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[Anti-deamidated gliadin peptides antibodies and coeliac disease: state of art and analysis of false-positive results from five assays].

作者信息

Lutteri Laurence, Sagot Clémence, Chapelle Jean-Paul

机构信息

Service de chimie médicale, Centre hospitalier universitaire de Liège, Belgique.

出版信息

Ann Biol Clin (Paris). 2010 Mar-Apr;68(2):149-56. doi: 10.1684/abc.2010.0398.


DOI:10.1684/abc.2010.0398
PMID:20348047
Abstract

Recently, anti-deamidated gliadin antibodies were proposed for the serological diagnosis of celiac disease. We evaluate the specificity of different anti-deamidated gliadin antibodies ELISA in comparison with conventional anti-native gliadin kits. Serum samples from 46 non celiac patients were analyzed by five different quantitative ELISA for anti-native gliadin, anti-deamidated gliadin and anti-transglutaminase neo-epitope antibodies together with a screening ELISA. Twenty-four percent of the patients demonstrated anti-native gliadin IgA and 63% IgG antibodies. Using anti-deamidated gliadin antibodies, the number of false positive IgA and, particularly, IgG results, markedly decreased in the non celiac patients: 21 and 24% respectively with anti-Gliadin (GAF-3X) Euroimmun kit, 7 and 26% with Bindazyme Human Anti-Gliadin (MGP) The Binding Site kit and 0 and 41% with Celiac G+ Immco kit. The new assay which makes use of the physiological complex of tissue transglutaminase cross-linked with deamidated gliadin peptides, called neo-epitope, did not improve the differential diagnosis of celiac disease with 30% of false positive results in IgG (2% in IgA). Using the Inova screening kit, a positive result for IgA and/or IgG anti-deamidated gliadin and/or anti-tissue transglutaminase antibodies was obtained in 24% of the non celiac patients. In conclusion, our study assessed the superiority, in terms of specificity, of anti-deamidated gliadin antibodies, over the conventional anti-gliadin antibodies for the differential diagnosis of celiac disease.

摘要

相似文献

[1]
[Anti-deamidated gliadin peptides antibodies and coeliac disease: state of art and analysis of false-positive results from five assays].

Ann Biol Clin (Paris). 2010

[2]
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APMIS. 2011-9-22

[3]
New developments in serodiagnosis of childhood celiac disease: assay of antibodies against deamidated gliadin.

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[4]
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[5]
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[6]
Antibodies against synthetic deamidated gliadin peptides and tissue transglutaminase for the identification of childhood celiac disease.

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[7]
Diagnostic performance of IgG anti-deamidated gliadin peptide antibody assays is comparable to IgA anti-tTG in celiac disease.

Clin Chim Acta. 2010-2-19

[8]
Tissue transglutaminase antibodies in celiac disease, comparison of an enzyme linked immunosorbent assay and a dot blot assay.

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[9]
Comparison of commercially available serologic kits for the detection of celiac disease.

J Clin Gastroenterol. 2009-3

[10]
[Relevance of anti-tissue transglutaminase antibodies in coeliac disease diagnosis].

Ann Biol Clin (Paris). 2003

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[3]
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