Genetic study of coeliac disease


What is coeliac disease?

Coeliac disease is a permanent intolerance to gluten, which is found in the seeds of cereals such as wheat, barley, oats and rye, among others.

The European Society of Gastroenterology defines coeliac disease (CD) or coeliac condition as an autoimmune disease characterised by intolerance to gluten.

Autoimmune diseases occur when our immune system, which normally defends us against infectious agents, reacts with its own cells.

Process


Collection of 3 mL of EDTA blood.

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Receipt of the sample in our laboratory.

Delivery of the report within 7 working days.

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Your doctor will explain the results.


Indications
The study is recommended for:

  • Diagnose

In patients with inconclusive serology and clinical suspicion.

In symptomatic patients with normal serology and biopsies.

  • Genetic inheritance

Study first-degree relatives of a person with coeliac disease (parents, siblings and children), in order to know the genetic susceptibility.

  • Risk groups

Asymptomatic people with coeliac disease associated diseases, such as diabetes mellitus, thyroiditis, dermatitis herpetiformis, among others.

Symptoms
The most common symptoms of coeliac disease are:

  • Weight loss
  • Loss of appetite
  • Fatigue
  • Nausea
  • Vomiting
  • Diarrhoea
  • Abdominal distention
  • Loss of muscle mass
  • Stunted growth
  • Irritability
  • Apathy
  • Abdominal pain
  • Meteorism

There are 3 types of coeliac disease:

Symptomatic

Individuals are symptomatic and have serological and genetic test data consistent with CD.

Subclinical

People have no symptoms, but their diagnostic tests are positive.

Potential

These individuals have a genetic predisposition determined by the positivity of some allele(s), in the absence of other positive analytical tests, their average probability of developing active CD is 13%.

Results


It is indicated for each of the alleles analysed whether it is:

+ POSITIVE o – NEGATIVE

And a genetic risk associated with coeliac disease is established.

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Frequently asked questions


The genes linked to coeliac disease are those of the HLA system, especially two of them, DQ2 and DQ8. Specifically, DQ2 is estimated to be present in more than 90% of coeliacs, while DQ8 is only present in slightly more than 5%.

The genetic study of coeliac disease has a high negative predictive value, so that not possessing the 4 HLA DQ2 and DQ8 alleles excludes coeliac disease with 99% certainty.

The delivery time for the results report for the genetic study of coeliac disease is 7 days.

It is not necessary, food intake will not change the results obtained in the genetic study for coeliac disease. 

It does not matter, the genetic test is not altered depending on the diet. For serology or biopsy it is necessary to continue taking gluten to avoid false negatives, but for the genetic test it is indifferent.