SERUM AUTOTAXIN LEVEL

Background:Recent studies have suggested that serum Autotaxin (ATX) may be a promising diagnostic biomarker in differentiating between Graves' disease and Thyroiditis, as well as serving as a monitoring biomarker for Graves' disease. In this study will evaluate the use of serum ATX as a diagnostic biomarker in these conditions.
Methods:In this prospective interventional study, blood samples were collected from the patients who met both inclusion and exclusion criteria, and serum Autotaxin (ATX) levels were measured by using the MyBioSource human Autotaxin ELISA kit.
Results:A total of 32 patients were enrolled, of which 18.8% were newly diagnosed with Graves’ disease,21.9% were thyroiditis, and 59.3% were on treatment for Graves’ disease. Serum Autotaxin antigen was significantly higher in GD patients than in thyroiditis (603.3217±444.24 v/s 214.74±55.91,p=<0.005). Serum ATX measurement successfully discriminated GD patients from Thyroiditis(AUC=0.952,95%CI:0.00-1.00) with an optimal cutoff value of ≥257.20 ng/L(sensitivity=100 and specificity=81.71). Monitoring the efficacy of serum ATX was analyzed and showed a significant difference.
Conclusion:The serum ATX was higher in subjects with Graves’ disease as compared to Thyroiditis and ATX levels were found to be decreased during the treatment period. In conclusion, serum ATX can be used as a diagnostic and monitoring biomarker in Graves’ disease.