PMID- 26207618 OWN - NLM STAT- MEDLINE DCOM- 20160919 LR - 20211203 IS - 2291-2797 (Electronic) IS - 2291-2789 (Print) IS - 2291-2789 (Linking) VI - 29 IP - 8 DP - 2015 Nov-Dec TI - Prevalence of celiac disease and celiac autoimmunity in the Toba Native Amerindian community of Argentina. PG - 431-4 LID - 16817 [pii] AB - BACKGROUND: Celiac disease (CD) is mostly recognized among subjects with a Caucasian ethnic ancestry. No studies have explored conditions predisposing Amerindians to CD. OBJECTIVE: To prospectively assess environmental, genetic and serological conditions associated with CD among members of the Toba native population attending a multidisciplinary sanitary mission. METHODS: An expert nutritionist determined daily gluten intake using an established questionnaire. Gene typing for the human leukocyte antigen (HLA) class II alleles was performed on DNA extracted from peripheral blood (HLA DQ2⁄DQ8 haplotype). Serum antibodies were immunoglobulin (Ig) A tissue transglutaminase (tTG) and the composite deamidated gliadin peptides⁄tTG Screen test. Positive cases were tested for IgA endomysial antibodies. RESULTS: A total of 144 subjects (55% female) were screened. The estimated mean gluten consumption was 43 g⁄day (range 3 g⁄day to 185 g⁄day). Genetic typing showed that 73 of 144 (50.7%) subjects had alleles associated with CD; 69 (94.5%) of these subjects had alleles for HLA DQ8 and four had DQ2 (5.5%). Four and six subjects had antibody concentrations above the cut-off established by the authors' laboratory (>3 times the upper limit of normal) for IgA tTG and deamidated gliadin peptides⁄tTG screen, respectively. Four of these had concomitant positivity for both assays and endomysial antibodies were positive in three subjects who also presented a predisposing haplotype. CONCLUSION: The present study was the first to detect CD in Amerindians. The native Toba ethnic population has very high daily gluten consumption and a predisposing genetic background. We detected subjects with persistent CD autoimmunity and, at least, three of them fulfilled serological criteria for CD diagnosis. FAU - Vazquez, Horacio AU - Vazquez H FAU - de la Paz Temprano, Maria AU - de la Paz Temprano M FAU - Sugai, Emilia AU - Sugai E FAU - Scacchi, Stella M AU - Scacchi SM FAU - Souza, Cecilia AU - Souza C FAU - Cisterna, Daniel AU - Cisterna D FAU - Smecuol, Edgardo AU - Smecuol E FAU - Moreno, Maria Laura AU - Moreno ML FAU - Longarini, Gabriela AU - Longarini G FAU - Mazure, Roberto AU - Mazure R FAU - Bartellini, Maria A AU - Bartellini MA FAU - Verdu, Elena F AU - Verdu EF FAU - Gonzalez, Andrea AU - Gonzalez A FAU - Maurino, Eduardo AU - Maurino E FAU - Bai, Julio AU - Bai J LA - eng GR - MOP 123282/Canadian Institutes of Health Research/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150724 PL - Egypt TA - Can J Gastroenterol Hepatol JT - Canadian journal of gastroenterology & hepatology JID - 101623613 RN - 0 (Autoantibodies) RN - 0 (HLA-DQ Antigens) RN - 0 (HLA-DQ2 antigen) RN - 0 (HLA-DQ8 antigen) RN - 0 (Immunoglobulin A) RN - 8002-80-0 (Glutens) RN - 9007-90-3 (Gliadin) RN - EC 2.3.2.13 (Protein Glutamine gamma Glutamyltransferase 2) RN - EC 2.3.2.13 (Transglutaminases) RN - EC 3.6.1.- (GTP-Binding Proteins) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Argentina/epidemiology MH - Autoantibodies/immunology MH - Autoimmunity/genetics/immunology MH - Celiac Disease/*ethnology/genetics/immunology MH - Child MH - Child, Preschool MH - Diet/*statistics & numerical data MH - Female MH - GTP-Binding Proteins/immunology MH - Gliadin/immunology MH - *Glutens MH - HLA-DQ Antigens/genetics MH - Humans MH - Immunoglobulin A/immunology MH - Indians, South American/*statistics & numerical data MH - Male MH - Middle Aged MH - Prevalence MH - Prospective Studies MH - Protein Glutamine gamma Glutamyltransferase 2 MH - Transglutaminases/immunology MH - Young Adult PMC - PMC4699604 EDAT- 2015/07/25 06:00 MHDA- 2016/09/20 06:00 PMCR- 2016/05/01 CRDT- 2015/07/25 06:00 PHST- 2015/07/25 06:00 [entrez] PHST- 2015/07/25 06:00 [pubmed] PHST- 2016/09/20 06:00 [medline] PHST- 2016/05/01 00:00 [pmc-release] AID - 16817 [pii] AID - cjgh-29-431 [pii] AID - 10.1155/2015/927458 [doi] PST - ppublish SO - Can J Gastroenterol Hepatol. 2015 Nov-Dec;29(8):431-4. doi: 10.1155/2015/927458. Epub 2015 Jul 24.