Low-dose immunization with adenovirus expressing the thyroid-stimulating hormone receptor A-subunit deviates the antibody response toward that of autoantibodies in human Graves' disease

Endocrinology. 2004 Jan;145(1):228-33. doi: 10.1210/en.2003-1134. Epub 2003 Oct 23.

Abstract

Immunization with adenovirus expressing the TSH receptor (TSHR) induces hyperthyroidism in 25-50% of mice. Even more effective is immunization with a TSHR A-subunit adenovirus (65-84% hyperthyroidism). Nevertheless, TSHR antibody characteristics in these mice do not mimic accurately those of autoantibodies in typical Graves' patients, with a marked TSH-blocking antibody response. We hypothesized that this suboptimal antibody response was consequent to the standard dose of TSHR-adenovirus providing too great an immune stimulus. To test this hypothesis, we compared BALB/c mice immunized with the usual number (10(11)) and with far fewer viral particles (10(9) and 10(7)). Regardless of viral dose, hyperthyroidism developed in a similar proportion (68-80%) of mice. We then examined the qualitative nature of TSHR antibodies in each group. Sera from all mice had TSH binding-inhibitory (TBI) activity after the second immunization, with TBI values in proportion to the viral dose. After the third injection, all groups had near-maximal TBI values. Remarkably, in confirmation of our hypothesis, immunization with progressively lower viral doses generated TSHR antibodies approaching the characteristics of autoantibodies in human Graves' disease as follows: 1) lower TSHR antibody titers on ELISA and 2) lower TSH-blocking antibody activity without decrease in thyroid-stimulating antibody activity. In summary, low-dose immunization with adenovirus expressing the free TSHR A-subunit provides an induced animal model with a high prevalence of hyperthyroidism as well as TSHR antibodies more closely resembling autoantibodies in Graves' disease.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adenoviridae / genetics
  • Animals
  • Autoantibodies / blood
  • Autoantibodies / immunology*
  • Disease Models, Animal
  • Female
  • Glycoprotein Hormones, alpha Subunit / immunology*
  • Graves Disease / immunology*
  • Humans
  • Immunization
  • Immunoglobulins, Thyroid-Stimulating / blood
  • Immunoglobulins, Thyroid-Stimulating / immunology*
  • Mice
  • Mice, Inbred BALB C
  • T-Lymphocytes / immunology
  • Virion

Substances

  • Autoantibodies
  • Glycoprotein Hormones, alpha Subunit
  • Immunoglobulins, Thyroid-Stimulating