Early Antibody Dynamics in a Prospective Cohort of Children At Risk of Celiac Disease.

Valitutti, Francesco; Leonard, Maureen M; Kenyon, Victoria; Montuori, Monica; Piemontese, Pasqua; Francavilla, Ruggiero; Malamisura, Basilio; Norsa, Lorenzo et al. · Am J Gastroenterol · 2023

prospective_cohort · Level II

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Abstract

The purpose of this study was to identify possible serum biomarkers predicting celiac disease (CD) onset in children at risk. A subgroup from an ongoing, international prospective study of children at risk of CD was classified according to an early trajectory of deamidated gliadin peptides (DGPs) immunoglobulin (Ig) G and clinical outcomes (CD, potential CD, and CD autoimmunity). Thirty-eight of 325 children developed anti-tissue transglutaminase IgA antibody (anti-tTG IgA) seroconversion. Twenty-eight of 38 children (73.6%) showed an increase in anti-DGPs IgG before their first anti-tTG IgA seroconversion. Anti-DGPs IgG can represent an early preclinical biomarker predicting CD onset in children at risk.

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