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Published on: December 15, 2011
Immune reaction against the cytoskeleton in coeliac disease
M G Clemente1, M P Musu, F Frau
1Dipartimento di Scienze Biomediche e Biotecnologie, Servizio delle Malattie Metaboliche del Bambino, Università degli Studi di Cagliari, Cagliari, Italy.
Insights
Coeliac disease (CD) patients show an immune response to actin filaments, a key part of the cytoskeleton. Antiactin antibodies (AAA) detected in CD correlate with severe villous atrophy and disappear after a gluten-free diet (GFD).
Area of Science:
- Immunology
- Gastroenterology
- Cell Biology
Background:
- Coeliac disease (CD) involves gluten-induced damage to the intestinal cytoskeleton.
- The actin network in intestinal microvilli is particularly vulnerable to gluten.
- Previous research suggests a link between gluten and cytoskeletal impairment in CD.
Purpose of the Study:
- To investigate immune reactions against cytoskeleton structures, specifically actin filaments, in coeliac disease patients.
- To assess the prevalence and significance of antiactin antibodies (AAA) in CD.
- To evaluate the impact of a gluten-free diet (GFD) on AAA levels.
Main Methods:
- Studied 83 coeliac disease patients (children and adults) and various control groups.
- Utilized indirect immunofluorescence, ELISA, and western blotting to detect IgA and IgG antiactin antibodies (AAA).
- Also measured antitissue transglutaminase (TGA) antibodies and assessed antibody levels before and after a gluten-free diet (GFD).
Main Results:
- 59 out of 83 CD patients (71%) tested positive for IgA and/or IgG AAA.
- A high prevalence (92.7%) of IgA TGA antibodies was observed.
- IgA AAA levels strongly correlated with the severity of intestinal villous atrophy (p<0.0001).
- AAA became undetectable within five months of adhering to a GFD.
Conclusions:
- An immune response directed against the cytoskeleton, specifically actin filaments, exists in both children and adults with coeliac disease.
- Antiactin antibodies (AAA) are strongly associated with severe intestinal villous atrophy in CD.
- AAA may serve as a valuable serological marker for identifying severe intestinal damage in coeliac disease.
Background:
The cytoskeleton actin network of intestinal microvilli has been found to be rapidly impaired after gluten challenge in coeliac disease (CD). The aim of this study was to investigate the presence of an immune reaction towards cytoskeleton structures such as actin filaments in CD.
Methods:
Eighty three antiendomysial antibody positive CD patients (52 children and 31 adults) were studied at our outpatient clinics from 1996 to 1998 using indirect immunofluorescence, ELISA, and western blotting for antiactin (AAA) and antitissue transglutaminase (TGA) antibodies before and after a gluten free diet (GFD). Sixteen patients with smooth muscle antibody positive autoimmune hepatitis, 21 with inflammatory bowel diseases, seven with small bowel bacterial overgrowth, and 60 healthy subjects were studied as controls.
Results:
Fifty nine of 83 CD patients (28/31 adults (90.3%); 31/52 children (59.6%)) were positive for IgA and/or IgG AAA. Seventy seven (92.7%) were positive for IgA TGA. IgA AAA were strongly correlated with more severe degrees of intestinal villous atrophy (p<0.0001; relative risk 86.17). After a GFD, AAA became undetectable within five months.
Conclusions:
Apart from the immune reaction against the extracellular matrix, we have described an immune reaction against the cytoskeleton in both children and adults with CD. As AAA are strongly associated with more severe degrees of villous atrophy, they may represent a useful serological marker of severe intestinal atrophy in CD.
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