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Targeting the thyroid-stimulating hormone receptor with small molecule ligands and antibodies
1Icahn School of Medicine at Mount Sinai and the James J. Peters VA Medical Center, Thyroid Research Unit , 1 Gustave L Levy Place, New York, NY 10029 , USA +1 212 241 7975 ; +1 212 428 6748 ; terry.davies@mssm.edu.
Introduction:
The thyroid-stimulating hormone receptor (TSHR) is the essential molecule for thyroid growth and thyroid hormone production. Since it is also a key autoantigen in Graves' disease and is involved in thyroid cancer pathophysiology, the targeting of the TSHR offers a logical model for disease control.
Areas Covered:
We review the structure and function of the TSHR and the progress in both small molecule ligands and TSHR antibodies for their therapeutic potential.
Expert Opinion:
Stabilization of a preferential conformation for the TSHR by allosteric ligands and TSHR antibodies with selective modulation of the signaling pathways is now possible. These tools may be the next generation of therapeutics for controlling the pathophysiological consequences mediated by the effects of the TSHR in the thyroid and other extrathyroidal tissues.
Insights
Targeting the thyroid-stimulating hormone receptor (TSHR) offers new therapeutic strategies. Allosteric ligands and TSHR antibodies can selectively modulate TSHR pathways for disease control.
Area of Science:
- Endocrinology
- Molecular Biology
- Immunology
Background:
- The thyroid-stimulating hormone receptor (TSHR) is crucial for thyroid function and hormone synthesis.
- TSHR is implicated as a key autoantigen in Graves' disease and in thyroid cancer development.
Purpose of the Study:
- To review the structure and function of TSHR.
- To explore the therapeutic potential of small molecule ligands and TSHR antibodies.
Main Methods:
- Literature review of TSHR structure and function.
- Analysis of therapeutic strategies involving small molecules and antibodies targeting TSHR.
Main Results:
- TSHR conformation can be stabilized by allosteric ligands.
- Selective modulation of TSHR signaling pathways is achievable.
Conclusions:
- Allosteric ligands and TSHR antibodies represent potential next-generation therapeutics.
- These agents can control pathophysiological consequences mediated by TSHR in thyroid and extrathyroidal tissues.
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