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Once upon a time, gluten was not part of the human diet, and therefore, there were no gluten-related disorders. With the advent of agriculture 10,000 years ago, the introduction of gluten-containing grains in the human diet created conditions for human diseases related to gluten exposure. These diseases, including celiac disease, non-celiac gluten sensitivity, and wheat allergy, have distinct pathophysiological mechanisms, serological markers, and long-term treatments, but similar, often overlapping clinical presentations. Though current research strives to clarify the boundaries between these entities, their differences can be difficult to distinguish. For a very long time, awareness of these disorders has been limited and, therefore, the epidemiology of gluten-related disorders has been a “work in progress”. New epidemiological studies have revealed that gluten-related disorders are not limited to European regions; rather, they are present worldwide. After centuries of neglected attention to celiac disease and other forms of gluten reaction, now we are observing another interesting phenomenon that is generating great confusion among health care professionals. Nearly 25% of Americans (many more than the projected 3 million celiac disease (CD) patients in the U.S.) are reducing or cutting gluten from their diets. This remarkable trend in the general population reflects the misconception that gluten can be harmful for everybody and, therefore, should be avoided to stay healthy, to lose weight, or even to prevent severe diseases. This Special Issue Book of Nutrients contains contributions from leading experts in the field of gluten-related disorders that will help dissipate this confusion by sharing their evidence-based science, which will help the reader to distinguish facts from fantasies.
Non Celiac Gluten Sensitivity --- Food Sensitivities --- Celiac Disease --- Gluten Related Disorders --- Gluten-Free Diet
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The incidence of gluten-related disorders (GRDs) continues to increase and its global prevalence is estimated affect to 5% of the population. s. Celiac disease (CD), Dermatitis Herpetiformis (DH), Gluten Ataxia (GA), wheat allergy (WA), and Non-Celiac Gluten Sensitivity (NCGS) are the five major GRDs that present with a wide range of clinical manifestations. They are manifested by symptoms of gastrointestinal tract disorders, as well as hematological, dermatological endocrinological, gynecological, rheumatological and nervous system. NCGS is a term that is used to describe individuals who are not affected by celiac disease or wheat allergy, yet they have intestinal and/or extra-intestinal symptoms related to gluten ingestion with improvement of their symptoms upon withdrawing gluten from their diet. It is believed that represents some heterogeneous groups with different subgroups characterized by different etiologies, clinical histories and clinical courses. There also appears to be an overlap between NCGS and irritable bowel syndrome (IBS). There is a need for establishing strict criteria for diagnosing NCGS. The absence of validated biomarkers remains a significant limitation for research studies on NCGS. New evidence shows that a gluten-free diet may be beneficial for some patients with gastrointestinal symptoms, such as those symptoms commonly found in patients with IBS.
Medicine --- celiac disease --- children --- HLA-DQ --- prevalence --- Asia --- wheat --- gluten --- non-celiac gluten-sensitivity --- diagnosis --- dermatitis herpetiformis --- anti-tTG --- anti-DGP --- AAA --- AGA --- IL-17A --- HLA-DQB1*02 --- screening --- first-degree relatives --- non-celiac gluten sensitivity --- irritable bowel disease --- FODMAP --- wheat allergy --- vitamin B12 --- iron --- folic acid --- vitamin D --- long-term GFD therapy (LTGFD) --- LTGFD with good compliance (LTGFDWGC) --- anemia --- lymphoma --- IgA deficiency --- gut --- enteropathy --- gluten-free diet --- level of evidences --- gluten-related disorders --- NCGS --- self-report --- survey studies --- celiac disease --- children --- HLA-DQ --- prevalence --- Asia --- wheat --- gluten --- non-celiac gluten-sensitivity --- diagnosis --- dermatitis herpetiformis --- anti-tTG --- anti-DGP --- AAA --- AGA --- IL-17A --- HLA-DQB1*02 --- screening --- first-degree relatives --- non-celiac gluten sensitivity --- irritable bowel disease --- FODMAP --- wheat allergy --- vitamin B12 --- iron --- folic acid --- vitamin D --- long-term GFD therapy (LTGFD) --- LTGFD with good compliance (LTGFDWGC) --- anemia --- lymphoma --- IgA deficiency --- gut --- enteropathy --- gluten-free diet --- level of evidences --- gluten-related disorders --- NCGS --- self-report --- survey studies
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The incidence of gluten-related disorders (GRDs) continues to increase and its global prevalence is estimated affect to 5% of the population. s. Celiac disease (CD), Dermatitis Herpetiformis (DH), Gluten Ataxia (GA), wheat allergy (WA), and Non-Celiac Gluten Sensitivity (NCGS) are the five major GRDs that present with a wide range of clinical manifestations. They are manifested by symptoms of gastrointestinal tract disorders, as well as hematological, dermatological endocrinological, gynecological, rheumatological and nervous system. NCGS is a term that is used to describe individuals who are not affected by celiac disease or wheat allergy, yet they have intestinal and/or extra-intestinal symptoms related to gluten ingestion with improvement of their symptoms upon withdrawing gluten from their diet. It is believed that represents some heterogeneous groups with different subgroups characterized by different etiologies, clinical histories and clinical courses. There also appears to be an overlap between NCGS and irritable bowel syndrome (IBS). There is a need for establishing strict criteria for diagnosing NCGS. The absence of validated biomarkers remains a significant limitation for research studies on NCGS. New evidence shows that a gluten-free diet may be beneficial for some patients with gastrointestinal symptoms, such as those symptoms commonly found in patients with IBS.
Medicine --- celiac disease --- children --- HLA-DQ --- prevalence --- Asia --- wheat --- gluten --- non-celiac gluten-sensitivity --- diagnosis --- dermatitis herpetiformis --- anti-tTG --- anti-DGP --- AAA --- AGA --- IL-17A --- HLA-DQB1*02 --- screening --- first-degree relatives --- non-celiac gluten sensitivity --- irritable bowel disease --- FODMAP --- wheat allergy --- vitamin B12 --- iron --- folic acid --- vitamin D --- long-term GFD therapy (LTGFD) --- LTGFD with good compliance (LTGFDWGC) --- anemia --- lymphoma --- IgA deficiency --- gut --- enteropathy --- gluten-free diet --- level of evidences --- gluten-related disorders --- NCGS --- self-report --- survey studies --- n/a
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The incidence of gluten-related disorders (GRDs) continues to increase and its global prevalence is estimated affect to 5% of the population. s. Celiac disease (CD), Dermatitis Herpetiformis (DH), Gluten Ataxia (GA), wheat allergy (WA), and Non-Celiac Gluten Sensitivity (NCGS) are the five major GRDs that present with a wide range of clinical manifestations. They are manifested by symptoms of gastrointestinal tract disorders, as well as hematological, dermatological endocrinological, gynecological, rheumatological and nervous system. NCGS is a term that is used to describe individuals who are not affected by celiac disease or wheat allergy, yet they have intestinal and/or extra-intestinal symptoms related to gluten ingestion with improvement of their symptoms upon withdrawing gluten from their diet. It is believed that represents some heterogeneous groups with different subgroups characterized by different etiologies, clinical histories and clinical courses. There also appears to be an overlap between NCGS and irritable bowel syndrome (IBS). There is a need for establishing strict criteria for diagnosing NCGS. The absence of validated biomarkers remains a significant limitation for research studies on NCGS. New evidence shows that a gluten-free diet may be beneficial for some patients with gastrointestinal symptoms, such as those symptoms commonly found in patients with IBS.
celiac disease --- children --- HLA-DQ --- prevalence --- Asia --- wheat --- gluten --- non-celiac gluten-sensitivity --- diagnosis --- dermatitis herpetiformis --- anti-tTG --- anti-DGP --- AAA --- AGA --- IL-17A --- HLA-DQB1*02 --- screening --- first-degree relatives --- non-celiac gluten sensitivity --- irritable bowel disease --- FODMAP --- wheat allergy --- vitamin B12 --- iron --- folic acid --- vitamin D --- long-term GFD therapy (LTGFD) --- LTGFD with good compliance (LTGFDWGC) --- anemia --- lymphoma --- IgA deficiency --- gut --- enteropathy --- gluten-free diet --- level of evidences --- gluten-related disorders --- NCGS --- self-report --- survey studies --- n/a
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Among gluten-related disorders, coeliac disease (CD) is the best-known one to date, a chronic immune-mediated enteropathy triggered by exposure to gluten in genetically predisposed individuals. It is a common disease, occurring at all ages and characterized by a wide spectrum of clinical manifestations, affecting any organ or tissue. The diagnosis rate of this pathology has increased in the last 10 years, so worldwide epidemiologic data are now available that show that CD is ubiquitous, with a prevalence of 1.4%, higher in female than male individuals. Currently, the only effective treatment for CD is strict and lifelong adherence to a gluten-free diet (GFD). However, CD research is changing rapidly due to the continuous advancing of knowledge. For this reason, the main goal of this Special Issue has been to address the existing knowledge gaps and help advance such important aspects as the pathophysiology, diagnosis, follow-up, and therapeutic options of this pathology. This Special Issue includes 12 peer-reviewed articles reporting on the latest research findings in and evidence related to CD. The published articles cover a range of topics central to CD and GFDs.
Medicine --- celiac disease --- relatives --- microbiota --- Saccharomyces cerevisiae --- Pseudomonas fluorescens --- Bacteroides caccae --- coeliac disease --- oral diseases --- oral prevention --- gingival bleeding --- sleep-related breathing disorders --- oral health --- enamel defects --- interceptive orthodontics --- data mining gluten free diet --- gluten proteins --- immunogenicity --- evidence-based practice --- case management --- treatment adherence and compliance --- anemia --- iron transporter --- IgA nephropathy --- tissue transglutaminase autoantibody --- tissue transglutaminase-targeted IgA deposits --- flow cytometry --- age --- sex --- lesion grade --- intraepithelial lymphocytes TCRγδ+ --- functional bowel disease --- gluten-free diet --- tissue biomarkers --- non-coeliac gluten sensitivity --- FODMAP diet --- dietitian --- rural health services --- gluten --- gliadin --- gluten immunogenic peptides --- non-dietary therapies --- gluten cross-contaminations --- dietary adherence --- vital gluten --- oat --- hidden gluten --- patients with CD --- symptoms --- gluten excretion urine --- gluten-free diet monitoring --- n/a
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The extraintestinal manifestations of coeliac disease (CD) are now well recognised. We have previously edited a special issue for Nutrients covering all aspects of the extraintestinal manifestations in the context of CD. In this issue we wish to concentrate just on the neurological manifestations. The identification of TG6 autoantibodies in patients with neurological manifestations and its use in the diagnosis of such patients seems to be a good opportunity to focus on the neurological aspect of CD. In addition it is now clear that such manifestations can occur even in the absence of enteropathy but in the presence of antigliadin antibodies and/or TG6 antibodies. Given that such antigliadin antibodies can be found in up to 10% of the “healthy” population we anticipate that the neurological manifestations are likely to be very common and thus merit early recognition and treatment.
Research & information: general --- Biology, life sciences --- Food & society --- coeliac disease --- gluten free diet --- psychiatric manifestations --- autistic spectrum disorder --- attention deficit hyperactivity disorder --- depression --- anxiety --- bipolar disorder --- schizophrenia --- eating disorders --- gluten --- neurological disorders --- gliadin --- ataxia --- neuropathy --- myopathy --- encephalopathy --- food intolerance --- celiac disease --- gluten sensitivity --- gluten-free diet --- cognition --- neurology --- disease duration --- autoimmunity --- multiple sclerosis --- psoriasis --- autoimmune thyroid disease --- type 1 diabetes --- transglutaminase antibodies --- TG2 --- TG3 --- TG6 --- dermatitis herpetiformis --- gluten ataxia --- gluten encephalopathy --- gluten neuropathy --- autism spectrum disorder --- review --- stiff person syndrome --- anti-GAD antibodies --- cerebellar ataxia --- gluten-related pathology --- cortical excitability --- transcallosal inhibition --- transcranial magnetic stimulation --- executive dysfunction --- gamma-amino-butyric acid --- neurological dysfunction --- headaches --- anti-gliadin antibodies --- MR imaging --- TG6 antibodies --- non-celiac wheat sensitivity --- irritable bowel syndrome --- multiple food hypersensitivity --- neuropsychiatric symptoms --- HLA --- duodenal lymphocytosis
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Cereal foods comprise a large variety of products that make up the main part of the diet of the world population. Despite decades of research to improve cereals and cereal food quality, worldwide research coordination is now required due to market needs, processing, and climate change. Cereals and cereal foods are an important source of energy (carbohydrates, proteins, and fat), and offer a range of non-nutrient bioactive components (i.e., vitamins, minerals, dietary fiber, and phytochemicals) that provide different grades of health benefits. The main challenges for the near future include the exploration, valorization, and improvement of genetic variation for nutrients and bioactive food components; the use and implementation of biotechnological, preprocessing, and processing strategies to improve content; and the evaluation of health properties for health claims.
Research & information: general --- Biology, life sciences --- coix seed --- Monascus purpureus --- antioxidant --- fermentation --- HEp2 --- buckwheat --- dehulling --- germination --- LC-MS --- free phenolic --- bound phenolic --- antioxidant activity --- sorghum --- phenolic compounds --- cell growth inhibition --- cell cycle analysis --- apoptosis --- HepG2 --- Caco-2 --- wheat --- nutrients --- celiac disease --- wheat allergy --- non-celiac wheat/gluten sensitivity --- durum wheat --- milling fractions --- air-classification plant --- micronization plant --- sorghum phenolics --- anti-inflammatory --- anti-proliferative --- anti-diabetic --- anti-atherogenic --- Triticum aestivum L. --- Triticum durum Desf. --- gluten --- breadmaking --- durum grains --- genetic variability --- heritability --- climate constraints --- yield performance --- air-classified fractions --- alveographic properties --- antioxidants --- starch --- ATI --- glutenins --- gluten strength --- grain protein content --- haplotypes --- SNPs --- milling methods --- dietary fiber --- phenolic acid --- steamed bread --- leavened pancake --- multiple linear regression (MLR) --- artificial neural network (ANN) --- milled rice --- enzymes --- air classification --- inorganic contaminants --- organic contaminants --- arsenic --- mycotoxins --- maize inbred lines --- nutritional value --- protein quality --- n/a
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Cereal foods comprise a large variety of products that make up the main part of the diet of the world population. Despite decades of research to improve cereals and cereal food quality, worldwide research coordination is now required due to market needs, processing, and climate change. Cereals and cereal foods are an important source of energy (carbohydrates, proteins, and fat), and offer a range of non-nutrient bioactive components (i.e., vitamins, minerals, dietary fiber, and phytochemicals) that provide different grades of health benefits. The main challenges for the near future include the exploration, valorization, and improvement of genetic variation for nutrients and bioactive food components; the use and implementation of biotechnological, preprocessing, and processing strategies to improve content; and the evaluation of health properties for health claims.
coix seed --- Monascus purpureus --- antioxidant --- fermentation --- HEp2 --- buckwheat --- dehulling --- germination --- LC-MS --- free phenolic --- bound phenolic --- antioxidant activity --- sorghum --- phenolic compounds --- cell growth inhibition --- cell cycle analysis --- apoptosis --- HepG2 --- Caco-2 --- wheat --- nutrients --- celiac disease --- wheat allergy --- non-celiac wheat/gluten sensitivity --- durum wheat --- milling fractions --- air-classification plant --- micronization plant --- sorghum phenolics --- anti-inflammatory --- anti-proliferative --- anti-diabetic --- anti-atherogenic --- Triticum aestivum L. --- Triticum durum Desf. --- gluten --- breadmaking --- durum grains --- genetic variability --- heritability --- climate constraints --- yield performance --- air-classified fractions --- alveographic properties --- antioxidants --- starch --- ATI --- glutenins --- gluten strength --- grain protein content --- haplotypes --- SNPs --- milling methods --- dietary fiber --- phenolic acid --- steamed bread --- leavened pancake --- multiple linear regression (MLR) --- artificial neural network (ANN) --- milled rice --- enzymes --- air classification --- inorganic contaminants --- organic contaminants --- arsenic --- mycotoxins --- maize inbred lines --- nutritional value --- protein quality --- n/a
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Plant-based diets contain a plethora of metabolites that may impact on health and disease prevention. Most are focused on the potential bioactivity and nutritional relevance of several classes of phytochemicals, such as polyphenols, flavonoids, carotenoids, phyto-oestrogens, and frucrooligo-saccharides. These compounds are found in fruit, vegetables, and herbs. Daily intakes of some of these compounds may exceed 100 mg. Moreover, intestinal bacterial activity may transform complex compounds such as anthocyanins, procyanidins, and isoflavones into simple phenolic metabolites. The colon is thus a rich source of potentially active phenolic acids that may impact both locally and systemically on gut health. Further, nondigestible fiber (prebiotics) are dietary substrates that selectively promote proliferation and/or activity of health-promoting bacterial populations in the colon. Prebiotics, such as inulin, raffinose, and stachyose, have a proven ability to promote the abundance of intestinal bacterial populations, which may provide additional health benefits to the host. Further, various pulse seed soluble (fiber) extracts are responsible for improving gastrointestinal motility, intestinal functionality and morphology, and mineral absorption. Studies indicated that the consumption of seed origin soluble extracts can upregulate the expression of BBM proteins that contribute for digestion and absorption of nutrients.
intra amniotic (in ovo) administration --- zinc gene expression --- iron gene expression --- brush border membrane functional genes --- intestinal bacterial populations --- villus surface area --- cichoric acid --- metal complexes --- cytotoxicity --- cancer --- bacterial strains --- fungi --- human cell culture --- lactic acid bacteria --- probiotic --- acrylamide --- viability --- flow cytometry --- mesotrione --- traumatic acid --- breast cancer --- herbicide --- antioxidant --- oxidative stress --- bifidobacteria --- colon --- fermentation --- microbiota --- prebiotic --- SHIME® --- artichoke --- intestinal microbiota --- vegetable drink --- beneficial microorganisms --- cereal --- legume --- pseudocereal --- fruit --- synbiotic --- microbiome --- SCFA --- pectin --- rhamnogalacturonan --- transepithelial electrical resistance (TEER) --- pea --- phytate --- iron --- bioavailability --- bio active compound --- in vivo --- Gallus gallus --- brush border membrane --- oats --- celiac disease --- non-celiac gluten sensitivity --- gluten-free --- SCFAs --- teff --- staple food crops --- prebiotics --- probiotics --- iron deficiency --- zinc deficiency --- gut microbiota --- intrauterine growth restriction (IUGR) --- fructose --- dexamethasone --- intestinal gluconeogenesis --- plant origin --- bio-active compounds --- intestine
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Plant-based diets contain a plethora of metabolites that may impact on health and disease prevention. Most are focused on the potential bioactivity and nutritional relevance of several classes of phytochemicals, such as polyphenols, flavonoids, carotenoids, phyto-oestrogens, and frucrooligo-saccharides. These compounds are found in fruit, vegetables, and herbs. Daily intakes of some of these compounds may exceed 100 mg. Moreover, intestinal bacterial activity may transform complex compounds such as anthocyanins, procyanidins, and isoflavones into simple phenolic metabolites. The colon is thus a rich source of potentially active phenolic acids that may impact both locally and systemically on gut health. Further, nondigestible fiber (prebiotics) are dietary substrates that selectively promote proliferation and/or activity of health-promoting bacterial populations in the colon. Prebiotics, such as inulin, raffinose, and stachyose, have a proven ability to promote the abundance of intestinal bacterial populations, which may provide additional health benefits to the host. Further, various pulse seed soluble (fiber) extracts are responsible for improving gastrointestinal motility, intestinal functionality and morphology, and mineral absorption. Studies indicated that the consumption of seed origin soluble extracts can upregulate the expression of BBM proteins that contribute for digestion and absorption of nutrients.
Research & information: general --- Biology, life sciences --- Food & society --- intra amniotic (in ovo) administration --- zinc gene expression --- iron gene expression --- brush border membrane functional genes --- intestinal bacterial populations --- villus surface area --- cichoric acid --- metal complexes --- cytotoxicity --- cancer --- bacterial strains --- fungi --- human cell culture --- lactic acid bacteria --- probiotic --- acrylamide --- viability --- flow cytometry --- mesotrione --- traumatic acid --- breast cancer --- herbicide --- antioxidant --- oxidative stress --- bifidobacteria --- colon --- fermentation --- microbiota --- prebiotic --- SHIME® --- artichoke --- intestinal microbiota --- vegetable drink --- beneficial microorganisms --- cereal --- legume --- pseudocereal --- fruit --- synbiotic --- microbiome --- SCFA --- pectin --- rhamnogalacturonan --- transepithelial electrical resistance (TEER) --- pea --- phytate --- iron --- bioavailability --- bio active compound --- in vivo --- Gallus gallus --- brush border membrane --- oats --- celiac disease --- non-celiac gluten sensitivity --- gluten-free --- SCFAs --- teff --- staple food crops --- prebiotics --- probiotics --- iron deficiency --- zinc deficiency --- gut microbiota --- intrauterine growth restriction (IUGR) --- fructose --- dexamethasone --- intestinal gluconeogenesis --- plant origin --- bio-active compounds --- intestine --- intra amniotic (in ovo) administration --- zinc gene expression --- iron gene expression --- brush border membrane functional genes --- intestinal bacterial populations --- villus surface area --- cichoric acid --- metal complexes --- cytotoxicity --- cancer --- bacterial strains --- fungi --- human cell culture --- lactic acid bacteria --- probiotic --- acrylamide --- viability --- flow cytometry --- mesotrione --- traumatic acid --- breast cancer --- herbicide --- antioxidant --- oxidative stress --- bifidobacteria --- colon --- fermentation --- microbiota --- prebiotic --- SHIME® --- artichoke --- intestinal microbiota --- vegetable drink --- beneficial microorganisms --- cereal --- legume --- pseudocereal --- fruit --- synbiotic --- microbiome --- SCFA --- pectin --- rhamnogalacturonan --- transepithelial electrical resistance (TEER) --- pea --- phytate --- iron --- bioavailability --- bio active compound --- in vivo --- Gallus gallus --- brush border membrane --- oats --- celiac disease --- non-celiac gluten sensitivity --- gluten-free --- SCFAs --- teff --- staple food crops --- prebiotics --- probiotics --- iron deficiency --- zinc deficiency --- gut microbiota --- intrauterine growth restriction (IUGR) --- fructose --- dexamethasone --- intestinal gluconeogenesis --- plant origin --- bio-active compounds --- intestine
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