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ABSTRACT: Background
Celiac disease (CD) is an autoimmune gastrointestinal disorder characterized by the presence of anti-transglutaminase 2 (TG2) and anti-gliadin antibodies. Amongst the neurological dysfunctions associated with CD, ataxia represents the most common one.Methods
We analyzed by immunohistochemistry, the anti-neural reactivity of the serum from 20 CD patients. To determine the role of anti-TG2 antibodies in ataxia, two anti-TG2 single chain variable fragments (scFv), isolated from a phage-display IgA antibody library, were characterized by immunohistochemistry and ELISA, and injected in mice to study their effects on motor coordination. We found that 75% of the CD patient population without evidence of neurological involvement, has circulating anti-neural IgA and/or IgG antibodies. Two anti-TG2 scFvs, cloned from one CD patient, stained blood vessels but only one reacted with neurons. This anti-TG2 antibody showed cross reactivity with the transglutaminase isozymes TG3 and TG6. Intraventricular injection of the anti-TG2 or the anti-TG2/3/6 cross-reactive scFv provoked transient, equally intensive ataxia in mice.Conclusion
The serum from CD patients contains anti-TG2, TG3 and TG6 antibodies that may potentially cause ataxia.
SUBMITTER: Boscolo S
PROVIDER: S-EPMC2837746 | biostudies-literature | 2010 Mar
REPOSITORIES: biostudies-literature
Boscolo Sabrina S Lorenzon Andrea A Sblattero Daniele D Florian Fiorella F Stebel Marco M Marzari Roberto R Not Tarcisio T Aeschlimann Daniel D Ventura Alessandro A Hadjivassiliou Marios M Tongiorgi Enrico E
PloS one 20100315 3
<h4>Background</h4>Celiac disease (CD) is an autoimmune gastrointestinal disorder characterized by the presence of anti-transglutaminase 2 (TG2) and anti-gliadin antibodies. Amongst the neurological dysfunctions associated with CD, ataxia represents the most common one.<h4>Methods</h4>We analyzed by immunohistochemistry, the anti-neural reactivity of the serum from 20 CD patients. To determine the role of anti-TG2 antibodies in ataxia, two anti-TG2 single chain variable fragments (scFv), isolate ...[more]