PMID- 32294897 OWN - NLM STAT- MEDLINE DCOM- 20210112 LR - 20210112 IS - 2072-6643 (Electronic) IS - 2072-6643 (Linking) VI - 12 IP - 4 DP - 2020 Apr 13 TI - First-degree Relatives of Celiac Disease Patients Have Increased Seroreactivity to Serum Microbial Markers. LID - 10.3390/nu12041073 [doi] LID - 1073 AB - Risk of celiac disease (CD) is increased in relatives of CD patients due to genetic and possible environmental factors. We recently reported increased seropositivity to anti-Saccharomyces cerevisiae (ASCA), Pseudomonas fluorescens-associated sequence (anti-I2) and Bacteroides caccae TonB-linked outer membrane protein (anti-OmpW) antibodies in CD. We hypothesized these markers also to be overrepresented in relatives. Seropositivity and levels of ASCA, anti-I2 and anti-OmpW were compared between 463 first-degree relatives, 58 untreated and 55 treated CD patients, and 80 controls. CD-associated human leukocyte antigen (HLA)-haplotypes and transglutaminase (tTGab) and endomysium (EmA) antibodies were determined. One or more of the microbial antibodies was present in 75% of relatives, 97% of untreated and 87% of treated CD patients and 44% of the controls. The relatives had higher median ASCA IgA (9.13 vs. 4.50 U/mL, p < 0.001), ASCA IgG (8.91 vs. 5.75 U/mL, p < 0.001) and anti-I2 (absorbance 0.74 vs. 0.32, p < 0.001) levels than controls. There was a weak, positive correlation between tTGab and ASCA (r = 0.31, p < 0.001). Seropositivity was not significantly associated with HLA. To conclude, seropositivity to microbial markers was more common and ASCA and anti-I2 levels higher in relatives of CD patients than controls. These findings were not associated with HLA, suggesting the role of other genetic and environmental factors. FAU - Viitasalo, Liisa AU - Viitasalo L AD - Centre for Child Health Research, Tampere University, and Department of Pediatrics, Tampere University Hospital, FI-33521 Tampere, Finland. AD - Laboratory of Genetics, HUS Diagnostic Center, Helsinki University Hospital, FI-00029 Helsinki, Finland. FAU - Iltanen, Sari AU - Iltanen S AD - Centre for Child Health Research, Tampere University, and Department of Pediatrics, Tampere University Hospital, FI-33521 Tampere, Finland. AD - Lapland Central Hospital, FI-96101 Rovaniemi, Finland. FAU - Huhtala, Heini AU - Huhtala H AD - Faculty of Social Sciences, Tampere University, FI-33520 Tampere, Finland. FAU - Saavalainen, Paivi AU - Saavalainen P AD - Research Program Unit, Immunobiology, and Department of Medical and Clinical Genetics, University of Helsinki, FI-00014 Helsinki, Finland. FAU - Kaukinen, Katri AU - Kaukinen K AD - Celiac Disease Research Centre, Faculty of Medicine and Health Technology, Tampere University, FI-33520 Tampere, Finland. AD - Department of Internal Medicine, Tampere University Hospital, FI-33521 Tampere, Finland. FAU - Lindfors, Katri AU - Lindfors K AD - Celiac Disease Research Centre, Faculty of Medicine and Health Technology, Tampere University, FI-33520 Tampere, Finland. FAU - Kurppa, Kalle AU - Kurppa K AD - Centre for Child Health Research, Tampere University, and Department of Pediatrics, Tampere University Hospital, FI-33521 Tampere, Finland. AD - Department of Pediatrics, Seinajoki University Hospital and the University Consortium of Seinajoki, FI-60320 Seinajoki, Finland. LA - eng GR - NA/Academy of Finland/ GR - NA/the Finnish Medical Foundation/ GR - NA/Paivikki ja Sakari Sohlbergin Saatio/ GR - NA/the Paulo Foundation/ GR - NA/Sigrid Juseliuksen Saatio/ GR - NA/the Foundation for Pediatric Research/ GR - NA/the Competitive State Research Financing of the Expert Area of Tampere University Hospital/ PT - Journal Article DEP - 20200413 PL - Switzerland TA - Nutrients JT - Nutrients JID - 101521595 RN - 0 (Antibodies, Bacterial) RN - 0 (Antibodies, Fungal) RN - 0 (HLA Antigens) RN - 0 (Immunoglobulin A) RN - EC 2.3.2.13 (Transglutaminases) SB - IM MH - Adult MH - Antibodies, Bacterial/*blood MH - Antibodies, Fungal/*blood MH - Celiac Disease/*genetics/*immunology MH - *Family MH - Female MH - HLA Antigens/immunology MH - Humans MH - Immunoglobulin A/blood MH - Male MH - Middle Aged MH - Pseudomonas fluorescens/immunology MH - Saccharomyces cerevisiae/immunology MH - Transglutaminases/immunology PMC - PMC7230150 OTO - NOTNLM OT - Bacteroides caccae OT - Pseudomonas fluorescens OT - Saccharomyces cerevisiae OT - celiac disease OT - microbiota OT - relatives COIS- The authors declare no conflicts of interest. EDAT- 2020/04/17 06:00 MHDA- 2021/01/13 06:00 PMCR- 2020/04/01 CRDT- 2020/04/17 06:00 PHST- 2020/03/23 00:00 [received] PHST- 2020/04/02 00:00 [revised] PHST- 2020/04/08 00:00 [accepted] PHST- 2020/04/17 06:00 [entrez] PHST- 2020/04/17 06:00 [pubmed] PHST- 2021/01/13 06:00 [medline] PHST- 2020/04/01 00:00 [pmc-release] AID - nu12041073 [pii] AID - nutrients-12-01073 [pii] AID - 10.3390/nu12041073 [doi] PST - epublish SO - Nutrients. 2020 Apr 13;12(4):1073. doi: 10.3390/nu12041073.