TSH Receptor Autoantibodies

TSH Receptor Autoantibodies (TRAb) Test – Details

What is the TRAb Test?

The TSH Receptor Autoantibodies (TRAb) test detects autoantibodies that target the thyroid-stimulating hormone (TSH) receptor. These antibodies play a key role in Graves’ disease, an autoimmune disorder that causes hyperthyroidism (overactive thyroid).


Why is the Test Done?

Diagnose Graves’ Disease – Confirms an autoimmune cause of hyperthyroidism.
Differentiate Graves’ Disease from Other Thyroid Disorders – Helps distinguish it from toxic multinodular goiter or thyroiditis.
Predict Graves’ Ophthalmopathy (Thyroid Eye Disease, TED) – High TRAb levels indicate increased risk of eye involvement.
Monitor Treatment Response – Tracks antibody levels during treatment (antithyroid drugs, radioiodine, or surgery).
Assess Risk of Neonatal Hyperthyroidism – In pregnant women with Graves’ disease, TRAb can cross the placenta and affect the baby.


Test Procedure

  • Sample Type: Blood (Serum)
  • Fasting Required: No
  • Testing Method: Immunoassay (ELISA, RIA, or Third-Generation Bioassays)
  • Time for Results: 1–3 days

Types of TRAb (TSH Receptor Autoantibodies)

1️⃣ Stimulating Antibodies (TSI – Thyroid Stimulating Immunoglobulins)

  • Increase thyroid activity → Graves’ Disease.
    2️⃣ Blocking Antibodies
  • Reduce thyroid function → May contribute to hypothyroidism.
    3️⃣ Neutral Antibodies
  • Have no significant effect on thyroid function.

Normal & Abnormal TRAb Levels

Result Interpretation
Negative (<1.75 IU/L) No autoimmune thyroid disease detected.
Borderline (1.75–2.0 IU/L) Possible early or mild disease; requires further evaluation.
Positive (>2.0 IU/L) Suggests Graves’ Disease or risk of neonatal hyperthyroidism in pregnancy.

(Reference ranges vary by lab and test method used.)


Interpreting Elevated TRAb Levels

Condition TRAb Level Effect on Thyroid
Graves’ Disease High (↑) Overactive thyroid (hyperthyroidism)
Hashimoto’s Thyroiditis (Rare Cases) Mildly Elevated Can fluctuate between hyper- and hypothyroidism
Neonatal Thyrotoxicosis High in Pregnant Mother May cause transient hyperthyroidism in newborn
Post-Treatment Monitoring Decrease in levels Indicates effective treatment

Follow-Up Tests if TRAb is Positive

📌 TSH, Free T3, Free T4 – To evaluate thyroid function.
📌 Thyroid Ultrasound & Doppler – Helps assess thyroid size and blood flow.
📌 Radioactive Iodine Uptake (RAIU) Scan – Differentiates Graves’ Disease from thyroiditis.
📌 Eye Exam – If Graves’ ophthalmopathy is suspected.


Key Takeaways

TRAb is a key marker for diagnosing Graves’ disease.
High TRAb in pregnancy may indicate risk of neonatal hyperthyroidism.
Monitoring TRAb helps assess treatment response and relapse risk.

Original price was: ₹2,499.00.Current price is: ₹1,499.00.

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