathyroidal lymphocytes with IL-2, it was possible to reproduce the thyroid dysfunction associated with LAK cell therapy. Our data indicate that IL-2 inhibits thyroid function, at least partly, by stimulating production of IFN-γ, a potent inhibitory cytokine for thyroid cells.