Evidence map›Paper›PMID 42196566›Full record

ArticleInternational journal of molecular sciences2026

IgA Subclasses and Free Light Chains in Celiac Disease: A Pilot Study.

Valeria Carnazzo, Viviana Grieco, Valerio Basile, Serena Redi, Mariapaola Marino, Gabriele Ciasca, Francesco Bondanini, Umberto Basile

Abstract read
In one paragraph

Article in International journal of molecular sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Valeria CarnazzoDepartment of Clinical Pathology, Santa Maria Goretti Hospital, 04100 Latina, Italy.
Viviana GriecoUnità Operativa Complessa Laboratorio Analisi, Ospedale Sant'Eugenio ASL RM 2, 00144 Rome, Italy.
Valerio BasileClinical Pathology Unit and Cancer Biobank, Department of Research and Advanced Technologies, Regina Elena National Cancer Institute I.R.C.C.S., 00144 Rome, Italy.ORCID 0000-0002-9716-070X
Serena RediDepartment of Clinical Pathology, Santa Maria Goretti Hospital, 04100 Latina, Italy.
Mariapaola MarinoDipartimento di Medicina e Chirurgia Traslazionale, Sezione di Patologia Generale, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.ORCID 0000-0001-9155-6378
Gabriele CiascaFondazione Policlinico Universitario "A. Gemelli" I.R.C.C.S., 00168 Rome, Italy.
Francesco BondaniniUnità Operativa Complessa Laboratorio Analisi, Ospedale Sant'Eugenio ASL RM 2, 00144 Rome, Italy.
Umberto BasileDepartment of Clinical Pathology, Santa Maria Goretti Hospital, 04100 Latina, Italy.ORCID 0000-0002-8328-2570

Funding

Università Cattolica del Sacro Cuore Linea D1
6 · The paper itself

Abstract

Celiac disease (CD) is an autoimmune enteropathy of the small intestine affecting genetically susceptible individuals, characterized by an aberrant immune response to gliadin and sustained IgA-driven inflammation. IgA exists in two main subclasses, IgA1 and IgA2, which differ in distribution and function, but their profile in CD remains poorly characterized. Circulating free light chains (FLCs) are markers of B-cell activation and immune dysregulation, yet their role in CD has not been fully explored. The aim of this study was to characterize IgA subclasses and FLC profiles in newly diagnosed celiac patients. We analyzed sera from 108 CD patients and 29 healthy controls, assessing conventional serological markers (anti-tissue transglutaminase and anti-endomysial antibodies), together with total IgA, IgA1, IgA2, and FLC levels using a turbidimetric method. CD patients exhibited higher total IgA levels and an increased IgA1/IgA2 ratio, alongside a decreased k/λ ratio; these differences remained significant after adjustment for age and sex. When combined in a multivariable logistic model, these biomarkers yielded an AUC of 0.827, suggesting that the parameters identified in the univariate analyses provide complementary, non-redundant information that jointly highlights a reorganization of the humoral immune response. Due to the limited sample size, our results need confirmation in larger cohorts. However, our findings suggest a reorganization of the IgA compartment in CD, with selective expansion of IgA1 and preferential λ light chain usage, highlighting coordinated alterations in the humoral immune response. The integration of such markers, potentially in combination with -omics approaches, may contribute to a more refined and less invasive characterization of celiac disease.

Indexed as

Celiac DiseaseImmunoglobulin AImmunoglobulin Light ChainsAdultAutoantibodiesBiomarkersCase-Control StudiesFemaleHumansMaleMiddle AgedPilot ProjectsAutoantibodiesBiomarkersImmunoglobulin AImmunoglobulin Light Chainsautoantibodiesbiomarkersceliac diseasefree light chainsIgA subclasses

Identifiers

PMID42196566
PMCPMC13207510

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.