Tsh receptor antibody

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 07.04.2024

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Synonym(s)

Antibodies against TSH receptor; Thyrotropin receptor autoantibodies; TRAK; T-R-A-K; TSH-R-Ak; TSH receptor antibody

Definition
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TSH receptor antibodies belong to the class of IgG antibodies (IgG autoantibodies) that are directed against the TSH receptor on thyroid cells. They bind to the TSH receptor (TSH-R) and lead to an uncontrolled stimulation of the receptor. They therefore have an analogous effect to the physiologically binding hormone"thyroid-stimulating hormone" (TSH).

TSH receptor antibodies occur primarily in hyperthyroidism of the Graves' disease type (autoimmune thyroid disease with goitre, hyperthyroidism and endocrine orbitopathy).

Clinical picture
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Graves' disease: TRAK detection rate: 80-100 %

Postpartum thyroiditis: Special form of chronic thyroiditis that occurs after childbirth. This results in temporary hyperthyroidism (hyperthyroidism), which is followed by temporary hypothyroidism with spontaneous recovery. TRAK detection frequency: 50-70 %

Hashimoto thyroiditis (Hashimoto thyroiditis; autoimmune thyroiditis); autoimmune disease of the thyroid gland that leads to hypothyroidism (underactive thyroid gland). TRAK detection frequency: approx. 10 %

Primary myxedema (atrophic autoimmune thyroiditis). TRAK detection rate: 0-5 %

Thyroid autonomy (rare). TRAK detection frequency: approx. 5 %

Healthy persons. TRAK detection frequency in healthy individuals: 0 %

Note(s)
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Thyrotropin receptor autoantibodies differ from most other autoantibodies (e.g. ANA; ENA) because they are directly responsible for the clinical symptoms of the disease.

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Last updated on: 07.04.2024