RT Journal Article SR Electronic T1 Diversity in oat potential immunogenicity: basis for the selection of oat varieties with no toxicity in coeliac disease JF Gut JO Gut FD BMJ Publishing Group Ltd and British Society of Gastroenterology SP 915 OP 922 DO 10.1136/gut.2010.225268 VO 60 IS 7 A1 Isabel Comino A1 Ana Real A1 Laura de Lorenzo A1 Hugh Cornell A1 Miguel Ángel López-Casado A1 Francisco Barro A1 Pedro Lorite A1 Ma Isabel Torres A1 Ángel Cebolla A1 Carolina Sousa YR 2011 UL http://gut.bmj.com/content/60/7/915.abstract AB Background and aims Coeliac disease (CD) is triggered by an abnormal reaction to gluten. Peptides resulting from partially digested gluten of wheat, barley or rye cause inflammation of the small intestinal mucosa. Previous contradictory studies suggest that oats may trigger the abnormal immunological response in patients with CD. Monoclonal antibodies (moAbs) against the main immunotoxic 33-mer peptide (A1 and G12) react strongly against wheat, barley and rye but have less reactivity against oats. The stated aim of this study is to test whether this observed reactivity could be related to the potential toxicity of oats for patients with CD.Methods In the present study, different oat varieties, controlled for their purity and by their distinct protein pattern, were used to examine differences in moAb G12 recognition by ELISA and western blot. Immunogenicity of oat varieties was determined by 33-mer concentration, T cell proliferation and interferon γ production.Results Three groups of oat cultivars reacting differently against moAb G12 could be distinguished: a group with considerable affinity, a group showing slight reactivity and a third with no detectable reactivity. The immunogenicity of the three types of oats as well as that of a positive and negative control was determined with isolated peripheral blood mononuclear T cells from patients with CD by measurement of cell proliferation and interferon γ release. A direct correlation of the reactivity with G12 and the immunogenicity of the different prolamins was observed.Conclusions The results showed that the reactivity of the moAb G12 is proportional to the potential immunotoxicity of the cereal cultivar. These differences may explain the different clinical responses observed in patients suffering from CD and open up a means to identify immunologically safe oat cultivars, which could be used to enrich a gluten-free diet.