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麸质肠病中的麦醇溶蛋白抗体检测

Gliadin antibody detection in gluten enteropathy.

作者信息

Watson R G, McMillan S A, Dolan C, O'Farrelly C, Cuthbert R J, Haire M, Weir D G, Porter K G

出版信息

Ulster Med J. 1986 Oct;55(2):160-4.

PMID:3811015
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2448356/
Abstract

Circulating antigliadin antibody has been described in patients with gluten enteropathy although the prevalence varies in different studies. It has been suggested that the investigation for antigliadin antibody might be useful as a screening test. The object of the present study was to evaluate two different techniques for assaying these antibodies - an indirect immunofluorescent method and an enzyme-linked immunosorbent assay (ELISA). Antibodies were assayed in the sera of 102 patients in whom jejunal biopsies were also obtained. The specificity of both tests was greater than 95%, and the correlation between the presence of antibody and histology was significant (p < 0.005), though the sensitivity of each test was less than 70%.

摘要

尽管不同研究中麸质肠病患者循环抗麦醇溶蛋白抗体的患病率有所不同,但已有相关描述。有人提出,抗麦醇溶蛋白抗体检测作为一种筛查试验可能有用。本研究的目的是评估两种不同的检测这些抗体的技术——间接免疫荧光法和酶联免疫吸附测定(ELISA)。在102例同时进行了空肠活检的患者血清中检测了抗体。两种检测方法的特异性均大于95%,抗体存在与组织学之间的相关性显著(p < 0.005),不过每种检测方法的敏感性均低于70%。

相似文献

1
Gliadin antibody detection in gluten enteropathy.麸质肠病中的麦醇溶蛋白抗体检测
Ulster Med J. 1986 Oct;55(2):160-4.
2
[Validity of antigliadin antibodies in the diagnosis of celiac disease].[抗麦醇溶蛋白抗体在乳糜泻诊断中的有效性]
Pediatr Med Chir. 1986 Sep-Oct;8(5):605-9.
3
Detection of undiagnosed coeliac disease with atypical features using antireticulin and antigliadin antibodies.使用抗网硬蛋白抗体和抗麦醇溶蛋白抗体检测具有非典型特征的未确诊乳糜泻。
Q J Med. 1992 Sep;84(305):713-8.
4
[Evaluation of the antigliadin antibody titer in adult celiac disease].[成人乳糜泻中抗麦醇溶蛋白抗体滴度的评估]
Recenti Prog Med. 1989 May;80(5):245-8.
5
Application of ELISA method to determine antigliadin antibodies in children with coeliac disease.酶联免疫吸附测定法在乳糜泻患儿中检测抗麦醇溶蛋白抗体的应用。
Acta Univ Palacki Olomuc Fac Med. 1989;122:183-92.
6
Antigliadin antibodies and gluten-free diet in dermatitis herpetiformis.疱疹样皮炎中的抗麦醇溶蛋白抗体与无麸质饮食
Acta Derm Venereol. 1985;65(4):291-7.
7
[The role of IgA and IgA antigliadin antibodies in the diagnosis and management of celiac disease].[IgA及IgA抗麦醇溶蛋白抗体在乳糜泻诊断与管理中的作用]
An Esp Pediatr. 1989 Aug;31(2):100-4.
8
[How sensitive and specific is the determination of gliadin antibodies in the serum of patients with severe damage of small intestine mucosa?].[严重小肠黏膜损伤患者血清中麦醇溶蛋白抗体的检测有多灵敏和特异?]
Monatsschr Kinderheilkd. 1988 Aug;136(8):459-61.
9
Secretion of gliadin antibody by coeliac jejunal mucosal biopsies cultured in vitro.体外培养的乳糜泻空肠黏膜活检组织分泌麦醇溶蛋白抗体。
Clin Exp Immunol. 1986 Apr;64(1):119-24.
10
High prevalence of celiac disease in healthy adults revealed by antigliadin antibodies.抗麦醇溶蛋白抗体揭示健康成年人中乳糜泻的高患病率。
Ann Allergy. 1992 Jul;69(1):66-70.

引用本文的文献

1
The Ulster Medical Journal index: volumes 1-64.《阿尔斯特医学杂志》索引:第1卷至第64卷。
Ulster Med J. 1998 Nov;67 Suppl 2(Suppl 2):1-60.
2
Predictive value for coeliac disease of antibodies to gliadin, endomysium, and jejunum in patients attending for jejunal biopsy.空肠活检患者中抗麦醇溶蛋白、抗肌内膜和抗空肠抗体对乳糜泻的预测价值。
BMJ. 1991 Nov 9;303(6811):1163-5. doi: 10.1136/bmj.303.6811.1163.

本文引用的文献

1
IgA anti-gliadin antibodies in coeliac disease.乳糜泻中的IgA抗麦醇溶蛋白抗体。
Clin Exp Immunol. 1981 Nov;46(2):286-93.
2
New immunofluorescent blood test for gluten sensitivity.用于检测麸质敏感性的新型免疫荧光血液检测
Arch Dis Child. 1981 Nov;56(11):864-8. doi: 10.1136/adc.56.11.864.
3
Alpha gliadin antibody levels: a serological test for coeliac disease.α-麦醇溶蛋白抗体水平:乳糜泻的血清学检测
Br Med J (Clin Res Ed). 1983 Jun 25;286(6383):2007-10. doi: 10.1136/bmj.286.6383.2007.
4
IgA antigliadin antibodies: a marker of mucosal damage in childhood coeliac disease.IgA抗麦醇溶蛋白抗体:儿童乳糜泻黏膜损伤的标志物。
Lancet. 1983 Feb 12;1(8320):320-2. doi: 10.1016/s0140-6736(83)91627-6.
5
Antibodies to gliadin detected by immunofluorescence and a micro-ELISA method: markers of active childhood and adult coeliac disease.通过免疫荧光和微量酶联免疫吸附测定法检测到的麦醇溶蛋白抗体:儿童和成人乳糜泻活动期的标志物
Gut. 1985 Jul;26(7):667-71. doi: 10.1136/gut.26.7.667.
6
Alpha-gliadin antibodies in childhood coeliac disease.儿童乳糜泻中的α-麦醇溶蛋白抗体。
Lancet. 1985 Sep 7;2(8454):558-9. doi: 10.1016/s0140-6736(85)90502-1.
7
Antibodies to gluten and reticulin in gastrointestinal diseases.胃肠道疾病中针对谷蛋白和网硬蛋白的抗体
Clin Exp Immunol. 1978 Jan;31(1):92-9.
8
Immunofluorescent serum gliadin antibodies in children with coeliac disease and various malabsorptive disorders. I. Technique, clinical evaluation and diagnostic use of a gliadin antibody assay using pyruvic aldehyde-treated human red cells.乳糜泻及各种吸收不良性疾病患儿的免疫荧光血清麦醇溶蛋白抗体。I. 使用丙酮酸醛处理的人红细胞进行麦醇溶蛋白抗体检测的技术、临床评估及诊断应用
Eur J Pediatr. 1979 Mar 1;130(3):155-64. doi: 10.1007/BF00455261.