Allogeneic Hematopoietic Stem Cell Transplantation May Restore Gluten Tolerance in Patients With Celiac Disease

作者:Ciccocioppo Rachele*; Bernardo Maria Ester; Russo Maria Luisa; Vanoli Alessandro; Franco Carla; Martinetti Myriam; Catenacci Laura; Giorgiani Giovanna; Zecca Marco; Piralla Antonio; Baldanti Fausto; Locatelli Franco; Corazza Gino Roberto
来源:Journal of Pediatric Gastroenterology and Nutrition, 2013, 56(4): 422-427.
DOI:10.1097/MPG.0b013e318276a6a7

摘要

We report on 2 patients affected by both celiac disease (CD) and beta-thalassemia major who underwent successful myeloablative allogeneic hematopoietic stem cell transplantation (HSCT) for the latter condition. After HSCT, the introduction of a gluten-containing diet did not cause the reappearance of clinical, serological, and histological markers of CD in up to 5 years of follow-up. After transplantation, in both patients, dendritic cells and regulatory FoxP3(+)T cells showed a recovery of normal values and no proliferative T-cell response upon gliadin stimulation was found. These data suggest that allogeneic HSCT may lead to induction of gluten tolerance in patients with CD.

  • 出版日期2013-4