TSHR as a Strategic Therapeutic Target in Thyroid Diseases
The thyroid-stimulating hormone receptor (TSHR) has re-emerged as a key target in endocrinology and autoimmune disease research. Therapeutic strategies targeting TSHR have expanded rapidly, encompassing blocking monoclonal antibodies, small-molecule antagonists, and novel approaches to modulate pathogenic autoantibodies. Clinical studies demonstrate encouraging safety and early efficacy of TSHR-directed antibodies in Graves’ disease and thyroid eye disease, while orally available antagonists and inverse agonists offer new options for long-term treatment. Importantly, recent findings extend the role of TSHR beyond hyperthyroidism to immunometabolic regulation and thyroid cancer, positioning TSHR as a multidimensional therapeutic target across immunity, metabolism, and oncology.









