Characterisation of Osteoprotegerin Autoantibodies in Coeliac Disease

Verfasser / Beitragende:
[Ana Real, Nick Gilbert, Barbara Hauser, Nick Kennedy, Alan Shand, Helen Gillett, Peter Gillett, Clive Goddard, Ángel Cebolla, Carolina Sousa, William Fraser, Jack Satsangi, Stuart Ralston, Philip Riches]
Ort, Verlag, Jahr:
2015
Enthalten in:
Calcified Tissue International, 97/2(2015-08-01), 125-133
Format:
Artikel (online)
ID: 605520984
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024 7 0 |a 10.1007/s00223-015-0023-4  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00223-015-0023-4 
245 0 0 |a Characterisation of Osteoprotegerin Autoantibodies in Coeliac Disease  |h [Elektronische Daten]  |c [Ana Real, Nick Gilbert, Barbara Hauser, Nick Kennedy, Alan Shand, Helen Gillett, Peter Gillett, Clive Goddard, Ángel Cebolla, Carolina Sousa, William Fraser, Jack Satsangi, Stuart Ralston, Philip Riches] 
520 3 |a Autoantibodies neutralising the effect of the bone regulatory cytokine osteoprotegerin (OPG) have been described in a patient with severe osteoporosis and coeliac disease. This study aimed to determine the prevalence and epitope specificity of autoantibodies to OPG in patients with coeliac disease, and correlate their presence with bone mineral density. A direct enzyme-linked immunosorbent assay was developed and used to screen patients with coeliac disease for autoantibodies to OPG. Recombinant fragments of OPG were made to evaluate the epitope specificity and affinity of these antibodies. Phenotype information of the patients was obtained by case note review. Raised titres of antibodies to OPG were found in 7/71 (9.8%) patients with coeliac disease, compared with 1/72 (1.4%) non-coeliac osteoporosis clinic control patients (p<0.05). Our results suggest that a polyclonal antibody response to OPG is raised in these patients capable of recognising different epitopes of OPG with varying affinity. The titre of OPG antibodies was associated with lower bone mineral density Z-score of the hip in coeliac patients on univariate (p<0.05) and multivariate analysis including age, sex height and weight as covariates (p<0.01). Polyclonal antibodies to OPG are more common in patients with coeliac disease and are independently associated with lower bone mineral density Z-scores of the hip. Further work is required to establish the clinical utility of testing for OPG antibodies. 
540 |a Springer Science+Business Media New York, 2015 
690 7 |a Osteoporosis  |2 nationallicence 
690 7 |a Coeliac disease  |2 nationallicence 
690 7 |a Osteoprotegerin  |2 nationallicence 
690 7 |a Autoantibodies  |2 nationallicence 
700 1 |a Real  |D Ana  |u Centre for Genomics and Experimental Medicine, Institute of Genetics and Molecular Medicine (IGMM), Edinburgh, EH4 2XU, UK  |4 aut 
700 1 |a Gilbert  |D Nick  |u Human Genetics Unit, IGMM, Edinburgh, UK  |4 aut 
700 1 |a Hauser  |D Barbara  |u Centre for Genomics and Experimental Medicine, Institute of Genetics and Molecular Medicine (IGMM), Edinburgh, EH4 2XU, UK  |4 aut 
700 1 |a Kennedy  |D Nick  |u Centre for Genomics and Experimental Medicine, Institute of Genetics and Molecular Medicine (IGMM), Edinburgh, EH4 2XU, UK  |4 aut 
700 1 |a Shand  |D Alan  |u Gastroenterology Department, Lothian University Hospitals NHS Trust, Edinburgh, UK  |4 aut 
700 1 |a Gillett  |D Helen  |u Gastroenterology Department, Lothian University Hospitals NHS Trust, Edinburgh, UK  |4 aut 
700 1 |a Gillett  |D Peter  |u Gastroenterology Department, Lothian University Hospitals NHS Trust, Edinburgh, UK  |4 aut 
700 1 |a Goddard  |D Clive  |u Gastroenterology Department, Lothian University Hospitals NHS Trust, Edinburgh, UK  |4 aut 
700 1 |a Cebolla  |D Ángel  |u Biomedal SL, Seville, Spain  |4 aut 
700 1 |a Sousa  |D Carolina  |u Departamento de Microbiología y Parasitología, Facultad de Farmacia, Universidad de Sevilla, Seville, Spain  |4 aut 
700 1 |a Fraser  |D William  |u University of East Anglia, Norwich, UK  |4 aut 
700 1 |a Satsangi  |D Jack  |u Centre for Genomics and Experimental Medicine, Institute of Genetics and Molecular Medicine (IGMM), Edinburgh, EH4 2XU, UK  |4 aut 
700 1 |a Ralston  |D Stuart  |u Centre for Genomics and Experimental Medicine, Institute of Genetics and Molecular Medicine (IGMM), Edinburgh, EH4 2XU, UK  |4 aut 
700 1 |a Riches  |D Philip  |u Centre for Genomics and Experimental Medicine, Institute of Genetics and Molecular Medicine (IGMM), Edinburgh, EH4 2XU, UK  |4 aut 
773 0 |t Calcified Tissue International  |d Springer US; http://www.springer-ny.com  |g 97/2(2015-08-01), 125-133  |x 0171-967X  |q 97:2<125  |1 2015  |2 97  |o 223 
856 4 0 |u https://doi.org/10.1007/s00223-015-0023-4  |q text/html  |z Onlinezugriff via DOI 
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908 |D 1  |a research-article  |2 jats 
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950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00223-015-0023-4  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Real  |D Ana  |u Centre for Genomics and Experimental Medicine, Institute of Genetics and Molecular Medicine (IGMM), Edinburgh, EH4 2XU, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Gilbert  |D Nick  |u Human Genetics Unit, IGMM, Edinburgh, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hauser  |D Barbara  |u Centre for Genomics and Experimental Medicine, Institute of Genetics and Molecular Medicine (IGMM), Edinburgh, EH4 2XU, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kennedy  |D Nick  |u Centre for Genomics and Experimental Medicine, Institute of Genetics and Molecular Medicine (IGMM), Edinburgh, EH4 2XU, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Shand  |D Alan  |u Gastroenterology Department, Lothian University Hospitals NHS Trust, Edinburgh, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Gillett  |D Helen  |u Gastroenterology Department, Lothian University Hospitals NHS Trust, Edinburgh, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Gillett  |D Peter  |u Gastroenterology Department, Lothian University Hospitals NHS Trust, Edinburgh, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Goddard  |D Clive  |u Gastroenterology Department, Lothian University Hospitals NHS Trust, Edinburgh, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Cebolla  |D Ángel  |u Biomedal SL, Seville, Spain  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sousa  |D Carolina  |u Departamento de Microbiología y Parasitología, Facultad de Farmacia, Universidad de Sevilla, Seville, Spain  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Fraser  |D William  |u University of East Anglia, Norwich, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Satsangi  |D Jack  |u Centre for Genomics and Experimental Medicine, Institute of Genetics and Molecular Medicine (IGMM), Edinburgh, EH4 2XU, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ralston  |D Stuart  |u Centre for Genomics and Experimental Medicine, Institute of Genetics and Molecular Medicine (IGMM), Edinburgh, EH4 2XU, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Riches  |D Philip  |u Centre for Genomics and Experimental Medicine, Institute of Genetics and Molecular Medicine (IGMM), Edinburgh, EH4 2XU, UK  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Calcified Tissue International  |d Springer US; http://www.springer-ny.com  |g 97/2(2015-08-01), 125-133  |x 0171-967X  |q 97:2<125  |1 2015  |2 97  |o 223