Antibodies to dietary antigens in coeliac disease

Scand J Gastroenterol. 1986 Oct;21(8):935-40. doi: 10.3109/00365528608996398.

Abstract

Antibodies to gliadin (AGA) were found in 77 (94%) of 82 sera from patients with active coeliac disease (untreated and after gluten challenge). Although IgG AGA had a higher nosological sensitivity than IgA AGA (88% versus 67%), their nosological specificity was lower than that of IgA antibodies (87% versus 100%). The sensitivity of antibodies to casein, beta-lactoglobulin, and ovalbumin in active coeliac disease varied from 36% to 48% without significant difference between IgG and IgA antibodies. IgG and IgA antibodies to milk and egg proteins showed a specificity similar to that of AGA, although some IgA antibodies other than AGA were found in disease controls (Crohn's disease, ulcerative colitis, post-enteritis syndrome).

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Antibodies / analysis*
  • Antigens
  • Caseins / immunology
  • Celiac Disease / immunology*
  • Child
  • Child, Preschool
  • Dietary Proteins / immunology*
  • Enzyme-Linked Immunosorbent Assay
  • Gliadin / immunology*
  • Humans
  • Immunoglobulin A / analysis
  • Immunoglobulin G / analysis
  • Infant
  • Lactoglobulins / immunology
  • Middle Aged
  • Ovalbumin / immunology
  • Plant Proteins / immunology*

Substances

  • Antibodies
  • Antigens
  • Caseins
  • Dietary Proteins
  • Immunoglobulin A
  • Immunoglobulin G
  • Lactoglobulins
  • Plant Proteins
  • Ovalbumin
  • Gliadin