Familial longevity is associated with an attenuated thyroidal response to recombinant human thyroid stimulating hormone

Autor: Ferdinand Roelfsema, Ana Zutinic, Bart E Ballieux, Gerard J. Blauw, Rudi G. J. Westendorp, Hanno Pijl, Diana van Heemst
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Thyroid Gland/drug effects
Thyrotropin/blood
endocrine system diseases
Endocrinology
Diabetes and Metabolism

medicine.medical_treatment
Clinical Biochemistry
Thyroid Gland
Thyrotropin
Biochemistry
Thyroxine/blood
0302 clinical medicine
Endocrinology
Interquartile range
Recombinant Proteins/pharmacology
Thyroid
Clinical Research Article
0303 health sciences
responsivity
Area under the curve
Longevity/genetics
Middle Aged
Recombinant Proteins
medicine.anatomical_structure
030220 oncology & carcinogenesis
Triiodothyronine
Female
AcademicSubjects/MED00250
medicine.medical_specialty
endocrine system
Triiodothyronine/blood
Context (language use)
03 medical and health sciences
longevity
Internal medicine
medicine
Humans
Adverse effect
030304 developmental biology
Aged
business.industry
Biochemistry (medical)
Confidence interval
Thyroxine
Case-Control Studies
Thyroglobulin
recombinant human TSH
business
Hormone
Zdroj: Zutinic, A, Pijl, H, Ballieux, B E, Roelfsema, F, Westendorp, R G J, Blauw, G J & van Heemst, D 2020, ' Familial Longevity is Associated with an Attenuated Thyroidal Response to Recombinant Human Thyroid Stimulating Hormone ', The Journal of clinical endocrinology and metabolism, vol. 105, no. 7, pp. e2572–e2580 . https://doi.org/10.1210/clinem/dgaa195
The Journal of Clinical Endocrinology & Metabolism
The Journal of Clinical Endocrinology and Metabolism
Journal of Clinical Endocrinology and Metabolism, 105(7), E2572-E2580. ENDOCRINE SOC
DOI: 10.1210/clinem/dgaa195
Popis: Context Longevity is associated with higher circulating levels of TSH in the absence of differences in circulating thyroid hormones (TH), as previously observed in F2 members of long-lived families (F2-LLS) and their partners (F2-Con). The mechanism underlying this observed difference remains unknown. Objective We hypothesized that the thyroid gland of members from long-lived families are less responsive to TSH stimulation, thereby requiring higher circulating TSH levels to maintain adequate TH levels. Methods We performed a case-control intervention study with a single intramuscular (gluteal) injection with 0.1 mg recombinant human TSH in a subgroup of 14 F2-LLS and 15 similarly aged F2-Con. They were followed for 4 days. No serious adverse events were reported. For analyses, we compared time trajectories of TSH and TH, and the ratio of TH to TSH using area under the curve (AUC) calculations. Results The AUC free T4/AUC TSH ratio was significantly lower in F2-LLS than in F2-Con (estimated mean [95% confidence interval] 1.6 [1.2-1.9] and 2.2 [1.9-2.6], respectively, P = 0.01). The AUC thyroglobulin/AUC TSH ratio was also lower in F2-LLS than in F2-Con (median [interquartile range] 2.1 [1.4-3.6] and 3.2 [2.7-7.4], respectively, P = 0.04). We observed the same trend with the AUC free T3/AUC TSH ratio, although the difference was not statistically significant (estimated mean [95% confidence interval] 0.6 [0.4-0.7] and 0.7 [0.6-0.8], respectively, P = 0.07). Conclusions The present findings show that members of long-living families have a lower thyroid responsivity to TSH compared with their partners.
Databáze: OpenAIRE