While studying the humoral mechanisms involved in thyroid autoimmunity, we located a B-cell autoepitope in the extracellular C-terminal region of human thyroperoxidase. Structural modeling showed that this region encompasses both a Sushi-like and an epidermal growth factor-like domain, the flexible arrangement of which was putatively stabilized by calcium. The recombinant peptide was found to contain the previously identified conformational thyroperoxidase autoepitope. The occurrence of a calcium-induced conformational change was confirmed using a recombinant peptide monoclonal antibody, the decrease of which in binding to calcium-saturated thyroperoxidase was reversed by a chelating agent. The disease specificity of recombinant peptide, which was more frequently recognized by Hashimoto's than by Graves' patients, adds to its potential value as a diagnostic and preventive tool in the context of B-cell autoimmunity.
Thyroperoxidase (TPO)1 plays a key role in the biosynthesis of thyroid hormones by catalyzing both the iodination of tyrosine residues and the coupling of some iodotyrosine residues in thyroglobulin to form tri-and tetraiodothyronines. It is a hemecontaining membrane enzyme which is expressed at the apical pole of thyrocytes facing the colloid space (1). TPO belongs to the mammalian peroxidase family, the members of which include myelo-, lacto-, eosinophil, and salivary peroxidases (2). Human TPO contains 933 amino acids (aa), and shows a large extracellular region consisting of 848 aa and five potential glycosylation sites, a short membrane-spanning region, and a 61-aa cytoplasmic tail. Most of the extracellular region of TPO shows a high degree of homology with myeloperoxidase (aa 1-739). The extracellular region close to the membrane anchorage domain shows homologies with the C4b complement component (aa 739 -794) and EGF (aa 794 -842) (3). The threedimensional structure of TPO is not yet known, and elucidating this point constitutes an important task for scientists investigating the peroxidase family and for immunologists focusing on autoimmunity questions because TPO is a major thyroid autoantigen.Autoantibodies (aAb) to TPO are the most sensitive and specific serological markers available for diagnosing autoimmune thyroid diseases. Like most antibodies to exogenous antigens, TPO aAb are produced by B lymphocytes via a T-celldependent mechanism involving specific cellular receptors and soluble cytokines. At the molecular level, however, the specificity of the autoimmune reaction relies on the recognition of TPO epitopes by T and B-cells (4). T-cell receptors recognize linear epitopes from processed TPO associated with class II molecules belonging to the major histocompatibility complex, which are co-expressed at the surface of antigen-presenting cells. By contrast, B-cell receptors, which are membrane-bound immunoglobulins, usually have a more stringent specificity and recognize conformational epitopes, i.e. they are highly dependent on the three-dimensional structure of the TPO molecule (5-7).