Dietary Gluten as a Conditioning Factor of the Gut Microbiota in Celiac Disease.
Bacteria
/ growth & development
Bacterial Proteins
/ therapeutic use
Celiac Disease
/ drug therapy
Diet
Diet, Gluten-Free
Digestion
Dysbiosis
/ complications
Gastrointestinal Microbiome
Glutens
/ metabolism
Humans
Intestinal Mucosa
/ microbiology
Intestines
/ microbiology
Probiotics
/ therapeutic use
celiac disease
gluten
gluten-free diet
gut
microbiota
Journal
Advances in nutrition (Bethesda, Md.)
ISSN: 2156-5376
Titre abrégé: Adv Nutr
Pays: United States
ID NLM: 101540874
Informations de publication
Date de publication:
01 01 2020
01 01 2020
Historique:
received:
03
04
2019
revised:
12
06
2019
accepted:
01
07
2019
pubmed:
11
8
2019
medline:
8
1
2021
entrez:
11
8
2019
Statut:
ppublish
Résumé
The gut microbiota plays a relevant role in determining an individual's health status, and the diet is a major factor in modulating the composition and function of gut microbiota. Gluten constitutes an essential dietary component in Western societies and is the environmental trigger of celiac disease. The presence/absence of gluten in the diet can change the diversity and proportions of the microbial communities constituting the gut microbiota. There is an intimate relation between gluten metabolism and celiac disease pathophysiology and gut microbiota; their interrelation defines intestinal health and homeostasis. Environmental factors modify the intestinal microbiota and, in turn, its changes modulate the mucosal and immune responses. Current evidence from studies of young and adult patients with celiac disease increasingly supports that dysbiosis (i.e., compositional and functional alterations of the gut microbiome) is present in celiac disease, but to what extent this is a cause or consequence of the disease and whether the different intestinal diseases (celiac disease, ulcerative colitis, Crohn disease) have specific change patterns is not yet clear. The use of bacterial-origin enzymes that help completion of gluten digestion is of interest because of the potential application as coadjuvant in the current treatment of celiac disease. In this narrative review, we address the current knowledge on the complex interaction between gluten digestion and metabolism, celiac disease, and the intestinal microbiota.
Identifiants
pubmed: 31399743
pii: S2161-8313(22)00243-5
doi: 10.1093/advances/nmz080
pmc: PMC7442381
doi:
Substances chimiques
Bacterial Proteins
0
Glutens
8002-80-0
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
160-174Informations de copyright
Copyright © American Society for Nutrition 2019.
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