To improve compliance with a gluten-free diet in coeliac disease a simple prototype test kit was developed to detect gluten in foods for use at home. The test is based on monoclonal antibodies to heat-stable gluten proteins which crossreact appropriately with barley and rye proteins. It is suitable for use with a wide range of raw or cooked foods. The food is extracted with dilute hydrochloric acid and 1 drop of the extract transferred to an antibody-coated tube; enzyme-labelled gluten detection antibody is added and after 3 min the tube is washed and colour developer is added. The reaction is stopped after 2 min, stabilising the blue colour. The home kit was compared with a quantitative laboratory kit, and the qualitative agreement was very good. The kit could distinguish foods with trace gluten contents (acceptable for a "gluten-free" diet) from those with a slightly higher but unacceptable gluten content. In a trial of the prototype kit by 47 coeliac disease patients of diverse ages and educational backgrounds, 93% of tests correctly identified foods as acceptable or unacceptable.

译文

:为了改善乳糜泻中无麸质饮食的依从性,开发了一种简单的原型测试套件来检测家用食品中的麸质。该测试基于抗热稳定的面筋蛋白的单克隆抗体,该蛋白可与大麦和黑麦蛋白发生适当的交叉反应。它适用于各种生或熟食品。用稀盐酸提取食物,并将1滴提取物转移到涂有抗体的试管中。加入酶标记的麸质检测抗体,并在3分钟后清洗试管并加入显色剂。 2分钟后停止反应,稳定蓝色。将家用套件与定量实验室套件进行了比较,并且定性协议非常好。该试剂盒可以将麸质含量较低的食品(“无麸质”饮食可接受)与麸质含量稍高但不可接受的食品区分开。在由47位年龄和教育背景不同的乳糜泻患者进行的原型工具包试验中,有93%的测试正确地将食物标识为可接受或不可接受。

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