From: Small-intestinal TG2-specific plasma cells at different stages of coeliac disease
Prospectively studied coeliac patients (n = 15) | Long-term treated coeliac patients (n = 31) | Disease controls (n = 25) | ||||||
---|---|---|---|---|---|---|---|---|
CD prior to atrophy n = 14 | Overt CD n = 15 | 1 year GFD n = 11 | Patients in remission n = 15 | Non-responding CD n = 11 | Patients with dietary lapses n = 5 | Gluten sensitivity n = 18 | Dyspepsia n = 7 | |
Female; n (%) | 10 (71) | 10 (67) | 7 (64) | 10 (67) | 7 (64) | 5 (100) | 16 (89) | 1 (14) |
Age; median (range), years | 55 (16–70) | 55 (17–71) | 57 (28–72) | 59 (24–66) | 49 (40–76) | 51 (31–77) | 49 (24–65) | 47 (24–76) |
Duration of GFD; median (range), years | 0 | 0 | 1 (1–1) | 8 (3–34) | 7 (3–24) | 10 (9–17) | 0 | 0 |
HLA-DQ2 or -DQ8-positive; n (%) | 14 (100) | 15 (100) | 11 (100) | 15 (100) | 11 (100) | 4a (100) | 9 (50) | 1 (14) |
EmA; median (range), titer | 1:100 (0–1:2000) | 1:100 (0–1:4000) | 0 (0–1:50) | 0 (0) | 0 (0–1:5) | 1:200 (0–1:2000) | 0 (0) | 0 (0) |
TG2 abs; median (range), U/ml | 9.4 (3.3- > 100) | 11.9 (4.2- > 100) | 3.9 (0–8.6) | 0.5 (0–2.8) | 1.3 (0–9.9) | 56.9 (12.9- > 100) | 1.4 (0–4.1) | 0.6 (0–2.8) |
Mucosal TG2-IgA deposits present; n (%) | 14 (100) | 14a (100) | 7b (88) | 5 (33) | 10a (100) | 3c (100) | 4 (22) | 0 (100) |
Vh/CrD; mean (95% CI), ratio | 2.9 (2.6–3.1) | 1.4 (1.1–1.7) | 3.4 (2.4–4.5) | 3.4 (3.2–3.6) | 0.2 (0.0–0.4) | 0.5 (−0.3–1.3) | 3.5 (3.0–4.1) | 3.5 (3.0–4.1) |
CD3+ IELs; median (range), cells/mm | 54 (12–79) | 67 (38–116) | 39 (23–80) | 42 (25–77) | 60 (30–109) | 50 (38–69) | 21 (7–59) | 26 (16–40) |
αβ+ IELs; median (range), cells/mm | 30 (12–50) | 43 (21–75) | 22 (14–43) | 31 (20–46) | 44 (26–105) | 38 (35–56) | 16 (5–26) | 22 (17–31) |
γδ+ IELs; median (range), cells/mm | 18.8 (0–38.5) | 23.7 (14–58.7) | v13.6 (1.4–56.3) | 14.0 (7.3–27.8) | 12.1 (0–37.8) | 13.0 (4.4–20.5) | 2.7 (0–10.2) | 1.6 (0.7–16.1) |