Self-management of dietary compliance in coeliac disease by means of ELISA "home test" to detect gluten

Lancet. 1991 Feb 16;337(8738):379-82. doi: 10.1016/0140-6736(91)91163-o.

Abstract

To improve compliance with a gluten-free diet in coeliac disease a simple prototype test kit was developed to detect gluten in foods for use at home. The test is based on monoclonal antibodies to heat-stable gluten proteins which crossreact appropriately with barley and rye proteins. It is suitable for use with a wide range of raw or cooked foods. The food is extracted with dilute hydrochloric acid and 1 drop of the extract transferred to an antibody-coated tube; enzyme-labelled gluten detection antibody is added and after 3 min the tube is washed and colour developer is added. The reaction is stopped after 2 min, stabilising the blue colour. The home kit was compared with a quantitative laboratory kit, and the qualitative agreement was very good. The kit could distinguish foods with trace gluten contents (acceptable for a "gluten-free" diet) from those with a slightly higher but unacceptable gluten content. In a trial of the prototype kit by 47 coeliac disease patients of diverse ages and educational backgrounds, 93% of tests correctly identified foods as acceptable or unacceptable.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Benzidines
  • Celiac Disease / diet therapy*
  • Child
  • Enzyme-Linked Immunosorbent Assay / instrumentation
  • Enzyme-Linked Immunosorbent Assay / methods
  • Enzyme-Linked Immunosorbent Assay / standards
  • Evaluation Studies as Topic
  • Female
  • Flour / analysis
  • Food Analysis / instrumentation*
  • Food Analysis / methods
  • Glutens / analysis*
  • Humans
  • Male
  • Middle Aged
  • Patient Compliance*
  • Reagent Kits, Diagnostic* / standards
  • Self Care / instrumentation*
  • Self Care / methods
  • Zea mays / analysis

Substances

  • Benzidines
  • Reagent Kits, Diagnostic
  • 3,3',5,5'-tetramethylbenzidine
  • Glutens