
TSH Receptor Antibodies










The TSH Receptor Antibodies test is a blood test that detects the presence of specific proteins called Thyroid Stimulating Hormone (TSH) Receptor Antibodies. These antibodies play an important role in the development and diagnosis of autoimmune thyroid diseases, such as Grave’s disease. They can stimulate or inhibit thyroid hormone production leading to various clinical manifestations.













Understanding TSH Receptor Antibodies
TSH receptor antibodies (TRAbs) are the proteins produced by the immune system that target the Thyroid Stimulating Hormone (TSH) Receptor, an important regulator of thyroid gland function. TSH binds to its receptor, promoting thyroid hormone synthesis and secretion. However, in the presence of TRAbs, this interaction becomes dysregulated.
The TSH Receptor Antibodies test is a diagnostic test to detect TRAbs that are often present in certain thyroid conditions. The presence of TSH Receptor antibodies can indicate an autoimmune thyroid disorder such as Graves' disease, causing an overproduction of thyroid hormones, encompassing symptoms such as weight loss, palpitations, and heat intolerance. This test is often done alongside other thyroid function tests such as TSH, T3, T4, Free T3, Free T4, and other anti-thyroid antibodies tests to provide a more comprehensive view of thyroid function and to diagnose autoimmune thyroid disorders. If thyroid hormone tests indicate dysfunction, TSH Receptor Antibodies test may be ordered to explore autoimmune causes. During pregnancy, a TSH Receptor Antibodies test plays an important role in assessing thyroid health and identifying potential risks to the expecting mother and the growing baby.
Usually, no special preparation is required before undertaking a TSH Receptor Antibodies test. However, if done alongside thyroid function tests (TSH, T3, T4), inform your doctor about medications or supplements you are taking. While maintaining the continuity of your thyroid medications, wait for at least 8 -hours before a TSH Receptor Antibodies test if taking a high dose (more than 5 mg per day) of biotin (Vitamin B7) supplements as these may interfere with the test results.
Lab test results may vary depending on your age, gender, health history, and other things. Abnormal test results require an expert interpretation; therefore, never try to self-medicate at home based solely on these results, and always consult a doctor for a proper understanding of the test results. The insights from this test help the doctor to diagnose autoimmune thyroid disorders, guide treatment decisions, and assess thyroid health.
What does TSH Receptor Antibodies measure?
The TSH Receptor Antibodies test measures the presence and levels of specific antibodies known as TSH or Thyrotropin Receptor Antibody. These antibodies bind to the receptors on thyroid cells normally activated by thyroid stimulating hormone (TSH) and their presence usually indicates Grave’s disease, an autoimmune thyroid disorder. In Graves’ disease, an antibody called thyroid-stimulating immunoglobulin (TSI) binds to the TSH receptor and mimics the action of TSH. This causes constant stimulation of the thyroid gland, prompting it to release too much thyroid hormone. Elevated levels of these antibodies indicate an autoimmune response against the thyroid gland, which can help diagnose and monitor the relapse of Grave’s disease.





FAQs related to TSH Receptor Antibodies
- Grave’s Disease. [Internet]. NIH; Nov. 2021. [Accessed 26 Mar. 2024]. Available from:
- Fröhlich E, Wahl R. Thyroid Autoimmunity: Role of Anti-thyroid Antibodies in Thyroid and Extra-Thyroidal Diseases. Front Immunol. 2017 May 9;8:521. [Accessed 26 Mar. 2024]. Available from:
- Swain M, Swain T, Mohanty BK. Autoimmune thyroid disorders-An update. Indian J Clin Biochem. 2005 Jan;20(1):9-17. [Accessed 26 Mar. 2024]. Available from:
- Franco JS, Amaya-Amaya J, Anaya JM. Thyroid disease and autoimmune diseases. In: Anaya JM, Shoenfeld Y, Rojas-Villarraga A, et al., editors. Autoimmunity: From Bench to Bedside [Internet]. Bogota (Colombia): El Rosario University Press; 2013 Jul 18. Chapter 30. [Accessed 26 Mar. 2024]. Available from:
- López Ortega JM, Martínez PS, Acevedo-León D, Capell NE. Anti-TSH receptor antibodies (TRAb): Comparison of two third generation automated immunoassays broadly used in clinical laboratories and results interpretation. PLoS One. 2022 Jul 25;17(7):e0270890. [Accessed 26 Mar. 2024]. Available from:
- Jacob JJ. TSH Receptor Antibodies (TRAb) Assay: An Underutilized Test in India. Indian J Endocrinol Metab. 2022 Jan-Feb;26(1):1-3. doi: 10.4103/2230-8210.343876. Epub 2022 Apr 27. PMID: 35662755; PMCID: PMC9162263. [Accessed 26 Mar. 2024]. Available From:
- Aleksić A, Aleksić Z, Stojanović M. TSH receptor antibodies for confirming the diagnosis and prediction of remission duration, in newly diagnosed Graves' disease patients. Hell J Nucl Med. 2009 May-Aug;12(2):146-50. PMID: 19675869. Available From:
Other tests
- Thyroid Profile Total (T3, T4 & TSH)
- TSH (Thyroid Stimulating Hormone) Ultrasensitive
- Serum Calcium
- Thyroid Profile Free (FT3, FT4 & TSH)
- Anti-TPO Antibody (Anti-Thyroid Peroxidase Antibody)
- FT3 & FT4 (Free T3 & Free T4)
- Thyroxine - Free (FT4)
- T4 Free & TSH-Ultrasensitive
- PTH (Intact Parathyroid Hormone)
- T3 & T4 Total
- CBC (Complete Blood Count)
- FBS (Fasting Blood Sugar)
- Thyroid Profile Total (T3, T4 & TSH)
- HbA1c (Glycosylated Hemoglobin) Test
- PPBS (Postprandial Blood Sugar)
- Lipid Profile
- Vitamin D (25-Hydroxy)
- Urine R/M (Urine Routine & Microscopy)
- Coronavirus Covid -19 test- RT PCR
- LFT (Liver Function Test)
- KFT (Kidney Function Test)
- TSH (Thyroid Stimulating Hormone) Ultrasensitive
- ESR (Erythrocyte Sedimentation Rate)
- Uric Acid, Serum
- Vitamin B12
- CRP (C-Reactive Protein), Quantitative
- Urine C/S (Urine Culture and Sensitivity)
- Serum Electrolytes
- Serum Calcium test
- Serum Creatinine
- Diabetes Screening (HbA1C & Fasting Sugar)
- KFT with Electrolytes (Kidney Function Test with Electrolytes)
- Cholesterol - Total
- Hb (Hemoglobin)
- Complete Hemogram (CBC & ESR)























