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血清阳性多发性硬化症患者中抗转谷氨酰胺酶2和6抗体的患病率评估

Evaluation of the Prevalence of Anti-transglutaminase 2 and 6 Antibodies in Patients with Sero-Positive Multiple Sclerosis.

作者信息

Emami Mohammad Hassan, Najafi Mohammad Reza, Allahdadian Sepideh, Mohammadzadeh Samane, Jamali Nahid, Lalazarian Anasik, Shaygan Nejad Vahid, Maghool Fatemeh

机构信息

Poursina Hakim Digestive Diseases Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

Pooya Zist-Mabna Hakim Company, Poursina Hakim Institute, Isfahan, Iran.

出版信息

Middle East J Dig Dis. 2024 Jan;16(1):47-51. doi: 10.34172/mejdd.2024.368. Epub 2024 Jan 31.

DOI:10.34172/mejdd.2024.368
PMID:39050097
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11264836/
Abstract

BACKGROUND

Gluten sensitivity (GS) is one of the gluten-related disorders (GRDs). Patients with GS may have serum antibodies against tissue transglutaminase (tTG) (IgA and IgG) without any evidence of enteropathy. We aimed to evaluate both tTG-6 and tTG-2 antibodies to determine the prevalence of seropositive tTG-2 and tTG-6 antibodies in patients with multiple sclerosis (MS).

METHODS

In this cross-sectional study, we carried out serological tests (IgA & IgG anti-tTG-6 and tTG-2 antibodies) in patients with MS.

RESULTS

Seventy-two patients with MS were included in this study. Of them, seropositive patients for total (IgA+IgG) of tTG-6 and tTG-2 autoantibodies were 9.7% (95% CI, 4.2-18) and 5.6% (95% CI, 1.4-12.5), respectively.

CONCLUSION

Anti-tTG-6 antibody testing may be necessary for early diagnosis of GS in patients with MS. More studies with larger sample sizes are warranted to confirm these data.

摘要

背景

麸质敏感性(GS)是麸质相关疾病(GRD)之一。GS患者可能有抗组织转谷氨酰胺酶(tTG)的血清抗体(IgA和IgG),但无任何肠病证据。我们旨在评估tTG-6和tTG-2抗体,以确定多发性硬化症(MS)患者中tTG-2和tTG-6抗体血清阳性的患病率。

方法

在这项横断面研究中,我们对MS患者进行了血清学检测(IgA和IgG抗tTG-6和tTG-2抗体)。

结果

本研究纳入了72例MS患者。其中,tTG-6和tTG-2自身抗体总(IgA+IgG)血清阳性患者分别为9.7%(95%CI,4.2-18)和5.6%(95%CI,1.4-12.5)。

结论

抗tTG-6抗体检测可能对MS患者GS的早期诊断有必要。需要更多样本量更大的研究来证实这些数据。

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本文引用的文献

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Autoantibodies in neurological disease.神经疾病中的自身抗体。
Nat Rev Immunol. 2021 Dec;21(12):798-813. doi: 10.1038/s41577-021-00543-w. Epub 2021 May 11.
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An updated overview of spectrum of gluten-related disorders: clinical and diagnostic aspects.麸质相关疾病谱的最新综述:临床与诊断方面
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Cell Density Counts of the Intestinal Intraepithelial Lymphocytes in the Celiac Patients.乳糜泻患者肠道上皮内淋巴细胞的细胞密度计数
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The role of gluten in multiple sclerosis: A systematic review.麸质在多发性硬化症中的作用:系统评价。
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Transglutaminase-6 is an autoantigen in progressive multiple sclerosis and is upregulated in reactive astrocytes.转谷氨酰胺酶 6 是进行性多发性硬化症的自身抗原,在反应性星形胶质细胞中上调。
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Gluten ataxia is better classified as non-celiac gluten sensitivity than as celiac disease: a comparative clinical study.麸质共济失调归类为非乳糜泻性麸质敏感比归类为乳糜泻更合适:一项对比临床研究。
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Case Rep Gastroenterol. 2015 Jun 9;9(2):200-5. doi: 10.1159/000431170. eCollection 2015 May-Aug.
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High Proportions of People With Nonceliac Wheat Sensitivity Have Autoimmune Disease or Antinuclear Antibodies.非乳糜泻小麦敏感患者中自身免疫性疾病或抗核抗体的比例较高。
Gastroenterology. 2015 Sep;149(3):596-603.e1. doi: 10.1053/j.gastro.2015.05.040. Epub 2015 May 27.