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 |
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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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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.</description><identifier>ISSN: 1422-0067</identifier><identifier>ISSN: 1661-6596</identifier><identifier>EISSN: 1422-0067</identifier><identifier>DOI: 10.3390/ijms22020595</identifier><identifier>PMID: 33435615</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>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</subject><ispartof>International journal of molecular sciences, 2021-01, Vol.22 (2), p.595</ispartof><rights>2021. This work is licensed under http://creativecommons.org/licenses/by/3.0/ (the “License”). 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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.</description><subject>Autoimmune diseases</subject><subject>Autoimmune Diseases - immunology</subject><subject>Autoimmune Diseases - metabolism</subject><subject>Autoimmune Diseases - prevention & control</subject><subject>Barley</subject><subject>Celiac disease</subject><subject>Celiac Disease - immunology</subject><subject>Celiac Disease - metabolism</subject><subject>Celiac Disease - prevention & control</subject><subject>Chemical bonds</subject><subject>Chronic illnesses</subject><subject>Clinical trials</subject><subject>Cytokines</subject><subject>Damage localization</subject><subject>Diet</subject><subject>Disease</subject><subject>Enzymes</subject><subject>Food</subject><subject>Gastrointestinal symptoms</subject><subject>Gliadin</subject><subject>Gliadin - immunology</subject><subject>Gliadin - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of molecular sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Van Buiten, Charlene B</au><au>Elias, Ryan J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gliadin Sequestration as a Novel Therapy for Celiac Disease: A Prospective Application for Polyphenols</atitle><jtitle>International journal of molecular sciences</jtitle><addtitle>Int J Mol Sci</addtitle><date>2021-01-08</date><risdate>2021</risdate><volume>22</volume><issue>2</issue><spage>595</spage><pages>595-</pages><issn>1422-0067</issn><issn>1661-6596</issn><eissn>1422-0067</eissn><abstract>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. 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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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