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Introduction In serum, thyroid hormone (TH) is mainly bound to transport proteins. The major proportion of circulating TH, 75% of T 4 and 70% of T 3 is bound to thyroxine-binding globulin [TBG; HUGO Gene Nomenclature Committee approved name
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Departments of Pediatrics, Chicago, IL, USA
Departments of Committee on Genetics, The University of Chicago, Chicago, IL, USA
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What Is Known about This Topic? • Partial thyroxine-binding globulin deficiency (TBG-PD) is an X-linked inherited TBG defect, which produces alterations in thyroid function tests, but no metabolic abnormality. • Clinical awareness is needed
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Endocrine Laboratory, Department of Clinical Chemistry, Amsterdam Gastroenterology, Endocrinology & Metabolism, Amsterdam UMC, Vrije Universiteit, Amsterdam, The Netherlands
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concentrations, and in order to detect CH-C, thyroxine-binding globulin (TBG) is measured in the lowest 5% of T4 concentrations enabling calculation of a modified T4/TBG ratio that serves as an indirect measure of free T4 (FT4). With this approach, low T4 values
Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam, The Netherlands
Amsterdam Reproduction & Development Research Institute, Amsterdam, The Netherlands
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Department of Pediatric Endocrinology, Emma Children’s Hospital, Amsterdam UMC, location University of Amsterdam, Amsterdam, The Netherlands
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in detecting central CH as low blood T4 concentrations are also found in premature and sick neonates, and in thyroxine-binding globulin (TBG) deficiency, a harmless condition resulting in a high number of false-positive NBS results. With the advent of
Institut National de la Recherche Médicale, UMR U895, Université Nice-Sophia Antipolis, Nice, France
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increased estradiol production (causing a rise in thyroxine-binding globulin - TBG), and the changes in iodine renal clearance and needs. Those changes result in a gradual increase in thyroid hormone production contrasting with a reported drop in free T4 (FT
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deviation from the daily mean (T4_SD). In case of a T4_SD ≤ −0.8, TSH is measured (approximately the lowest 20% of the daily mean) and in case of a T4_SD ≤ −1.6, thyroxine binding globulin (TBG) is measured as well (approximately the lowest 5% of the daily T
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Pregnancy is a stress test for the thyroid [ 1 ]. In a pregnancy in which the thyroid gland has a normal physiological response, it maintains the euthyroid state by increasing the production of thyroxine-binding globulin, total thyroxine, and
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concentration of T4 or T3. B = Biotin; R = ruthenium; SA = streptavidin; MAB = monoclonal antibody; Ab = antibody; ANS = 8-anilino-1-naphthalene sulphonic acid (to dissociate T4 from binding proteins); TBG = thyroxine-binding globulin; fT4 = free T4
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effects of genetic variation in these transporters. J Mol Endocrinol 2010;44:1-11. 10.1677/JME-09-0042 19541799 25 Refetoff S, Murata Y, Mori Y, Janssen OE, Takeda K, Hayashi Y: Thyroxine-binding globulin: organization of the gene and variants
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. A constellation of normal TSH and free T 4 but reduced total T 4 points to a deficiency in thyroxine-binding globulin (TBG), which is the main TH-transporting molecule in the blood. In this supplement, Moeller and colleagues [pp. 108-112] report