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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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.
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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.
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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