Skip to main content

Celiac Disease and Intestinal Endocrine Autoimmunity

  • Chapter
  • First Online:
Immunoendocrinology: Scientific and Clinical Aspects

Part of the book series: Contemporary Endocrinology ((COE))

Abstract

Although celiac disease (CD) is unrelated directly to the endocrine system, it still deserves mention owing to its close association with other autoimmune diseases, in particular type 1 diabetes and autoimmune thyroid disease. CD is an immune-mediated disease primarily of the small intestine but with a wide spectrum of ­clinical symptoms that is no longer isolated to the gastrointestinal tract. The classic presentation of CD occurs in a young child with growth failure, diarrhea, abdominal distension, and irritability shortly following the introduction of gluten in the diet. However, the clinical presentation of this disease has changed over the past decade, possibly as a result of both improved screening methods as well as the evolution of the natural disease course. Today’s celiac patient is often identified through screening due to a genetic risk for CD, who otherwise would not have sought medical attention for relatively minor symptoms if present at all.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Lagerqvist C, Dahlbom I, Hansson T, et al. Antigliadin immunoglobulin A best in finding celiac disease in children younger than 18 months of age. J Pediatr Gastroenterol Nutr 2008;47(4):428–435.

    Article  PubMed  CAS  Google Scholar 

  2. Catassi C, Fabiani E, Iacono G, et al. A prospective, double-blind, placebo-controlled trial to establish a safe gluten threshold for patients with celiac disease. Am J Clin Nutr 2007;85(1):160–166.

    PubMed  CAS  Google Scholar 

  3. Simell S, Hoppu S, Hekkala A, et al. Fate of five celiac disease-associated antibodies during normal diet in genetically at-risk children observed from birth in a natural history study. Am J Gastroenterol 2007;102(9):2026–2035.

    Article  PubMed  CAS  Google Scholar 

  4. Norris JM, Barriga K, Hoffenberg EJ, et al. Risk of celiac disease autoimmunity and timing of gluten introduction in the diet of infants at increased risk of disease. JAMA 2005;293(19):2343–2351.

    Article  PubMed  CAS  Google Scholar 

  5. Stene LC, Honeyman MC, Hoffenberg EJ, et al. Rotavirus infection frequency and risk of celiac disease autoimmunity in early childhood: a longitudinal study. Am J Gastroenterol 2006;101(10):2333–2340.

    Article  PubMed  CAS  Google Scholar 

  6. Hansen D, Brock-Jacobsen B, Lund E, et al. Clinical benefit of a gluten-free diet in type 1 diabetic children with screening-detected celiac disease: a population-based screening study with 2 years’ follow-up. Diab care 2006;29(11):2452–2456.

    Article  Google Scholar 

  7. Simmons JH, Klingensmith GJ, McFann K, et al. Impact of celiac autoimmunity on children with type 1 diabetes. J Pediatr 2007;150(5):461–466.

    Article  PubMed  CAS  Google Scholar 

  8. Amin R, Murphy N, Edge J, Ahmed ML, Acerini CL, Dunger DB. A longitudinal study of the effects of a gluten-free diet on glycemic control and weight gain in subjects with type 1 diabetes and celiac disease. Diabetes Care 2002;25(7):1117–1122.

    Article  PubMed  Google Scholar 

  9. AGA Institute. AGA Institute Medical Position Statement on the Diagnosis and Management of Celiac Disease. Gastroenterology 2006;131(6):1977–1980.

    Article  Google Scholar 

  10. Hill ID, Dirks MH, Liptak GS, et al. Guideline for the diagnosis and treatment of celiac disease in children: recommendations of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr 2005;40(1):1–19.

    Article  PubMed  Google Scholar 

  11. Silverstein J, Klingensmith G, Copeland K, et al. Care of children and adolescents with type 1 diabetes: a statement of the American Diabetes Association. Diabetes Care 2005;28(1):186–212.

    Article  PubMed  Google Scholar 

  12. Ventura A, Magazzu G, Greco L. Duration of exposure to gluten and risk for autoimmune disorders in patients with celiac disease. SIGEP Study Group for Autoimmune Disorders in Celiac Disease. Gastroenterology 1999;117(2):297–303.

    Article  PubMed  CAS  Google Scholar 

  13. Cronin CC, Feighery A, Ferriss JB, Liddy C, Shanahan F, Feighery C. High prevalence of celiac disease among patients with insulin-dependent (type I) diabetes mellitus. Am J Gastroenterol 1997;92(12):2210–2212.

    PubMed  CAS  Google Scholar 

  14. Not T, Tommasini A, Tonini G, et al. Undiagnosed coeliac disease and risk of autoimmune disorders in subjects with Type I diabetes mellitus. Diabetologia 2001;44(2):151–155.

    Article  PubMed  CAS  Google Scholar 

  15. Ventura A, Neri E, Ughi C, Leopaldi A, Citta A, Not T. Gluten-dependent diabetes-related and thyroid-related autoantibodies in patients with celiac disease. J Pediatr 2000;137(2):263–265.

    Article  PubMed  CAS  Google Scholar 

  16. Neuhausen SL, Steele L, Ryan S, et al. Co-occurrence of celiac disease and other autoimmune diseases in celiacs and their first-degree relatives. J Autoimmun 2008;31(2):160–165.

    Article  PubMed  CAS  Google Scholar 

  17. Cosnes J, Cellier C, Viola S, et al. Incidence of autoimmune diseases in celiac disease: protective effect of the gluten-free diet. Clin Gastroenterol Hepatol 2008;6(7):753–758.

    Article  PubMed  Google Scholar 

  18. Toscano V, Conti FG, Anastasi E, et al. Importance of gluten in the induction of endocrine autoantibodies and organ dysfunction in adolescent celiac patients. Am J Gastroenterol 2000;95(7):1742–1748.

    Article  PubMed  CAS  Google Scholar 

  19. Hogberg L, Falth-Magnusson K, Grodzinsky E, Stenhammar L. Familial prevalence of coeliac disease: a twenty-year follow-up study. Scand J Gastroenterol 2003;38(1):61–65.

    Article  PubMed  CAS  Google Scholar 

  20. Greco L, Romino R, Coto I, et al. The first large population based twin study of coeliac disease. Gut 2002;50(5):624–628.

    Article  PubMed  CAS  Google Scholar 

  21. Nistico L, Fagnani C, Coto I, et al. Concordance, disease progression, and heritability of coeliac disease in Italian twins. Gut 2006;55(6):803–808.

    Article  PubMed  CAS  Google Scholar 

  22. Bevan S, Popat S, Braegger CP, et al. Contribution of the MHC region to the familial risk of coeliac disease. J Med Genet 1999;36(9):687–690.

    PubMed  CAS  Google Scholar 

  23. Hoffenberg EJ, Mackenzie T, Barriga KJ, et al. A prospective study of the incidence of childhood celiac disease. J Pediatr 2003;143(3):308–314.

    Article  PubMed  Google Scholar 

  24. Hunt KA, Zhernakova A, Turner G, et al. Newly identified genetic risk variants for celiac disease related to the immune response. Nat Genet 2008;40(4):395–402.

    Article  PubMed  CAS  Google Scholar 

  25. van Heel DA, Franke L, Hunt KA, et al. A genome-wide association study for celiac disease identifies risk variants in the region harboring IL2 and IL21. Nat Genet 2007;39(7):827–829.

    Article  PubMed  Google Scholar 

  26. Romanos J, Barisani D, Trynka G, Zhernakova A, Bardella MT, Wijmenga C. Six new celiac disease loci replicated in an Italian population confirm association to celiac disease. J Med Genet 2009;46(1):60–63.

    Article  PubMed  CAS  Google Scholar 

  27. Smyth DJ, Plagnol V, Walker NM, et al. Shared and distinct genetic variants in type 1 diabetes and celiac disease. N Engl J Med 2008;359(26):2767–2777.

    Article  PubMed  CAS  Google Scholar 

  28. van der Sijp JR, Kamm MA, Nightingale JM, et al. Circulating gastrointestinal hormone abnormalities in patients with severe idiopathic constipation. Am J Gastroenterol 1998;93(8):1351–1356.

    Article  PubMed  Google Scholar 

  29. Ekwall O, Hedstrand H, Grimelius L, et al. Identification of tryptophan hydroxylase as an intestinal autoantigen. Lancet 1998;352(9124):279–283.

    Article  PubMed  CAS  Google Scholar 

  30. Soderbergh A, Myhre AG, Ekwall O, et al. Prevalence and clinical associations of 10 defined autoantibodies in autoimmune polyendocrine syndrome type I. J Clin Endocrinol Metab 2004;89(2):557–562.

    Article  PubMed  Google Scholar 

  31. Hogenauer C, Meyer RL, Netto GJ, et al. Malabsorption due to cholecystokinin deficiency in a patient with autoimmune polyglandular syndrome type I. N Engl J Med 2001;344(4):270–274.

    Article  PubMed  CAS  Google Scholar 

  32. Zhao RH, Baig KM, Wexner SD, et al. Abnormality of peptide YY and pancreatic polypeptide immunoreactive cells in colonic mucosa of patients with colonic inertia. Dig Dis Sci 2004;49(11–12):1786–1790.

    Article  PubMed  CAS  Google Scholar 

  33. Zhao R, Baig MK, Wexner SD, et al. Enterochromaffin and serotonin cells are abnormal for patients with colonic inertia. Dis Colon Rectum 2000;43(6):858–863.

    Article  PubMed  CAS  Google Scholar 

  34. Baig MK, Zhao RH, Woodhouse SL, et al. Variability in serotonin and enterochromaffin cells in patients with colonic inertia and idiopathic diarrhoea as compared to normal controls. Colorectal Dis 2002;4(5):348–354.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Mereiles, L., Li, M., Loo, D., Liu, E. (2011). Celiac Disease and Intestinal Endocrine Autoimmunity. In: Eisenbarth, G. (eds) Immunoendocrinology: Scientific and Clinical Aspects. Contemporary Endocrinology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60327-478-4_32

Download citation

  • DOI: https://doi.org/10.1007/978-1-60327-478-4_32

  • Published:

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-60327-477-7

  • Online ISBN: 978-1-60327-478-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics