Abstract
Jejunal biopsies from controls and coeliac patients were maintained in organ culture for up to 48 hours. The in vitro effect of gluten fraction III during the period of culture was assessed by measurement of the activity of the brush border enzymes alkaline phosphatase and alpha-glucosidase. Mucosa from controls and treated and untreated coeliacs behaved similarly and no reproducible in vitro effect of gluten was demonstrated. These results cast doubt on the in vitro diagnosis of coeliac disease by monitoring brush border enzyme activity.
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- Alpers D. H. The relation of size to the relative rates of degradation of intestinal brush border proteins. J Clin Invest. 1972 Oct;51(10):2621–2630. doi: 10.1172/JCI107080. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Berg N. O., Dahlqvist A., Lindberg T., Nordén A. Intestinal dipeptidases and disaccharidases in celiac disease in adults. Gastroenterology. 1970 Oct;59(4):575–582. [PubMed] [Google Scholar]
- Bullen A. W., Losowsky M. S. Cell-mediated immunity to gluten fraction III in adult coeliac disease. Gut. 1978 Feb;19(2):126–131. doi: 10.1136/gut.19.2.126. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Douglas A. P., Weetman A. P., Haggith J. W. The distribution and enteric loss of 51Cr-labelled lymphocytes in normal subjects and in patients with coeliac disease and other disorders of the small intestine. Digestion. 1976;14(1):29–43. doi: 10.1159/000197797. [DOI] [PubMed] [Google Scholar]
- FRAZER A. C., FLETCHER R. F., ROSS C. A., SHAW B., SAMMONS H. G., SCHNEIDER R. Gluten-induced enteropathy: the effect of partially digested gluten. Lancet. 1959 Sep 5;2(7097):252–255. doi: 10.1016/s0140-6736(59)92051-3. [DOI] [PubMed] [Google Scholar]
- Falchuk Z. M., Gebhard R. L., Sessoms C., Strober W. An in vitro model of gluten-sensitive enteropathy. Effect of gliadin on intestinal epithelial cells of patients with gluten-sensitive enteropathy in organ culture. J Clin Invest. 1974 Feb;53(2):487–500. doi: 10.1172/JCI107582. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Falchuk Z. M., Nelson D. L., Katz A. J., Bernardin J. E., Kasarda D. D., Hague N. E., Strober W. Gluten-sensitive enteropathy. Influence of histocompatibility type on gluten sensitivity in vitro. J Clin Invest. 1980 Aug;66(2):227–233. doi: 10.1172/JCI109848. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ferguson A., MacDonald T. T., McClure J. P., Holden R. J. Cell-mediated immunity to gliadin within the small-intestinal mucosa in coeliac disease. Lancet. 1975 Apr 19;1(7912):895–897. doi: 10.1016/s0140-6736(75)91689-x. [DOI] [PubMed] [Google Scholar]
- Ferguson A., Watson W. C., Maxwell J. D., Fell G. S. Alkaline phosphatase levels in normal and diseased small bowel. Gut. 1968 Feb;9(1):96–98. doi: 10.1136/gut.9.1.96. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hauri H. P., Kedinger M., Haffen K., Gaze H., Hadorn B., Hekkens W. Re-evaluation of the techique of organ culture for studying gluten toxicity in coeliac disease. Gut. 1978 Dec;19(12):1090–1098. doi: 10.1136/gut.19.12.1090. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Howdle P. D., Corazza G. R., Bullen A. W., Losowsky M. S. Gluten sensitivity of small intestinal mucosa in vitro: quantitative assessment of histologic change. Gastroenterology. 1981 Mar;80(3):442–450. [PubMed] [Google Scholar]
- Jos J., Lenoir G., Ritis G D., Rey J. In vitro pathogenetic studies of coeliac disease. Effects of protein digests on coeliac intestinal biopsy specimens maintained in culture for 48 hours. Scand J Gastroenterol. 1975;10(2):121–128. [PubMed] [Google Scholar]
- Katz A. J., Falchuk Z. M. Definitive diagnosis of gluten-sensitive enteropathy. Use of an in vitro organ culture model. Gastroenterology. 1978 Oct;75(4):695–700. [PubMed] [Google Scholar]
- Kelly M. H., Hamilton J. R. A micro-technique for the assay of intestinal alkaline phosphatase. Results in normal children and in children with celiac disease. Clin Biochem. 1970 Mar;3(1):33–43. [PubMed] [Google Scholar]
- LOWRY O. H., ROSEBROUGH N. J., FARR A. L., RANDALL R. J. Protein measurement with the Folin phenol reagent. J Biol Chem. 1951 Nov;193(1):265–275. [PubMed] [Google Scholar]
- Marsh M. N. Studies of intestinal lymphoid tissue. III. Quantitative analyses of epithelial lymphocytes in the small intestine of human control subjects and of patients with celiac sprue. Gastroenterology. 1980 Sep;79(3):481–492. [PubMed] [Google Scholar]
- Mitchell J. D., Mitchell J., Peters T. J. Enzyme changes in human small bowel mucosa during culture in vitro. Gut. 1974 Oct;15(10):805–811. doi: 10.1136/gut.15.10.805. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Peters T. J., Müller M., De Duve C. Lysosomes of the arterial wall. I. Isolation and subcellular fractionation of cells from normal rabbit aorta. J Exp Med. 1972 Nov 1;136(5):1117–1139. doi: 10.1084/jem.136.5.1117. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Scott B. B., Losowsky M. S. Patchiness and duodenal-jejunal variation of the mucosal abnormality in coeliac disease and dermatitis herpetiformis. Gut. 1976 Dec;17(12):984–992. doi: 10.1136/gut.17.12.984. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Scott B. B., Losowsky M. S. Peroral small-intestinal biopsy: experience with the hydraulic multiple biopsy instrument in routine clinical practice. Gut. 1976 Sep;17(9):740–743. doi: 10.1136/gut.17.9.740. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stevens F. M., Keane R., Fottrell P. F., McNicholl B., McCarthy C. F. Organ culture of coeliac and non-coeliac small intestinal mucosa. Ir J Med Sci. 1978 Jan;147(1):11–14. doi: 10.1007/BF02939361. [DOI] [PubMed] [Google Scholar]
- TERASAKI P. I., MCCLELLAND J. D. MICRODROPLET ASSAY OF HUMAN SERUM CYTOTOXINS. Nature. 1964 Dec 5;204:998–1000. doi: 10.1038/204998b0. [DOI] [PubMed] [Google Scholar]
- Trier J. S., Browning T. H. Epithelial-cell renewal in cultured duodenal biopsies in celiac sprue. N Engl J Med. 1970 Dec 3;283(23):1245–1250. doi: 10.1056/NEJM197012032832302. [DOI] [PubMed] [Google Scholar]