The thyrotropin (TSH) receptor (TSHR) is the primary antigen of Graves'disease and the target for thyroid stimulating 'TSHR antibodies (TSHR-Ab)found in the serum of such patients. TSHR-Ab are characterized by their prolonged action and were originally called Long Acting Thyroid Stimulators (LATS). In this application, we seek to continue our successful cloning and characterization of monoclonal antibodies to the TSH receptor which have resulted in the first monoclonal antibody with stimulating activity. In particular, monoclonal antibody MS-1 has shown potent TSHR stimulating activity when tested with CHO cells stably expressing hTSHR with activity evident down to 2ng/ml ofIgG.
The specific aims of this competitive renewal are:
Aim 1 : Identify additional monoclonal thyroid-stimulating antibodies. We will first continue to build on our success by developing an expanded panel of monoclonal antibodies to the TSH receptor with thyroid stimulating activity.
Aim 2 : Define TSHR-AB epitopes. We will characterize the linear and non-linear antigenic epitopes for the derived TSH receptor antibodies to define the major immunogenic 'regions (MIRs) on the TSH receptor.
Aim 3 : Defining antibody-mediated regulation of TSHR post-translational modifications. We will co-express TSHRcpp TSHRmycconstructs in CHO cells and examine whether occupation of the receptor molecule by TSHR-Abs will modulate the FRET index as we have seen for TSH ligand. In addition, we have recently developed a unique assay for measuring TSHR cleavage and will examine the influence of TSHR-Abs on receptor cleavage with the aim of gaining insight into the functional role of such cleavage in thyroid autoimmunity.
Aim 4 : Examine the biologic function and signal transduction induced by TSHR-Abs. We will examine the specificity of TSHR-Abs with regard to their growth stimulating/inhibiting potential and their activarion/inacrivation of differentiated thyroid cell function. The isolation and characterization of antibodies to the TSH with similar characteristics to the TSHR-Abs found in the serum of Graves'disease patients will provide major new insight into their mechanisms of action and offer novel approaches to the control of thyroid dysfunction.

National Institute of Health (NIH)
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Research Project (R01)
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Integrative and Clinical Endocrinology and Reproduction Study Section (ICER)
Program Officer
Spain, Lisa M
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Icahn School of Medicine at Mount Sinai
Internal Medicine/Medicine
Schools of Medicine
New York
United States
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Morshed, Syed A; Ma, Risheng; Latif, Rauf et al. (2018) Biased signaling by thyroid-stimulating hormone receptor-specific antibodies determines thyrocyte survival in autoimmunity. Sci Signal 11:
Baliram, Ramkumarie; Latif, Rauf; Zaidi, Mone et al. (2017) Expanding the Role of Thyroid-Stimulating Hormone in Skeletal Physiology. Front Endocrinol (Lausanne) 8:252
Latif, Rauf; Realubit, Ronald B; Karan, Charles et al. (2016) TSH Receptor Signaling Abrogation by a Novel Small Molecule. Front Endocrinol (Lausanne) 7:130
Latif, Rauf; Lau, Zerlina; Cheung, Pamela et al. (2016) The ""TSH Receptor Glo Assay"" - A High-Throughput Detection System for Thyroid Stimulation. Front Endocrinol (Lausanne) 7:3
Baliram, R; Latif, R; Morshed, S A et al. (2016) T3 Regulates a Human Macrophage-Derived TSH-? Splice Variant: Implications for Human Bone Biology. Endocrinology 157:3658-67
Latif, Rauf; Ali, M Rejwan; Ma, Risheng et al. (2015) New small molecule agonists to the thyrotropin receptor. Thyroid 25:51-62
Ma, Risheng; Latif, Rauf; Davies, Terry F (2015) Human embryonic stem cells form functional thyroid follicles. Thyroid 25:455-61
Mezei, Mihaly (2015) Use of circular variance to quantify the deviation of a macromolecule from the spherical shape. J Math Chem 53:2184-2190
Morshed, S A; Davies, T F (2015) Graves' Disease Mechanisms: The Role of Stimulating, Blocking, and Cleavage Region TSH Receptor Antibodies. Horm Metab Res 47:727-34
Davies, Terry F; Latif, Rauf (2015) Targeting the thyroid-stimulating hormone receptor with small molecule ligands and antibodies. Expert Opin Ther Targets 19:835-47

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