Chloride Channel 3 Regulates Sodium-iodide Symporter Expression and Localization in the Thyroids of Mice on a High-iodide Diet

Meisheng Yu ¹ Zhiqin Deng ² Xiangzhong Zhang ^1*

• ¹ Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
• ² Hand and Foot Surgery Department, Shenzhen Second People's Hospital, Shenzhen, China

Introduction: Certain chloride channels and H + /Cl -antiporters, such as chloride channel 3 (ClC-3), are expressed at the apical pole of thyrocytes, facilitating iodide (I -) efflux. However, the relationship between ClC-3 and I -uptake remains unclear. Additionally, whether ClC-3 and reactive oxygen species (ROS) regulate sodium-iodide symporter (NIS) expression and localization under excessive I - conditions remain underexplored.The expression and localization of ClC-3 in wild-type (WT), ClC-3 overexpression (OE) and ClC-3 knockout (KO) were detected by Western blot (WB), immunohistochemistry and immunofluorescence respectively. The 131 I uptake of the thyroid was measured by thyroid function instrument. The expression and localization of NIS in normal and high iodide diet were detected respectively. The role of ROS in the regulation of NIS by ClC-3 was observed. Results: ClC-3 expression in thyrocytes was primarily localized to the basolateral and lateral membranes, in both ClC-3 OE and WT mice groups under normal I⁻ conditions. I -uptake was significantly higher in WT and ClC-3 OE mice than in the ClC-3 KO mice under normal I⁻ conditions. The ClC-3 OE group exhibited a higher number of thyroid follicles with elevated NIS expression in the basolateral and lateral membranes than the WT and KO groups. In the ClC-3 KO group, the NIS was predominantly localized in the cytoplasm. In the WT group, NIS fluorescence intensity at the basolateral and lateral membranes increased after 48 h of excessive iodide exposure compared to 24 h. In ClC-3 OE mice, NIS, initially localized intracellularly after 24 h of excessive iodide exposure, was almost fully reintegrated into the basolateral and lateral membranes after 48 h. In contrast, in ClC-3 KO mice, NIS remained primarily cytoplasmic, with no significant change between 24 h and 48 h of I -excess. ROS fluorescence intensity was significantly higher in the ClC-3 OE group than in the WT and KO groups after 24 h of I -excess. Pre-inhibition of ROS showed no significant differences in NIS localization or expression among the three groups 24 h after I -excess.Discussion: These findings suggest that ClC-3 may regulate NIS function via ROS signaling under excessive iodide conditions.