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Journal of Clinical Pathology logoLink to Journal of Clinical Pathology
. 1989 Nov;42(11):1136–1139. doi: 10.1136/jcp.42.11.1136

Diamine oxidase plasma activities after treatment with heparin and jejunal morphometry in untreated coeliac disease.

G R Corazza 1, L Ginaldi 1, A Falasca 1, A Strocchi 1, C A Rossi 1, D Quaglino 1, G Gasbarrini 1
PMCID: PMC501968  PMID: 2511229

Abstract

Diamine oxidase plasma concentrations after treatment with heparin were measured and compared with the surface to volume ratio of jejunal biopsy samples assessed by a morphometric technique in patients with untreated and treated coeliac disease and in biopsied controls. As expected, enzyme activity was significantly lower in patients with untreated coeliac disease than in patients on a gluten-free diet and in biopsied controls. No difference was found between treated patients and biopsied controls. There was a significant overall correlation between plasma enzyme activity and surface to volume ratio of jejunal mucosa, although two untreated patients without an overt malabsorption syndrome but with a very low surface to volume ratio had normal enzyme activity. This study shows that in coeliac disease plasma diamine oxidase activity after treatment with heparin does not always mirror the extent of the jejunal lesions, particularly in those patients with minimal or unrelated symptoms who would benefit most from a valid screening test to identify their condition.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BRANDBORG L. L., RUBIN G. E., QUINTON W. E. A multipurpose instrument for suction biopsy of the esophagus, stomach, small bowel, and colon. Gastroenterology. 1959 Jul;37(1):1–16. [PubMed] [Google Scholar]
  2. Baylin S. B., Beaven M. A., Krauss R. M., Keiser H. R. Response of plasma histaminase activity to small doses of heparin in normal subjects and patients with hyperlipoproteinemia. J Clin Invest. 1973 Aug;52(8):1985–1993. doi: 10.1172/JCI107383. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Booth C. C. Enterocyte in coeliac disease. 1. Br Med J. 1970 Sep 26;3(5725):725–731. doi: 10.1136/bmj.3.5725.725. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Channer K. S., Jones J. V. Atrial systole: its role in normal and diseased hearts. Clin Sci (Lond) 1988 Jul;75(1):1–4. doi: 10.1042/cs0750001. [DOI] [PubMed] [Google Scholar]
  5. Corazza G. R., Bonvicini F., Frazzoni M., Gatto M., Gasbarrini G. Observer variation in assessment of jejunal biopsy specimens. A comparison between subjective criteria and morphometric measurement. Gastroenterology. 1982 Dec;83(6):1217–1222. [PubMed] [Google Scholar]
  6. Corazza G. R., Falasca A., Strocchi A., Rossi C. A., Gasbarrini G. Decreased plasma postheparin diamine oxidase levels in celiac disease. Dig Dis Sci. 1988 Aug;33(8):956–961. doi: 10.1007/BF01535991. [DOI] [PubMed] [Google Scholar]
  7. Corazza G. R., Frazzoni M., Dixon M. F., Gasbarrini G. Quantitative assessment of the mucosal architecture of jejunal biopsy specimens: a comparison between linear measurement, stereology, and computer aided microscopy. J Clin Pathol. 1985 Jul;38(7):765–770. doi: 10.1136/jcp.38.7.765. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. D'Agostino L., Ciacci C., Daniele B., Barone M. V., Sollazzo R., Mazzacca G. Postheparin plasma diamine oxidase in subjects with small bowel mucosal atrophy. Dig Dis Sci. 1987 Mar;32(3):313–317. doi: 10.1007/BF01297059. [DOI] [PubMed] [Google Scholar]
  9. D'Agostino L., Daniele B., Pignata S., Barone M. V., Ciacci C., Sollazzo R., Mazzacca G. Postheparin plasma diamine oxidase increases in patients with coeliac disease during gluten free diet. Gut. 1987;28 (Suppl):131–134. doi: 10.1136/gut.28.suppl.131. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Dunnill M. S., Whitehead R. A method for the quantitation of small intestinal biopsy specimens. J Clin Pathol. 1972 Mar;25(3):243–246. doi: 10.1136/jcp.25.3.243. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Holinka C. F., Gurpide E. Diamine oxidase activity in human decidua and endometrium. Am J Obstet Gynecol. 1984 Oct 15;150(4):359–363. doi: 10.1016/s0002-9378(84)80138-6. [DOI] [PubMed] [Google Scholar]
  12. Kusche J., Richter H., Hesterberg R., Schmidt J., Lorenz W. Comparison of the 14-C-putrescine assay with the NADH test for the determination of diamine oxidase: description of a standard procedure with a high precision and an improved accuracy. Agents Actions. 1973 Oct;3(3):148–156. doi: 10.1007/BF01965725. [DOI] [PubMed] [Google Scholar]
  13. Logan R. F., Tucker G., Rifkind E. A., Heading R. C., Ferguson A. Changes in clinical features of coeliac disease in adults in Edinburgh and the Lothians 1960-79. Br Med J (Clin Res Ed) 1983 Jan 8;286(6359):95–97. doi: 10.1136/bmj.286.6359.95. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Luk G. D., Bayless T. M., Baylin S. B. Diamine oxidase (histaminase). A circulating marker for rat intestinal mucosal maturation and integrity. J Clin Invest. 1980 Jul;66(1):66–70. doi: 10.1172/JCI109836. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Luk G. D., Bayless T. M., Baylin S. B. Plasma postheparin diamine oxidase. Sensitive provocative test for quantitating length of acute intestinal mucosal injury in the rat. J Clin Invest. 1983 May;71(5):1308–1315. doi: 10.1172/JCI110881. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. MACDONALD W. C., BRANDBORG L. L., FLICK A. L., TRIER J. S., RUBIN C. E. STUDIES OF CELIAC SPRUE. IV. THE RESPONSE OF THE WHOLE LENGTH OF THE SMALL BOWEL TO A GLUTEN-FREE DIET. Gastroenterology. 1964 Dec;47:573–589. [PubMed] [Google Scholar]
  17. OKUYAMA T., KOBAYASHI Y. Determination of diamine oxidase activity by liquid scintillation counting. Arch Biochem Biophys. 1961 Nov;95:242–250. doi: 10.1016/0003-9861(61)90141-2. [DOI] [PubMed] [Google Scholar]
  18. Perera D. R., Weinstein W. M., Rubin C. E. Symposium on pathology of the gastrointestinal tract-Part II. Small intestinal biopsy. Hum Pathol. 1975 Mar;6(2):157–217. doi: 10.1016/s0046-8177(75)80176-6. [DOI] [PubMed] [Google Scholar]
  19. Roy-Choudhury D. C., Cooke W. T., Banwell J. G., Smits B. J. Multiple jejunal biopsies in adult celiac disease. Am J Dig Dis. 1967 Jul;12(7):657–663. doi: 10.1007/BF02238272. [DOI] [PubMed] [Google Scholar]
  20. Shakir K. M., Margolis S., Baylin S. B. Localization of histamine (diamine oxidase) in rat small intestinal mucosa: site of release by heparin. Biochem Pharmacol. 1977 Dec 15;26(24):2343–2347. doi: 10.1016/0006-2952(77)90438-5. [DOI] [PubMed] [Google Scholar]
  21. Swinson C. M., Levi A. J. Is coeliac disease underdiagnosed? Br Med J. 1980 Nov 8;281(6250):1258–1260. doi: 10.1136/bmj.281.6250.1258. [DOI] [PMC free article] [PubMed] [Google Scholar]

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