Cited by 73Thyroid Disorders and TreatmentsThyroid Cancer Diagnosis and TreatmentThyroid and Parathyroid Surgery

Thyroid autoimmunity and aging

Mariotti, Stefano, Chiovato, Luca, Franceschi, Claudio, Pinchera, Aldo·1998·Experimental Gerontology

Abstract

Aging is associated with the appearance of several serum autoantibodies, including thyroid autoantibodies. The biological and clinical significance of this phenomenon is still unknown, because, with the exception of primary myxedema, the prevalence of clinically overt thyroid autoimmune diseases is not increased in the elderly. The peculiar link between autoimmune thyroid failure and aging is also underscored by the high prevalence of subclinical hypothyroidism in elderly subjects with positive serum thyroid autoantibodies, and could be the consequence of preferential age-dependent expression of destructive effector mechanisms and/or increased target gland susceptibility. Thyroid autoimmunity and subclinical hypothyroidism have been also implicated in the pathogenesis of other age-associated disorders, in particular coronary heart disease. Interestingly, recent data from our laboratories showed that thyroid autoantibodies are rare in healthy centenarians and in other highly selected aged populations, while they are frequently observed in unselected or hospitalized elderly. Taken together, these data suggest that thyroid autoimmune phenomena are not the consequence of the aging process itself, but rather might be related to age-associated disease.

Integrity signals

Registry

Crossref · 10.1016/s0531-5565(98)00030-8

Cites

33 of 33 references verified0 citation errors · 0 not checkable

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  • Autoimmune hypothyroidism is the most common cause of hypothyroidism at all ages, and the prevalence of thyroid autoimmunity increases with aging.

    “Autoimmune hypothyroidism is the most common cause of hypothyroidism at all ages and the prevalence of thyroid autoimmunity increases with aging (23, 26, 27).”

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Authors
Mariotti, S., Chiovato, L., Franceschi, C., & Pinchera, A.
Affiliations
  • University of Cagliari (IT)
  • University of Pisa (IT)
  • University of Modena and Reggio Emilia (IT)
Corresponding author
Mariotti, Stefano
Venue
Experimental Gerontology
Publisher
Elsevier BV
Published
1998-09
Volume
33
Issue
6
Pages
535-541
ISSN
0531-5565 (ISSN-L)
OpenAlex
W1974613905
Cited by
73
References
35
Citations by year
2026: 2 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 3 · 2021: 1 · 2019: 2 · 2018: 2 · 2017: 2 · 2015: 2 · 2014: 2 · 2013: 4 · 2012: 5
FWCI
0.56
Type
journal article
Language
en
Open access
closed
Locations
  • Experimental Gerontology (publishedVersion)
  • PubMed (publishedVersion)
  • UNICA IRIS Institutional Research Information System (University of Cagliari) (submittedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Cancer Diagnosis and Treatment
  • Health Sciences › Medicine › Surgery › Thyroid and Parathyroid Surgery
Keywords
thyroid autoimmunity, aging, thyroid autoantibodies, subclinical hypothyroidism, autoimmune thyroid disease, centenarians, coronary artery disease, age-related diseases, primary myxedema
MeSH terms
Aging, Animals, Health Status, Humans, Thyroid Diseases, Thyroid Gland, Autoimmunity

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