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Abstract #1994

Metabonomics study of urine in patients with Celiac disease using in-vitro proton MR Spectroscopy

Naranamangalam R Jagannathan 1 , Deepti Upadhyay 1 , Uma Sharma 1 , Prasenjit Das 2 , Siddharth Dutta Gupta 2 , and Govind K Makharia 3

1 Department of NMR and MRI Facility, All India Institute of Medical Sciences, New Delhi, Delhi, India, 2 Department of Pathology, All India Institute of Medical Sciences, New Delhi, Delhi, India, 3 Department of Gastroenterology & Human Nutrition, All India Institute of Medical Sciences, New Delhi, Delhi, India

Celiac disease (CeD) is an autoimmune enteropathy caused by ingestion of gluten and related prolamines present in cereals like wheat, rye, and barley in genetically predisposed individuals. Proton NMR based metabolomics of urine of CeD patients showed higher concentration of trans-aconitate suggesting the alteration in energy metabolism. Urine of CeD patients were also characterized by higher level of fucose. This may be due to the liver abnormalities associated with CeD.The findings of the present study suggested the utility of NMR based metabonomics in determining the biomarker/s for the differentiation of CeD from controls.

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