Journal of Clinical Pediatrics ›› 2025, Vol. 43 ›› Issue (8): 598-603.doi: 10.12372/jcp.2025.25e0349

• Original Article • Previous Articles     Next Articles

Thyroxine binding globulin deficiency in three families and review of the literature

LI Miaomiao1, PAN Guimei2, LIU Lei3, CHEN Qiong1, LI Yangshiyu1, ZHANG Zixia1, WANG Xi1, DU Mengmeng1, WEI Haiyan1, CHEN Yongxing1()   

  1. 1. Department of Endocrinology and Inborn Error of Metabolism, Children's Hospital Affiliated to Zhengzhou University, Henan Children's Hospital, Zhengzhou Children's Hospital, Zhengzhou 450053, Henan, China
    2. Pediatric Intensive Care Unit, Qingdao Women and Children's Hospital of Qingdao University, Qingdao, 266011, Shandong, China
    3. Pediatric Medical Institute, Children's Hospital Affiliated to Zhengzhou University Henan Children's Hospital, Zhengzhou Children's Hospital, Henan Provincial Key Laboratory for Genetic and Metabolic Disease in Children, Zhengzhou 450018, Henan, China
  • Received:2025-04-03 Accepted:2025-05-26 Published:2025-08-15 Online:2025-07-28
  • Contact: CHEN Yongxing E-mail:cyx75@126.com

Abstract:

Objective To investigate the clinical characteristics and genetic features of thyroid-binding globulin (TBG) deficiency, enhance the accuracy of clinical diagnosis, and avoid misdiagnosis and overtreatment. Methods Members from three different families were subjected to SERPINA7 gene sequencing to explore its genetic basis. Results The variants detected in the three families through whole-exome sequencing occurred in exons, specifically c.712A>G(p.M238V), c.1114delC(p.L372Ffs*23), and c.383-401dup(p.F135Afs*21), with the variants in Family 1 and Family 3 being reported for the first time. Conclusion TBG deficiency does not require special treatment; correct diagnosis and comprehensive disease education are key to the management of this condition. This study identified two new SERPINA7 gene variants, expanding the mutation spectrum of this gene.

Key words: thyroxine binding globulin deficiency, SERPINA7, genetic testing

CLC Number: 

  • R72