“…(1991) demonstrated that rhTSH is able to activate the TSH receptor, as reflected by the accumulation of cAMP, the induction of Tg secretion and thyroid epithelial cell multiplication. Although rhTSH has an amino acid structure identical to hTSH (Cole et al ., 1993), its glycosylation is different with higher sialic acid content (Thotakura et al ., 1991;Szkudlinski et al ., 1993). As a consequence, rhTSH exhibits lower immunological activity, lower TSH receptor binding affinity, and lower in vitro bioactivity than hTSH.…”