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Event: 2254
Key Event Title
Gluten-reactive and transglutaminase 2 reactive B cell receptors, generation
Short name
Biological Context
Level of Biological Organization |
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Molecular |
Cell term
Cell term |
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B cell |
Organ term
Organ term |
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bone marrow |
Key Event Components
Process | Object | Action |
---|---|---|
gene conversion of immunoglobulin genes | B cell receptor complex | occurrence |
Key Event Overview
AOPs Including This Key Event
AOP Name | Role of event in AOP | Point of Contact | Author Status | OECD Status |
---|---|---|---|---|
Gluten-driven immune activation leading to celiac disease | MolecularInitiatingEvent | Antonio Fernandez Dumont (send email) | Under development: Not open for comment. Do not cite |
Taxonomic Applicability
Term | Scientific Term | Evidence | Link |
---|---|---|---|
human | Homo sapiens | NCBI |
Life Stages
Life stage | Evidence |
---|---|
All life stages |
Sex Applicability
Term | Evidence |
---|---|
Unspecific |
Key Event Description
The presence of TG2-specific antibodies is a hallmark of celiac disease and is commonly used in its diagnosis of celiac disease (Fleur du Pre et al., 2020). Additionally, antibodies targeting deamidated gluten peptides are frequently detected in patients with celiac disease. The persistent production of these deamidated gluten- and TG2-reactive antibodies contributes to chronic inflammation and tissue damage in the small intestine.
For the antibody-mediated recognition of deamidated gluten and TG2, B cell receptors must be generated during B cell development. Similar to T cell receptors, this process occurs through gene rearrangement. During this process, constant and variable gene segments are joined, encoding distinct light and heavy chains. Antibodies consist of two light and two heavy chains, with a structure that includes two antigen-binding sites formed by the variable regions and a single constant region. Notably, specific variable gene segments encoding TG2-specific antibodies are consistently shared among patients with celiac disease.
How It Is Measured or Detected
Gene rearrangement itself can be detected through molecular biological techniques. In practice, however, it is much more common to detect antibodies specific for TG2 and deamidated gluten with enzyme-linked immunosorbent assay (ELISA) or rapid test kits.
Domain of Applicability
Humans, with a female to male proportion of approximately 2 to 1
References
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Arentz-Hansen H, Körner R, Molberg Ø, Quarsten H, Vader W, Kooy YMC, Lundin KEA, Koning F, Roepstorff P, Sollid LM, McAdam S. (2000). The intestinal T cell response to α-gliadin in adult celiac disease is focused on a single deamidated glutamine targeted by tissue transglutaminase. J Exp Med. 191:603-612.
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Di Niro R, Mesin L, Zheng NY, Stamnaes J, Morrissey M, Lee JH, Huang M, Iversen R, du Pré MF, Qiao SW, Lundin KE, Wilson PC, Sollid LM. (2012). High abundance of plasma cells secreting transglutaminase 2-specific IgA autoantibodies with limited somatic hypermutation in celiac disease intestinal lesions. Nat Med. 18:441-445.
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du Pré MF, Blazevski J, Dewan AE, Stamnaes J, Kanduri C, Sandve GK, Johannesen MK, Lindstad CB, Hnida K, Fugger L, Melino G, Qiao SW, Sollid LM. (2020). B cell tolerance and antibody production to the celiac disease autoantigen transglutaminase 2. J Exp Med. Feb 3;217(2):e20190860. doi: 10.1084/jem.20190860.
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Fallang LE, Bergseng E, Hotta K, Berg-Larsen A, Kim CY, Sollid LM. (2009). Differences in the risk of celiac disease associated with HLA-DQ2.5 or HLA-DQ2.2 are related to sustained gluten antigen presentation. Nat Immunol. 10:1096-1101.
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Lundin KE, Scott H, Hansen T, Paulsen G, Halstensen TS, Fausa O, Thorsby E, Sollid LM. (1993). Gliadin-specific, HLA-DQ(alpha 10501,beta 10201) restricted T cells isolated from the small intestinal mucosa of celiac disease patients. J Exp Med. 178:187-196.
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Vader W, Kooy Y, van Veelen P, de Ru A, Harris D, Benckhuijsen W, Pena S, Mearin L, Drijfhout JW, Koning F. (2002). The gluten response in children with recent onset celiac disease. A highly diverse response towards multiple gliadin and glutenin-derived peptides. Gastroenterology. 122:1729-1737.