Usefulness of the organ culture system in the in vitro diagnosis of coeliac disease: A multicentre study

Antonio Picarelli, Marco Di Tola, Luigi Sabbatella, Maria Cristina Anania, Antonio Calabrò, Daniela Renzi, Julio Cesar Bai, Emilia Sugai, Antonio Carroccio, Lidia Di Prima, Maria Teresa Bardella, Donatella Barisani, Carmen Ribes-Koninckx, Ester Donat Aliaga, Maurizio Gasparin, Enzo Bravi, Cono Casale, Stefania Vetrano, Flavio Lettieri, Cristina MaffiaCristina Picchi, Francesca Calella, Cecilia Grappone, Beatrice Paoli, Sonia Niveloni, Eduardo Mauriño, Rosalinda Vitali, Luca Elli, Begoña Polo Miquel

Research output: Contribution to journalArticlepeer-review


Objective. Diagnosis of coeliac disease is based on the presence of villous atrophy which recovers following a gluten-free diet. The presence of circulating antiendomysial antibodies as well as their disappearance after a gluten-free diet supports the diagnosis. It has also been demonstrated that antiendomysial antibodies are detectable in supernatants of cultured intestinal biopsies from patients with coeliac disease. The objective of this study was to compare the histology and antiendomysial antibodies in culture supernatants of intestinal biopsies to validate the in vitro organ culture system as a future diagnostic tool for coeliac disease. Material and methods. Seventy-five antiendomysial serum-positive patients on a gluten-containing diet were evaluated. Patients underwent endoscopy with 5 biopsy fragments: 3 for histology, 1 cultured with and the other without gliadin-peptide activator. Antiendomysial antibodies were evaluated in all culture supernatants. Results. Sixty-eight patients had evidence of villous atrophy, while 73 out of 75 were positive to the organ culture system. The agreement rate between organ culture and histology results was 94%. Conclusions. As all the centres participating in the study obtained good agreement between organ culture and histology results, the new system could be considered a reliable tool for the diagnosis of coeliac disease. Nevertheless, it is possible to highlight cases with an organ culture-positive and -negative histology. This feature could be of considerable interest because, as the sensitivity of organ culture seems to be greater than the initial histology, the new system might be useful in uncertain cases where the risk of missing the diagnosis of coeliac disease is high.

Original languageEnglish
Pages (from-to)186-190
Number of pages5
JournalScandinavian Journal of Gastroenterology
Issue number2
Publication statusPublished - Feb 2006


  • Antiendomysial antibodies
  • Coeliac disease
  • Diagnosis
  • Histology
  • Organ culture

ASJC Scopus subject areas

  • Gastroenterology


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