HLA‐DQB102 Dose Effect on RIA Anti‐tissue Transglutaminase Autoantibody Levels and Clinicopathological Expressivity of Celiac Disease

ABSTRACT Objectives: Celiac disease is an autoimmune enteropathy caused by gluten ingestion in genetically susceptible individuals. Anti‐transglutaminase autoantibody (tTGAb) assay is useful to detect candidates undergoing intestinal biopsy. Our aim was to investigate whether the DQB1*02 allele coul...

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Veröffentlicht in:Journal of pediatric gastroenterology and nutrition 2008-09, Vol.47 (3), p.288-292
Hauptverfasser: Nenna, Raffaella, Mora, Barbara, Megiorni, Francesca, Mazzilli, Maria Cristina, Magliocca, Fabio Massimo, Tiberti, Claudio, Bonamico, Margherita
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container_end_page 292
container_issue 3
container_start_page 288
container_title Journal of pediatric gastroenterology and nutrition
container_volume 47
creator Nenna, Raffaella
Mora, Barbara
Megiorni, Francesca
Mazzilli, Maria Cristina
Magliocca, Fabio Massimo
Tiberti, Claudio
Bonamico, Margherita
description ABSTRACT Objectives: Celiac disease is an autoimmune enteropathy caused by gluten ingestion in genetically susceptible individuals. Anti‐transglutaminase autoantibody (tTGAb) assay is useful to detect candidates undergoing intestinal biopsy. Our aim was to investigate whether the DQB1*02 allele could influence tTGAb titers and the clinicopathological expressivity of the disease. Methods: A total of 124 patients with celiac disease, tested for RIA tTGAb at diagnosis, were typed for HLA‐DRB1, ‐DQA1, and ‐DQB1 genes and divided according to the number of DQB1*02 alleles: group 1, homozygous; group 2, heterozygous; group 3, negative. Results: The mean of tTGAb indexes was significantly higher in group 1 patients than in group 2 (P < 0.02) and group 3 patients (P < 0.01). Patients with at least 1 DQB1*02 allele showed more often a typical CD and diffuse histological lesions than did patients in the other groups. Conclusions: The study demonstrates that tTGAb titers are HLA‐DQB1*02 dose dependent, with significantly higher levels in homozygous individuals. Moreover, individuals with at least 1 HLA‐DQB1*02 allele tend to have a more expressed clinical and histological form of celiac disease.
doi_str_mv 10.1097/MPG.0b013e3181615ca7
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Anti‐transglutaminase autoantibody (tTGAb) assay is useful to detect candidates undergoing intestinal biopsy. Our aim was to investigate whether the DQB1*02 allele could influence tTGAb titers and the clinicopathological expressivity of the disease. Methods: A total of 124 patients with celiac disease, tested for RIA tTGAb at diagnosis, were typed for HLA‐DRB1, ‐DQA1, and ‐DQB1 genes and divided according to the number of DQB1*02 alleles: group 1, homozygous; group 2, heterozygous; group 3, negative. Results: The mean of tTGAb indexes was significantly higher in group 1 patients than in group 2 (P &lt; 0.02) and group 3 patients (P &lt; 0.01). Patients with at least 1 DQB1*02 allele showed more often a typical CD and diffuse histological lesions than did patients in the other groups. Conclusions: The study demonstrates that tTGAb titers are HLA‐DQB1*02 dose dependent, with significantly higher levels in homozygous individuals. Moreover, individuals with at least 1 HLA‐DQB1*02 allele tend to have a more expressed clinical and histological form of celiac disease.</description><identifier>ISSN: 0277-2116</identifier><identifier>EISSN: 1536-4801</identifier><identifier>DOI: 10.1097/MPG.0b013e3181615ca7</identifier><identifier>PMID: 18728523</identifier><identifier>CODEN: JPGND6</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams &amp; Wilkins, Inc</publisher><subject>Adolescent ; Adult ; Alleles ; Anti‐transglutaminase autoantibodies ; Autoantibodies - blood ; Biological and medical sciences ; Celiac disease ; Celiac Disease - genetics ; Celiac Disease - immunology ; Celiac Disease - pathology ; Child ; Child, Preschool ; Clinical data ; Feeding. Feeding behavior ; Female ; Fundamental and applied biological sciences. Psychology ; Gastroenterology. Liver. Pancreas. 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Anti‐transglutaminase autoantibody (tTGAb) assay is useful to detect candidates undergoing intestinal biopsy. Our aim was to investigate whether the DQB1*02 allele could influence tTGAb titers and the clinicopathological expressivity of the disease. Methods: A total of 124 patients with celiac disease, tested for RIA tTGAb at diagnosis, were typed for HLA‐DRB1, ‐DQA1, and ‐DQB1 genes and divided according to the number of DQB1*02 alleles: group 1, homozygous; group 2, heterozygous; group 3, negative. Results: The mean of tTGAb indexes was significantly higher in group 1 patients than in group 2 (P &lt; 0.02) and group 3 patients (P &lt; 0.01). Patients with at least 1 DQB1*02 allele showed more often a typical CD and diffuse histological lesions than did patients in the other groups. Conclusions: The study demonstrates that tTGAb titers are HLA‐DQB1*02 dose dependent, with significantly higher levels in homozygous individuals. Moreover, individuals with at least 1 HLA‐DQB1*02 allele tend to have a more expressed clinical and histological form of celiac disease.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Alleles</subject><subject>Anti‐transglutaminase autoantibodies</subject><subject>Autoantibodies - blood</subject><subject>Biological and medical sciences</subject><subject>Celiac disease</subject><subject>Celiac Disease - genetics</subject><subject>Celiac Disease - immunology</subject><subject>Celiac Disease - pathology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Clinical data</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Genotype</subject><subject>Histology</subject><subject>HLA</subject><subject>HLA-DQ Antigens - genetics</subject><subject>HLA-DQ beta-Chains</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Other diseases. Semiology</subject><subject>Radioimmunoassay</subject><subject>Risk Factors</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>Transglutaminases - immunology</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Young Adult</subject><issn>0277-2116</issn><issn>1536-4801</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNks1u1DAUhS0EokPhDRDyBnYpdhzH8YLFdGb6gwYoqKwtx7nuGDzxEDsts2PLjmfkSTA0ohIrVv7Rd-71PccIPaXkiBIpXr65OD0iLaEMGG1oTbnR4h6aUc7qomoIvY9mpBSiKCmtD9CjGD8RQkTFyUN0QBtRNrxkM_T9bD3_-e3H8v0xJSVehgh4ZS2YhEOPP5zP8bxPLgPJxTgCvhx0H6_8mPTW9TrD8zEFnZE2dHu8hmvwEeu-wwvvemfCTqdN8OHKGe3x6utugBjdtUt7HCxegHfa4KWLkEs9Rg-s9hGeTOsh-niyulycFet3p-eL-boweSpeWEs7XTLJ2s4I1ubxZUcg71qwnHWiYoYLynVV685yQ62UjWXSSlE1THYdO0QvbuvuhvBlhJjU1kUD3usewhhVLavsUk0zWN2CZggxDmDVbnBbPewVJep3BCpHoP6NIMueTfXHdgvdnWjyPAPPJ0DHbIvNlhoX_3IlqWnTMH7X_yb4BEP87McbGNQGtE8blcMknIq6KAlpiMyn4s9Vlr2aZM7D_r_erF5fvGXHJ6SS-ff8Agk8tOE</recordid><startdate>200809</startdate><enddate>200809</enddate><creator>Nenna, Raffaella</creator><creator>Mora, Barbara</creator><creator>Megiorni, Francesca</creator><creator>Mazzilli, Maria Cristina</creator><creator>Magliocca, Fabio Massimo</creator><creator>Tiberti, Claudio</creator><creator>Bonamico, Margherita</creator><general>Lippincott Williams &amp; Wilkins, Inc</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200809</creationdate><title>HLA‐DQB102 Dose Effect on RIA Anti‐tissue Transglutaminase Autoantibody Levels and Clinicopathological Expressivity of Celiac Disease</title><author>Nenna, Raffaella ; Mora, Barbara ; Megiorni, Francesca ; Mazzilli, Maria Cristina ; Magliocca, Fabio Massimo ; Tiberti, Claudio ; Bonamico, Margherita</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4805-ff1da2393bdc73b13e9d0e73bbef53d743c5715a46adf5c1f998f39f974839dd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Alleles</topic><topic>Anti‐transglutaminase autoantibodies</topic><topic>Autoantibodies - blood</topic><topic>Biological and medical sciences</topic><topic>Celiac disease</topic><topic>Celiac Disease - genetics</topic><topic>Celiac Disease - immunology</topic><topic>Celiac Disease - pathology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Clinical data</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Genotype</topic><topic>Histology</topic><topic>HLA</topic><topic>HLA-DQ Antigens - genetics</topic><topic>HLA-DQ beta-Chains</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Other diseases. Semiology</topic><topic>Radioimmunoassay</topic><topic>Risk Factors</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Transglutaminases - immunology</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nenna, Raffaella</creatorcontrib><creatorcontrib>Mora, Barbara</creatorcontrib><creatorcontrib>Megiorni, Francesca</creatorcontrib><creatorcontrib>Mazzilli, Maria Cristina</creatorcontrib><creatorcontrib>Magliocca, Fabio Massimo</creatorcontrib><creatorcontrib>Tiberti, Claudio</creatorcontrib><creatorcontrib>Bonamico, Margherita</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric gastroenterology and nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nenna, Raffaella</au><au>Mora, Barbara</au><au>Megiorni, Francesca</au><au>Mazzilli, Maria Cristina</au><au>Magliocca, Fabio Massimo</au><au>Tiberti, Claudio</au><au>Bonamico, Margherita</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>HLA‐DQB102 Dose Effect on RIA Anti‐tissue Transglutaminase Autoantibody Levels and Clinicopathological Expressivity of Celiac Disease</atitle><jtitle>Journal of pediatric gastroenterology and nutrition</jtitle><addtitle>J Pediatr Gastroenterol Nutr</addtitle><date>2008-09</date><risdate>2008</risdate><volume>47</volume><issue>3</issue><spage>288</spage><epage>292</epage><pages>288-292</pages><issn>0277-2116</issn><eissn>1536-4801</eissn><coden>JPGND6</coden><abstract>ABSTRACT Objectives: Celiac disease is an autoimmune enteropathy caused by gluten ingestion in genetically susceptible individuals. Anti‐transglutaminase autoantibody (tTGAb) assay is useful to detect candidates undergoing intestinal biopsy. Our aim was to investigate whether the DQB1*02 allele could influence tTGAb titers and the clinicopathological expressivity of the disease. Methods: A total of 124 patients with celiac disease, tested for RIA tTGAb at diagnosis, were typed for HLA‐DRB1, ‐DQA1, and ‐DQB1 genes and divided according to the number of DQB1*02 alleles: group 1, homozygous; group 2, heterozygous; group 3, negative. Results: The mean of tTGAb indexes was significantly higher in group 1 patients than in group 2 (P &lt; 0.02) and group 3 patients (P &lt; 0.01). Patients with at least 1 DQB1*02 allele showed more often a typical CD and diffuse histological lesions than did patients in the other groups. Conclusions: The study demonstrates that tTGAb titers are HLA‐DQB1*02 dose dependent, with significantly higher levels in homozygous individuals. 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source MEDLINE; Wiley Online Library; Journals@Ovid Complete
subjects Adolescent
Adult
Alleles
Anti‐transglutaminase autoantibodies
Autoantibodies - blood
Biological and medical sciences
Celiac disease
Celiac Disease - genetics
Celiac Disease - immunology
Celiac Disease - pathology
Child
Child, Preschool
Clinical data
Feeding. Feeding behavior
Female
Fundamental and applied biological sciences. Psychology
Gastroenterology. Liver. Pancreas. Abdomen
Genotype
Histology
HLA
HLA-DQ Antigens - genetics
HLA-DQ beta-Chains
Humans
Infant
Male
Medical sciences
Other diseases. Semiology
Radioimmunoassay
Risk Factors
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Transglutaminases - immunology
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Young Adult
title HLA‐DQB102 Dose Effect on RIA Anti‐tissue Transglutaminase Autoantibody Levels and Clinicopathological Expressivity of Celiac Disease
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