Decrease in serum levels of autotaxin in COVID-19 patients

Takuya Shimura1, Makoto Kurano1,2, Koh Okamoto3

  • 1Department of Clinical Laboratory, The University of Tokyo Hospital, Tokyo, Japan.

Annals of Medicine
|November 12, 2022
PubMed
Abstract

Insights

Serum levels of autotaxin (ATX), an enzyme linked to pulmonary inflammation in COVID-19, were found to be decreased in patients. This reduction may represent a compensatory response to suppress the overactive immune response characteristic of the disease.

Area of Science:

  • Biochemistry
  • Immunology
  • Pulmonology

Background:

  • Lysophosphatidic acids (LPAs) are implicated in pulmonary inflammation and fibrosis.
  • Autotaxin (ATX) is a key enzyme in LPA synthesis.
  • Understanding molecular responses in COVID-19 is crucial for identifying therapeutic targets.

Purpose of the Study:

  • To evaluate the association between serum autotaxin (ATX) levels and Coronavirus disease 2019 (COVID-19).
  • To investigate the time course of ATX levels in relation to disease severity and clinical parameters.

Main Methods:

  • 134 COVID-19 patients and 58 healthy controls were enrolled.
  • Serum ATX levels were measured longitudinally.
  • Associations with disease severity and clinical markers were analyzed.

Main Results:

  • Serum ATX levels were reduced in all COVID-19 patients, regardless of severity.
  • Decreased ATX levels showed a negative association with C-reactive protein (CRP), D-dimer, and anti-SARS-CoV-2 antibody levels.

Conclusions:

  • COVID-19 is associated with decreased serum ATX levels.
  • ATX modulation may be a compensatory mechanism to mitigate excessive immune responses in the lungs.
  • This finding offers insights into the biological mechanisms underlying COVID-19 severity and mortality.