Thyroxine-binding globulin, TBG

Optimal result: 14 – 31 ug/ml

An increased TBG level may be due to:

- Acute intermittent porphyria (a rare metabolic disorder)

- Hypothyroidism (underactive thyroid)

- Liver disease

- Pregnancy (TBG levels normally increased during pregnancy)

- Drugs that can cause high TBG levels:

- Oral Contraceptives

- Estrogens

- Tamoxifen

- Methadone

- Heroin

- Perphenazine

Note: TBG levels are normally high in newborns.

Decreased TBG levels may be due to:

- Acute illness

- Chronic liver disease

- Acromegaly (disorder caused by too much growth hormone)

- Hyperthyroidism (overactive thyroid)

- Malnutrition

- Nephrotic syndrome (symptoms that show kidney damage is present)

- Stress from surgery

- Medications:

- Androgens

- Salicylates

- L-asparaginase

- Large doses of glucocorticoids (Prednison)

Thyroid-binding globulin (TBG) is produced in the liver and is the primary circulating (transport) protein that binds thyroid hormones3,5,3’-triiodothyronine (T3) and thyroxine (T4) and carries them in the bloodstream.

Thyroid-binding globulin (TBG) is produced in the liver and is the primary circulating (transport) protein that binds thyroid hormones 3,5,3’-triiodothyronine (T3) and thyroxine (T4) and carries them in the bloodstream (think of it like a taxi cab that shuttles T3 and T4 around the body).

There are 2 other thyroid hormone transport proteins (Transthyretin & serum Albumin), but TBG has the highest affinity (=the degree to which a substance tends to combine with another) for T4 and T3 but is present in the lowest concentration.

Reference Ranges:

- Adult Male: 12.7-25.1 mcg/mL

- Adult Female 13.5-30.9 mcg/mL

References:

- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2417873/

- https://www.sciencedirect.com/topics/biochemistry-genetics-and-molecular-biology/thyroxine-binding-globulin

Thyroxine-binding globulin, TBG
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