Beall G N, Rapoport B, Chopra I J, Kruger S R
J Clin Invest. 1985 May;75(5):1435-40. doi: 10.1172/JCI111845.
We immunized rabbits with thyroid-stimulating hormone (TSH) to investigate the hypothesis that such immunization could result in production of thyroid-stimulating autoantiidiotypic antibodies to anti-TSH. Thyroid-stimulating immunoglobulin (TSI) appeared in the serum of several rabbits after immunization. At 160 d, TSI equivalent to 6-18 microU TSH/1.5 mg IgG was present in two of six human (h)TSH-, two of six hTSH beta chain-, and two of the four surviving bovine (b)TSH-immunized animals. Control (human serum albumin-immunized rabbits) serum TSI was 4.3 +/- 0.4 (mean +/- SD) at this time. Antiidiotypic antibodies that could bind to monoclonal anti-hTSH were found in the sera of the bTSH-immunized rabbits. The peak TSI activity occurred 3 mo after a TSH booster immunization and declined gradually during subsequent weeks. Evidence that antiidiotypic antibodies to anti-TSH can cause thyroid stimulation strengthens the notion that such antibodies may be the cause of Graves' hyperthyroidism.
我们用促甲状腺激素(TSH)免疫兔子,以研究这样的免疫是否会导致产生针对抗TSH的促甲状腺自身抗独特型抗体这一假说。免疫后,几只兔子的血清中出现了促甲状腺免疫球蛋白(TSI)。在160天时,6只用人促甲状腺激素(hTSH)免疫的兔子中有2只、6只用人促甲状腺激素β链免疫的兔子中有2只,以及4只存活的用牛促甲状腺激素(bTSH)免疫的动物中有2只,其TSI相当于6 - 18微单位TSH/1.5毫克IgG。此时,对照(用人血清白蛋白免疫的兔子)血清TSI为4.3±0.4(平均值±标准差)。在用bTSH免疫的兔子血清中发现了能与单克隆抗hTSH结合的抗独特型抗体。TSI活性峰值在TSH加强免疫后3个月出现,并在随后几周逐渐下降。抗TSH的抗独特型抗体可引起甲状腺刺激的证据强化了这样一种观念,即此类抗体可能是格雷夫斯甲亢的病因。