Prevalence of serum celiac antibody in patients with IBD in Japan
BACKGROUND: Although the incidence of inflammatory bowel diseases (IBD) in Japan has increased, the prevalence of celiac disease is considered very low with the lowest genetic disposition. IBD is reported as the most common comorbidity because of the high positive rate of serological celiac markers....
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Japan
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4019828/ https://www.ncbi.nlm.nih.gov/pubmed/23754511 http://dx.doi.org/10.1007/s00535-013-0838-6 |
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author | Watanabe, Chikako Komoto, Shunsuke Hokari, Ryota Kurihara, Chie Okada, Yoshikiyo Hozumi, Hideaki Higashiyama, Masaaki Sakuraba, Atsushi Tomita, Kengo Tsuzuki, Yoshikazu Kawaguchi, Atsushi Nagao, Shigeaki Ogata, Sho Miura, Soichiro |
author_facet | Watanabe, Chikako Komoto, Shunsuke Hokari, Ryota Kurihara, Chie Okada, Yoshikiyo Hozumi, Hideaki Higashiyama, Masaaki Sakuraba, Atsushi Tomita, Kengo Tsuzuki, Yoshikazu Kawaguchi, Atsushi Nagao, Shigeaki Ogata, Sho Miura, Soichiro |
author_sort | Watanabe, Chikako |
collection | PubMed |
description | BACKGROUND: Although the incidence of inflammatory bowel diseases (IBD) in Japan has increased, the prevalence of celiac disease is considered very low with the lowest genetic disposition. IBD is reported as the most common comorbidity because of the high positive rate of serological celiac markers. The aim of this study was to examine the current incidence of celiac disease, especially in IBD patients in Japan, where both wheat consumption and incidence of IBD have increased. METHODS: A total of 172 patients with IBD and 190 controls in Japan were screened for serum antibody of tissue transglutaminase and deaminated gliadin peptide. In sero-positive patients, HLA testing and upper gastrointestinal endoscopy with duodenal biopsy was performed. Some of the sero-positive patients started a gluten-restricted or unrestricted diet, and serological change was determined. RESULTS: The positivity of both serum antibodies was significantly higher in IBD and correlated with disease activity. However, no biopsy-defined or HLA-defined true celiac disease was found. A decrease in serum antibody titers was observed with a gluten-restricted diet. CONCLUSIONS: Despite the increased incidence of IBD and high positivity for serum celiac antibody in Japanese IBD patients, no true-positive celiac disease was noted, suggesting the presence of gluten intolerance in these populations. |
format | Online Article Text |
id | pubmed-4019828 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Springer Japan |
record_format | MEDLINE/PubMed |
spelling | pubmed-40198282014-05-14 Prevalence of serum celiac antibody in patients with IBD in Japan Watanabe, Chikako Komoto, Shunsuke Hokari, Ryota Kurihara, Chie Okada, Yoshikiyo Hozumi, Hideaki Higashiyama, Masaaki Sakuraba, Atsushi Tomita, Kengo Tsuzuki, Yoshikazu Kawaguchi, Atsushi Nagao, Shigeaki Ogata, Sho Miura, Soichiro J Gastroenterol Original Article—Alimentary Tract BACKGROUND: Although the incidence of inflammatory bowel diseases (IBD) in Japan has increased, the prevalence of celiac disease is considered very low with the lowest genetic disposition. IBD is reported as the most common comorbidity because of the high positive rate of serological celiac markers. The aim of this study was to examine the current incidence of celiac disease, especially in IBD patients in Japan, where both wheat consumption and incidence of IBD have increased. METHODS: A total of 172 patients with IBD and 190 controls in Japan were screened for serum antibody of tissue transglutaminase and deaminated gliadin peptide. In sero-positive patients, HLA testing and upper gastrointestinal endoscopy with duodenal biopsy was performed. Some of the sero-positive patients started a gluten-restricted or unrestricted diet, and serological change was determined. RESULTS: The positivity of both serum antibodies was significantly higher in IBD and correlated with disease activity. However, no biopsy-defined or HLA-defined true celiac disease was found. A decrease in serum antibody titers was observed with a gluten-restricted diet. CONCLUSIONS: Despite the increased incidence of IBD and high positivity for serum celiac antibody in Japanese IBD patients, no true-positive celiac disease was noted, suggesting the presence of gluten intolerance in these populations. Springer Japan 2013-06-12 2014 /pmc/articles/PMC4019828/ /pubmed/23754511 http://dx.doi.org/10.1007/s00535-013-0838-6 Text en © Springer Japan 2013 |
spellingShingle | Original Article—Alimentary Tract Watanabe, Chikako Komoto, Shunsuke Hokari, Ryota Kurihara, Chie Okada, Yoshikiyo Hozumi, Hideaki Higashiyama, Masaaki Sakuraba, Atsushi Tomita, Kengo Tsuzuki, Yoshikazu Kawaguchi, Atsushi Nagao, Shigeaki Ogata, Sho Miura, Soichiro Prevalence of serum celiac antibody in patients with IBD in Japan |
title | Prevalence of serum celiac antibody in patients with IBD in Japan |
title_full | Prevalence of serum celiac antibody in patients with IBD in Japan |
title_fullStr | Prevalence of serum celiac antibody in patients with IBD in Japan |
title_full_unstemmed | Prevalence of serum celiac antibody in patients with IBD in Japan |
title_short | Prevalence of serum celiac antibody in patients with IBD in Japan |
title_sort | prevalence of serum celiac antibody in patients with ibd in japan |
topic | Original Article—Alimentary Tract |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4019828/ https://www.ncbi.nlm.nih.gov/pubmed/23754511 http://dx.doi.org/10.1007/s00535-013-0838-6 |
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