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遗传性热稳定变异型甲状腺素结合球蛋白(TBG-芝加哥型)

Inherited heat-stable variant thyroxine-binding globulin (TBG-Chicago).

作者信息

Takamatsu J, Refetoff S

出版信息

J Clin Endocrinol Metab. 1986 Nov;63(5):1140-4. doi: 10.1210/jcem-63-5-1140.

DOI:10.1210/jcem-63-5-1140
PMID:3093522
Abstract

The five known types of inherited variant T4-binding globulin (TBG) have in common increased sensitivity to heat denaturation compared to the common type TBG (TBG-C). In the course of studies to screen for and characterize variant TBGs in population groups, we detected a unique TBG with marked resistance to heat denaturation. The propositus was a 22-year-old black man without personal or family history of thyroid disease. His native TBG (nTBG) in serum had a t1/2 of denaturation at 56 C of 90 min compared to a mean value of 6.8 +/- 1.1 (+/- SD) min for TBG-C. This variant TBG, termed TBG-Chicago, was also resistant to acid denaturation, but was indistinguishable from TBG-C in terms of immunoreactivity, microheterogeneity on isoelectric focusing, and affinity for T4. It had a single T4-binding site and a normal concentration in serum associated with iodothyronine levels within the normal range. The mode of inheritance of TBG-Chicago appears to be X-chromosome linked. The mother of the propositus was heterozygous; her serum contained approximately 40% TBG-Chicago and 60% of another variant TBG common in blacks, TBG-S. The father had TBG-C, a trait that was not transmitted to his son. The exact nature of this variant TBG is not known. It most likely represents a mutation in the polypeptide chain of the molecule with formation of stronger intramolecular bonds.

摘要

已知的五种遗传性变异甲状腺素结合球蛋白(TBG)与常见类型的TBG(TBG-C)相比,其共同特点是对热变性的敏感性增加。在对人群中变异TBG进行筛查和特征描述的研究过程中,我们检测到一种对热变性具有显著抗性的独特TBG。先证者是一名22岁的黑人男性,无甲状腺疾病的个人或家族史。他血清中的天然TBG(nTBG)在56℃下变性的半衰期为90分钟,而TBG-C的平均值为6.8±1.1(±标准差)分钟。这种变异TBG被称为TBG-芝加哥型,它也对酸变性具有抗性,但在免疫反应性、等电聚焦的微异质性以及对T4的亲和力方面与TBG-C没有区别。它有一个单一的T4结合位点,血清中浓度正常,与正常范围内的碘甲状腺原氨酸水平相关。TBG-芝加哥型的遗传方式似乎是X染色体连锁。先证者的母亲是杂合子;她的血清中约含40%的TBG-芝加哥型和60%的另一种在黑人中常见的变异TBG,即TBG-S。父亲有TBG-C,该性状未遗传给儿子。这种变异TBG的确切性质尚不清楚。它很可能代表分子多肽链中的一种突变,形成了更强的分子内键。

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Inherited heat-stable variant thyroxine-binding globulin (TBG-Chicago).遗传性热稳定变异型甲状腺素结合球蛋白(TBG-芝加哥型)
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Partial Thyroid Hormone-Binding Globulin Deficiency: A Case Report and Literature Review.部分甲状腺激素结合球蛋白缺乏症:一例报告及文献综述
Diabetes Metab Syndr Obes. 2023 Jul 26;16:2225-2232. doi: 10.2147/DMSO.S413048. eCollection 2023.
2
Clinical recognition and evaluation of patients with inherited serum thyroid hormone-binding protein mutations.遗传性血清甲状腺激素结合蛋白突变患者的临床识别和评估。
J Endocrinol Invest. 2020 Jan;43(1):31-41. doi: 10.1007/s40618-019-01084-9. Epub 2019 Jul 27.
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Studies on thyroxine-binding globulin.
甲状腺素结合球蛋白的研究。
J Endocrinol Invest. 1993 May;16(5):353-71. doi: 10.1007/BF03348858.
4
Circulating thyroid hormone autoantibodies.循环甲状腺激素自身抗体
J Endocrinol Invest. 1987 Dec;10(6):605-19. doi: 10.1007/BF03347008.
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Hyperthyroxinaemia in hepatocellular carcinoma: relation to thyroid binding globulin in the clinical and preclinical stages of the disease.肝细胞癌中的甲状腺素血症:与疾病临床和临床前期甲状腺结合球蛋白的关系。
Br J Cancer. 1988 Mar;57(3):313-6. doi: 10.1038/bjc.1988.69.