Skip to main content

Research Repository

Advanced Search

The effect of corticosteroids on the release of immune modulating factors from Graves’ disease tissue maintained using microfluidic culture.

People Involved

Project Description

Graves’ disease (GD) affects approximately 2% of adult women. Current treatments for GD include anti-thyroid drugs, radioiodine therapy and surgery, of which none tackle the underlying pathogenic process. Immunosuppressive agents are therefore of growing interest, exemplified by combined treatment using an intrathyroid dexamethasone injection and methimazole, which was shown to prevent GD relapse in a randomised controlled trial.

The immunomodulatory effects of corticosteroids on GD is unclear, with endogenous elevation during the stress response being a theorised risk factor for GD development. Dexamethasone was shown to modulate T cell function in GD. T cells utilise secreted cytokines for inter-cellular networking and aberration of this process in GD is considered pathophysiological. Targeting of these cytokines represents a novel treatment strategy for GD, mirroring developments in other autoimmune processes.

Microfluidic systems (MFS) mimic the in vivo environment, offering the potential to study the cellular dynamics of tissue ex vivo. MFS can homeostatically maintain and interrogate 2-3mm tissue samples for detailed assessment of the immunological milieu and its modification by external agents in vivo. Using MFS we aim to monitor changes in the cytokine profile following corticosteroid exposure of GD thyroid tissue maintained ex vivo, aiming to identify potential targets for biological agents.

Status Project Complete
Value £5,000.00
Project Dates Jun 1, 2017 - May 31, 2018

You might also like