Response to hepatitis B vaccination in patients with celiac disease

被引:42
作者
Ahishali, Emel [1 ]
Boztas, Gungor [1 ]
Akyuz, Filiz [1 ]
Ibrisim, Duygu [1 ]
Poturoglu, Sule [1 ]
Pinarbasi, Binnur [1 ]
Ozdil, Sadakat [1 ]
Mungan, Zeynel [1 ]
机构
[1] Istanbul Univ, Dept Gastroenterohepatol, Istanbul Fac Med, TR-34390 Istanbul, Turkey
关键词
celiac disease; hepatitis B; vaccination;
D O I
10.1007/s10620-007-0128-3
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Abnormal immune response to gliadin, genetic, and environmental factors play a role in the pathogenesis of celiac disease (CD). Non-responsiveness to hepatitis B virus (HBV) vaccination is related to genetic features. Certain human leukocyte antigen (HLA) genotypes are more prevalent among non-responders to HBV vaccination. There is also a strong relationship between CD and these HLA genotypes. This study investigates the relationship between CD and non-responsiveness to HBV vaccination, with an emphasis on genotypic co-incidence. No statistically significant difference was noted between the ages and gender of CD patients and control subjects. Baseline serum IgA, IgM, and IgG levels of all CD patients were normal. Responsiveness to HBV vaccination was observed in 17 (68%) CD patients and all (100%) control subjects (P = 0.006). In conclusion, CD should also be sought in unresponders to HBV vaccine who are not immunosuppressed.
引用
收藏
页码:2156 / 2159
页数:4
相关论文
共 19 条
[1]   GENETIC PREDICTION OF NONRESPONSE TO HEPATITIS-B VACCINE [J].
ALPER, CA ;
KRUSKALL, MS ;
MARCUSBAGLEY, D ;
CRAVEN, DE ;
KATZ, AJ ;
BRINK, SJ ;
DIENSTAG, JL ;
AWDEH, Z ;
YUNIS, EJ .
NEW ENGLAND JOURNAL OF MEDICINE, 1989, 321 (11) :708-712
[2]  
BAI JZE, 2005, WORLD GASTROENTEROL, V10, P6
[3]   Vaccination against hepatitis B in health care workers [J].
Bonanni, P ;
Bonaccorsi, G .
VACCINE, 2001, 19 (17-19) :2389-2394
[4]  
Das K, 2003, WORLD J GASTROENTERO, V9, P1132
[5]  
FARRELL RJ, 2002, SLEISENGER FORDTRANS, P1817
[6]   The effect of age on immunologic response to recombinant hepatitis B vaccine: A meta-analysis [J].
Fisman, DN ;
Agrawal, D ;
Leder, K .
CLINICAL INFECTIOUS DISEASES, 2002, 35 (11) :1368-1375
[7]   C4A deficiency and nonresponse to hepatitis B vaccination [J].
Höhler, T ;
Stradmann-Bellinghausen, B ;
Starke, R ;
Sänger, R ;
Victor, A ;
Rittner, C ;
Schneider, PM .
JOURNAL OF HEPATOLOGY, 2002, 37 (03) :387-392
[8]   The influence of major histocompatibility complex class II genes and T-cell Vβ repertoire on response to immunization with HBsAg [J].
Höhler, T ;
Meyer, CU ;
Notghi, A ;
Stradmann-Bellinghausen, B ;
Schneider, PM ;
Starke, R ;
Zepp, F ;
Sänger, R ;
Clemens, R ;
zum Büschenfelde, KHM ;
Rittner, C .
HUMAN IMMUNOLOGY, 1998, 59 (04) :212-218
[9]   Global control of hepatitis B virus infection [J].
Kao, JH ;
Chen, DS .
LANCET INFECTIOUS DISEASES, 2002, 2 (07) :395-403
[10]   A Treatment Algorithm for the Management of Chronic Hepatitis B Virus Infection in the United States [J].
Keeffe, Emmet B. ;
Dieterich, Douglas T. ;
Han, Steve-Huy B. ;
Jacobson, Ira M. ;
Martin, Paul ;
Schiff, Eugene R. ;
Tobias, Hillel ;
Wright, Teresa L. .
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2004, 2 (02) :87-106