SERPINA7

Serpin Family A Member 7 (Thyroxine-Binding Globulin)

Gene Information Card

Symbol SERPINA7
Full Name Serpin Family A Member 7
Gene Type Protein coding
Chromosomal Location Xq22.3
NCBI Gene ID 7157 ncbi.nlm.nih.gov/gene/7157
Ensembl ID ENSG00000170099
UniProt ID P05543
OMIM ID 314200
HGNC ID 1540
Aliases TBG, TBG1, T4-binding globulin, thyroxine-binding globulin

Description

SERPINA7 encodes thyroxine-binding globulin (TBG), a serine protease inhibitor (serpin) family member that is the major thyroid hormone transport protein in blood. TBG binds approximately 75% of circulating thyroxine (T4) and triiodothyronine (T3), regulating their bioavailability and metabolic clearance. The gene is located on the X chromosome, and mutations can lead to TBG deficiency or excess, affecting thyroid function tests.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Thyroxine-Binding Globulin Deficiency Loss-of-function mutations in SERPINA7 reduce TBG levels, decreasing total T4/T3 binding capacity without altering free hormone levels; typically euthyroid but may show abnormal thyroid function tests. ClinVar, OMIM #314200
Thyroxine-Binding Globulin Excess Gain-of-function or duplication of SERPINA7 increases TBG levels, elevating total T4/T3 but free hormones remain normal; euthyroid state. OMIM #314200
Familial Euthyroid Hyperthyroxinemia Elevated total T4 due to TBG excess, mimicking hyperthyroidism but with normal free T4 and TSH. ClinVar, OMIM #314200

Expression Profile

Tissue Expression
Tissue nTPM level
Liver 12.5 High
Kidney 0.8 Low
Lung 0.3 Not detected
Heart 0.1 Not detected
Brain 0.0 Not detected
Cell Line Expression
Cell Line nTPM Notes
HepG2 15.2 Hepatocellular carcinoma cell line; high TBG expression
Huh-7 11.8 Hepatoma cell line
HEK293 0.5 Low expression; not primary site
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.909G>A (p.Trp303*) Nonsense Rare Loss of function; TBG deficiency
c.631C>T (p.Arg211Cys) Missense Rare Reduced TBG stability and secretion
c.1007T>C (p.Leu336Pro) Missense Rare Impaired thyroxine binding
c.1198G>A (p.Gly400Arg) Missense Rare Complete TBG deficiency
Mutation functional classification

Loss of Function (LOF)

Most SERPINA7 mutations cause partial or complete loss of TBG function, leading to reduced thyroxine-binding capacity and low total T4/T3 levels.

Gain of Function (GOF)

Duplications or promoter variants increasing TBG expression result in elevated total T4/T3 without hyperthyroidism.

Dominant Negative (DN)

Not reported for SERPINA7; X-linked inheritance typically results in hemizygous expression in males.

Pathways

Thyroid hormone synthesis and transport (Reactome: R-HSA-209968)
Serine protease inhibitors (Serpins) (Reactome: R-HSA-168249)
Protein metabolism (UniProt: P05543)

Protein Summary

Thyroxine-binding globulin (TBG) is a 54 kDa glycoprotein synthesized primarily in the liver. It belongs to the serpin superfamily but lacks protease inhibitory activity due to a reactive center loop mutation. TBG binds thyroid hormones with high affinity (Kd ~10^-10 M for T4), serving as the main carrier in plasma. Its half-life is modulated by sialylation and proteolytic cleavage. TBG levels are influenced by estrogen, pregnancy, and liver disease. Mutations in SERPINA7 cause inherited TBG abnormalities, which are clinically benign but can confound thyroid function test interpretation.

Related Products

Product name Cat.No. Species Gene ID
SERPINA7 Knockout HEK293 Cell Line EDJ-KQ3263 Human 6906 Details Get a Quote
SERPINA7 Knockout HeLa Cell Line EDJ-KQ54616 Human 6906 Details Get a Quote
SERPINA7 Knockout A-549 Cell Line EDJ-KQ63097 Human 6906 Details Get a Quote
SERPINA7 Knockout HCT 116 Cell Line EDJ-KQ71570 Human 6906 Details Get a Quote
Displaying Records 1 To 4 Of 4 Records
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