The IYD antibody (H3 Ab) is a monoclonal antibody targeting iodotyrosine deiodinase (IYD), an enzyme responsible for scavenging iodide from monoiodotyrosine (MIT) and diiodotyrosine (DIT) during thyroid hormone synthesis . Unlike conventional antibodies that neutralize pathogens, H3 Ab uniquely acts as both an agonist and antagonist of IYD, enabling it to regulate thyroid hormone levels while inducing thermogenic cellular differentiation .
Antagonist action: Blocks IYD’s enzymatic activity, reducing thyroxine (T4) synthesis by 35–50% in murine models .
Agonist action: Binds to IYD on stem cells, triggering differentiation into brown adipocyte-like cells and enhancing core body temperature by 1.2–1.5°C .
Recent experiments in C57BL/6J mice revealed the antibody’s dual functionality:
| Parameter | H3 Ab Treatment | Control |
|---|---|---|
| Serum T4 levels | 3.2 ± 0.4 µg/dL | 6.1 ± 0.5 µg/dL |
| Body weight gain | 12% reduction | No significant change |
| Core body temperature | 37.9 ± 0.3°C | 36.7 ± 0.2°C |
Thyroid gland: H3 Ab inhibits IYD’s iodide-recycling function, increasing MIT/DIT substrates and reducing T4 production (antagonist effect) .
Stem cells: Binds to IYD-expressing stem cells, activating differentiation into brown adipocytes via undefined signaling pathways (agonist effect) .
Hypothyroidism: By reducing T4 synthesis, H3 Ab could serve as an adjunct therapy for hyperthyroidism or thyroid hormone resistance syndromes .
Obesity: Brown adipocyte differentiation enhances thermogenesis, potentially increasing energy expenditure by 15–20% in preclinical models .
No significant impact on blood glucose levels was observed despite increased thermogenesis .
The exact signaling mechanism linking IYD binding to adipocyte differentiation remains unresolved .
While most antibodies neutralize antigens or recruit immune effectors , H3 Ab’s dual functionality is unprecedented: