Preparation and characterization of monoclonal antithyrotropin receptor antibodies obtained from peripheral lymphocytes of hypothyroid patients with primary myxedema.

Abstract

Anti-TSH receptor antibodies (TSH-R Ab), which have been detected in the serum of some patients with primary myxedema, are themselves considered to induce hypothyroidism. These are termed blocking-type TSH-R Ab (TSH-R BAb), because they inhibit adenylate cyclase stimulation by TSH on thyrocytes or nonthyroidal cells transfected with TSH-R complementary DNA. We prepared monoclonal TSH-R BAb and characterized them. Peripheral lymphocytes from three patients with primary hypothyroidism and potent TSH-R BAb were transformed by Epstein-Barr virus, and the culture supernatants were screened by TSH binding inhibitor immunoglobulin (TBII) assay. Twenty positive and 7 negative lymphocyte clones were obtained; their monoclonality was confirmed by Southern blot analysis, using an immunoglobulin (Ig) JH probe. These monoclonal antibodies were then tested for TSH-R BAb activity. TSH-R BAb activity ranged from 24.1-58.5% (normal range, < 24%) in all 20 TBII-positive clones and in 2 of 7 TBII-negative clones. An enzyme-linked immunosorbent assay showed that the Ig isotypes of these clones with TBII and/or TSH-R BAb activity were IgG in 8 and IgM in 14. Another enzyme-linked immunosorbent assay and Southern blot analysis of the light chains revealed that 13 clones had kappa-chains, whereas the light chains could not be determined in the other 9 clones. To summarize, 1) we obtained 22 clones that produced monoclonal TSH-R BAb, including 8 IgG-type clones. 2) The clones exhibited dominant usage of the kappa-chain. 3) Although all TBII clones had TSH-R BAb activity, their TBII and TSH-R BAb activities were not significantly correlated, and two TSH-R BAb clones did not show TBII activity.

• Authors: J Okuda, T Akamizu, H Sugawa, F Matsuda, L Hua, T Mori
• Journal: The Journal of clinical endocrinology and metabolism (J Clin Endocrinol Metab) Vol. 79 Issue 6 Pg. 1600-4 (Dec 1994) ISSN: 0021-972X [Print] United States
• PMID: 7989462 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Antibodies, Monoclonal
• Autoantibodies
• Immunoglobulin G
• Immunoglobulin M
• Receptors, Thyrotropin
• DNA

Topics

• Animals
• Antibodies, Monoclonal (blood, genetics)
• Autoantibodies (blood, genetics)
• Blotting, Southern
• CHO Cells
• Clone Cells
• Cricetinae
• DNA (analysis)
• Gene Rearrangement, B-Lymphocyte, Heavy Chain
• Gene Rearrangement, B-Lymphocyte, Light Chain
• Humans
• Hypothyroidism (immunology)
• Immunoglobulin G (blood)
• Immunoglobulin M (blood)
• Myxedema (immunology)
• Receptors, Thyrotropin (genetics, immunology)
• T-Lymphocytes (immunology)
• Transfection