Orbital Signaling in Graves’ Orbitopathy

Graves’ orbitopathy (GO) is a complex and poorly understood disease in which extensive remodeling of orbital tissue is dominated by adipogenesis and hyaluronan production. The resulting proptosis is disfiguring and underpins the majority of GO signs and symptoms. While there is strong evidence for t...

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Main Authors: Mohd Shazli Draman, Lei Zhang, Colin Dayan, Marian Ludgate
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-11-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2021.739994/full
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author Mohd Shazli Draman
Mohd Shazli Draman
Lei Zhang
Colin Dayan
Marian Ludgate
author_facet Mohd Shazli Draman
Mohd Shazli Draman
Lei Zhang
Colin Dayan
Marian Ludgate
author_sort Mohd Shazli Draman
collection DOAJ
description Graves’ orbitopathy (GO) is a complex and poorly understood disease in which extensive remodeling of orbital tissue is dominated by adipogenesis and hyaluronan production. The resulting proptosis is disfiguring and underpins the majority of GO signs and symptoms. While there is strong evidence for the thyrotropin receptor (TSHR) being a thyroid/orbit shared autoantigen, the insulin-like growth factor 1 receptor (IGF1R) is also likely to play a key role in the disease. The pathogenesis of GO has been investigated extensively in the last decade with further understanding of some aspects of the disease. This is mainly derived by using in vitro and ex vivo analysis of the orbital tissues. Here, we have summarized the features of GO pathogenesis involving target autoantigens and their signaling pathways.
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spelling doaj.art-0456f4bc26fe4bcebabc3b17081127c12022-12-21T21:19:36ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922021-11-011210.3389/fendo.2021.739994739994Orbital Signaling in Graves’ OrbitopathyMohd Shazli Draman0Mohd Shazli Draman1Lei Zhang2Colin Dayan3Marian Ludgate4Thyroid Research Group, Cardiff University School of Medicine, Cardiff, United KingdomKPJ Healthcare University College, Nilai, MalaysiaThyroid Research Group, Cardiff University School of Medicine, Cardiff, United KingdomThyroid Research Group, Cardiff University School of Medicine, Cardiff, United KingdomThyroid Research Group, Cardiff University School of Medicine, Cardiff, United KingdomGraves’ orbitopathy (GO) is a complex and poorly understood disease in which extensive remodeling of orbital tissue is dominated by adipogenesis and hyaluronan production. The resulting proptosis is disfiguring and underpins the majority of GO signs and symptoms. While there is strong evidence for the thyrotropin receptor (TSHR) being a thyroid/orbit shared autoantigen, the insulin-like growth factor 1 receptor (IGF1R) is also likely to play a key role in the disease. The pathogenesis of GO has been investigated extensively in the last decade with further understanding of some aspects of the disease. This is mainly derived by using in vitro and ex vivo analysis of the orbital tissues. Here, we have summarized the features of GO pathogenesis involving target autoantigens and their signaling pathways.https://www.frontiersin.org/articles/10.3389/fendo.2021.739994/fullthyroid eye diseaseadipogenesishyaluronanTSABTSHRIGF1R
spellingShingle Mohd Shazli Draman
Mohd Shazli Draman
Lei Zhang
Colin Dayan
Marian Ludgate
Orbital Signaling in Graves’ Orbitopathy
Frontiers in Endocrinology
thyroid eye disease
adipogenesis
hyaluronan
TSAB
TSHR
IGF1R
title Orbital Signaling in Graves’ Orbitopathy
title_full Orbital Signaling in Graves’ Orbitopathy
title_fullStr Orbital Signaling in Graves’ Orbitopathy
title_full_unstemmed Orbital Signaling in Graves’ Orbitopathy
title_short Orbital Signaling in Graves’ Orbitopathy
title_sort orbital signaling in graves orbitopathy
topic thyroid eye disease
adipogenesis
hyaluronan
TSAB
TSHR
IGF1R
url https://www.frontiersin.org/articles/10.3389/fendo.2021.739994/full
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