TSH is a glycoprotein hormone composed of two subunits: alpha (α) and beta (β). The alpha subunit is common to other glycoprotein hormones like luteinizing hormone (LH) and follicle-stimulating hormone (FSH), while the beta subunit is unique and confers biological specificity. The recombinant form of TSH is produced by co-transfecting a human α-subunit cDNA with a human β-subunit partial genomic clone into Chinese Hamster Ovary (CHO) cells .
The production of rhTSH involves several steps:
Recombinant human TSH is primarily used in the management of thyroid cancer. It stimulates the uptake of radioactive iodine (131 I) and the release of thyroglobulin (Tg) from thyroid remnants and metastases, aiding in the detection and treatment of thyroid carcinoma . Additionally, rhTSH is used in diagnostic tests to evaluate thyroid function without the need for patients to discontinue thyroid hormone therapy .