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The decrease of T3 / T4 is not hypothyroidism - a new mutation of Serpina7 gene results in partial thyroglobulin deficiency.

Authors :
Cao L
Lou X
Zhou L
Wu Y
Source :
Die Pharmazie [Pharmazie] 2021 Sep 01; Vol. 76 (9), pp. 428-430.
Publication Year :
2021

Abstract

To explore an unusual cause of the decrease of T3/T4 through a new mutation of TBG gene in a family, so as to avoid habitual thinking and reduce subsequent over treatment. TSH, free total T4, T3 and free T4, T3 were determined by automatic chemiluminescence immunoassay. The TBG mutation was identified by direct DNA sequencing. A frameshift mutation of p. l372ffs * 32 was found in the TBG gene (c.1114delc) of the patient by direct DNA sequencing, and the proband of the family was heterozygous. In vitro expression showed that the affinity of TBG for T4 decreased. Further examination of the family members showed that T3 and T4 were decreased, while FT3, FT4 and TSH were normal. If the patients with low TT4 and TT3 but normal TSH are found, the serum TBG level and related genes should be detected to determine whether it is TBG deficiency and avoid wrong treatment.

Details

Language :
English
ISSN :
0031-7144
Volume :
76
Issue :
9
Database :
MEDLINE
Journal :
Die Pharmazie
Publication Type :
Academic Journal
Accession number :
34481533
Full Text :
https://doi.org/10.1691/ph.2021.1559