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Department of Pediatrics (S.K., N.S., K.Y., Ak.H., Y.K., H.N.) and Second Department of Internal Medicine (Ai.H., Y.S., K.T.), Chiba University School of Medicine, Chiba 260, Japan; SRL, Inc. (Y.W.), Hachioji 192, Japan; Cell Regulation Section, Metabolic Diseases Branch, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health (L.D.K.), Bethesda, Maryland 20892; and Department of Molecular Biology, Tokyo Metropolitan Institute of Gerontology (N.M.), Tokyo 173, Japan
Address all correspondence and requests for reprints to: Dr. Naoki Shimojo, Department of Pediatrics and Clinical Research, National Shimoshizu Hospital, Yotsukaido, Chiba 284, Japan.
Immunization of AKR/N mice with murine fibroblasts, transfected with the TSH receptor (TSHR) and a murine major histocompatibility complex class II molecule having the same H-2k haplotype (but not either alone), induces immune thyroid disease with the humoral and histological features of human Graves, including the presence of two different TSHR antibodies (TSHRAbs): stimulating TSHRAbs, which cause hyperthyroidism; and TSH-binding-inhibiting immunoglobulins. The primary functional epitope for both types of antibodies in Graves patients is on the N-terminal portion of the extracellular domain of the TSHR, residues 25 to 165; most require residues 90165 to express TSHRAb activity, as evidenced in studies using chimeras of the TSHR and lutropin-choriogonadotropin receptor (LH-CGR). To evaluate the role of this region of the TSHR in the formation of Graves TSHRAbs, we immunized AKR/N mice with fibroblasts transfected with three human TSHR chimeras with residues 9165 (Mc1+2), 90165 (Mc2), or 261370 (Mc4) substituted by equivalent residues of the rat LH-CGR. Mice immunized with the Mc1+2 and Mc2 chimeras, with the N-terminal portion of the extracellular domain of the TSHR substituted by LH-CGR residues, did not develop TSHRAbs. Mice immunized with the Mc4 chimera, having a major portion of the C-terminal portion of the extracellular domain of the TSHR replaced by comparable LH-CGR residues, can develop TSHRAbs. The results suggest that the N-terminal segment of the TSHR extracellular domain is not only a critical functional epitope for Graves TSHRAbs, but it is important also in their formation in a mouse model of Graves disease.
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