Thyroid Autoantibodies in Pregnancy: Their Role, Regulation and Clinical Relevance
Table 1
Tg-Ab and TPO-Ab as clinical markers.
Tg-Ab and TPO-Ab as clinical Markers
Positivity
More likely to be TPO-Ab than Tg-Ab if serum positive for only one autoantibody
Prevalence
TPO-Ab are more prevalent than Tg-Ab in the community, and in Grave’s disease
Titers
Tg-Ab and TPO-Ab fluctuate in parallel, decreasing after antithyroid drugs, increase transiently after I131 therapy, decrease during pregnancy, increase post-partum, and are induced/enhanced by interferon-
Predictors
TPO Ab Better than Tg-Ab in predicting post-partum thyroid dysfunction
Disease
Tg-Ab alone not significantly associated with disease
The comparison of thyroglobulin and TPO antibody as used as clinical markers. Adapted from McLachlan and Rapoport 2004 [18].