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Drug
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Compound
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Target Concepts:
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Query: UNIPROT:Q06643 (
non-Hodgkin's lymphoma
)
11,307
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Several studies have shown the existence of an association between celiac disease (CD) and
non-Hodgkin's lymphoma
(
NHL
). Our aim was to evaluate the usefulness of the serum anti-
tissue transglutaminase
(anti-tTG) antibody assay in screening for CD in consecutive
NHL
patients. In all, 80 consecutive patients (median age 61 years) with a new diagnosis of
NHL
were included. To compare the frequency of CD and of positive results for the anti-tTG assay, we enrolled 500 blood donors. In all patients serum anti-tTG was determined with two different ELISA: one based on tTG from guinea pig (gp-tTG) and the other based on human recombinant t-TG (h-tTG) as the antigens. Serum anti-endomysial antibodies (EmA) were also assayed. Subjects with positive serum EmA and/or anti-tTG underwent intestinal biopsy for histology study, HLA-DQ phenotype determination, and serum anti-gliadin (AGA) assay. Eight of 80 (10%)
NHL
patients were positive for anti-tTG ELISA--two of these exclusively for anti-gp-tTG and six for anti-h-tTG (7.5%). None of the 80
NHL
patients were positive for serum EmA. The frequency of anti-tTG positivity in the blood donor controls was 2/500 (0.4%), significantly lower than that observed in the
NHL
patients (P < 0.0001). Both these blood donors were found to have CD. Only in one anti-h-tTG-positive
NHL
patient was there intestinal mucosa atrophy, and follow-up confirmed a CD diagnosis (CD frequency in
NHL
patients is 1.2%; versus blood donors: P = 0.4). In all the other seven anti-tTG-positive
NHL
patients a normal intestinal architecture was found, although, inflammatory infiltration of the lamina propria was observed in four patients. No anti-tTG-positive
NHL
patients, including the subject diagnosed as having CD, had a family history of CD, and all had normal weight and no signs of malabsorption. Anti-tTG false positive results were associated with a higher frequency of serum autoantibody positivity and T-cell type
NHL
. In conclusion,
NHL
patients the anti-tTG assay often gives discordant data with the EmA assay, with a high frequency of anti-tTG false positive results for CD diagnosis.
...
PMID:Screening for celiac disease in non-Hodgkin's lymphoma patients: a serum anti-transglutaminase-based approach. 1292 48
Dermatitis herpetiformis (DH) is an itchy, blistering skin disease with sites of predilection at the elbows, knees and buttocks. Although DH is mostly asymptomatic, all patients exhibit small bowel villous atrophy or at least coeliac-type inflammatory changes. Deposition of immunoglobulin A (IgA) in the papillary dermis is a key diagnostic feature of DH. Epidermal transglutaminase (TG3) is the antigen for IgA deposited in the skin, and
tissue transglutaminase
(TG2) is the antigen for IgA deposited in the small bowel mucosa. Clinically silent, but immunologically active coeliac disease in the gut appears to result in IgA TG3 antibody complexes aggregated into DH skin. The prevalence of DH in northern Europe is high (30-75/100,000), but its incidence is decreasing, possibly due to increased recognition of subclinical coeliac disease. The rash and small bowel heal on a gluten-free diet, which is a life-long treatment. The risk of
non-Hodgkin's lymphoma
is increased, but in patients with DH who adhere strictly to a gluten-free diet long-term prognosis is excellent.
...
PMID:Dermatitis herpetiformis: pathognomonic transglutaminase IgA deposits in the skin and excellent prognosis on a gluten-free diet. 2605 85