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Plasma concentrations of transthyretin in older Sardinians including centenarians

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Background and aims

Plasma concentrations of transthyretin (TTR), a negative acute-phase protein, can be influenced by many factors including aging. Under physiological circumstances, TTR concentrations are very low in the fetus, increase slowly after birth up to the fifth decade and, then, decrease slowly. Some studies have shown sex-related differences up to about 70 years, when the differences disappear. The aim of this study was to evaluate the change in TTR concentrations in healthy males and females aged more than sixty, including numerous centenarians living in Sardinia, a large Italian island located in the Mediterranean Sea.

Methods

The study sample consisted of 211 healthy subjects grouped by age and sex (male/female ratio: 1:1). Plasma TTR was assessed using a non-competitive enzyme immunoassay (ELISA Assaypro LLC, prealbumin AssayMAX Human ELISA Kit).

Results

In subjects aged between 60 and 99 years, plasma TTR concentrations were higher compared to the reference ranges reported by CRM 470. Moreover, unlike other studies, sex-related differences in TTR concentrations were only observed in nonagenarians and centenarians.

Conclusions

We hypothesize that there are TTR-related genetic differences between the Sardinian population and other Caucasian ethnic groups. Further studies and a larger sample are needed to confirm our hypothesis.

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References

  1. Bienvenu J, Jeppsson JO, Ingenbleek Y (1995) Transthyretin (prealbumin) and retinol binding protein. In: Ritchie RF, Navolotskaia O (eds) Serum proteins in clinical medicine, vol 1. Laboratory section. ME: Foundation for Blood Research, Scarborough 9.01.01–9.01.07

  2. Monaco HL (2000) The transthyretin–retinol-binding protein complex. Biochim Biophys Acta 1482 (1–2):65–72

  3. Schreiber G, Aldred AR, Jaworowski A et al (1990) Thyroxine transport from blood to brain via transthyretin synthesis in choroid plexus. Am J Physiol 258(2 Pt 2):R338–R345

    CAS  PubMed  Google Scholar 

  4. Myron Johnson A, Merlini G, Sheldon J et al (2007) Clinical indications for plasma protein assays: transthyretin (prealbumin) in inflammation and malnutrition. Clin Chem Lab Med 45(3):419–426

    Article  CAS  PubMed  Google Scholar 

  5. Banh L (2006) Serum proteins as markers of nutrition: what are we treating? Pract Gastroenterol 46:46–64

    Google Scholar 

  6. Fuhrman MP, Charney P, Mueller CM (2004) Hepatic proteins and nutrition assessment. J Am Diet Assoc 104(8):1258–1264

    Article  CAS  PubMed  Google Scholar 

  7. Casati A, Muttini S, Leggieri C et al (1998) Rapid turnover proteins in critically ill ICU patients. Negative acute phase proteins or nutritional indicators? Minerva Anestesiol 64(7–8):345–350

    CAS  PubMed  Google Scholar 

  8. Ingenbleek Y, Bienvenu J (2008) Plasma transthyretin indicates the direction of both nitrogen balance and retinoid status in health and disease. Open Clin Chem J 1:1–12. doi:10.2174/1874241600801010001

    Article  Google Scholar 

  9. Jensen GL (2006) Inflammation as the key interface of the medical and nutrition universes: a proactive examination of the future of clinical nutrition and medicine. JPEN J Parenter Enteral Nutr 30(5):453–463

    Article  PubMed  Google Scholar 

  10. Gabay C, Kushner I (1999) Acute-phase proteins and other systemic responses to inflammation. N Engl J Med 340(6):448–454

    Article  CAS  PubMed  Google Scholar 

  11. Whicher JT (1993) Acute phase proteins: diagnostic significance and clinical use. AACC Endo 11:273–280

    Google Scholar 

  12. Ballou SP, Lozanski FB, Hodder S et al (1996) Quantitative and qualitative alterations of acute-phase proteins in healthy elderly persons. Age Ageing 25(3):224–230

    Article  CAS  PubMed  Google Scholar 

  13. Ingenbleek Y, Young V (1994) Transthyretin (prealbumin) in health and disease: nutritional implications. Annu Rev Nutr 14:495–533

    Article  CAS  PubMed  Google Scholar 

  14. Ritchie RF, Palomaki GE, Neveux LM et al (1999) Reference distributions for the negative acute-phase serum proteins, albumin, transferrin and transthyretin: a practical, simple and clinically relevant approach in a large cohort. J Clin Lab Anal 13(6):273–279

    Article  CAS  PubMed  Google Scholar 

  15. Zegers I, Keller T, Schreiber W (2010) Characterization of the new serum protein reference material ERM-DA470k/IFCC: value assignment by immunoassay. Clin Chem 56(12):1880–1888. doi:10.1373/clinchem.2010.148809

    Article  CAS  PubMed  Google Scholar 

  16. Dati F, Schumann G, Thomas L et al (1996) Consensus of a group of professional societies and diagnostic companies on guidelines for interim reference ranges for 14 proteins in serum based on the standardization against the IFCC/BCR/CAP Reference Material (CRM 470). International Federation of Clinical Chemistry. Community Bureau of Reference of the Commission of the European Communities. College of American Pathologists. Eur J Clin Chem Clin Biochem 34 (6):517–520

  17. Baudner S (1996) Neglected aspects in the standardization of protein measurements. A standardized comparison method. Pure Appl Chem 68 (10):1857–1861

  18. Baudner S, Bienvenu J, Blirup-Jensen S et al (1992) The certification of a matrix reference material for immunochemical measurement of 14 human serum proteins. Publication 92/92, Brussels: BCR ISSN 1018 5593

  19. Blirup-Jensen S, Johnson AM, Larsen M (2001) Protein standardization IV: value transfer procedure for the assignment of serum protein values from a reference preparation to a target material. Clin Chem Lab Med 39(11):1110–1122

    CAS  PubMed  Google Scholar 

  20. Deiana L, Ferrucci L, Pes GM, Carru C, Delitala G, Ganau A, Mariotti S, Nieddu A, Pettinato S, Putzu P, Franceschi C, Baggio G (1999) AKEntAnnos. The Sardinian Study of extreme longevity. Aging (Milano) 11(3):142–149

  21. Deiana L, Pes GM, Carru C et al (2002) The”oldest man on the planet”. J Am Geriatr Soc 50(12):2098–2099

    Article  PubMed  Google Scholar 

  22. Pasella S, Baralla A, Canu E et al (2013) Pre-analytical stability of the plasma proteomes based on the storage temperature. Proteome Sci 11(1):10. doi:10.1186/1477-5956-11-10

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  23. Cevenini E, Caruso C, Candore G et al (2010) Age-related inflammation: the contribution of different organs, tissues and systems. How to face it for therapeutic approaches. Curr Pharm Des 16(6):609–618

    Article  CAS  PubMed  Google Scholar 

  24. Baylis D, Bartlett DB, Patel HP et al (2013) Understanding how we age: insights into inflammaging. Longev Healthspan 2(1):8. doi:10.1186/2046-2395-2-8

    Article  PubMed Central  PubMed  Google Scholar 

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Acknowledgments

We gratefully acknowledge grants from Regione Autonoma della Sardegna, research team of the AKeA Project (P. I. Luca Deiana), Associazione “Isola dei Centenari”, Fondazione Banco di Sardegna.

Conflict of interest

The authors declare no conflict of interest.

Human and Animal Rights

The study was carried out with approval of the Ethics Committe of the “Azienda Unità Sanitaria Locale n°1 di Sassari” and was conducted according to standards derived from the Declaration of Helsinki.

Informed consent

A written inform consent was obtained from every subject.

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Correspondence to Luca Deiana.

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Pasella, S., Pinna, S., Deiana, M. et al. Plasma concentrations of transthyretin in older Sardinians including centenarians. Aging Clin Exp Res 28, 77–82 (2016). https://doi.org/10.1007/s40520-015-0376-6

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  • DOI: https://doi.org/10.1007/s40520-015-0376-6

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