Gluten-sensitive enteropathy in recessive dystrophic epidermolysis bullosa

Author:

Sacedón Rosa12ORCID,de Arriba M Carmen3ORCID,Martínez-Santamaría Lucía3ORCID,Maseda Rocío4ORCID,Herráiz-Gil Sara3ORCID,Jiménez Eva12ORCID,Rosales Isabel12,Quintana Lucía4ORCID,Illera Nuria3ORCID,García Marta3ORCID,Butta Nora5ORCID,Fernández-Bello Ihosvany5ORCID,Lwin Su M6ORCID,Fernández-Arquero Miguel7,León Carlos3ORCID,McGrath John A6ORCID,Vicente M Ángeles12ORCID,del Río Marcela3ORCID,de Lucas Raúl4ORCID,Sánchez-Ramón Silvia7ORCID,Escámez María José3ORCID

Affiliation:

1. Departamento de Biología Celular, Facultad de Medicina, Universidad Complutense , Madrid

2. Instituto de Investigación Sanitaria

3. Departamento de Bioingeniería, Universidad Carlos III de Madrid; Centro de Investigación Biomédica en Red de Enfermedades Raras-ISCIII; Instituto de Investigación Sanitaria Fundación Jiménez Diaz; Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas , Madrid

4. Servicio de Dermatología

5. Servicio de Hematología y Hemoterapia, Instituto de Investigación Sanitaria del Hospital Universitario La Paz (IdiPAZ); Hospital Universitario La Paz , Madrid , Spain

6. St John’s Institute of Dermatology, King’s College London , London , UK

7. Department of Immunology, IML and IdISSC, Hospital Clínico San Carlos (IdISSC) , Madrid

Abstract

Recessive dystrophic epidermolysis bullosa (RDEB) is a blistering genodermatosis due to biallelic loss-of-function variants in the type VII collagen (C7) gene (COL7A1). We report the impact of inflammation/autoimmunity on the gut (and other organs) in the nine children with RDEB recruited to an early-phase clinical trial of systemic cell therapy (NCT04153630). This pilot study provides evidence that autoimmunity may play an important role in sustaining chronic inflammation and the coexistence of coeliac disease, which, in turn, could exacerbate anaemia/malnutrition and progression in RDEB. Testing this hypothesis in a larger cohort including children and adults with RDEB and other epidermolysis bullosa (EB) subtypes is warranted so that targeted interventions may improve outcomes.

Funder

Institute of Health Carlos III

European Union

patient advocacy groups DEBRA-Spain and Berritxuak

Spanish Ministry of Science and Innovation and European Regional Development Fund

DEBRA Austria

DEBRA

EB-LOPPET

EB Research Network

UC3M-PhD research training scholarship

Publisher

Oxford University Press (OUP)

Subject

Dermatology

Reference8 articles.

1. Dystrophic epidermolysis bullosa: secondary disease mechanisms and disease modifiers;Nystrom;Front Genet,2021

2. Pathophysiology and immunogenetics of celiac disease;Aboulaghras;Clin Chim Acta,2022

3. HLA-DQ distribution and risk assessment of celiac disease in a Spanish center;Martínez-Ojinaga;Rev Esp Enferm Dig,2018

4. HLA typing in epidermolysis bullosa patients: relevancy to gluten sensitivity;Annicchiarico;J Genet Syndr Gene Ther,2013

5. Antibodies against neo-epitope of microbial and human transglutaminase complexes as biomarkers of childhood celiac disease;Agardh;Clin Exp Immunol,2020

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