Duodenal microbiota composition and mucosal homeostasis in pediatric celiac disease
Open accessAbstract
Background: Celiac disease (CD) is an autoimmune disorder of the small intestine which is triggered by dietary gluten in genetically predisposed (HLA-DQ2/DQ8 positive) individuals. Only a fraction of HLA-DQ2/DQ8 positive individuals develop CD indicating that other factors have a role in the disorder. Several studies have addressed intestinal microbiota aberrancies in pediatric CD, but the results are inconsistent. Previously, we demonstrated that pediatric CD patients have lower duodenal expression of TLR2 and higher expression of TLR9 as compared to healthy controls (HC) indicating that microbiota may have a role in CD. Methods: We used bacterial phylogenetic microarray to comprehensively profile the microbiota in duodenal biopsies of CD (n = 10) and HC (n = 9) children. The expression of selected mucosa-associated genes was assessed by qRT-PCR in CD and HC children and in treated CD adults (T-CD, n = 6) on gluten free diet. Results: The overall composition, diversity and the estimated microbe associated molecular pattern (MAMP) content of microbiota were comparable between CD and HC, but a sub-population profile comprising eight genus-like bacterial groups was found to differ significantly between HC and CD. In HC, increased TLR2 expression was positively correlated with the expression of tight junction protein ZO-1. In CD and T-CD, the expression of IL-10, IFN-g and CXCR6 were higher as co5mpared to HC. Conclusions: The results suggest that microbiota and altered expression of mucosal receptors have a role in CD. In CD subjects, the increased expression of IL-10 and IFN-g may have partly resulted from the increased TLR9 expression and signaling.
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Most studies have found significant differences between healthy children and children with celiac disease in duodenal and oral microbial populations.
“Most studies, but not all,48 have found significant differences between healthy children and children with CD in the duodenal49,50 and oral51 microbial populations.”
From The Gut Microbiome and the Brain (2014) · cites this paper as [50]
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- Authors
- Cheng, J., Kalliomäki, M., Heilig, H. G., Palva, A., Lähteenoja, H., de Vos, W. M., Salojärvi, J., & Satokari, R.
- Affiliations
- University of Helsinki (FI)
- University of Turku (FI)
- Wageningen University & Research (NL)
- Turku University Hospital (FI)
- Corresponding author
- Satokari, Reetta
- Venue
- BMC Gastroenterology
- Published
- 2013-07-11
- Volume
- 13
- Issue
- 1
- Pages
- 113-113
- ISSN
- 1471-230X (ISSN-L)
- PMC
- PMC3716955
- OpenAlex
- W1979395260
- Cited by
- 152
- References
- 72
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 8 · 2023: 8 · 2022: 10 · 2021: 21 · 2020: 9 · 2019: 8 · 2018: 12 · 2017: 12 · 2016: 16 · 2015: 16 · 2014: 17 · 2013: 3 · 2012: 1
- FWCI
- 16.35
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Gastroenterology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Socio-Environmental Systems Modeling (acceptedVersion)
- Työväentutkimus Vuosikirja (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Funders
- Suomen Lääketieteen Säätiö
- Academy of Finland (138902)
- Keliakialiitto
- Varsinais-Suomen Sairaanhoitopiiri
- Topics
- Health Sciences › Medicine › Gastroenterology › Celiac Disease Research and Management
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Keywords
- pediatric celiac disease, duodenal microbiota, mucosal homeostasis, TLR2, TLR9, tight junctions, ZO-1, IL-10, interferon-gamma, CXCR6, gluten-free diet, HLA-DQ2/DQ8, microbial metabolites
- MeSH terms
- Pancreatitis-Associated Proteins, Chemokine CXCL16, Receptors, CXCR6, Adolescent, Adult, Celiac Disease, Child, Child, Preschool, Duodenum, Female, Homeostasis, Humans, Interferon-gamma, Intestinal Mucosa, Male, Middle Aged, Proteins, Receptors, Virus, Tumor Necrosis Factor-alpha, Signal Transduction, Gene Expression, Case-Control Studies, Interleukin-10, Connexin 43, Receptors, Chemokine, Chemokines, CXC, Receptors, Scavenger, Toll-Like Receptor 2, Toll-Like Receptor 9, Metagenome, Mucin-2, Zonula Occludens-1 Protein
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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