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In the group of GD patients with high TRAb titers in serum, ICOSL expression on CD19+ B cells notably increased as compared with that in the patients with low TRAb. ICOS expression on CD4+ T cells and ICOSL expression on CD19+ B cells were recovered in the GD patients with negative TRAb. Conclusion The expression of ICOS on the surface of CD4+ T cells and ICOSL on CD19+ B cells in peripheral blood of patients with Graves's disease are significantly increased.With the decrease of TRAb level, the expression levels of ICOS on the surface of C