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Has The Gene Test Failed You?


kookaburra

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kookaburra Rookie

My son has classic celiac symptoms. We've done the gluten challenge, which overwhelmingly has confirmed it. We've challenged it twice (with oats), ad he responds like a celiac. It seems so incredibly open and shut, yet he has had a negative Prometheus gene test.

Anybody out there had a negative gene test then later tested positive for Celiac?

thank you so much for your help.


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Guhlia Rising Star

First, let me say that I think you're doing the right thing by keeping him gluten free if gluten makes him sick, regardless of the diagnosis. Second, keep in mind that not everyone who is sensitive to gluten actually has Celiac Disease. It's possible that his sensitivity is caused by gluten intolerance rather than Celiac. Also, it's possible (unlikely, but possible) that he has Celiac even without the known Celiac genes. Has he been through the blood testing or endoscopy yet? Either way, the resulting treatment will be the same, the gluten free diet. You've already proven that he reacts very poorly to it. Hats off to you for accepting dietary response as a good enough reason to withhold gluten! Some parents will not put their children on a gluten free diet without positive test results.

CarlaB Enthusiast

I've heard of one person on this board who tested positive by biopsy and blood test for celiac and has 2 DQ1 genes (not celiac genes).

I am negative for celiac, and negative for celiac genes. Small amounts of gluten make me sick and I presented the "classic celiac" symptoms. Some of us just can't tolerate gluten!!

mommida Enthusiast

I won't go through any further testing to get the "gold standard" diagnoses.

My daughter and I are equally sensitive. Our genetic tests were done by Prometheus labs. She has DQ2 and Dq8 celiac genes, mine tests we negative for known celiac genes. If we were both diagnosed to the "gold standard" we would have been included in the study at Columbia for the "missing" parent Celiac gene.

Another thing to remember... Before the blood draw the test was said to be 99% accurate. After the test results Prometheus labs said that EVERY blood test has at least a 30% error rate, genes mutate (how can a biological mother child not genetically match?), or my test was the 1% the test was not going to pick up.

Another thing... not every insurance company is going to cover "new" technology and you might have to pay for genetic testing out of your own pocket.

L.

kookaburra Rookie

I won't go through any further testing to get the "gold standard" diagnoses.

My daughter and I are equally sensitive. Our genetic tests were done by Prometheus labs. She has DQ2 and Dq8 celiac genes, mine tests we negative for known celiac genes. If we were both diagnosed to the "gold standard" we would have been included in the study at Columbia for the "missing" parent Celiac gene.

Another thing to remember... Before the blood draw the test was said to be 99% accurate. After the test results Prometheus labs said that EVERY blood test has at least a 30% error rate, genes mutate (how can a biological mother child not genetically match?), or my test was the 1% the test was not going to pick up.

I appreciate the detailed answer. After taking the gluten challenge & testing it twice, I just can'tbelieve it ain't so (I have a hard time believing he doesn't have it). I guess I just have to find it in me to have faith & proceed with the gluten-free diet without that piece of paper. I tell you, though, the paper would sure be helpful with schools and in-laws in particular. I feel like I'm fighting against the tide.

happygirl Collaborator

I've read the story of the girl(?) who was a biopsy confirmed Celiac and did not have the "celiac" genes. It was amazing. Does anyone have the link to share?

Laura

confused Community Regular
I've read the story of the girl(?) who was a biopsy confirmed Celiac and did not have the "celiac" genes. It was amazing. Does anyone have the link to share?

Laura

I would love to read it also. I am convinced i have celiac also and i dont have the celiac gene. I have scheduled an appt to have an biopsy of my rash, it looks exactly like DH, and dont that say if u have DH you automatically have celiac.

I am almost tempted to even do an new gene test and see if i come up with the same genes.

Do all labs come up with the same genes (promethesus vs entrolab)

I truely beleive there are other celiac genes out there that they have not found yet. Does anyone have a good book that goes into detail about the genes. I have done some searching online this morning, but havent found too much good information to read. I also wanted to find some good information about celiac/gluten and different nationalities.

any help would be appreciated

paula


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mommida Enthusiast

Not having the paper han't been a problem with school, just tell them what happens when gluten gets ingested. The big "D" word or projectile vomit or both at the same time gets the point accross. They don't want to clean up a mess like that, and will take your word for it.

As for in-laws they might be a little harder, just tell them how it is. Invite them over to deal with the aftermath of a gluten accident.

L.

If I remeber right wasn't it ms. celiac (sillyyak) screwed's personal blog that had the link to diagnosed celiac with no celiac genes?

nora-n Rookie

mommida, you simply must have either DQ2 or 8 if your daughter is DQ2-DQ8.

She got one allele from you, and one from her father.

If not, you must be a chimera, and still have DQ2 or 8 in the intestines, but non- DQ2 or 8 in the sample you gave.

nora

mommida Enthusiast

The chimera thing is a joke between my husband and I. I really like to just blame the lab that drew the blood and Prometheus labs for some type of mistake. I secretly wonder if my results were mixed up and there is some poor sap on a gluten free diet for no reason.

L.

My husband is finally having the screening done. He has finally admited a difference when he eats gluten.

Nancym Enthusiast

I'm reading a book on genetics and learned last night they've only identified about 1/2 of what the human genes do so far. So there's plenty of room in there for additional genes that haven't yet been identified.

nora-n Rookie

Mommida, I think you should ask the lab to re-do the test. Obviously either they screwd up, or you are a medical sensation (chimera)

BTW, someone posted about chimeras the other day, they called it non-identical twins or semi-identical twins. (they were hermaphrodites)

mommida Enthusiast

I got their "well the test really isn't that accurate, lost 2% of unidentified genes, mutating genes, and blood draw/handling errors" response when I asked for the test to be redone. I asked for a comparison to my daughter's test to show mother /daughter relationship to prove it was my test or someone else's.

My husband and I watched the show "I am My Own Twin" and learned about the Chimera cases with no visible clues. We definately joke about it, but he has faith - "If any one in the world could be, you would." Who was posting about Chimeras? There is also something called fetalmaternal microchimerism (don't trust my spelling on that please) After a woman has had a pregnancy, genetic material from the child has been found in the woman's body including the bone marrow- year's after the pregnancy.

My husband is having the blood draw for screening and I think they are going to do the gene test too. (I think the doctor is really curious about the gene test too. My daughter really looks exactly like me to the point people have said she is my clone.)

L.

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    • trents
      I assume that you already know that genetic testing for celiac disease cannot be used to confirm a celiac diagnosis. About 40% of the general population has the genetic potential to develop celiac disease but only about 1% actually develop celiac disease. It can be used to rule out celiac disease with a high degree of confidence, however, in the case where the genetic testing is negative for the genes. Until and unless you are actually diagnosed with celiac disease I would not raise this as an issue with family. However, if you are diagnosed with celiac disease through blood antibody testing and/or endoscopy with positive biopsy I would suggest you encourage first degree relatives to also purse testing because there is a significant chance (somewhere betwee 10% and almost 50%, depending on which studies you reference) that they will also have or will develop active celiac disease. Often, there are symptoms are absent or very minor until damage to the small bowel lining or other body systems becomes significant so be prepared that they may blow you off. We call this "silent celiac disease". 
    • trents
      If you were off gluten for two months that would have been long enough to invalidate the celiac blood antibody testing. Many people make the same mistake. They experiment with the gluten free diet before seeking formal testing. Once you remove gluten from the diet the antibodies stop being produced and those that are already in circulation begin to be removed and often drop below detectable levels. To pursue valid testing for celiac disease you would need to resume gluten consumption equivalent to the amount found in 4-6 slices of wheat bread daily for at least two weeks, preferably longer. These are the most recent guidelines for the "gluten challenge". Without formal testing there is no way to distinguish between celiac disease and gluten sensitivity since their symptoms overlap. However, celiac disease is an autoimmune disorder that damages the small bowel lining, not true of gluten sensitivity. There is no test available for gluten sensitivity so celiac disease must first be ruled out. By the way, elevated liver enzymes was what led to my celiac diagnosis almost 25 years ago.
    • trents
      Then it does not seem to me that a gluten-related disorder is at the heart of your problems, unless that is, you have refractory celiac disease. But you did not answer my question about how long you had been eating gluten free before you had the blood antibody test for celiac disease done.
    • Xravith
      My genetic test results have arrived - I’m homozygous for DQB1*02, meaning I have HLA-DQ2. I’ve read that this is one of the genes most strongly associated with celiac disease, and my symptoms are very clear. I’m relieved that the results finally arrived, as I was getting quite worried since my symptoms have been getting worse. Next step, blood test. What do these results imply? What should I tell my family? I’m concerned that this genetic predisposition might also affect other family members.
    • Roses8721
      Two months. In extreme situations like this where it’s clearly a smoking gun? I’m in LA so went to a very big hospital for pcp and gi and nutritionist 
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