Until now, the following are not known: (1) the mechanisms underlying the induction of
chemokine (C-X-C motif) ligand 10 (CXCL10) secretion by
cytokines in thyrocytes; (2) if
pioglitazone is able, like
rosiglitazone, to inhibit the
interferon (IFN)-γ-induced
chemokine expression in
Graves disease (GD) or ophthalmopathy (GO); and (3) the mechanisms underlying the inhibition by
thiazolidinediones of the
cytokines-induced CXCL10 release in thyrocytes. The aims of this study were (1) to study the mechanisms underlying the induction of CXCL10 secretion by
cytokines in GD thyrocytes; (2) to test the effect of
pioglitazone on IFNγ-inducible CXCL10 secretion in primary thyrocytes, orbital fibroblasts, and preadipocytes from GD and GO patients; and (3) to evaluate the mechanism of action of
thiazolidinediones on nuclear factor (NF)-κB activation. The results of the study (1) demonstrate that IFNγ + TNFα enhanced the
DNA binding activity of NF-κB in GD thyrocytes, in association with the release of CXCL10; (2) show that
pioglitazone exerts a dose-dependent inhibition on IFNγ + TNFα-induced CXCL10 secretion in thyrocytes, orbital fibroblasts, and preadipocytes, similar to the effect observed with
rosiglitazone; and (3) demonstrate that
thiazolidinediones (
pioglitazone and
rosiglitazone) act by reducing the IFNγ + TNFα activation of NF-κB in Graves thyrocytes. To the best of our knowledge, this is the first study showing that
cytokines are able to activate NF-κB in Graves thyrocytes and a parallel inhibitory effect of
pioglitazone both on
CXCL10 chemokine secretion and NF-κB activation. Future studies will be needed to verify if new targeted
peroxisome proliferator-activated receptor-γ activators may be able to exert the anti-inflammatory effects without the risk of expanding retrobulbar fat mass.