Association between Food Specific IgG Antibodies with Clinical Activity of Disease in Patients with Inflammatory Bowel Disease

Background: Inflammatory bowel disease (IBD) is an autoimmune disease that is influenced by food, an important factor in accelerating its clinical disease activity because of intestinal inflammation trough formation of antigen-antibody complex. Food-specific IgG examination can identify the types of...

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Main Authors: Santi Sumihar Rumondang Parhusip, Iris Rengganis, Marcellus Simadibrata, Murdani Abdullah, Hamzah Shatri, Evy Yunihastuti, Heri Wibowo
Format: Article
Language:English
Published: Interna Publishing 2023-04-01
Series:The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
Subjects:
Online Access:https://www.ina-jghe.com/index.php/jghe/article/view/881
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author Santi Sumihar Rumondang Parhusip
Iris Rengganis
Marcellus Simadibrata
Murdani Abdullah
Hamzah Shatri
Evy Yunihastuti
Heri Wibowo
author_facet Santi Sumihar Rumondang Parhusip
Iris Rengganis
Marcellus Simadibrata
Murdani Abdullah
Hamzah Shatri
Evy Yunihastuti
Heri Wibowo
author_sort Santi Sumihar Rumondang Parhusip
collection DOAJ
description Background: Inflammatory bowel disease (IBD) is an autoimmune disease that is influenced by food, an important factor in accelerating its clinical disease activity because of intestinal inflammation trough formation of antigen-antibody complex. Food-specific IgG examination can identify the types of person foods consumes that are maybe responsible for disease activity. It is useful in treating IBD without risking malnourishment as it is tailored to the individual immune profile. Method: This is a cross-sectional study involving 113 patients diagnosed with IBD by colonoscopy. Examination of serum IgG specific for 220 types of foods was performed using ELISA and immuno-array techniques. Disease clinical activity was assessed using the Mayo index and Crohn's disease activity index. Results: The highest proportion of dietary IgG in Crohn's disease was peas (100%), barley (97.9%), eggs (95.9%), milk (81.6%), and corn (75.5%); while in ulcerative colitis it was barley (98.4%), peas (96.8%), egg whites (92.2%), corn (82.8%), and prunes (78.1%). In ulcerative colitis, there was a weak negative correlation between cashew nuts IgG (r = -0.347; p = 0.041) and chickpeas IgG (r = -0.473; p = 0.017) with clinical disease activity; while in Crohn's disease, a weak positive correlation with disease activity was seen in barley (r = 0.261; p = 0.042). Conclusion: There was a weak negative correlation between cashew and chickpea-specific IgG antibodies with clinical activity of ulcerative colitis, and a weak positive correlation between barley-specific IgG antibodies and Crohn's disease clinical activity.
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spelling doaj.art-d0aaae9021c440ffad9fcc5936f0750d2023-06-06T04:45:45ZengInterna PublishingThe Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy1411-48012302-81812023-04-01241414810.24871/241202341-48822Association between Food Specific IgG Antibodies with Clinical Activity of Disease in Patients with Inflammatory Bowel DiseaseSanti Sumihar Rumondang Parhusip0Iris Rengganis1Marcellus Simadibrata2Murdani Abdullah3Hamzah Shatri4Evy Yunihastuti5Heri Wibowo6Division of Allergy Immunology, Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia/Dr. Cipto Mangunkusumo General National Hospital, JakartaDivision of Allergy Immunology, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia/Dr. Cipto Mangunkusumo General National Hospital, JakartaDivision of Gastroenterology, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia/Dr. Cipto Mangunkusumo General National Hospital, JakartaDivision of Gastroenterology, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia/Dr. Cipto Mangunkusumo General National Hospital, JakartaClinical Epidemiology Unit, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia/Dr. Cipto Mangunkusumo General National Hospital, JakartaDivision of Allergy Immunology, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia/Dr. Cipto Mangunkusumo General National Hospital, JakartaDepartment of Parasitology, Faculty of Medicine, Universitas Indonesia/Dr. Cipto Mangunkusumo General National Hospital, JakartaBackground: Inflammatory bowel disease (IBD) is an autoimmune disease that is influenced by food, an important factor in accelerating its clinical disease activity because of intestinal inflammation trough formation of antigen-antibody complex. Food-specific IgG examination can identify the types of person foods consumes that are maybe responsible for disease activity. It is useful in treating IBD without risking malnourishment as it is tailored to the individual immune profile. Method: This is a cross-sectional study involving 113 patients diagnosed with IBD by colonoscopy. Examination of serum IgG specific for 220 types of foods was performed using ELISA and immuno-array techniques. Disease clinical activity was assessed using the Mayo index and Crohn's disease activity index. Results: The highest proportion of dietary IgG in Crohn's disease was peas (100%), barley (97.9%), eggs (95.9%), milk (81.6%), and corn (75.5%); while in ulcerative colitis it was barley (98.4%), peas (96.8%), egg whites (92.2%), corn (82.8%), and prunes (78.1%). In ulcerative colitis, there was a weak negative correlation between cashew nuts IgG (r = -0.347; p = 0.041) and chickpeas IgG (r = -0.473; p = 0.017) with clinical disease activity; while in Crohn's disease, a weak positive correlation with disease activity was seen in barley (r = 0.261; p = 0.042). Conclusion: There was a weak negative correlation between cashew and chickpea-specific IgG antibodies with clinical activity of ulcerative colitis, and a weak positive correlation between barley-specific IgG antibodies and Crohn's disease clinical activity.https://www.ina-jghe.com/index.php/jghe/article/view/881food-specific igg antibodiesclinical disease activityibd
spellingShingle Santi Sumihar Rumondang Parhusip
Iris Rengganis
Marcellus Simadibrata
Murdani Abdullah
Hamzah Shatri
Evy Yunihastuti
Heri Wibowo
Association between Food Specific IgG Antibodies with Clinical Activity of Disease in Patients with Inflammatory Bowel Disease
The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
food-specific igg antibodies
clinical disease activity
ibd
title Association between Food Specific IgG Antibodies with Clinical Activity of Disease in Patients with Inflammatory Bowel Disease
title_full Association between Food Specific IgG Antibodies with Clinical Activity of Disease in Patients with Inflammatory Bowel Disease
title_fullStr Association between Food Specific IgG Antibodies with Clinical Activity of Disease in Patients with Inflammatory Bowel Disease
title_full_unstemmed Association between Food Specific IgG Antibodies with Clinical Activity of Disease in Patients with Inflammatory Bowel Disease
title_short Association between Food Specific IgG Antibodies with Clinical Activity of Disease in Patients with Inflammatory Bowel Disease
title_sort association between food specific igg antibodies with clinical activity of disease in patients with inflammatory bowel disease
topic food-specific igg antibodies
clinical disease activity
ibd
url https://www.ina-jghe.com/index.php/jghe/article/view/881
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AT hamzahshatri associationbetweenfoodspecificiggantibodieswithclinicalactivityofdiseaseinpatientswithinflammatoryboweldisease
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