Unbound MEDLINE

Antibodies to wheat high-molecular-weight glutenin subunits in patients with celiac disease.

Abstract

BACKGROUND
Wheat gluten comprises gliadins and glutenins. The high-molecular-weight (HMW) glutenin subunits (GS)-1Dy10 are toxic for patients with celiac disease (CD). This study aimed to assess whether CD patients mount a serological response to HMW-GS-1Dy10.
METHODS
Recombinant HMW-GS-1Dy10 was deamidated using human recombinant tissue transglutaminase. MALDI-TOF was performed to compare the level of deamidation of glutamine residues between material before and after treatment. Enzyme-linked immunosorbent assays were developed. Sera from patients with untreated CD and gastrointestinal disease controls were tested and receiver operator characteristics were used to calculate cutoffs.
RESULTS
MALDI-TOF revealed a number of fragments matching known HMW-GS-1Dy10 sequences within both the deamidated and non-deamidated material. Evidence of deamidation of glutamine residues was found only within the human transglutaminase-treated material. Patients with untreated CD had significantly increased levels of serum antibodies to HMW-GS-1Dy10 compared to controls. Undeamidated HMW-GS-1Dy10 IgA antibodies had sensitivities and specificities of 72.5 and 78.26%, respectively. Deamidated HMW-GS-1Dy10 IgA antibodies had sensitivities and specificities of 76.8 and 65.2%. Undeamidated HMW-GS-1Dy10 IgG antibodies had sensitivities and specificities of 75.3 and 68.1%. Deamidated HMW-GS-1Dy10 IgG antibodies had sensitivities and specificities of 36.2 and 92.8%.
CONCLUSION
Patients with untreated CD have raised antibody levels to HMW-GS-1Dy10, indicating the participation of these proteins in the adaptive immune response to gluten. Discrimination between CD patients and controls is not enhanced by deamidation of HMW-GS-1Dy10. Thus antibodies to these proteins are not useful markers for CD detection.

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  • Publisher Full Text
  • Authors

    Ellis HJ, Lozano-Sanchez P, Bermudo Redondo C, Šuligoj T, Biagi F, Bianchi PI, Corazza GR, De Silvestri A, Bravi E, Katakis I, O'Sullivan CK, Ciclitira PJ

    Institution

    Division of Diabetes and Nutritional Sciences, King's College London, London, UK. julia.ellis@kcl.ac.uk

    Source

    International archives of allergy and immunology 159:4 2012 pg 428-34

    MeSH

    Adaptive Immunity
    Amino Acid Sequence
    Antibodies
    Antibody Specificity
    Celiac Disease
    Gliadin
    Glutens
    Humans
    Immunoglobulin A
    Molecular Sequence Data
    Molecular Weight
    Protein Subunits
    Recombinant Proteins
    Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization
    Transglutaminases
    Triticum

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    22813868