Sandbox 27
From Proteopedia
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TSH Receptor in complex with the thyroid-stimulating autoantibody M22
The thyrotropin receptor (or TSH receptor or TSHR) is a member of the G protein-coupled receptor superfamily of integral membrane proteins and is coupled to the Gs protein. It is on the surface of thyroid follicular cells. Once stimulated by TSH (Thyroid-Stimulating Hormone), THSR activates the production of thyroid hormones: thyroxine (T4) and triiodothyronine (T3).
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TSH and M22
TSH is a hormone also known as "thyrotropin". It is a member of the glycoprotein family (like LH, FSH or hCG). TSH regulates growth and function of thyroid follicular cells, and the gonadotropins LH/CG and FSH play an important role in human reproduction. Therefore, this class of receptors is central to medical, pharmaceutical, and biological research.
The studies on the structure of TSH receptor are based upon its binding to an antibody called M22. Crystals suitable for X-Ray diffraction analysis were obtained and the structure solved at 2.55 A resolution. Further crystallographic information is available from Pubmed
M22 is a thyroid stimulating human monoclonal antibody prepared using lymphocytes from a patient with Graves’ disease. It is an antibody to the TSHR. It mimics closely the binding of TSH on its receptor, so it stimulates the receptor and inhibits the binding of TSH to give rise to full activation of receptor mediated signal transduction.
Signalling pathway
Structure of the TSH Receptor
This receptor is evolutionary classified as rhodopsin-like receptors of family A. It is consisted of three different domains:
- An extracellular domain consisting of ten leucine-rich repeats (leucine rich domain or LRD), with a N-terminal tail linked by disulfide bonds. This ectodomain forms a concave surface (also with some contribution from the CD), it is responsible for the high affinity and selective binding of the corresponding hormones.
- A cleavage domain (or CD), containing six half-cystines. This domain is cleaved out upon maturation in the case of the TSHR.
- A transmembrane domain (also called "serpentine"), containing seven helixes connected by three extra- and three intracellular loops (ECL1-3; ICL1-3) and a C-terminal intracellular domain.
Full information about the LRD domain from Hot Thyroidology Journal
Structure of the complexe TSHR – M22
Chain A : Autoantibody M22 Light chain (fragment or Fab) Chain B: Autoantibody M22 Heavy chain (fragment or Fab) Chain C: Fragment Leucine Rich Repeat Domain (Segment 22-260) of Thyrotropin Receptor
Diseases
Like M22 other autoantibodies can bind to the TSHR and be responsible for diseases:
- antibodies binding to the receptor TSH (also called TRACK)
The diease of Basedow ou Graves Basedow: thyroïdite or hyperthyroidism, an autoimmune disease. The sick person produces abnormal antibodies against the follicular cells of the thyroid. However contrary to the normal antibodies they don’t destroy the cells, they but imitate the effects of TSH and thus over-stimulate continually the production of hormones. That causes a hypertrophy of thyroid involving a hyperthyroidism (with formation of a goiter) with some clinical symptoms. This is more frequent in woman than man; it includes acceleration of basal metabolism, diaphorese, cardiac arhythmy, increasing of nervosity, ophtalmopathy
- Another case of hyperthyroidism: linked to hCG
hCG is the chorionic gonadotrope hormone produced during the pregnancy. This hormone has structural homologies with TSH and so can be a low agonist of the receptor. With high concentrations it can cause hyperthyroidism.
