Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2008-12-9
pubmed:abstractText
Serum transthyretin (TTR) levels are reduced in familial amyloidotic polyneuropathy (FAP). A single study of patients with senile systemic amyloidosis (SSA) in Sweden found that those individuals also had a significantly lower mean serum TTR concentration than age- and gender-matched controls. To determine if the same phenomenon prevailed in an ethnically more heterogeneous population, we compared the serum TTR levels, as determined by ELISA, in 45 documented SSA patients with congestive heart failure, 20 AL patients with congestive heart failure and population controls. Serum TTR concentrations in the controls were influenced in a statistically significant manner by age, gender and ethnicity. Although it is unlikely that such differences are clinically relevant, they must be considered when assessing the meaning of serum TTR concentrations in any clinically defined population. The serum concentrations in patients with SSA did not differ from age, gender and ethnically matched controls or from a group of AL patients with significant clinical cardiac involvement. We also compared TTR concentrations in 12 African-Americans carrying the TTR V122I allele with those in 826 African-Americans who were homozygous wild type at the TTR locus. The TTR V122I carriers had significantly lower serum TTR concentrations than appropriate controls even though the majority of such individuals had not reached the age of clinical or anatomic risk, i.e. over 60. Thus, as in carriers of other TTR mutations the serum TTR level is lower than normal, despite having a much later appearance of clinical disease.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
1744-2818
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
15
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
255-61
pubmed:meshHeading
pubmed-meshheading:19065297-African Americans, pubmed-meshheading:19065297-Age Factors, pubmed-meshheading:19065297-Aged, pubmed-meshheading:19065297-Alleles, pubmed-meshheading:19065297-Amyloidosis, pubmed-meshheading:19065297-Amyloidosis, Familial, pubmed-meshheading:19065297-Base Sequence, pubmed-meshheading:19065297-Case-Control Studies, pubmed-meshheading:19065297-DNA Primers, pubmed-meshheading:19065297-European Continental Ancestry Group, pubmed-meshheading:19065297-Female, pubmed-meshheading:19065297-Heart Failure, pubmed-meshheading:19065297-Heterozygote, pubmed-meshheading:19065297-Humans, pubmed-meshheading:19065297-Male, pubmed-meshheading:19065297-Middle Aged, pubmed-meshheading:19065297-Point Mutation, pubmed-meshheading:19065297-Prealbumin, pubmed-meshheading:19065297-Sex Characteristics
pubmed:year
2008
pubmed:articleTitle
Serum transthyretin levels in senile systemic amyloidosis: effects of age, gender and ethnicity.
pubmed:affiliation
Division of Rheumatology Research, WM Keck Autoimmune Disease Center, Department of Molecular and Experimental Medicine, The Scripps Research Institute, La Jolla, CA, USA. jbux@scripps.edu
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't, Research Support, N.I.H., Extramural