Term Description

The sum activity of peripheral deiodinases (GD, also referred to as deiodination capacity or total deiodinase activity) is the maximum amount of triiodothyronine (T3) produced per time-unit by deiodinases outside the central nervous system. The structure parameter inference approach (SPINA) uses Michaelis-Menten functions and pharmakokinetic data to estimate GD under conditions of substrate saturation. One calculation is based on peripheral free T3 and free T4 values, and an alternate calculation uses peripheral total T3 and free T4. GD calculated using the SPINA approach is also known as SPINA-GD. SPINA-GD may be useful in diagnosing thyroid conditions that are difficult to diagnose based on traditional thyroid function studies, such as subclinical forms of thyroid failure, hypothalamic or pituitary dysfunction, and non-thyroidal illness syndrome. PMID: 27375554 Thyroid secretory function by SPINA, called SPINA-GT, is a related result LOINC 82368-2.

Part Description

LP182358-4   Peripheral deiodinase activity
Peripheral deiodinase activity is the rate of conversion of circulating T4 to the biologically active T3 by monodeiodination. Changes in peripheral deiodinase activity may reflect conditions that are difficult to diagnose based on traditional thyroid function tests, such as non-thyroidal illness syndrome. PMID: 27375554

Estimated sum activity of peripheral deiodinases (GD) represents deiodination capacity, i.e. the maximal amount of T3 that can be formed from T4 in one second. SPINA-GD is calculated with GD = beta31 * (KM1 + [FT4]) * (1 + K30 * [TBG]) * [FT3] / (alpha31 * [FT4]) or GD = beta31 * (KM1 + [FT4]) * [TT3] / (alpha31 * [FT4]) from serum or plasma concentrations of free (FT3) or total (TT3) triiodothyronine and free (FT4) or total (TT4) thyroxine, and some constants (alpha31 = Dilution factor for T3: 0.026 l-1; beta31 = Clearance exponent for T3: 8e-6 sec-1; KM1 = Dissociation constant of type-1-deiodinase: 5e-7 mol/l; K30 = Dissociation constant T3-TBG: 2e9 l/mol) Source: Regenstrief LOINC

LOINC Names Get Info

Fully-Specified Name
Peripheral deiodinase activity:SRat:Pt:Ser/Plas:Qn:Calculated.SPINA
Long Common Name
Peripheral deiodinase activity [Moles/time] in Serum or Plasma by Calculated.SPINA
Short Name
Per deiod act SerPl Calc SPINA-sRate
Display Name
Peripheral deiodinase activity Calculated by SPINA [Moles/Time]
Consumer Name Alpha Get Info
Peripheral deiodinase activity, Blood

Part Model Get Info

  • Component
    Peripheral deiodinase activity
    LP182358-4
    • Analyte
      Peripheral deiodinase activity
      LP182358-4
      • Component Numerator
        Peripheral deiodinase activity
        LP182358-4
        • Component Numerator Core
          Peripheral deiodinase activity
          LP182358-4
        • Component Numerator Core Suffix
          NULL
           
      • Component Denominator
        NULL
         
        • Component Denominator Core
          NULL
           
        • Component Denominator Core Suffix
          NULL
           
    • Challenge
      NULL
       
    • Adjustment
      NULL
       
    • Count
      NULL
       
  • Property
    SRat
    LP6867-8
  • Time
    Pt
    LP6960-1
  • System
    Ser/Plas
    LP7576-4
    • System Core
      Ser/Plas
      LP7576-4
    • Super System
      NULL
       
  • Scale
    Qn
    LP7753-9
  • Method
    Calculated.SPINA
    LP221213-4

Basic Attributes

Class
CHEM
Type
Laboratory
First Released
Version 2.58
Last Updated
Version 2.58 (ADD)
Order vs. Observation
Both

Formula (Readable)

GD = beta31 * (KM1 + [FT4]) * (1 + K30 * [TBG]) * [FT3] / (alpha31 * [FT4]) or GD = beta31 * (KM1 + [FT4]) * [TT3] / (alpha31 * [FT4]) Please see [PMID: 27375554] for more information for the formula constants, alpha31, beta31, KM1, and K30.

Language Variants Get Info

TagLanguageTranslation
cs-CZCzech (Czechia)Dejodáza periferní aktivita:Látkový tok:Časový bod:Sérum/plazma:Kvantitativní:Vypočteno.SPINA
el-GRGreek (Greece)Δραστικότητα περιφερικής δεϊωδινάσης:SRat:Pt:Ορός/Πλάσμα:Qn:Υπολογιζόμενο.SPINA
Synonyms: CHEM Pt Qn SRat Δραστηριότητα Δραστικότητα περιφερικής δεϊωδινάσης Ορός Ορός/Πλάσμα Πλάσμα Υπολογιζόμενο Υπολογιζόμενο.SPINA
es-ESSpanish (Spain)Actividad de la deiodinasa periférica:Indice de susbtancia:Punto temporal:Suero o Plasma:Qn:SPINA calculado
Synonyms: Cuantitativo
es-MXSpanish (Mexico)Actividad desyodasa periférica:Tasa de sustancia:Punto temporal:Suero o Plasma:Cuantitativo:Calculado.SPINA
fr-FRFrench (France)Déiodinase périphérique activité:Moles/Temps:Ponctuel:Sérum/Plasma:Numérique:SPINA calculé
it-ITItalian (Italy)Attività deiodinasi periferica:SRat:Pt:Siero/Plasma:Qn:Calcolato.SPINA
Synonyms: Calcolato mediante SPINA Chimica Plasma Punto nel tempo (episodio) Siero Siero o Plasma Tasso di sostanza
zh-CNChinese (China)外周脱碘酶活性:物质的量速率:时间点:血清/血浆:定量型:计算法.SPINA
Synonyms: 克分子速率;克分子速率(单位时间);摩尔速率;摩尔速率(单位时间);物质的量速率(单位时间) 化学;化学检验项目;化学检验项目类;化学类;化学试验;非刺激耐受型化学检验项目;非刺激耐受型化学检验项目类;非刺激耐受型化学试验;非刺激耐受型化学试验类 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 周围 周围的 周缘 周缘的 周边 周边的 外周去碘酶活性;外周脱碘酶活力;GD;脱碘能力;总脱碘酶活性;脱碘酶总活性;deiodination capacity;total deiodinase activity 外周的 外围 外围的 外部 外部的 时刻;随机;随意;瞬间 末梢 末梢的 活动 结构参数推理法;structure parameter inference approach;SPINA 血清或血浆 计算;计算型方法 边缘 边缘的

Example Units

UnitSource
nmol/sExample UCUM Units

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=82367-4