“…The proteins, gluten and casein, are hydrolyzed in the GI tract into hundreds to thousands of peptides, some of which have been shown to have opioid-like properties and are referred to as exorphins (Boutrou et al, 2013; Dohan, 1988a; Dohan, 1979, 1980, 1988b; Prandi et al, 2014; Reichelt, 1991, 1994; Reichelt et al, 1985; Reichelt et al, 1981; Reichelt et al, 1995; Reichelt et al, 2012). The immunomodulatory potential of these exorphins is not well-understood, with observations that among the repertoire of digested peptides, some have pro-inflammatory and others have anti-inflammatory effects (Aihara et al, 2014; Barnett et al, 2014; Haq et al, 2014; Kaminski et al, 2007). The mechanisms by which peptides derived from wheat gluten and bovine milk casein or the associated immune response might be pathogenic in schizophrenia are not known.…”