Evidence map›Paper›PMID 28555380›Full record

Trial reportEuropean journal of nutrition2018

Anti-gliadin antibodies in breast milk from celiac mothers on a gluten-free diet.

María Roca, Sabine Lisa Vriezinga, Paula Crespo-Escobar, Renata Auricchio, David Hervás, Gemma Castillejo, Maria Carmen Mena, Isabel Polanco, Riccardo Troncone, Maria Luisa Mearin and 2 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European journal of nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 2 countries.

María RocaMedical Research Institute La Fe, Unidad de Enfermedad Celíaca e Inmunopatología Digestiva, Torre A, 6º Planta. Avda. Fernando Abril Martorell 106, 46026, Valencia, Spain. maria_roca@iislafe.es.
Sabine Lisa VriezingaDepartment of Paediatrics, Leiden University Medical Centre, Leiden, The Netherlands.
Paula Crespo-EscobarMedical Research Institute La Fe, Unidad de Enfermedad Celíaca e Inmunopatología Digestiva, Torre A, 6º Planta. Avda. Fernando Abril Martorell 106, 46026, Valencia, Spain.
Renata AuricchioDepartment of Medical Translational Sciences and European Laboratory for the Investigation of Food-Induced Diseases, University Federico II, Naples, Italy.
David HervásBiostatistics Unit, Medical Research Institute La Fe, Valencia, Spain.
Gemma CastillejoDepartment of Pediatric Gastroenterology Unit, Hospital Universitari Sant Joan de Reus, URV, IIPV, Reus, Spain.
Maria Carmen MenaProteomics Facility, Centro Nacional Biotecnología, CSIC, Madrid, Spain.
Isabel PolancoDepartment of Pediatric Gastroenterology and Nutrition, La Paz University Hospital, Madrid, Spain.
Riccardo TronconeDepartment of Medical Translational Sciences and European Laboratory for the Investigation of Food-Induced Diseases, University Federico II, Naples, Italy.
Maria Luisa MearinDepartment of Paediatrics, Leiden University Medical Centre, Leiden, The Netherlands.
Carmen Ribes-KoninckxMedical Research Institute La Fe, Unidad de Enfermedad Celíaca e Inmunopatología Digestiva, Torre A, 6º Planta. Avda. Fernando Abril Martorell 106, 46026, Valencia, Spain.
PREVENT CD Study Group
Leiden University · NLHospital Universitario La Paz · ESInstituto de Investigación Sanitaria La Fe · ESCentro Nacional de Biotecnología · ESHospital Universitari i Politècnic La Fe · ESHospital Universitari Sant Joan de Reus · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo analyze the presence of total IgA and anti-gliadin antibodies (AGA) in BM from CD mothers who follow a gluten-free diet (GFD) and from mothers on a normal gluten-containing diet (ND).

methods218 samples of mature milk were obtained at different months of lactation (1-6) from 83 mothers (2 or more samples per mother) from Italy (Naples), The Netherlands (Leiden) and Spain (Madrid, Valencia and Reus): 42 CD mothers on GFD for more than 2 years and 41 non-CD mothers on a ND. Whey samples were analyzed for AGA-IgA by an indirect homemade ELISA and for total IgA (g/L) by a commercial ELISA kit.

resultsAGA-IgA was detected in BM, both in mothers on a GFD and mothers on a ND. AGA-IgA levels in both groups of mothers, CD and non-CD, show the same trend towards decreasing slightly along the months of lactation (p = 0.91). A different trend is observed for total IgA levels, decreasing markedly in CD mothers from the first month of lactation onwards but remaining stable in non-CD mothers (p = 0.048). A statistically significant association was found between the means of total IgA and AGA-IgA (p < 0.001).

conclusionAGA-IgA is present in BM from mothers on a ND as well as in BM from mothers who had been on a GFD for years. This reflects the existence of a long-lasting immunological memory independent of the mother's diet. If the presence of these antibodies has any role in promoting the acquisition of gluten tolerance in the infant, our study shows that children of CD mothers would be on equal conditions as children of non-CD mothers.

Indexed as

Diet, Gluten-FreeAdultAntibodiesCeliac DiseaseDouble-Blind MethodEuropeFemaleGliadinHumansImmunoglobulin GItalyMilk, HumanMothersNetherlandsProspective StudiesSpainAntibodiesGliadinImmunoglobulin GBreast milkCeliac diseaseGliadin antibodiesImmunoglobulin A

Identifiers

PMID28555380
OpenAlexW2618143313

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.