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Pediatrics General a5e586ee

Gluten-sensitive enteropathy is most strongly associated with –

A
HLA–DQ2
B
BLA–DR4
C
HLA–DQ3
D
Blood group B
High-Yield Explanation
Almost all individuals with celiac disease share the major histocompatibility complex II HLA-DQ2 or HLA-DQ8. Gliadin is deamidated by the enzyme transglutaminase and deamidated gliadin peptides bind to DQ2 and DQ8. Recognition of these peptides by CD4+ T cells leads to secretion of IFN-γ, which damages the intestinal wall.

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