Sánchez JC, Cruz JCS, Cabrera-Rode E, Rode EC, Sorell L, Gómez LS, Galvan JA, Cabrera JAG, Hernandez A, Ortega AH, Molina G, Mato GM, Perich PA, Amador PAP, Licea ME, Puig MEL, Domínguez E, Alonso ED, Díaz-Horta O, Díaz-Horta O. Celiac disease associated antibodies in persons with latent autoimmune diabetes of adult and type 2 diabetes.
Autoimmunity 2009;
40:103-7. [PMID:
17364501 DOI:
10.1080/08916930601118825]
[Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
BACKGROUND
Celiac Disease (CD) is present in 1-16.4% of patients with type 1 diabetes mellitus. The most important serological markers of CD are anti-endomysial (EMA), anti-tissue transglutaminase (tTGA) and antigliadin antibodies (AGA).
AIM/HYPOTHESIS
The objective of this work is to determine the frequency of tTGA and/or AGA in latent autoimmune diabetes of adult (LADA) and subjects with type 2 diabetes (T2DM), as well as to evaluate their relation with several clinical and biochemical characteristics.
SUBJECTS AND METHODS
Forty three subjects with LADA and 99 with T2DM were studied. The presence of AGA, tTGA was determined in the sera of these patients. The variables: sex, age, duration of diabetes, treatment, body mass index (BMI) and fasting blood glucose concentration were also recorded.
RESULTS
No differences were found in the frequency of celiac disease associated antibodies between LADA and T2DM subjects. The presence of celiac disease related antibodies was more frequent in patients with a normal or low BMI.
CONCLUSIONS
Celiac disease does not seem to be related with pancreatic autoimmunity in type 2 diabetes. Celiac disease causes a decrease of body mass index in type 2 diabetes while pancreatic islet autoimmunity in this entity masks this effect.
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