Abstract
Two hundred and ninety four duodenal and jejunal mucosal biopsy specimens from patients with coeliac disease, treated and untreated, and other conditions were examined histologically and by histochemical staining for five peptidase and three disaccharidase enzymes to determine profiles of activity. Suppression of activity paralleled the histology with the following enzymes: lactase, trehalase, brush border endopeptidase, dipeptidyl peptidase II and isomaltase. Lactase, trehalase, and brush border endopeptidase were specifically suppressed in untreated coeliac disease and were diagnostically useful. Examination of a combination of enzymes is recommended.
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- Andersen K. J., Schjønsby H., Skagen D. W., Haga H. J. Enzyme activities in jejunal biopsy samples from patients with adult coeliac disease with and without steatorrhoea. Scand J Gastroenterol. 1983 May;18(3):365–368. doi: 10.3109/00365528309181608. [DOI] [PubMed] [Google Scholar]
- Andersen K. J., Schjønsby H., Skagen D. W. Jejunal mucosal enzymes in untreated and treated coeliac disease. Scand J Gastroenterol. 1983 Mar;18(2):251–256. doi: 10.3109/00365528309181591. [DOI] [PubMed] [Google Scholar]
- Bergoz R., Vallotton M. C., Loizeau E. Trehalase deficiency. Prevalence and relation to single-cell protein food. Ann Nutr Metab. 1982;26(5):291–295. doi: 10.1159/000176576. [DOI] [PubMed] [Google Scholar]
- Bramble M. G., Zucoloto S., Wright N. A., Record C. O. Acute gluten challenge in treated adult coeliac disease: a morphometric and enzymatic study. Gut. 1985 Feb;26(2):169–174. doi: 10.1136/gut.26.2.169. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Egan-Mitchell B., Fottrell P. F., McNicholl B. Early or pre-coeliac mucosa: development of gluten enteropathy. Gut. 1981 Jan;22(1):65–69. doi: 10.1136/gut.22.1.65. [DOI] [PMC free article] [PubMed] [Google Scholar]
- FRAZER A. C. On the growth defect in coelic disease. Proc R Soc Med. 1956 Dec;49(12):1009–1013. doi: 10.1177/003591575604901210. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gossrau R., Lojda Z. Study on dipeptidylpeptidase II (DPP II). Histochemistry. 1980;70(1):53–76. doi: 10.1007/BF00508846. [DOI] [PubMed] [Google Scholar]
- Gossrau R. Peptidasen. I. Histochemische Untersuchungen mit 2-Naphthylamiden und Hexazonium-p-rosanilin. Histochemistry. 1977 Dec 28;54(4):311–330. doi: 10.1007/BF00508274. [DOI] [PubMed] [Google Scholar]
- Keane R., O'Grady J. G., Sheil J., Stevens F. M., Egan-Mitchell B., McNicholl B., McCarthy C. F., Fottrell P. F. Intestinal lactase, sucrase and alkaline phosphatase in relation to age, sex and site of intestinal biopsy in 477 Irish subjects. J Clin Pathol. 1983 Jan;36(1):74–77. doi: 10.1136/jcp.36.1.74. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lojda Z., Gossrau R. Study on aminopeptidase A. Histochemistry. 1980;67(3):267–290. doi: 10.1007/BF00692761. [DOI] [PubMed] [Google Scholar]
- Lojda Z., Kraml J. Indigogenic methods for glycosidases. 3. An improved method with 4-Cl-5-Br-3-indolyl-beta-D-fucoside and its application in studies of enzymes in the intestine, kidney and other tissues. Histochemie. 1971;25(3):195–207. doi: 10.1007/BF00305938. [DOI] [PubMed] [Google Scholar]
- Lojda Z., Smídová J., Kolínská J., Kramal J. A comparative study of lactase and sucrase-isomaltase activities and immunoreactivities in jejunal biopsies of patients suffering from the malabsorption syndrome. Histochem J. 1984 Apr;16(4):373–376. doi: 10.1007/BF01002853. [DOI] [PubMed] [Google Scholar]
- Lojda Z. The histochemical demonstration of brush border endopeptidase. Histochemistry. 1979 Nov;64(2):205–221. doi: 10.1007/BF00490100. [DOI] [PubMed] [Google Scholar]
- O'Farrelly C., Graeme-Cook F., Hourihane D. O., Feighery C., Weir D. G. Histological changes associated with wheat protein antibodies in the absence of villous atrophy. J Clin Pathol. 1987 Oct;40(10):1228–1230. doi: 10.1136/jcp.40.10.1228. [DOI] [PMC free article] [PubMed] [Google Scholar]
- O'Grady J. G., Stevens F. M., Keane R., Cryan E. M., Egan-Mitchell B., McNicholl B., McCarthy C. F., Fottrell P. F. Intestinal lactase, sucrase, and alkaline phosphatase in 373 patients with coeliac disease. J Clin Pathol. 1984 Mar;37(3):298–301. doi: 10.1136/jcp.37.3.298. [DOI] [PMC free article] [PubMed] [Google Scholar]
- O'Grady J. G., Stevens F. M., Keane R., Cryan E. M., Egan-Mitchell B., McNicholl B., McCarthy C. F., Fottrell P. F. Intestinal lactase, sucrase, and alkaline phosphatase in 373 patients with coeliac disease. J Clin Pathol. 1984 Mar;37(3):298–301. doi: 10.1136/jcp.37.3.298. [DOI] [PMC free article] [PubMed] [Google Scholar]
- PADYKULA H. A., STRAUSS E. W., LADMAN A. J., GARDNER F. H. A morphologic and histochemical analysis of the human jejunal epithelium in nontropical sprue. Gastroenterology. 1961 Jun;40:735–765. [PubMed] [Google Scholar]
- Riecken E. O., Stewart J. S., Booth C. C., Pearse A. G. A histochemical study on the role of lysosomal enzymes in idiopathic steatorrhoea before and during a gluten-free diet. Gut. 1966 Aug;7(4):317–332. doi: 10.1136/gut.7.4.317. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Roy-Choudhury D., Cooke W. T., Tan D. T., Banwell J. G., Smits B. J. Jejunal biopsy: criteria and significance. Scand J Gastroenterol. 1966;1(1):57–74. doi: 10.1080/00365521.1966.11800614. [DOI] [PubMed] [Google Scholar]
- SHINER M. Small intestinal biopsy: diagnostic and research value. Proc R Soc Med. 1959 Jan;52(1):10–14. doi: 10.1177/003591575905200103. [DOI] [PMC free article] [PubMed] [Google Scholar]
- SPIRO H. M., FILIPE M. I., STEWART J. S., BOOTH C. C., PEARSE A. G. FUNCTIONAL HISTOCHEMISTRY OF THE SMALL BOWEL MUCOSA IN MALABSORPTIVE SYNDROMES. Gut. 1964 Apr;5:145–154. doi: 10.1136/gut.5.2.145. [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]
- Sjöström H., Norén O., Krasilnikoff P. A., Gudmand-Høyer E. Intestinal peptidases and sucrase in coeliac disease. Clin Chim Acta. 1981 Jan 8;109(1):53–58. doi: 10.1016/0009-8981(81)90136-4. [DOI] [PubMed] [Google Scholar]