Mast cell degranulation after a single dose of gliadin in the jejunum of patients with coeliac disease

Acta Paediatr Hung. 1986;27(4):311-6.

Abstract

The exact pathomechanism of jejunal damage caused by gliadin in coeliac disease has not been clarified. 0.3 g of gluten per kg bodyweight was administered to 14 children affected by coeliac disease, being on gluten-free diet, five hours before jejunal biopsy. There was no change in the number of intraepithelial lymphocytes and eosinophils while cellular infiltration of the lamina propria exhibited a marked increase and the number of mast-cells per tissue unit significantly decreased as compared with controls. It is concluded that mast-cells may play an important role in the mechanism of gluten induced jejunal damage.

MeSH terms

  • Adolescent
  • Celiac Disease / diet therapy
  • Celiac Disease / pathology*
  • Cell Count
  • Child
  • Cytoplasmic Granules / drug effects
  • Gliadin / pharmacology*
  • Humans
  • Jejunum / drug effects*
  • Leukocyte Count
  • Lymphocytes
  • Mast Cells / drug effects*
  • Plant Proteins / pharmacology*

Substances

  • Plant Proteins
  • Gliadin