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.

Gut
|September 15, 2000
PubMed

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.
Abstract

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