PMID- 36067801 OWN - NLM STAT- MEDLINE DCOM- 20230126 LR - 20230209 IS - 1553-4014 (Electronic) IS - 1553-4006 (Linking) VI - 18 DP - 2023 Jan 24 TI - The Immunobiology and Pathogenesis of Celiac Disease. PG - 47-70 LID - 10.1146/annurev-pathmechdis-031521-032634 [doi] AB - Among human leukocyte antigen (HLA)-associated disorders, celiac disease has an immunopathogenesis that is particularly well understood. The condition is characterized by hypersensitivity to cereal gluten proteins, and the disease lesion is localized in the gut. Still, the diagnosis can be made by detection of highly disease-specific autoantibodies to transglutaminase 2 in the blood. We now have mechanistic insights into how the disease-predisposing HLA-DQ molecules, via presentation of posttranslationally modified gluten peptides, are connected to the generation of these autoantibodies. This review presents our current understanding of the immunobiology of this common disorder that is positioned in the border zone between food hypersensitivity and autoimmunity. FAU - Iversen, Rasmus AU - Iversen R AD - KG Jebsen Coeliac Disease Research Centre, Institute of Clinical Medicine, University of Oslo, Oslo, Norway; email: l.m.sollid@medisin.uio.no. AD - Department of Immunology, Oslo University Hospital-Rikshospitalet, Oslo, Norway. FAU - Sollid, Ludvig M AU - Sollid LM AD - KG Jebsen Coeliac Disease Research Centre, Institute of Clinical Medicine, University of Oslo, Oslo, Norway; email: l.m.sollid@medisin.uio.no. AD - Department of Immunology, Oslo University Hospital-Rikshospitalet, Oslo, Norway. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20220906 PL - United States TA - Annu Rev Pathol JT - Annual review of pathology JID - 101275111 RN - EC 2.3.2.13 (Transglutaminases) RN - 8002-80-0 (Glutens) RN - 0 (HLA-DQ Antigens) RN - 0 (Autoantibodies) SB - IM MH - Humans MH - *Celiac Disease/diagnosis/genetics MH - Transglutaminases MH - Glutens/adverse effects MH - HLA-DQ Antigens/genetics MH - Autoantibodies OTO - NOTNLM OT - B cells OT - HLA OT - T cells OT - autoimmunity OT - celiac disease OT - gluten OT - transglutaminase 2 EDAT- 2022/09/07 06:00 MHDA- 2023/01/27 06:00 CRDT- 2022/09/06 19:12 PHST- 2022/09/07 06:00 [pubmed] PHST- 2023/01/27 06:00 [medline] PHST- 2022/09/06 19:12 [entrez] AID - 10.1146/annurev-pathmechdis-031521-032634 [doi] PST - ppublish SO - Annu Rev Pathol. 2023 Jan 24;18:47-70. doi: 10.1146/annurev-pathmechdis-031521-032634. Epub 2022 Sep 6.