Evidence map›Paper›PMID 29845889›Full record

ArticleThyroid : official journal of the American Thyroid Association2018

Structure of a Thyrotropin Receptor Monoclonal Antibody Variable Region Provides Insight into Potential Mechanisms for its Inverse Agonist Activity.

Chun-Rong Chen, Sandra M McLachlan, Paul A Hubbard, Randall McNally, Ramachandran Murali, Basil Rapoport

Open access · greenAbstract read
In one paragraph

Article in Thyroid : official journal of the American Thyroid Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 46% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Chun-Rong Chen1 Thyroid Autoimmune Disease Unit, Department of Medicine, Cedars-Sinai Medical Center and UCLA School of Medicine , Los Angeles, California.
Sandra M McLachlan1 Thyroid Autoimmune Disease Unit, Department of Medicine, Cedars-Sinai Medical Center and UCLA School of Medicine , Los Angeles, California.
Paul A Hubbard2 Department of Biomedical Sciences, Research Division of Immunology, Cedars-Sinai Medical Center and UCLA School of Medicine , Los Angeles, California.
Randall McNally2 Department of Biomedical Sciences, Research Division of Immunology, Cedars-Sinai Medical Center and UCLA School of Medicine , Los Angeles, California.
Ramachandran Murali2 Department of Biomedical Sciences, Research Division of Immunology, Cedars-Sinai Medical Center and UCLA School of Medicine , Los Angeles, California.
Basil Rapoport1 Thyroid Autoimmune Disease Unit, Department of Medicine, Cedars-Sinai Medical Center and UCLA School of Medicine , Los Angeles, California.
Cedars-Sinai Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe high constitutive, or ligand-independent, activity of the thyrotropin receptor (TSHR) is of clinical importance in some thyroid conditions, particularly well-differentiated thyroid carcinoma remnants following incomplete ablative therapy (surgery and radioiodine). Under these conditions, even total suppression of TSH by thyroid hormone administration does not fully reduce TSHR activity, a driver of thyrocyte growth.

methodsCS-17 is a murine monoclonal antibody that has inverse agonist activity in that it suppresses TSHR constitutive activity. This study crystallized the CS-17 Fab and determined its atomic structure at a resolution of 3.4 Å.

resultsIn silico docking of this structure to that of the TSHR extracellular domain was accomplished by targeting to TSHR residue tyrosine 195 (Y195) known to contribute to the CS-17 epitope. High affinity interaction between these two molecules, primarily by the CS-17 immunoglobulin heavy chain, was validated by energetic analysis (K

conclusionsStructural insight at atomic resolution of a TSHR antibody with inverse agonist activity opens the way for the development of a molecule with therapeutic potential, particularly in thyroid carcinoma. For this purpose, CS-17 will require "humanization" by substitution of its constant region (Fc component). In addition, with its epitope defined, the CS-17 affinity can be increased further by mutagenesis of selected amino acids in its heavy- and light-chain complementarity determining regions.

Indexed as

EpitopesAnimalsAntibodies, MonoclonalCHO CellsCricetulusHumansImmunoglobulins, Thyroid-StimulatingReceptors, ThyrotropinAntibodies, MonoclonalEpitopesImmunoglobulins, Thyroid-StimulatingReceptors, Thyrotropininverse agonistmonoclonal antibodyTSH receptor

Identifiers

PMID29845889
PMCPMC6043401
OpenAlexW2806871063

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.