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DOI: 10.1055/a-1083-6272
Age and Sex Influence Thyroid Hormone Effects in Target Tissues with Organ-Specific Responses
Funding This work was performed in the framework of the DFG priority programme SPP1629 and supported by DFG grants FU356/7–1 and 7–2 to DF.Abstract
Age and sex impact prevalence and clinical features of thyroid disease. Thyroid dysfunction occurs with a higher frequency in elderly patients and females. Moreover, age alters clinical presentation of hyper- and hypothyroidism and onset of thyroid hormone (TH) related co-morbidities leading to increased risk for underdiagnosis and maltreatment in the elderly. Rodent models allow further insights into mechanisms of age- and sex-dependent TH action in target tissues. In this review, we summarize findings from mouse studies showing distinct effects of age and sex on systemic versus organ-specific TH action and discuss their wider implication for clinical care.
Publication History
Received: 01 September 2019
Received: 25 November 2019
Accepted: 12 December 2019
Article published online:
13 January 2020
© Georg Thieme Verlag KG
Stuttgart · New York
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References
- 1 Leng O, Razvi S. Hypothyroidism in the older population. Thyroid Res 2019; 12: 2 doi:10.1186/s13044-019-0063-3
- 2 Barbesino G. Thyroid function changes in the elderly and their relationship to cardiovascular health: A mini-review. Gerontology 2019; 65: 1-8 doi:10.1159/000490911
- 3 Bowers J, Terrien J, Clerget-Froidevaux MS. et al. Thyroid hormone signaling and homeostasis during aging. Endocr Rev 2013; 34: 556-589 DOI: 10.1210/er.2012-1056.
- 4 Waring AC, Arnold AM, Newman AB. et al. Longitudinal changes in thyroid function in the oldest old and survival: The cardiovascular health study all-stars study. J Clin Endocrinol Metab 2012; 97: 3944-3950 DOI: 10.1210/jc.2012-2481.
- 5 Biondi B, Cooper DS. The clinical significance of subclinical thyroid dysfunction. Endocr Rev 2008; 29: 76-131 doi:10.1210/er.2006-0043
- 6 Vadiveloo T, Donnan PT, Murphy MJ. et al. Age- and gender-specific TSH reference intervals in people with no obvious thyroid disease in Tayside, Scotland: The Thyroid Epidemiology, Audit, and Research Study (TEARS ). J Clin Endocrinol Metab 2013; 98: 1147-1153 DOI: 10.1210/jc.2012-3191.
- 7 Hollowell JG, Staehling NW, Flanders WD. et al. Serum TSH, T(4), and thyroid antibodies in the United States population (1988 to 1994): National Health and Nutrition Examination Survey (NHANES III). J Clin Endocrinol Metab 2002; 87: 489-499 DOI: 10.1210/jcem.87.2.8182.
- 8 Du Puy R, Poortvliet RKE, Snel M. et al. Associations of elevated anti-TPO antibodies with thyroid function, survival, functioning and depressive symptoms in the oldest old: The Leiden 85-plus Study. Thyroid 2019; DOI: 10.1089/thy.2019.0129.
- 9 Grossman A, Weiss A, Koren-Morag N. et al. Subclinical thyroid disease and mortality in the elderly: A retrospective cohort study. Am J Med 2016; 129: 423-430 DOI: 10.1016/j.amjmed.2015.11.027.
- 10 Stott DJ, Rodondi N, Kearney PM. et al. Thyroid hormone therapy for older adults with subclinical hypothyroidism. N Engl J Med 2017; 376: 2534-2544 DOI: 10.1056/NEJMoa1603825.
- 11 Razvi S, Jabbar A, Pingitore A. et al. Thyroid Hormones and cardiovascular function and diseases. J Am Coll Cardiol 2018; 71: 1781-1796 DOI: 10.1016/j.jacc.2018.02.045.
- 12 Boelaert K, Torlinska B, Holder RL. et al. Older subjects with hyperthyroidism present with a paucity of symptoms and signs: A large cross-sectional study. J Clin Endocrinol Metab 2010; 95: 2715-2726 DOI: 10.1210/jc.2009-2495.
- 13 Goichot B, Caron P, Landron F. et al. Clinical presentation of hyperthyroidism in a large representative sample of outpatients in France: Relationships with age, aetiology and hormonal parameters. Clin Endocrinol (Oxf) 2016; 84: 445-451 DOI: 10.1111/cen.12816.
- 14 Doucet J, Trivalle C, Chassagne P. et al. Does age play a role in clinical presentation of hypothyroidism?. J Am Geriatr Soc 1994; 42: 984-986 DOI: 10.1111/j.1532-5415.1994.tb06592.x.
- 15 Vanderpump MP. The epidemiology of thyroid disease. Br Med Bull 2011; 99: 39-51 doi:10.1093/bmb/ldr030
- 16 Clayton JA, Collins FS. Policy: NIH to balance sex in cell and animal studies. Nature 2014; 509: 282-283 doi:10.1038/509282a
- 17 Pilo A, Iervasi G, Vitek F. et al. Thyroidal and peripheral production of 3,5,3'-triiodothyronine in humans by multicompartmental analysis. Am J Physiol 1990; 258: E715-E726 DOI: 10.1152/ajpendo.1990.258.4.E715.
- 18 Wiersinga WM, Duntas L, Fadeyev V. et al. 2012 ETA Guidelines: The use of L-T4 + L-T3 in the treatment of hypothyroidism. Eur Thyroid J 2012; 1: 55-71 DOI: 10.1159/000339444.
- 19 Choksi NY, Jahnke GD, Hilaire C. et al. Role of thyroid hormones in human and laboratory animal reproductive health. Birth Defects Res B Dev Reprod Toxicol 2003; 68: 479-491 DOI: 10.1002/bdrb.10045.
- 20 Reymond F, Denereaz N, Lemarchand-Beraud T. Thyrotropin action is impaired in the thyroid gland of old rats. Acta Endocrinol (Copenh) 1992; 126: 55-63 doi:10.1530/acta.0.1260055
- 21 Donda A, Reymond MJ, Zurich MG. et al. Influence of sex and age on T3 receptors and T3 concentration in the pituitary gland of the rat: Consequences on TSH secretion. Mol Cell Endocrinol 1987; 54: 29-34 DOI: 10.1016/0303-7207(87)90136-5.
- 22 Donda A, Reymond MJ, Lemarchand-Beraud T. Influence of age on the control of thyrotropin secretion by thyrotropin-releasing hormone in the male rat. Neuroendocrinology 1989; 49: 389-394 doi:10.1159/000125143
- 23 Visser WE, Bombardieri CR, Zevenbergen C. et al. Tissue-Specific suppression of thyroid hormone signaling in various mouse models of aging. PLoS One 2016; 11: e0149941 DOI: 10.1371/journal.pone.0149941.
- 24 Rakov H, De Angelis M, Renko K. et al. Aging is associated with low thyroid state and organ specific sensitivity to thyroxine. Thyroid 2019; DOI: 10.1089/thy.2018.0377.
- 25 Engels K, Rakov H, Hones GS. et al. Aging alters phenotypic traits of thyroid dysfunction in male mice with divergent effects on complex systems but preserved thyroid hormone action in target organs. J Gerontol A Biol Sci Med Sci 2019; DOI: 10.1093/gerona/glz040.
- 26 Kerp H, Engels K, Kramer F. et al. Age effect on thyroid hormone brain response in male mice. Endocrine 2019; DOI: 10.1007/s12020-019-02078-6.
- 27 Rakov H, Engels K, Führer D. Impact of aging on lipid metabolism under TH dysfunction. Abstract: 31st Arbeitstagung Experimentelle Schilddrüsenforschung 2015;
- 28 Engels K, Rakov H, Zwanziger D. et al. Efficacy of protocols for induction of chronic hyperthyroidism in male and female mice. Endocrine 2016; 54: 47-54 DOI: 10.1007/s12020-016-1020-8.
- 29 Rakov H, Engels K, Hones GS. et al. Sex-specific phenotypes of hyperthyroidism and hypothyroidism in mice. Biol Sex Differ 2016; 7: 36 DOI: 10.1186/s13293-016-0089-3.
- 30 Rakov H, Engels K, Hones GS. et al. Sex-specific phenotypes of hyperthyroidism and hypothyroidism in aged mice. Biol Sex Differ 2017; 8: 38 DOI: 10.1186/s13293-017-0159-1.
- 31 Suzuki S, Nishio S, Takeda T. et al. Gender-specific regulation of response to thyroid hormone in aging. Thyroid Res 2012; 5: 1 DOI: 10.1186/1756-6614-5-1.
- 32 Recker S, Voigtlander R, Viehmann A. et al. Thyroid Related Quality of Life in Elderly with Subclinical Hypothyroidism and Improvement on Levothyroxine is Distinct from that in Young Patients (TSAGE). Hormone and Metabolic Research 2019; 51: 568-574 DOI: 10.1055/a-0897-8785.