Distinct patterns of IgG and IgA against food and microbial antigens in serum and feces of patients with inflammatory bowel diseases.

<h4>Background</h4>Inflammatory bowel disease (IBD) is associated with a defective intestinal barrier and enhanced adaptive immune responses against commensal microbiota. Immune responses against food antigens in IBD patients remain poorly defined.<h4>Methods</h4>IgG and IgA...

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Autores principales: Lisa Frehn, Anke Jansen, Eveline Bennek, Ana D Mandic, Ilknur Temizel, Stefanie Tischendorf, Julien Verdier, Frank Tacke, Konrad Streetz, Christian Trautwein, Gernot Sellge
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Publicado: Public Library of Science (PLoS) 2014
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spelling oai:doaj.org-article:ac90e1679e31456e9bb70cd6f910f8732021-11-25T06:00:47ZDistinct patterns of IgG and IgA against food and microbial antigens in serum and feces of patients with inflammatory bowel diseases.1932-620310.1371/journal.pone.0106750https://doaj.org/article/ac90e1679e31456e9bb70cd6f910f8732014-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0106750https://doaj.org/toc/1932-6203<h4>Background</h4>Inflammatory bowel disease (IBD) is associated with a defective intestinal barrier and enhanced adaptive immune responses against commensal microbiota. Immune responses against food antigens in IBD patients remain poorly defined.<h4>Methods</h4>IgG and IgA specific for food and microfloral antigens (wheat and milk extracts; purified ovalbumin; Escherichia coli and Bacteroides fragilis lysates; mannan from Saccharomyces cerevisiae) were analyzed by ELISA in the serum and feces of patients with Crohn's disease (CD; n = 52 for serum and n = 20 for feces), ulcerative colitis (UC; n = 29; n = 17), acute gastroenteritis/colitis (AGE; n = 12; n = 9) as well as non-inflammatory controls (n = 61; n = 39).<h4>Results</h4>Serum anti-Saccharomyces cerevisiae antibodies (ASCA) and anti-B. fragilis IgG and IgA levels were increased in CD patients whereas antibody (Ab) levels against E. coli and food antigens were not significantly different within the patient groups and controls. Subgroup analysis revealed that CD patients with severe diseases defined by stricturing and penetrating lesions have slightly higher anti-food and anti-microbial IgA levels whereas CD and UC patients with arthropathy have decreased anti-food IgG levels. Treatment with anti-TNF-α Abs in CD patients was associated with significantly decreased ASCA IgG and IgA and anti-E. coli IgG. In the feces specific IgG levels against all antigens were higher in CD and AGE patients while specific IgA levels were higher in non-IBD patients. Anti-food IgG and IgA levels did not correlate with food intolerance.<h4>Summary</h4>In contrast to anti-microbial Abs, we found only minor changes in serum anti-food Ab levels in specific subgroups of IBD patients. Fecal Ab levels towards microbial and food antigens show distinct patterns in controls, CD and UC patients.Lisa FrehnAnke JansenEveline BennekAna D MandicIlknur TemizelStefanie TischendorfJulien VerdierFrank TackeKonrad StreetzChristian TrautweinGernot SellgePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 9, p e106750 (2014)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Lisa Frehn
Anke Jansen
Eveline Bennek
Ana D Mandic
Ilknur Temizel
Stefanie Tischendorf
Julien Verdier
Frank Tacke
Konrad Streetz
Christian Trautwein
Gernot Sellge
Distinct patterns of IgG and IgA against food and microbial antigens in serum and feces of patients with inflammatory bowel diseases.
description <h4>Background</h4>Inflammatory bowel disease (IBD) is associated with a defective intestinal barrier and enhanced adaptive immune responses against commensal microbiota. Immune responses against food antigens in IBD patients remain poorly defined.<h4>Methods</h4>IgG and IgA specific for food and microfloral antigens (wheat and milk extracts; purified ovalbumin; Escherichia coli and Bacteroides fragilis lysates; mannan from Saccharomyces cerevisiae) were analyzed by ELISA in the serum and feces of patients with Crohn's disease (CD; n = 52 for serum and n = 20 for feces), ulcerative colitis (UC; n = 29; n = 17), acute gastroenteritis/colitis (AGE; n = 12; n = 9) as well as non-inflammatory controls (n = 61; n = 39).<h4>Results</h4>Serum anti-Saccharomyces cerevisiae antibodies (ASCA) and anti-B. fragilis IgG and IgA levels were increased in CD patients whereas antibody (Ab) levels against E. coli and food antigens were not significantly different within the patient groups and controls. Subgroup analysis revealed that CD patients with severe diseases defined by stricturing and penetrating lesions have slightly higher anti-food and anti-microbial IgA levels whereas CD and UC patients with arthropathy have decreased anti-food IgG levels. Treatment with anti-TNF-α Abs in CD patients was associated with significantly decreased ASCA IgG and IgA and anti-E. coli IgG. In the feces specific IgG levels against all antigens were higher in CD and AGE patients while specific IgA levels were higher in non-IBD patients. Anti-food IgG and IgA levels did not correlate with food intolerance.<h4>Summary</h4>In contrast to anti-microbial Abs, we found only minor changes in serum anti-food Ab levels in specific subgroups of IBD patients. Fecal Ab levels towards microbial and food antigens show distinct patterns in controls, CD and UC patients.
format article
author Lisa Frehn
Anke Jansen
Eveline Bennek
Ana D Mandic
Ilknur Temizel
Stefanie Tischendorf
Julien Verdier
Frank Tacke
Konrad Streetz
Christian Trautwein
Gernot Sellge
author_facet Lisa Frehn
Anke Jansen
Eveline Bennek
Ana D Mandic
Ilknur Temizel
Stefanie Tischendorf
Julien Verdier
Frank Tacke
Konrad Streetz
Christian Trautwein
Gernot Sellge
author_sort Lisa Frehn
title Distinct patterns of IgG and IgA against food and microbial antigens in serum and feces of patients with inflammatory bowel diseases.
title_short Distinct patterns of IgG and IgA against food and microbial antigens in serum and feces of patients with inflammatory bowel diseases.
title_full Distinct patterns of IgG and IgA against food and microbial antigens in serum and feces of patients with inflammatory bowel diseases.
title_fullStr Distinct patterns of IgG and IgA against food and microbial antigens in serum and feces of patients with inflammatory bowel diseases.
title_full_unstemmed Distinct patterns of IgG and IgA against food and microbial antigens in serum and feces of patients with inflammatory bowel diseases.
title_sort distinct patterns of igg and iga against food and microbial antigens in serum and feces of patients with inflammatory bowel diseases.
publisher Public Library of Science (PLoS)
publishDate 2014
url https://doaj.org/article/ac90e1679e31456e9bb70cd6f910f873
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