Specific IgG response against Mycobacterium avium paratuberculosis in children and adults with Crohn's disease

• Published in: PloS one 2013-05, Vol.8 (5), p.e62780-e62780
• Main Authors: Verdier, Julien, Deroche, Louis, Allez, Matthieu, Loy, Caroline, Biet, Franck, Bodier, Christelle C, Bay, Sylvie, Ganneau, Christelle, Matysiak-Budnik, Tamara, Reyrat, Jean Marc, Heyman, Martine, Cerf-Bensussan, Nadine, Ruemmele, Frank M, Ménard, Sandrine
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Adults; Age; Aged; Antibodies; Antibody Specificity; Anticoagulants; Antigen-antibody reactions; Antigens; Antigens, Bacterial - immunology; Autoimmune diseases; Biology; Cattle; Celiac disease; Child; Child, Preschool; Children; Colitis; Crohn Disease - blood; Crohn Disease - immunology; Crohn Disease - microbiology; Crohn's disease; Digestive system; Digestive tract; Disease control; Enzyme-linked immunosorbent assay; Female; Gastroenterology; Gastrointestinal tract; Hemagglutinins; Heparin; Humans; Immunoassay; Immunoglobulin A; Immunoglobulin A - blood; Immunoglobulin A - immunology; Immunoglobulin G; Immunoglobulin G - blood; Immunoglobulin G - immunology; Immunoglobulins; Infections; Inflammatory bowel disease; Inflammatory bowel diseases; Inflammatory diseases; Intestine; Intestines - immunology; Intestines - microbiology; Johne's disease; Life Sciences; Lipopeptides - immunology; Male; Medical research; Medicine; Middle Aged; Mycobacterium; Mycobacterium avium; Mycobacterium avium subsp. paratuberculosis - immunology; Mycobacterium avium subsp. paratuberculosis - physiology; Normalizing; Paratuberculosis; Patients; Pediatrics; Polyethylene glycol; Saccharomyces cerevisiae; Studies; Tuberculin; Ulcerative colitis; Young Adult
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0062780

Presence of serum antibodies against Mycobacterium avium paratuberculosis (MAP) in Crohn's Disease (CD) as a disease characteristic remains controversial. In the present work, we assessed antibody reactivity of serum and intestinal fluid against four distinct MAP-antigens, including the recently identified MAP-specific lipopentapeptide (L5P). Immunoglobulin concentrations and specificity against 3 non MAP-specific antigens: glycosyl-transferase-d (GSD), purified protein derivative from MAP (Johnin-PPD), heparin binding haemagglutinin (MAP-HBHA) and one MAP-specific antigen: synthetic L5P were determined by ELISA in gut lavage fluids from adult controls or patients with CD, and in sera of children or adult controls or patients with CD, ulcerative colitis or celiac disease. Total IgA and IgG concentrations were increased in sera of children with CD but were decreased in sera of adults with CD, thereof specificity against MAP antigens was assessed by normalizing immunoglobulin concentrations between samples. In CD patients, IgG reactivity was increased against the four MAP antigens, including L5P in gut lavage fluids but it was only increased against L5P in sera. By contrast, anti-L5P IgG were not increased in patients with ulcerative colitis or celiac disease. A significant increase in anti-L5P IgG is observed in sera of children and adults with CD but not in patients with other intestinal inflammatory diseases. Anti-L5P antibodies may serve as serological marker for CD.