Amici di celiachia.org. Visto che la ricerca è sempre in movimento, abbiamo pensato di iniziare a pubblicare articoli provenienti da pubblicazioni anche in lingua inglese per evitare di stravolgerne il significato con traduzioni grossolane. Iniziamo subito con questo articolo del Department of Medicine, Columbia University , New York, New York 10032, United States sulla correlazione tra malattia celiaca ed altri agenti patogeni oltre al glutine.
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Specific Nongluten Proteins of Wheat Are Novel Target Antigens in Celiac Disease Humoral Response.
While the antigenic specificity and pathogenic relevance of immunologic reactivity to gluten in celiac disease have been extensively researched, the immune response to nongluten proteins of wheat has not been characterized. We aimed to investigate the level and molecular specificity of antibody response to wheat nongluten proteins in celiac disease. Serum samples from patients and controls were screened for IgG and IgA antibody reactivity to a nongluten protein extract from the wheat cultivar Triticum aestivum Butte 86. Antibodies were further analyzed for reactivity to specific nongluten proteins by two-dimensional gel electrophoresis and immunoblotting. Immunoreactive molecules were identified by tandem mass spectrometry. Compared with healthy controls, patients exhibited significantly higher levels of antibody reactivity to nongluten proteins. The main immunoreactive nongluten antibody target proteins were identified as serpins, purinins, α-amylase/protease inhibitors, globulins, and farinins. Assessment of reactivity toward purified recombinant proteins further confirmed the presence of antibody response to specific antigens. The results demonstrate that, in addition to the well-recognized immune reaction to gluten, celiac disease is associated with a robust humoral response directed at a specific subset of the nongluten proteins of wheat.