In the present article we describe a method for the direct immunoprecipitation analysis of pathological
autoantibodies against
TSH receptor (TSHR) in sera of patients with
Graves' disease. For this purpose the fusion
TSH receptor (TSHR-BIO-6HIS) was constructed. This fusion consists of the N-terminal 725
amino acids of the human TSHR linked to the 87-amino
acid C-terminal domain of the
biotin carboxyl carrier protein subunit of E. coli
acetyl-CoA carboxylase (this domain directs the efficient posttranslational biotinylation of the
protein) followed by 6
histidine sequence. TSHR-BIO-6HIS was produced in HeLa cells using recombinant vaccinia virus. The expressed receptor was complete active and was biotinylated with a high efficiency (about 90%). Biotinylated TSHR-BIO-6HIS was immobilized on Ni-NTA
agarose and selectively labeled with a
biotin binding protein-- 125I-neutravidin. The 125I-neutravidin labeled TSHR-BIO-6HIS, freed of the excess of nonbound radioactivity, was eluted from Ni-NTA
agarose and used for the detection of pathological
autoantibodies in 50
Graves' disease, 10
Hashimoto's disease,
10 insulin-dependent diabetes mellitus and 50 normal sera. 46 of 50 (92%)
Graves' disease sera were positive in immunoprecipitation assay, as they have bound 125I-TSHR more effectively than the normal sera. There was a clear positive correlation between the immunoprecipitating activity and TSH-binding inhibiting activity of different Graves' sera (r = 0.69, P < 0.001). These findings pave the way for the development of a new practical assay, capable of detecting all pathological
autoantibodies to the TSHR, particularly those which bind but do not affect the
hormone-receptor interaction.