Immunization of mice with a newly identified thyroid-stimulating hormone receptor splice variant induces Graves'-like disease

J Autoimmun. 2013 Jun:43:18-25. doi: 10.1016/j.jaut.2013.02.004. Epub 2013 Mar 26.

Abstract

We have cloned a thyroid-stimulating hormone receptor (TSHR) cDNA from mouse thyroid glands. The sequence of this cDNA indicated that it encoded a 739 amino acid TSHR splice variant that lacked exon 5 (TSHR739). In thyroid gland samples from adult mice, the amount of TSHR739 mRNA was about 10% of the amount of full-length TSHR (TSHR764) mRNA. A eCFP-tagged TSHR739 integrated into plasma membrane, but lacked TSH binding activity and it did not produce cAMP in response to TSH. However, thyroid-stimulating antibodies from patients with Graves' disease stimulated cAMP production in HEK293 cells that expressed TSHR739. Quantitative PCR revealed that TSHR739 transcript levels were low in the fetal mouse thyroid samples, but TSHR739 transcript levels increased after birth and as the mice grew. We used plasmid injection combined with electroporation into skeletal muscles to immunize BALB/c mice with TSHR739, TSHR764,, or control plasmid; TSHR739 caused goiters, high (125)I uptake activity, thyrotoxicosis, and production of thyroid-stimulating antibodies, but TSHR764, or control did not. These results indicated that immunization with an autologous TSHR antigen, TSHR739, induced Graves'-like disease in mice, and that TSHR739 is a candidate autoantigen in autoimmune thyroid disease.

MeSH terms

  • Alternative Splicing
  • Amino Acid Sequence
  • Animals
  • Autoantigens / genetics
  • Autoantigens / immunology
  • Autoantigens / metabolism
  • Base Sequence
  • Cloning, Molecular
  • DNA, Complementary / genetics
  • Disease Models, Animal
  • Female
  • Graves Disease / etiology*
  • Graves Disease / genetics
  • Graves Disease / immunology
  • HEK293 Cells
  • Humans
  • Immunization
  • Mice
  • Mice, Inbred BALB C
  • Protein Isoforms / genetics
  • Protein Isoforms / immunology
  • Protein Isoforms / metabolism
  • RNA, Messenger / genetics
  • RNA, Messenger / metabolism
  • Receptors, Thyrotropin / genetics*
  • Receptors, Thyrotropin / immunology*
  • Receptors, Thyrotropin / metabolism
  • Recombinant Fusion Proteins / genetics
  • Recombinant Fusion Proteins / immunology
  • Recombinant Fusion Proteins / metabolism

Substances

  • Autoantigens
  • DNA, Complementary
  • Protein Isoforms
  • RNA, Messenger
  • Receptors, Thyrotropin
  • Recombinant Fusion Proteins