H. Vlase et al., HUMAN AUTOANTIBODIES TO THE THYROTROPIN RECEPTOR - RECOGNITION OF LINEAR, FOLDED, AND GLYCOSYLATED RECOMBINANT EXTRACELLULAR DOMAIN, The Journal of clinical endocrinology and metabolism, 80(1), 1995, pp. 46-53
To examine the heterogeneity of autoantibodies to the human TSH recept
or (hTSHR), we evaluated 20 sera from patients with Graves' disease fo
r their recognition of prokaryotic (unglycosylated) and eukaryotic (in
sect cell glycosylated) recombinant hTSHR extracellular domain (ecd) i
n an unfolded (linear) and a folded (nonlinear) state. With the prokar
yotic antigen, 12 (60%) bound folded hTSHR ecd monomer, 8 (40%) bound
to the unfolded monomer, and 3 (15%) bound to a tetrameric species. Su
ch binding to different hTSHR antigens was not mutually exclusive. In
addition, 7 (35%) sera showed an apparently higher reactivity for the
folded than the unfolded monomer.