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Congenital thyroxine binding globulin deficiency: incidence and inheritance

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Summary

Ninety-nine cases of thyroxine binding globulin (TBG) deficiency (90 males and 9 females) were identified among low-T4 infants after newborn hypothyroid screening. The data indicate that inherited TBG deficiency occurs in at least 1: 5,000 newborns (1:2,800 males) and that mild and more pronounced forms are found in approximately equal proportions. Genetic analysis indicates that X-linked inheritance is the usual mode with no suggestion of autosomal inheritance.

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References

  • Bigazzi M, Ronga R, Olivotti, AL, Scarselli G, Refetoff S (1980) Inherited X chromosome linked thyroxine binding globulin deficiency in a homozygous female. J Endocrinol Invest 4:349–351

    Google Scholar 

  • Brown AL, Fernhoff PM, Milner J, McEwen C, Elsas LS (1981) Racial differences in the incidence of congenital hypothyroidism. J Pediatr 99:934–936

    Google Scholar 

  • Burr WA, Ramsden DB, Evans SE, Hogan T, Hoffenberg R (1977) Concentration of thyroxine-binding globulin: value of direct assay. Br Med J [Clin Res] 1:485–488

    Google Scholar 

  • Burr WA, Ramsden DB, Hoffenberg R (1980) Hereditary abnormalities of thyroxine-binding globulin concentration; a study of 19 kindreds with inherited increase or decrease of thyroxine-binding globulin. Q J Med 49:295–313

    Google Scholar 

  • Daiger SP, Rummel DP, Wand L, Cavalli-Sforza LL (1981) Detection of genetic variation with radioactive ligands. IV. X-linked, polymorphic variation of thyroxine binding globulin. Am J Hum Genet 33:640–648

    Google Scholar 

  • Daiger SP, Miller M, Chakraborty R (1984) Heritability of quantitative variation at the group-specific component (Gc) locus. Am J Hum Genet 36:663–676

    Google Scholar 

  • Dussault JH, Letarte J, Guyda H, Laberge C (1977) Serum thyroid hormone and TSH concentrations in newborn infants with congenital absence of thyroxine-binding globulin. J Pediatr 90:264–265

    Google Scholar 

  • Dussault JH, Morisette J, Letarte J, Guyda H, Laberge C (1980) Thyroxine-binding globulin capacity and concentration evaluated from blood spots on filter-paper in a screening program for neonatal hypothyroidism. Clin Chem 26:463

    Google Scholar 

  • Fisher DA (1973) Advances in the laboratory diagnosis of thyroid disease. Part I. J Pediatr 82:1–9

    Google Scholar 

  • Fisher DA, Klein AH (1981) Thyroid development and disorders of thyroid function in the newborn. N Engl J Med 304:702–712

    Google Scholar 

  • Gershengorn MC, Cheng SY, Lippoldt RE, Lord RS, Robbins J (1977) Characterization of human thyroxine-binding globulin. J Biol Chem 252:8713–8718

    Google Scholar 

  • Hadeed AJ, Asay LD, Klein AH, Fisher DA (1981) Significance of transient postnatal hypothyroxinemia in premature infants with and without respiratory distress syndrome. Pediatrics 68:494–498

    Google Scholar 

  • Kamboh MI, Kirwood C (1984) Genetic polymorphism of thyroxine-binding globulin (TBG) in the Pacific area. Am J Hum Genet 36:646–654

    Google Scholar 

  • Kraemer E, Wiswell JG (1968) Familial thyroxine-binding globulin deficiency. Metabolism 17:260–262

    Google Scholar 

  • Murata Y, Refetoff, Sarne DH, Dick M, Watson F (1985). Variant throxine-binding globlin in serum of Australian aborigines: its physical, chemical and biological properties. J Endocrinol Invest 8:225–232

    Google Scholar 

  • Nusynowitz ML, Clark RF, Strader W, Estrin HM, Seal US (1971) Thyroxine binding globulin deficiency in 3 families and total deficiency in a normal woman. Am J Med 50:458–464

    Google Scholar 

  • Orstavik KH, Magnus P, Reisner H, Berg K, Graham JB, Nance W (1985) Factor VIII and factor IX in a twin population. Evidence for a major effect of ABO locus on factor VIII level. Am J Hum Genet 37:89–101

    Google Scholar 

  • Perry RE, Hodgman JE, Starr P (1965) Maternal, cord and serial venous blood: protein-bound iodine, thyroid-binding globulin, thyroid-binding albumin, and prealbumin values in premature infants. Pediatrics 35:759–764

    Google Scholar 

  • Refetoff S, Selenkow HA (1968) Familial thyroxine-binding globulin deficiency in a patient with Turner's syndrome (XO): genetic study of a kindred. N Engl J Med 278:1081–1087

    Google Scholar 

  • Refetoff S, Robin N, Alper CA (1972) Study of four new kindreds with thyroxine binding globulin abnormalities. J Clin Invest 51:848

    Google Scholar 

  • Rivas ML, Merritt AD, Oliner L (1971) Genetic variants of thyroxine-binding-globulin (TBG). Clinical delineation of birth defects, X: The endocrine system. Birth Defects 7:34–41

    Google Scholar 

  • Sorcini MC, Fiore L, Tomarchio S, Di Iorio MG, Gilardi E, Diodatio A, Carta S (1980) Congenital deficiency of thyroxine-binding globulin in newborn infants. IRCS Med Sci 8:88

    Google Scholar 

  • Steffes MW, Oppenheimer JH (1979) The laboratory evaluation of thyroid function. Minn Med 62:162–164

    Google Scholar 

  • Tanaka S, Starr P (1959) Euthyroid man without thyroxine binding globulin. J Clin Endocrinol 19:485–487

    Google Scholar 

  • Watson F, Dick M (1980) Distribution and inheritance of low serum thyroxine-binding globulin levels in Australian Aborigines. Med J Aust 2:385–387

    Google Scholar 

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Jenkins, M.B., Steffes, M.W. Congenital thyroxine binding globulin deficiency: incidence and inheritance. Hum Genet 77, 80–84 (1987). https://doi.org/10.1007/BF00284719

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  • DOI: https://doi.org/10.1007/BF00284719

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