2006, Number 1
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Rev Mex Neuroci 2006; 7 (1)
Preliminary study of the prevalence of antigliadine antibodies in Cuban patients with spinocerebellar ataxia type 2
Almaguer MLE, Rodríguez AY, Martínes GE, Almaguer GD, González ZY, Sánchez CG, Coello AD
Language: Spanish
References: 16
Page: 76-79
PDF size: 67.00 Kb.
ABSTRACT
Introduction: Neurology of gluten sensitivity is increasingly complex. In particular, it has been suggested that gluten ataxia is a different disease entity, which represents the more frequent cause of idiopathic ataxias. Nevertheless, recently it has been found an elevated prevalence of gluten sensitivity in hereditary ataxia patients.
Objective: To test if spinocerebellar ataxia type 2 is associated to gluten sensitivity.
Subjects and Method: We determined the antigliadin antibodies (AGA) prevalence in 30 SCA2 patients and in 30 matched controls. The obtained prevalence results were compared using the chi-square. In order to compare the severity of the disease in AGA positive and AGA negative patients we used the Mann-Whitney U test.
Results: 23.3% of patients were AGA positive, whereas this was observed only in the 6.67% of the controls; significant differences between the groups were obtained (χ
2 = 13.39; p ‹ 0.001). However, we failed to obtain significant differences in disease severity between AGA positive and AGA negative patients.
Conclusion: These results suggest that antigliadin antibodies could be an epiphenomenon in SCA2, whose contribution to the clinical syndrome needs to be clarified.
REFERENCES
Marsh MN. The natural history of gluten sensitivity: defining, redefining and re-defining. Q J Med 1995; 85: 9-13.
Muller AF, Donnelly MT, Smith CM, Grundman MJ, Holmes GK, Toghill PJ. Neurological complications of celiac disease: a rare but continuing problem. Am J Gastroenterol 1996; 91: 1430-5.
Hadjivassiliou M, Grünewald RA, Chattopadhyay AK, Davies-Jones GAB, Gibson A, Jarratt JA, Kandler RH, Lobo A, Powell T, Smith CML. Clinical, radiological, neurophysiological, and neuropathological characteristics of gluten ataxia. The Lancet 1998; 352(9140): 1582-5.
Pellecchia MT, Scala R, Filla A, De Michele G, Ciacci C, Barone P. Idiopathic cerebellar ataxia associated with celiac disease: lack of distinctive neurological features. J Neurol Neurosurg Psychiatry 1999; 66: 32-5.
Abele M, Schols L, Schwartz S, Klockgether T. Prevalence of antigliadin antibodies in ataxia patients. Neurology 2003; 60: 1674-5.
Hadjivassiliou M, Grünewald RA, Sharrack B, Sanders DS, Lobo A, Williamson C, et al. Gluten ataxia in perspective: epidemiology, genetic susceptibility and clinical characteristics. Brain 2003; 126: 685-91.
Bushara KO, Goebel SU, Shill H, Goldfarb LG, Hallet M. Gluten sensitivity in sporadic and hereditary cerebellar ataxia. Ann Neurol 2001; 49: 540-3.
Pellecchia MT, Abrosio G, Salvatore E, Vitale C, De Michele G, Barone P. Possible gluten sensitivity in multiple system atrophy. Neurology 2002; 59: 1114-5.
Bushara KO, Nance M, Gomez CM. Antigliadin antibodies in Huntington disease. Neurology 2004; 62: 132-3.
Santos N, Aguiar J, Fernández J, Vázquez M, Auburger J, Gispert S, et al. Diagnóstico molecular de una muestra de la población cubana con ataxia espinocerebelosa tipo 2. Biotecn Apl 1999; 16(4): 219-22.
Kunkel LM, Smith KD, Boyer SM, Borgaonkar DS, Wachtel SS, Miller OS, et. al. Analysis of human Y-chromosome-specific reiterated DNA in chromosome variants. Proc Nat Acad Sci USA 1977; 74: 1245-9.
Imbert G, Saudou F, Yvert G, Devys D, Trottier Y, Garnier J-M, et al. Cloning of the gene for spinocerebellar ataxia 2 reveals a locus with high sensitivity to expanded CAG/glutamine repeats. Nature Genet 1996; 14: 285-91.
Trouillas P, Takayanagi T, Hallett M, Currier RD, Subramony SH, Wessel K, et al. International Cooperative Ataxia Rating Scale for pharmacological assessment of the cerebellar syndrome. The Ataxia Neuropharmacology Committee of the World Federation of Neurology. J Neurol Sci 1997; 145(2): 205-11.
Not T, Horvath K, Hill ID, Partanen J, Hammed A, Magazzu G, Fasano A. Celiac disease risk in the USA: high prevalence of antiendomysium antibodies in healthy blood donors. Scand J Gastroenterol 1998; 33(5): 494-8.
Gandolfi L, Pratesi R, Cordoba JC, Tauil PL, Gasparin M, Catassi C. Prevalence of celiac disease among blood donors in Brazil. Am J Gastroenterol 2000; 95(3): 689-92.
Shahbazkhani B, Malekzadeh R, Sotoudeh M, Moghadam KF, Farhadi M, Ansari R, et al. High prevalence of coeliac disease in apparently healthy Iranian blood donors. Eur J Gastroenterol Hepatol 2003; 15(5): 475-8.