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- W2018082261 abstract "Sirs, We read with great interest the paper by Briani et al.1 evaluated the prevalence of antiganglioside antibodies (namely, GM1, GM2, GD1a and GD1b) in children with coeliac disease (CD). Of the 42 CD patients enrolled in this study, only two (5%) were found positive for antiganglioside antibodies. The two patients had no evidence of neurological manifestations and therefore the authors concluded that antiganglioside antibodies found in CD are not related with neurological dysfunction. These findings are in contrast with previously published data2 and recent results from our laboratory. Using a commercially available enzyme-linked immunosorbent assay (ELISA) kit (IMMCO Diagnostics, Buffalo, NY, USA), we investigated anti-GM1, -GD1b and -GQ1b IgG antibodies in 22 adult patients (median age 35, range: 19–56 years; three males, 19 females) with CD and neurological manifestations, including eight cases of gluten ataxia, seven epilepsy, two multiple sclerosis, three attention/memory impairment and two peripheral neuropathy. Furthermore, antiganglioside antibodies were sought in 10 CD patients (median age 37, range: 17–59 years; two males, eight females) without neurological dysfunction and 10 age- and sex-matched blood donors. The results of antiganglioside antibody detection are summarized in Table 1. The prevalence of anti-GM1 and -GD1b was found to be higher (although not statistically significant) in CD patients with neurological dysfunction than in those without neurological involvement. Interestingly, of the eight patients with neurological manifestations related to CD, six had a form of epilepsy without occipital calcifications, whereas the remaining two had gluten ataxia and peripheral neuropathy, respectively. Antibodies to GQ1b showed a very low prevalence in each of the investigated groups. The present findings, showing positivity of antiganglioside antibodies, confirm and expand the identification of antineuronal antibodies (i.e. Hu-like and Yo-like) in patients with CD with neurological complications.3,4 Conversely to Briani et al.,1 our results suggest a correlation between antiganglioside antibodies and CD with neurological complications. The reason for this discrepancy may be ascribed to the higher prevalence of neurological manifestations in adulthood rather than in childhood CD.5 Antiganglioside antibodies may represent a new immunological marker to identify neurological involvement in patients with CD." @default.
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- W2018082261 date "2005-01-18" @default.
- W2018082261 modified "2023-10-15" @default.
- W2018082261 title "Antibodies to gangliosides in coeliac disease with neurological manifestations" @default.
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- W2018082261 doi "https://doi.org/10.1111/j.1365-2036.2005.02291.x" @default.
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