PMID: 7307280Jul 1, 1981

Autoantibodies to thyroglobulin cross reacting with iodothyronines

Clinical Endocrinology
C J PearceR L Himsworth

Abstract

Serum thyroxine was consistently unmeasurable by radioimmunoassay in an elderly patient with myxoedema after successful treatment with oral thyroxine. Abnormal binding of thyroxine was suspected and shown to be due to the presence in serum of antibodies of the IgG variety. The characteristics of these antibodies with respect to their binding of thyroxine (T4), triiodothyronine (T3), reverse triiodothyronine (rT3) and human thyroglobulin (Tg) were systematically studied. Three preparations of Tg, and t4, T3 and rT3 were examined for their ability to compete with 125I-Tg, 125I-T4, 125I-T3 and 125I-rT3 for binding to the antibodies. For each tracer used the order of competitive efficiency was Tg greater than T4 greater than T3 greater than rT3. This provides for the first time direct evidence that iodothyronine reacting antibodies occurring in man are generated against Tg. All three iodothyronines were able to inhibit tracer binding of labelled iodothyronines completely, the order of effectiveness being T4 greater than T3 greater than rT3, suggesting antibodies with one type of binding site and that these were probably raised against a Tg sequence incorporating T4, although there was some evidence for the existence of a minor subp...Continue Reading

References

Jan 1, 1979·Acta Medica Scandinavica·P H JørgensenK A Jensen
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Citations

Jul 1, 1998·Indian Journal of Clinical Biochemistry : IJCB·R Abraham, R Chawla
Dec 1, 1997·Indian Journal of Clinical Biochemistry : IJCB·R Abraham, R Chawla
Oct 31, 1990·Clinica Chimica Acta; International Journal of Clinical Chemistry·S Sakata
Feb 1, 1995·Clinical Biochemistry·T WangG Ellis
Jul 1, 1985·Veterinary Immunology and Immunopathology·D M Haines, W J Penhale
Apr 1, 1984·Journal of Endocrinological Investigation·J Ordoñez-LlanosJ A Gomez-Gerique
Jun 1, 1989·Journal of Endocrinological Investigation·S NakamuraK Miura
Oct 1, 1989·Australian and New Zealand Journal of Medicine·N C FranceJ V Conaglen
Sep 1, 1994·Clinical Endocrinology·S SakataK Yasuda
Jul 15, 2004·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·A G OzgenM Tüzün
Dec 1, 1987·Journal of Endocrinological Investigation·S BenvengaJ ROBBINS
Jan 1, 1990·Autoimmunity·J Furmaniak, B R Smith

Related Concepts

Autoantibodies
Cross Reactions
Hypothyroidism
Polyglobin
Thyroglobulin
Thyronine
Novothyral
Cytomel
Reverse Triiodothyronine

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