International Journal of Celiac Disease
ISSN (Print): 2334-3427 ISSN (Online): 2334-3486 Website: https://www.sciepub.com/journal/ijcd Editor-in-chief: Samasca Gabriel
Open Access
Journal Browser
Go
International Journal of Celiac Disease. 2016, 4(1), 9-10
DOI: 10.12691/ijcd-4-1-10
Open AccessEditorial

Is HLA Typing a Diagnostic Tool in Celiac Disease?

Andreea L. Rachisan1, , Alexandru Pirvan1, Nicolae Miu1, Dan Gheban2, Adrian Hrusca3, Gabriel Samasca4 and Iulia Lupan5

1Department of Pediatrics II, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania

2Department of Pathology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania

3Department of Biophysics, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania

4Department of Immunology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania

5Department of Molecular Biology, Babes-Bolyai University, Cluj-Napoca, Romania

Pub. Date: February 16, 2016

Cite this paper:
Andreea L. Rachisan, Alexandru Pirvan, Nicolae Miu, Dan Gheban, Adrian Hrusca, Gabriel Samasca and Iulia Lupan. Is HLA Typing a Diagnostic Tool in Celiac Disease?. International Journal of Celiac Disease. 2016; 4(1):9-10. doi: 10.12691/ijcd-4-1-10

Abstract

The “four out of five rule” has not been officially endorsed by official guidelines. However, HLA-associated genes that predispose to CD are found in as much as 30–40% of healthy people. Thus, their presence seems too indecisive for the occurrence of CD.

Keywords:
celiac disease HLA children

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  JR1, Martín-Pagola A, Pérez De Nanclares G, Calvo B, JC, Vázquez F, Castaño L. HLA-DRB1 and MICA in autoimmunity: common associated alleles in autoimmune disorders. Ann N Y Acad Sci. 2003; 1005: 314-8.
 
[2]  Szalecki M. Diabetes mellitus and other autoimmunological diseases. Przegl Ped 2009; 39: 260-5.
 
[3]  Woś H, Grzybowska-Chlebowczyk U. Coexistence of coeliac disease and diabetes type 1 in children. Ped Współcz 2009; 11: 99-101.
 
[4]  Megiorni F, Pizzuti A. HLA-DQA1 and HLA-DQB1 in Celiac disease predisposition: practical implications of the HLA molecular typing. J Biomed Sci 2012; 19:88.
 
[5]  Lebwohl B, Rubio-Tapia A, Assiri A, Newland C, Guandalini S. Diagnosis of celiac disease. Gastrointest Endosc Clin N Am 2012; 22: 661-77.
 
[6]  Hill ID, Horvath K. Nonbiopsy diagnosis of celiac disease: are we nearly there yet? J Pediatr Gastroenterol Nutr 2012;54: 310-1.
 
[7]  Catassi C, Fasano A. Celiac disease diagnosis: Simpler rules are better than complicated algorithms. Am J Med 2010; 123: 691-3.
 
[8]  Karell K, Louka AS, Moodie SJ, Ascher H, Clot F, Greco L, Ciclitira PJ, Sollid LM, Partanen J; European Genetics Cluster on Celiac Disease. HLA types in celiac disease patients not carrying the DQA1*05–DQB1*02 (DQ2) heterodimer: results from the European Genetics Cluster on Celiac Disease. Hum Immunol 2003; 64: 469-477.
 
[9]  Samaşca G, Iancu M, Pîrvan A, Andreica M, Miu N, Constantinescu I, Cristea V, Dejica D. Histocompatibility risk antigens in celiac disease in children. Clujul Medical 2011; 84(2): 269-273.
 
[10]  Abadie V, Sollid LM, Barreiro LB, Jabri B. Integration of genetic and immunological insights into a model of celiac disease pathogenesis. Annu Rev Immunol 2011; 29:493-525.
 
[11]  Sollid LM, Lie BA. Celiac disease genetics: current concepts and practical applications. Clin Gastroenterol Hepatol 2005;3:843–51
 
[12]  Megiorni F, Mora B, Bonamico M, Barbato M, Nenna R, Maiella G, Lulli P, Mazzilli MC. HLA-DQ and risk gradient for celiac disease. Hum Immunol 2009;70:55-9.
 
[13]  Pietzak MM, Schofield TC, McGinnis FM, Nakamura RM. Stratifying risk for celiac disease in a large at-risk population by using HLA alleles. Clin Gastroenterol Hepatol 2009; 7: 966-71.
 
[14]  Karinen H, Karkkalnen P, Pihlajamaki J, Janatuinen E, Heikkinen M, Julkunen R, Kosma V, Naukkarinen A, Laakso M. Gene dose effect of the DQB1*0201 allele contributes to severity of celiac disease. Scand J Gastroenterol 2006; 41: 191-9.
 
[15]  Margaritte-Jeannin P, Babron MC, Bourgey M, Louka AS, Clot F, Percopo S, Coto I, Hugot JP, Ascher H, Sollid LM, Greco L, Clerget-Darpoux F. HLA-DQ relative risks for coeliac disease in European populations: a study of the European Genetics Cluster on Coeliac Disease. Tissue Antigens 2004; 63: 562-7.
 
[16]  Fasano A. Zonulin and its regulation of intestinal barrier function: The biological door to inflammation, autoimmunity, and cancer. Physiol Rev 2011; 91: 151-75.