Celiac Disease and Non-celiac Wheat Sensitivity: State of Art of Non-dietary Therapies

被引:17
|
作者
Serena, Gloria [1 ]
D'Avino, Paolo [1 ,2 ]
Fasano, Alessio [1 ,3 ]
机构
[1] Massachusetts Gen Hosp, Div Pediat Gastroenterol & Nutr, Ctr Celiac Res, Mucosal Immunol & Biol Res Ctr, Boston, MA 02114 USA
[2] Univ Vita Salute San Raffaele, Milan, Italy
[3] European Biomed Res Inst Salerno EBRIS, Salerno, Italy
来源
FRONTIERS IN NUTRITION | 2020年 / 7卷
关键词
celiac disease; gluten sensitivity; gluten; therapy; treatment; GLUTEN-FREE DIET; CD4-POSITIVE T-CELLS; LONGUM CECT 7347; LARAZOTIDE ACETATE; DOUBLE-BLIND; GLIADIN PEPTIDES; MOUSE MODEL; LACTOBACILLUS-CASEI; TIGHT JUNCTIONS; ECONOMIC BURDEN;
D O I
10.3389/fnut.2020.00152
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Gluten related disorders (GRD), which include celiac disease, non-celiac wheat sensitivity and wheat allergy are heterogeneous conditions triggered by ingestion of gluten-containing grains. Together, their prevalence is estimated to be similar to 5% in the general population, however, in the last years the number of diagnoses has been rapidly increasing. To this day, the gold standard treatment for these disorders is the complete removal of gluten-containing grains from the diet. Although this therapy results effective in the majority of patients, up to 30% of individuals affected by GRD continue to present persistent symptoms. In addition, gluten-free diet has been shown to have poor nutritional quality and to cause a socio-economic burden in patients' quality of life. In order to respond to these issues, the scientific community has been focusing on finding additional and adjuvant non-dietary therapies. In this review, we focus on two main gluten related disorders, celiac disease and non-celiac wheat sensitivity. We delineate the actual knowledge about potential treatments and their relative efficacy in pre-clinical and clinical trials.
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页数:12
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