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However, the role of the <jats:styled-content style=\"fixed-case\">TWEAK<\/jats:styled-content> axis in autoimmune thyroid disease (<jats:styled-content style=\"fixed-case\">AITD<\/jats:styled-content>) remains unclear. Therefore, the aim of this study was to investigate the role of the <jats:styled-content style=\"fixed-case\">TWEAK<\/jats:styled-content>\u2010Fn14 axis in the pathogenesis of <jats:styled-content style=\"fixed-case\">AITD<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Serum levels of soluble <jats:styled-content style=\"fixed-case\">TWEAK<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">sTWEAK<\/jats:styled-content>) and <jats:styled-content style=\"fixed-case\">sCD<\/jats:styled-content>163 were measured in 38 patients with Graves\u2019 disease (<jats:styled-content style=\"fixed-case\">GD<\/jats:styled-content>), 40 patients with Hashimoto's thyroiditis (<jats:styled-content style=\"fixed-case\">HT<\/jats:styled-content>) and 40 healthy controls (<jats:styled-content style=\"fixed-case\">HC<\/jats:styled-content>s). Additionally, the <jats:styled-content style=\"fixed-case\">mRNA<\/jats:styled-content> expression of <jats:styled-content style=\"fixed-case\">TWEAK<\/jats:styled-content> and Fn14 in peripheral blood mononuclear cells (<jats:styled-content style=\"fixed-case\">PBMC<\/jats:styled-content>s) was explored, and the protein expression of <jats:styled-content style=\"fixed-case\">TWEAK<\/jats:styled-content> and Fn14 in thyroid glands surgically removed from 10 patients with <jats:styled-content style=\"fixed-case\">GD<\/jats:styled-content>, 10 patients with <jats:styled-content style=\"fixed-case\">HT<\/jats:styled-content> and 10 <jats:styled-content style=\"fixed-case\">HC<\/jats:styled-content>s was studied by immunohistochemical staining.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The results showed that the serum levels of <jats:styled-content style=\"fixed-case\">sTWEAK<\/jats:styled-content> were significantly reduced in patients with <jats:styled-content style=\"fixed-case\">HT<\/jats:styled-content> and inversely correlated with antithyroid peroxidase antibody (<jats:styled-content style=\"fixed-case\">TPOA<\/jats:styled-content>b) levels. Additionally, high levels of <jats:styled-content style=\"fixed-case\">sCD<\/jats:styled-content>163 and a high <jats:styled-content style=\"fixed-case\">sCD<\/jats:styled-content>163\/<jats:styled-content style=\"fixed-case\">sTWEAK<\/jats:styled-content> ratio were positively associated with the <jats:styled-content style=\"fixed-case\">TPOA<\/jats:styled-content>b levels in patients with <jats:styled-content style=\"fixed-case\">HT<\/jats:styled-content> and the thyrotropin receptor antibody (<jats:styled-content style=\"fixed-case\">TRA<\/jats:styled-content>b) levels in patients with <jats:styled-content style=\"fixed-case\">GD<\/jats:styled-content>. <jats:styled-content style=\"fixed-case\">TWEAK mRNA<\/jats:styled-content> expression and protein expression were upregulated in thyroid glands and <jats:styled-content style=\"fixed-case\">PBMC<\/jats:styled-content>s from patients with HT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Expression of the <jats:styled-content style=\"fixed-case\">TWEAK<\/jats:styled-content>\u2010Fn14 axis was upregulated in patients with <jats:styled-content style=\"fixed-case\">AITD<\/jats:styled-content> and might play a role in the pathogenesis of <jats:styled-content style=\"fixed-case\">AITD<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cen.13404","type":"journal-article","created":{"date-parts":[[2017,6,21]],"date-time":"2017-06-21T16:12:46Z","timestamp":1498061566000},"page":"783-790","source":"Crossref","is-referenced-by-count":7,"title":["Role of the tumour necrosis factor\u2010like weak inducer of apoptosis (<scp>TWEAK<\/scp>)\/fibroblast growth factor\u2010inducible 14 (Fn14) axis in autoimmune thyroid disease"],"prefix":"10.1111","volume":"87","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2164-2825","authenticated-orcid":false,"given":"Shiqiao","family":"Peng","sequence":"first","affiliation":[{"name":"Department of Endocrinology and Metabolism Institute of 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