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-Igs) was inhibited by some, but not all, IGF-1R-blocking antibodies (see below) [ 4 , 5 , 7 , 11 ]; and (4) TSHR and IGF-1R were shown to be in close proximity to each other scaffolded by β-arrestin 1, which was required for TSHR/IGF-1R crosstalk [ 12
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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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Introduction Antibodies (Ab) to the thyroid-stimulating hormone receptor (TSHR) may mimic [ 1 - 3 ] or block [ 4 ] the action of TSH or be functionally neutral [ 5 ]. TSHR stimulating Ab (TSAb) are responsible for many of the clinical
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either via competitive-binding immunoassays or with bioassays [ 4 ]. Antibody-binding assays only report the presence or absence of TSHR-Ab and their concentrations, but do not indicate their functional activity. Bioassays, in contrast, indicate whether
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; however, it is still unclear whether the development of optic nerve compression can be prevented or treated with this new drug. In addition, we need to find out if directly targeting the TSHR with blocking antibodies or small-molecule antagonists is even
Department of Oto-Rhino-Laryngology – Head and Neck Surgery, University Hospital Essen, Essen, Germany
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Department of Ophthalmology, University Hospital Essen, Essen, Germany
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hyperthyroidism with resultant hypothyroidism. Thyroid-stimulating antibodies, the proximal cause of Graves hyperthyroidism, arise from the breakdown in self-tolerance to the TSHR [ 11 ]. The pathophysiological relationship between TSHR, TPO, and Tg autoantibodies
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, and the demonstration of a relationship between the level of antibodies to the TSHR (TSHR-Ab) and the development of GO indicates that autoimmune reactions against the TSHR may be a prime cause of GO. TSHR-Ab are present in the serum of the majority of
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either thyroid-stimulating antibodies (TSAb) or thyroid-stimulating blocking antibodies (TSBAb). TSAb have been shown to be responsible for hyperthyroidism in Graves' disease (GD), whereas TSBAb occur mainly in patients with atrophic thyroiditis and
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characterized by: (1) A positive family history of non-autoimmune hyperthyroidism with dominant inheritance. (2) An absence of clinical (ophthalmopathy or dermopathy) or other stigmata of autoimmunity [TSHR antibodies, thyroid peroxidase (TPO) antibodies
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Introduction Autoantibodies against the thyrotropin receptor (TSH-R-Ab) play an important role in the pathogenesis of autoimmune thyroid diseases [ 1 - 5 ]. These functional antibodies demonstrate different effects on the TSH-R and can either