PuSH - Publication Server of Helmholtz Zentrum München: Metagenomics of the faecal virome indicate a cumulative effect of enterovirus and gluten amount on the risk of coeliac disease autoimmunity in genetically at risk children: The TEDDY study.

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Lindfors, K.* ; Lin, J.* ; Lee, H.S.* ; Hyöty, H.* ; Nykter, M.* ; Kurppa, K.* ; Liu, E.* ; Koletzko, S.* ; Rewers, M.* ; Hagopian, W.* ; Toppari, J.* ; Ziegler, A.-G. ; Akolkar, B.* ; Krischer, J.P.* ; Petrosino, J.F.* ; Lloyd, R.E.* ; Agardh, D.*

Metagenomics of the faecal virome indicate a cumulative effect of enterovirus and gluten amount on the risk of coeliac disease autoimmunity in genetically at risk children: The TEDDY study.

Gut 69, 1416–1422 (2019)

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	Open Access Gold (Paid Option)

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Objective: Higher gluten intake, frequent gastrointestinal infections and adenovirus, enterovirus, rotavirus and reovirus have been proposed as environmental triggers for coeliac disease. However, it is not known whether an interaction exists between the ingested gluten amount and viral exposures in the development of coeliac disease. This study investigated whether distinct viral exposures alone or together with gluten increase the risk of coeliac disease autoimmunity (CDA) in genetically predisposed children. Design: The Environmental Determinants of Diabetes in the Young study prospectively followed children carrying the HLA risk haplotypes DQ2 and/or DQ8 and constructed a nested case-control design. From this design, 83 CDA case-control pairs were identified. Median age of CDA was 31 months. Stool samples collected monthly up to the age of 2 years were analysed for virome composition by Illumina next-generation sequencing followed by comprehensive computational virus profiling. Results: The cumulative number of stool enteroviral exposures between 1 and 2 years of age was associated with an increased risk for CDA. In addition, there was a significant interaction between cumulative stool enteroviral exposures and gluten consumption. The risk conferred by stool enteroviruses was increased in cases reporting higher gluten intake. Conclusions: Frequent exposure to enterovirus between 1 and 2 years of age was associated with increased risk of CDA. The increased risk conferred by the interaction between enteroviruses and higher gluten intake indicate a cumulative effect of these factors in the development of CDA.

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Publication type Article: Journal article

Document type Scientific Article

Corresponding Author

Keywords Coeliac Disease ; Gluten ; Small Bowel

ISSN (print) / ISBN 0017-5749

e-ISSN 1468-3288

Journal Gut (eGut)

Quellenangaben Volume: 69, Pages: 1416–1422

Publisher BMJ Publishing Group

Non-patent literature Publications

Reviewing status Peer reviewed

Institute(s) Institute of Diabetes Research Type 1 (IDF)