Comparison of the prevalence of glutamic acid decarboxylase (GAD65) and gliadin antibodies (AGA) in a randomly selected adult estonian population

R Uibo, E P Sullivan, O Uibo, A Lernmark, L Salur, T Kivik, M Mandel

Research output: Contribution to journalArticlepeer-review

Abstract

We aimed to test the hypothesis that gluten might be associated with the development of islet cell autoimmunity. A random sample of 200 persons (87 males, mean age 42.4 years) from Estonia including one patient with type I diabetes mellitus was studied. IgG-type glutamic acid decarboxylase (GAD65) antibodies were determined using radioligand-binding assay and IgG/IgA-type gliadin antibodies (AGA) by enzyme-linked immunosorbent assay. Generic HLA-DRB1* alleles were analyzed using a polymerase chain reaction. Although our results revealed the highest GAD65Ab index and a high IgA-type AGA in a person with diabetes, no correlation between GAD65Ab and AGA values was revealed among the other 199 persons (p > 0.05). There were also no differences between test values among persons with and without different HLA-DRB1* alleles (p > 0.05). In the GAD65Ab assay, one person (0.5 %; 95 % CI: 0 - 1.5) out of 199 exceeded the 99(th) centile of the GAD65Ab index. In summary, the present study does not confirm the possibility that there is a relationship between the immune reactivity against GAD65 and gliadin, at least in persons without type I DM.

Original languageEnglish
Pages (from-to)564-7
JournalHormone and Metabolic Research
Volume33
Issue number9
DOIs
Publication statusPublished - 2001
Externally publishedYes

Free keywords

  • Adolescent
  • Adult
  • Aged
  • Alleles
  • Autoantibodies/blood
  • Diabetes Mellitus, Type 1/immunology
  • Enzyme-Linked Immunosorbent Assay
  • Estonia
  • Female
  • Gliadin/immunology
  • Glutamate Decarboxylase/immunology
  • HLA-DR Antigens/genetics
  • HLA-DRB1 Chains
  • Humans
  • Immunoglobulin A/blood
  • Immunoglobulin G/blood
  • Islets of Langerhans/immunology
  • Male
  • Middle Aged

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