autoantibodies can be used in the early diagnosis and treatment of atherosclerosis-related diseases. Using Protoarray ® screening of samples from patients with atherosclerosis, the present study identified thiosulfate sulfurtransferase-like domain-containing 2 (tStD2) as a novel atherosclerosis antigen. the serum tStD2 antibody levels were then quantified using an amplified luminescent proximity homogeneous assay-linked immunosorbent assay. this demonstrated the levels of tStD2 antibodies (tStD2-abs) to be significantly higher in patients with acute cerebral infarction or chronic kidney disease than in healthy donors. the tStD2-ab levels were also found to be higher in males, older adults, smokers, in those who consumed alcohol regularly, and in those with hypertension. Furthermore, Spearman's rank correlation analysis revealed tStD2-ab levels to be strongly associated with measures of atherosclerosis severity, including plaque scores, intima-media thickness of the carotid artery and the cardio-ankle vascular index. thus, tStD2-abs may thus be a promising novel biomarker for atherosclerosis-related cerebral infarction and kidney disease.