Aspectos genéticos e imunopatogênicos da doença celíaca: visão atual

Background: Celiac disease is an enteropathy characterized by gluten sensitivity and broad clinical aspect. Has a multifactorial cause and depends on genetic, immunological and environmental factors for its development. The genetic influence is given mostly by the human leukocyte antigens HLA DQ2 and DQ8. Aim: To evaluate the prevalence of human leukocyte antigens DQ2 and DQ8 in three different groups: patients with celiac disease, first-degree relatives and the general population. Method: Retrospective analysis that evaluated serologic and endoscopic data of 74 patients with celiac disease and 109 non-celiac, which were subdivided into two subgroups: non-celiac who had first-degree relatives with celiac and non-celiac who did not. All patients underwent laboratory examination for screening genetic sensitivity given by HLA DQ2 and HLA DQ8 by. Results: The presence of HLA DQ2 and DQ8 was identified in 98,4% of 74 celiac patients, of which 79,7% had only HLA DQ2; 8,1% had only HLA DQ8 and 10,8% had both antigens histocompatibility. In the group of relatives of celiac patients, were included 29 patients; among them, 89,6% had HLA DQ2 and/or DQ8; 76% only the HLA DQ2, 10,3% only HLA DQ8 and 3,4% presented both human leukocyte antigens (HLA). Conclusion: HLA DQ2/DQ8 was present in 98,4% of celiac patients; 89,6% relatives of celiac family and in 55,4% of people from the general population without family celiac.

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The Prevalence of Hla Dq2 and Dq8 in Patients With Celiac Disease, in Family and in General Population

Cecilio

Bonatto

2015

ABCD, arq. bras. cir. dig.

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Métodos analíticos para detecção de glúten em alimentos

Barbosa,

Abreu,

Zenebon

2007

Rev Inst Adolfo Lutz

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O tratamento para a doença celíaca (DC) consiste em dieta livre das prolaminas: gliadina, hordeina, secalina e avenina existentes no trigo, centeio, cevada e aveia. A Comissão do Codex Alimentarius (FAO/WHO) definiu o limite de 200 ppm (mg/kg) de glúten para o alimento ser considerado livre desse produto. A revisão de 2004 do Codex Alimentarius sugeriu o limite de 20 ppm para produtos naturalmente sem glúten e de 200 ppm para produtos derivados de ingredientes não fonte de glúten, porém esses limites estão ainda em discussão. Entre os métodos analíticos para detectar ou determinar glúten/gliadina têm sido empregadas as técnicas de: espectrometria de massa, cromatografia líquida, análise de DNA do trigo e imununoenzimáticos. O método oficial adotado pela Association of Official Analytical Chemistry (AOAC) é o ELISA baseado no anticorpo monoclonal para ω gliadina. O Codex Alimentarius endossou temporariamente, o R5 ELISA como Método Tipo I. O R5 ELISA utiliza anticorpo monoclonal para o pentapeptídeo tóxico existente na gliadina, hordeina e secalina. O ELISA, em função de sua maior sensibilidade e apropriado limite de detecção (1,5 ppm de gliadina), é considerado superior às demais técnicas. A presença de pequenos fragmentos de proteína existentes em prolaminas hidrolisadas devem ser avaliados por métodos baseados em DNA.

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Aspectos genéticos e imunopatogênicos da doença celíaca: visão atual

Cited by 2 publications

References 76 publications

The Prevalence of Hla Dq2 and Dq8 in Patients With Celiac Disease, in Family and in General Population

The Prevalence of Hla Dq2 and Dq8 in Patients With Celiac Disease, in Family and in General Population

Métodos analíticos para detecção de glúten em alimentos

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