Gliadin Sequestration as a Novel Therapy for Celiac Disease: A Prospective Application for Polyphenols

Celiac disease is an autoimmune disorder characterized by a heightened immune response to gluten proteins in the diet, leading to gastrointestinal symptoms and mucosal damage localized to the small intestine. Despite its prevalence, the only treatment currently available for celiac disease is comple...

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Veröffentlicht in:International journal of molecular sciences 2021-01, Vol.22 (2), p.595
Hauptverfasser: Van Buiten, Charlene B, Elias, Ryan J
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description Celiac disease is an autoimmune disorder characterized by a heightened immune response to gluten proteins in the diet, leading to gastrointestinal symptoms and mucosal damage localized to the small intestine. Despite its prevalence, the only treatment currently available for celiac disease is complete avoidance of gluten proteins in the diet. Ongoing clinical trials have focused on targeting the immune response or gluten proteins through methods such as immunosuppression, enhanced protein degradation and protein sequestration. Recent studies suggest that polyphenols may elicit protective effects within the celiac disease milieu by disrupting the enzymatic hydrolysis of gluten proteins, sequestering gluten proteins from recognition by critical receptors in pathogenesis and exerting anti-inflammatory effects on the system as a whole. This review highlights mechanisms by which polyphenols can protect against celiac disease, takes a critical look at recent works and outlines future applications for this potential treatment method.
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source MDPI - Multidisciplinary Digital Publishing Institute; MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Autoimmune diseases
Autoimmune Diseases - immunology
Autoimmune Diseases - metabolism
Autoimmune Diseases - prevention & control
Barley
Celiac disease
Celiac Disease - immunology
Celiac Disease - metabolism
Celiac Disease - prevention & control
Chemical bonds
Chronic illnesses
Clinical trials
Cytokines
Damage localization
Diet
Disease
Enzymes
Food
Gastrointestinal symptoms
Gliadin
Gliadin - immunology
Gliadin - metabolism
Gluten
Glutens - immunology
Glutens - metabolism
Growth factors
Health services
Humans
Immune response
Immune system
Immunosuppression
Immunosuppression - methods
Inflammation
Intestinal Mucosa - drug effects
Intestinal Mucosa - immunology
Intestinal Mucosa - metabolism
Intestine
Intestine, Small - drug effects
Intestine, Small - immunology
Intestine, Small - metabolism
Mucosa
Pathogenesis
Peptides
Permeability
Polyphenols
Polyphenols - immunology
Polyphenols - metabolism
Polyphenols - therapeutic use
Prospective Studies
Proteins
Review
Sequestering
Small intestine
title Gliadin Sequestration as a Novel Therapy for Celiac Disease: A Prospective Application for Polyphenols
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