Celiac disease: from etiological factors to evolving diagnostic approaches

Celiac disease: from etiological factors to evolving diagnostic approaches Celiac disease has advanced from a medical rarity to a highly prevalent disorder. Patients with the disease show varying degrees of chronic inflammation within the small intestine due to an aberrant immune response to the digestion of gliadin found in wheat. As a result, cytokines and antibodies are produced in celiac patients that can be used as specific biomarkers for developing diagnostic tests. This review paper describes celiac disease in terms of its etiological cause, pathological effects, current diagnostic tests based on mucosal biopsy, and the genetic basis for the disease. In addition, it discusses the use of gliadin-induced cytokines, antibodies and autoantibodies as a diagnostic tool for celiac disease. Despite good initial results in terms of sensitivity and specificity, when these immunological tests were used on a large scale, even in combination with genetic testing, the results showed lower predictive value. This review addresses that issue and ends with an outlook on future work required to develop diagnostic tests with greater accuracy in predicting celiac disease in the general public, thus avoiding the need for endoscopy and mucosal biopsy. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Gastroenterology Springer Journals

Celiac disease: from etiological factors to evolving diagnostic approaches

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Publisher
Springer Japan
Copyright
Copyright © 2017 by Japanese Society of Gastroenterology
Subject
Medicine & Public Health; Gastroenterology; Hepatology; Abdominal Surgery; Colorectal Surgery; Surgical Oncology
ISSN
0944-1174
eISSN
1435-5922
D.O.I.
10.1007/s00535-017-1357-7
Publisher site
See Article on Publisher Site

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