1. Calcium metabolism and vitamin D in the extreme longevity
- Author
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Passeri, G, Vescovini, R, Sansoni, P, Galli, C, Franceschi, C, Passeri, M, Italian Multicentric Study on Centenarians 87 Collaborators, Motta, M, Motta, L, Capurso, A, Panza, F, Solfrizzi, V, D'Introno, A, Colacicco, Am, Capurso, S, Capri, M, Salvioli, S, Valensin, S, Bennati, E, Malaguarnera, M, Maugeri, D, Rapisarda, R, Franzone, A, Ferlito, L, De Benedictis, G, Berardelli, M, Masotti, G, Petruzzi, E, Petruzzi, I, Pinzani, P, Monti, D, Antonini, Fm, Capurso, C, Nicita Mauro, V, Lo Balbo, C, Mento, A, Nicita Mauro, C, Maltese, G, Basile, G, Mari, D, Coppola, R, Provenzano, R, Salvioli, G, Baldelli, Mv, Mussi, C, Varricchio, M, Barbieri, M, Gambardella, A, Paolisso, G, Caruso, C, Candore, G, Colonna Romano, G, Lio, D, Biasini, C, Telera, A, Ferrari, E, Cravello, L, Barili, L, Solerte, Sb, Fioravanti, M, Magri, F, Fagnoni, F, Senin, Umberto, Mecocci, Patrizia, Cherubini, Antonio, Marigliano, V, Tafaro, L, Cicconetti, P, Tombesi, F, Tombolillo, Mt, Ettore, E, Forconi, S, Boschi, S, Righi, Ga, Guerrini, M, Giarelli, L, Stanta, G, Ferrucci, L, Ble, A, Metter, Ej, Guralnik, Jm, Pacifici, R, Zuccaro, P, Palmi, I, Branca, S, Fradà, G, Motta, F, Crimi, G., Passeri, G, Vescovini, R, Sansoni, P, Galli, C, Franceschi, C, Passeri, M, Paolisso, G, Barbieri, M, Italian Multicentric Study on Centenarians, (IMUSCE)., Passeri G., Vescovini R., Sansoni P., Galli C., Franceschi C., Passeri M., Italian Multicentric Study on Centenarians (IMUSCE), Motta M., Motta L., Capurso A., Panza F., Solfrizzi V., D'Introno A., Colacicco A.M., Capurso S., Capri M., Salvioli S., Valensin S., Bennati E., Malaguarnera M., Maugeri D., Rapisarda R., Franzone A., Ferlito L., De Benedictis G., Berardelli M., Masotti G., Petruzzi E., Petruzzi I., Pinzani P., Monti D., Antonini F.M., Capurso C., Nicita-Mauro V., Lo Balbo C., Mento A., Nicita-Mauro C., Maltese G., Basile G., Mari D., Coppola R., Provenzano R., Salvioli G., Baldelli M.V., Mussi C., Varricchio M., Barbieri M., Gambardella A., Paolisso G., Caruso C., Candore G., Colonna-Romano G., Lio D., Biasini C., Telera A., Ferrari E., Cravello L., Barili L., Solerte S.B., Fioravanti M., Magri F., Fagnoni F., Senin U., Mecocci P., Cherubini A., Marigliano V., Tafaro L., Cicconetti P., Tombesi F., Tombolillo M.T., Ettore E., Forconi S., Boschi S., Righi G.A., Guerrini M., Giarelli L., Stanta G., Ferrucci L., Ble A., Metter E.J., Guralnik J.M., Pacifici R., Zuccaro P., Palmi I., Branca S., Fradà G., Motta F., Crimi G., Dipartimento di Medicina Interna e Scienze Biomediche, University of Parma = Università degli studi di Parma [Parme, Italie], Dipartimento di Patologia Sperimentale, Alma Mater Studiorum Università di Bologna [Bologna] (UNIBO), Motta, M, Motta, L, Capurso, A, Panza, F, Solfrizzi, V, D'Introno, A, Colacicco, Am, Capurso, S, Capri, M, Salvioli, S, Valensin, S, Bennati, E, Malaguarnera, M, Maugeri, D, Rapisarda, R, Franzone, A, Ferlito, L, De Benedictis, G, Berardelli, M, Masotti, G, Petruzzi, E, Petruzzi, I, Pinzani, P, Monti, D, Antonini, Fm, Capurso, C, Nicita Mauro, V, Lo Balbo, C, Mento, A, Nicita Mauro, C, Maltese, G, Basile, G, Mari, D, Coppola, R, Provenzano, R, Salvioli, G, Baldelli, Mv, Mussi, C, Varricchio, M, Gambardella, A, Caruso, C, Candore, G, Colonna Romano, G, Lio, D, Biasini, C, Telera, A, Ferrari, E, Cravello, L, Barili, L, Solerte, Sb, Fioravanti, M, Magri, F, Fagnoni, F, Senin, U, Mecocci, P, Cherubini, A, Marigliano, V, Tafaro, L, Cicconetti, P, Tombesi, F, Tombolillo, Mt, Ettore, E, Forconi, S, Boschi, S, Righi, Ga, Guerrini, M, Giarelli, L, Stanta, Giorgio, Ferrucci, L, Ble, A, Metter, Ej, Guralnik, Jm, Pacifici, R, Zuccaro, P, Palmi, I, Branca, S, Fradà, G, Motta, F, and Crimi, G.
- Subjects
Male ,Aging ,Bone density ,Osteoporosis ,Parathyroid hormone ,Vitamin D ,Calcium metabolism ,Extreme longevity ,Bone fractures ,Self-sufficiency ,Biochemistry ,Bone remodeling ,0302 clinical medicine ,Endocrinology ,Bone Density ,calcium metabolism, vitamin D, longevity ,ComputingMilieux_MISCELLANEOUS ,Aged, 80 and over ,0303 health sciences ,3. Good health ,Parathyroid Hormone ,030220 oncology & carcinogenesis ,Medicine ,Female ,Risk ,medicine.medical_specialty ,Longevity ,Bone resorption ,vitamin D deficiency ,Article ,03 medical and health sciences ,N-terminal telopeptide ,Internal medicine ,Genetics ,medicine ,Vitamin D and neurology ,Humans ,Bone Resorption ,Molecular Biology ,030304 developmental biology ,business.industry ,Cell Biology ,medicine.disease ,Vitamin D Deficiency ,Diet ,Calcium ,business - Abstract
Skeletal remodelling is a continuous process during life and is still active also in extreme senescence. In the elderly, bone resorption often prevails over bone formation, causing bone loss and fragility. Elderly subjects are exposed to the risk of fractures, and loss of self-sufficiency, if considering that the proximal femur is the most frequently involved site. Bone remodelling can maintain circulating calcium within physiological ranges, at the expense of a substantial loss of this ion from the skeleton, particularly during senescence. Calcium metabolism is regulated at cellular/molecular level by a network of cytokines, growth factors, systemic hormones that act on bone in paracrine/autocrine/systemic fashion. Among the molecules involved in bone metabolism, parathyroid hormone (PTH) and vitamin D present some peculiar aspects during senescence. The osteometabolic features in a consistent group of centenarians have been evaluated. It results that a severe hypovitaminosis D was present in 99 out of 104 centenarians (25-OH vitamin D below 5 nmol/L), and that it plays an important role as a factor inducing a vicious circle involving hypocalcemia, secondary hyperparathyroidism, together with biochemical features indicating a consistent bone loss. Serum C-terminal cross-linking telopeptide, a specific marker of bone resorption was elevated in 92% of these subjects. Moreover, it has been found that several femoral fractures had occurred after 90 years of age. These data offer a rational for the possible prevention of elevated bone turnover, bone loss and consequently the reduction of osteoporotic fractures and fractures-induced disability, in the oldest olds, through the simple supplementation with calcium and vitamin D.
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- 2007