The Role of Serum Endocan as a Prognostic Biomarker in Calves with Enzootic Pneumonia


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Tüfekçi E., Ekinci G., Güneş V., Çitil M., Sayar E.

KAFKAS UNIVERSITESI VETERINER FAKULTESI DERGISI, cilt.31, sa.6, ss.781-789, 2025 (SCI-Expanded, Scopus, TRDizin)

Özet

Respiratory system infections are one of the most critical problems that can cause

serious economic losses and mortality in cattle breeding. Our study aimed to investigate

the significance of endocan levels, which have been shown to yield successful outcomes

in predicting prognosis in various respiratory disorders in human medicine, as a reliable

prognostic biomarker in calves affected by enzootic pneumonia (EP). The study also

examined the efficacy of lactate levels and a modified respiratory scoring system (MSS)

in predicting death, alongside endocan levels. Calves with EP (n=53) and healthy calves

(n=27) were included in the study and only single blood sample was collected from each

calf in the study. Blood samples were taken from the EP group prior to treatment. Our

investigation revealed that endocan levels were considerably lower in calves with EP

compared to healthy calves (P<0.001). Our study assessed the diagnostic and prognostic

significance of endocan and lactate levels in calves with EP using ROC analysis. The

cut-off values for endocan and lactate employed in illness prediction were <70.41

(AUC=0.734, P=0.001) and >2.55 (AUC=0.842, P<0.001), respectively. Cut-off values for

mortality prediction were >64.96 for endocan (AUC=0.657, P=0.052), >3.90 for lactate

(AUC=0.940, P<0.001), and >7.5 for MSS (AUC=0.848, P<0.001). We concluded that

endocan had limited diagnostic utility. However, the modified scoring system showed

considerable efficacy in predicting mortality. Furthermore, lactate levels have been

shown to exhibit superior accuracy and clinical value for both diagnosis and prognosis.