celiac disease gluten intolerance
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - >= 18 years old - Indication for a duodenal biopsy for the diagnosis or monitoring of: active celiac disease, celiac disease on gluten free diet, suspicion celiac disease, dyspeptia, potential celiac disease OR previously diagnosed with celiac disease, dyspepsia or NCGS without an indication for duodenum biopsy - Given informed consent - HLA-DQ2.5 positive (in exceptional cases where endoscopic examination is already performed before HLA typing and the patient turns out to be HLA-DQ2.5 negative, the γδT-cell data can be used for analysis.
Exclusion criteria
Exclusion criteria: - No informed consent - Insufficient knowledge of Dutch language and/or inability to understand the information provided. - Systemic immune suppressive treatment for the past 3 months, - pregnancy (not applicable to groups 2b and 4b) - HIV, Hepatitis B or C positive status - Severe disorders within the last 6 months, e.g. cancer
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1) Detection method for gliadin specific T-cells in peripheral blood 2) Determine celiac disease associated duodenal γδT-cell phenotype 3) Detection of γδT-cells with *CD-related phenotype* in peripheral blood 4) Sensitivity and specificity of cellular blood test (gliadin specific T-cells and γδT-cells with *CD-related phenotype) for diagnosis of CD in patients on a gluten containing or GFD in a routine specialized diagnostic setting. 5) Sensitivity and specificity of cellular blood test (gliadin specific T-cells and γδT-cells with *CD-related phenotype) for diagnosis of CD in CD patients that take a personalised glutenchallenge in a routine specialized diagnostic setting. | — |
Countries
Netherlands