title: Thyroid hormone binding inhibition in critically ill patients--who is the inhibitor?
abstract: In 31 severely ill patients of our intensive care unit an increased thyroid hormone binding inhibition detected by quantitative measurement of the effect of ether extracts of patients' sera on thyroxine tracer binding to TBG was found. As free fatty acids in serum were diminished in these patients, their postulated role as binding inhibitors in the "low T4 syndrome" of critically ill patients must be questioned. It cannot be excluded that THBI assays demonstrating this inhibition measure artefacts caused by heparine-induced in vitro lipolysis.
authors.affiliation: Department of Endocrinology, University Hospital, Frankfurt am Main, FRG.
authors.forename: E
authors.initials: E
authors.lastname: Schifferdecker
authors.forename: S
authors.initials: S
authors.lastname: Hering
authors.forename: B O
authors.initials: BO
authors.lastname: Böhm
authors.forename: H
authors.initials: H
authors.lastname: Förster
authors.forename: P H
authors.initials: PH
authors.lastname: Althoff
authors.forename: F
authors.initials: F
authors.lastname: Schulz
authors.forename: K
authors.initials: K
authors.lastname: Schöffling
mesh_terms: D000208:Acute Disease; D002352:Carrier Proteins / Q000037:antagonists & inhibitors*; D005227:Fatty Acids / Q000032:analysis; D006493:Heparin / Q000494:pharmacology; D006801:Humans; D008565:Membrane Proteins / Q000037:antagonists & inhibitors*; D013961:Thyroid Gland / Q000187:drug effects / Q000378:metabolism; D013963:Thyroid Hormones; D013974:Thyroxine / Q000032:analysis; D014284:Triiodothyronine / Q000032:analysis; D000097810:Thyroid Hormone-Binding Proteins
chemical_list: D002352:Carrier Proteins; D005227:Fatty Acids; D006493:Heparin; D008565:Membrane Proteins; D013963:Thyroid Hormones; D013974:Thyroxine; D014284:Triiodothyronine; D000097810:Thyroid Hormone-Binding Proteins