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and thyroid-related antibodies. Bioassay for Blocking TSHR Antibodies Levels of serum TSHR-blocking antibodies (TBAb) were measured according to the manufacturer’s (Quidel, San Diego, USA) instructions for the CE-marked cell-based bioassay [ 27
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by blocking the binding of GO-Igs to the extracellular domain of TSHR. A human monoclonal TSHR-blocking antibody, K1–70 [ 20 ], is being studied as a potential treatment for GD [ 21 ]. It was shown to be effective in vivo causing biochemical
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develop hypothyroidism due to the TSHR-blocking antibodies ( 1 , 2 ). Of note, hypothyroidism in GD patients can be observed as a short-term effect of the blocking autoantibodies, as well as a longer effect due to eventual autoimmune thyroid destruction
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between the two conditions [ 81 ]. Given of the important role of TSHR autoantibodies in causing hyperthyroidism due to Graves' disease and, probably, contributing to the pathogenesis of GO, future treatment might be represented by TSHR-blocking antibodies
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Department of Pediatric Endocrinology, Royal Victoria Infirmary, Newcastle-upon-Tyne, UK
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Endocrine Unit, Royal Victoria Infirmary, Newcastle-upon-Tyne, UK
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of further ATD. Is there a role for new treatment modalities like immune modulation in the treatment of pediatric GD? There are case reports and series describing the clinical course of adult patients receiving biologics like rituximab or TSHR-blocking