STUDIES ON A RECEPTOR ASSAY FOR AN ANTIBODY TO HUMAN THYROID PLASMA MEMBRANE
ABSTRACT A receptor assay was examined for the thyroid stimulating immunoglobulin using [125I]LATS. The principle of this method is the determination of displaced [125I]LATS from thyroidal plasma membrane (PM) by test serum. LATS-IgG without thyroidal antibodies was labelled with 125I, and radioactivity (RA) bound to purified PM from human thyroid was used as [125I] LATS. In the routine receptor assay, human thyroidal PM fraction, 0.1 ml of test serum, and [125I]LATS were incubated. Then [125I]LATS bound with the PM was determined after centrifugation. LATS positive serum showed a significant displacement. However, TSH (human and bovine), hCG and cholera toxin did not displace [125I]LATS from the plasma membrane. The bound per cent in euthyroid subjects was about 29 ± 3 % (mean ± sd). The displacing activity was positive in both hyperthyroid patients and in Hashimoto's thyroiditis, while in simple goitre and in hypothyroid patients with increased serum TSH it was always negative. LATS positive sera showed strong displacing activity in 16 of 17 cases, but LATS negative sera in hyperthyroid patients were positive in only 70 %. The displacing activity was also positive in all sera with positive precipitating antibody for thyroglobulin (TG), while patients with the positive haemagglutination antibody for TG (TRC: ≦ 107)in Hashimoto's disease were positive in about 50 % of cases. The displacing activity was not affected by absorption of TG antibody. Microsomal antibody in Hashimoto's disease was suggested to have an effect on the displacing activity. Although this method is not specific for determining LATS, this assay may be useful for examining thyroid plasma membrane binding immunoglobulin.