Vascular Cell Adhesion Molecule-1 (VCAM-1) in Graves' Disease: Its Association to Thyroid Status and Thyroid Receptor Stimulating Antibodies

month. Serum sVCAM-1 levels were significantly elevated in TRAb+ patients compared to TRAb- (860 versus 499 ng/mL, p<0.001). The level decreased significantly to 537 ng/mL with treatment but remained higher than in TRAb- patients (p=0.003). Irrespective of TRAb status, all but one patient had elevated serum sICAM-1 levels that remained unaffected by carbimazole therapy. In contrast, IL-6 levels of hyperthyroid patients were within the reference range of 1.4-14.1 pg/mL. Baseline and post-treatment sVCAM-1, and not TRAb levels, were significantly correlated to thyroid hormones. Conclusion: Compared to other inflammatory markers, sVCAM-1 showed significant correlation to thyroid stimulating antibodies and was most sensitive to changes in thyroid status. The significance of these findings in relation to Graves’ disease warrants further investigation.

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