High levels of serum soluble interleukin-2 receptors in hyperthyroid patients: correlation with serum thyroid hormones and independence from the etiology of the hyperthyroidism

J Clin Endocrinol Metab. 1991 Oct;73(4):771-6. doi: 10.1210/jcem-73-4-771.

Abstract

The serum levels of soluble interleukin-2 receptors (s-IL-2R) and soluble CD8 antigens (s-CD8) were measured in 33 patients with Graves' disease (GD), 29 with toxic nodular goiter (TNG), 6 with toxic adenoma (TA), and 12 with hypothyroidism, as well as in 11 patients with infectious mononucleosis (known to have high s-IL-2R and s-CD8 levels) and 34 normal controls. Serum levels of T3 and T4, both total and free, and of TSH were simultaneously determined. s-IL-2R levels were significantly higher in all patients with hyperthyroidism (mean +/- SD, 3276 +/- 1273 U/mL for GD, 4183 +/- 1832 for TNG, and 1671 +/- 648 for TA) compared to normal control values (P less than 0.001 for GD and TNG and P less than 0.01 for TA), while in the euthyroid state they were within the normal range (535 +/- 240 U/mL). Hypothyroid patients had significantly lower s-IL-2R levels compared to normal controls (P less than 0.05). A positive correlation (P less than 0.001) between serum s-IL-2R levels and total/free T3-T4 levels was found in these groups of patients, while no correlation between s-CD8 levels and s-IL-2R/T3/T4 was found. These findings suggest an association between hyperthyroxinaemia and activation of human lymphocytes in vivo.

MeSH terms

  • Adenoma / complications
  • Adolescent
  • Adult
  • Aged
  • Antigens, Differentiation, T-Lymphocyte / analysis
  • CD8 Antigens
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Goiter, Nodular / complications
  • Graves Disease / blood
  • Graves Disease / immunology
  • Graves Disease / pathology
  • Humans
  • Hyperthyroidism / blood*
  • Hyperthyroidism / etiology
  • Hyperthyroidism / immunology
  • Lymphocytes / pathology
  • Male
  • Middle Aged
  • Receptors, Interleukin-2 / blood*
  • Thyroid Gland / metabolism
  • Thyroid Gland / ultrastructure
  • Thyroxine / blood*
  • Triiodothyronine / blood*

Substances

  • Antigens, Differentiation, T-Lymphocyte
  • CD8 Antigens
  • Receptors, Interleukin-2
  • Triiodothyronine
  • Thyroxine