Thyroid autoimmunity and aging
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.
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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).”
From Levothyroxine therapy in elderly patients with hypothyroidism (2021) · cites this paper as [26]
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Vassallo, A., Ferrari, F., di Filippo, L., Perticone, F., Castellino, L., Giustina, A., & Loli, P. (2026) · Endocrine · doi:10.1007/s12020-026-04582-y
- 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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