Evaluation of Intraepithelial Lymphocytes Using Duodenal Biopsy in Patients with Celiac Disease

نویسندگان

1 Department of Anesthesia Techniques, AlSafwa University College, Karbala, Iraq

2 College of Medical and Health Technologies, Al-Zahraa University for Women, Karbala, Iraq

3 Department of Anesthesia Techniques and Intensive Care, Al-Taff University College, Kerbala, Iraq

4 Department of Biochemistry, Faculty of Medicine, University of Kerbala, Karbala, Iraq

5 Faculty of Dentistry, University of Kerala, Karbala, Iraq

6 Department of Chemistry, Faculty of Science and Mathematics, Universiti Pendidikan Sultan Idris, Proton City, Tanjung Malim, Perak, Malaysia

7 Department of Medical Physics, College of Applied Medical Sciences, University of Kerbala, Karbala, Iraq

8 Department of C. T. E, Imam Al-Kadhum College, Baghdad, Iraq

doi
10.48309/ajca.2025.474105.1647
چکیده

Innate immunity, along with cytokines like interleukin (IL)-15 and interferon, is a key factor in the development of celiac disease (CD). A T-bet is a distinct factor in T-box transcription. IFN gamma expression is correlated with T-box transcription in Th1 and natural killer cells. In an active CD, T-bet transcription is controlled. The present study aims to assess how intraepithelial lymphocytes (IELs) stained with T-bet are distributed in patients with celiac disease (CD). 250 patients took part in this trial. By integrating clinical pathology features, the CD was determined to be the most likely diagnosis for these patients. According to standard procedure, a duodenal biopsy was applied to formalin-embedded paraffin (FFPE) blocks. The slices were prepared and stained using T-bet hematoxylin and eosin (H and E). It was assessed how intraepithelial lymphocytes were distributed. By analyzing the results using the IBM (SPSS) program, it was found that there is a strong relationship between the number of T-bet-stained cells and the increase in intraepithelial lymphocytes (p-value = 0.001), where the distribution IEL was standard.

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