2022
DOI: 10.3389/fmicb.2022.859467
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How Metabolomics Provides Novel Insights on Celiac Disease and Gluten-Free Diet: A Narrative Review

Abstract: Celiac disease (CD) is an inflammatory autoimmune disorder triggered by the ingestion of gluten from wheat and other cereals. Nowadays, its positive diagnosis is based on invasive approaches such as the histological examination of intestinal biopsies and positive serology screening of antibodies. After proven diagnosis, the only admissible treatment for CD individuals is strict life-long adherence to gluten-free diet (GFD), although it is not a conclusive therapy. Acting by different mechanisms and with differ… Show more

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Cited by 14 publications
(11 citation statements)
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“…Probably due to malabsorption, people on a GFD also reported mineral deficiencies [46][47] and, noteworthy, it these remain unchanged even adhering to GFD [48] . Based on these considerations, recent advances in nutrition suggested a regular intake of pseudo-cereals to fill this gap [49] .…”
Section: Discussionmentioning
confidence: 99%
“…Probably due to malabsorption, people on a GFD also reported mineral deficiencies [46][47] and, noteworthy, it these remain unchanged even adhering to GFD [48] . Based on these considerations, recent advances in nutrition suggested a regular intake of pseudo-cereals to fill this gap [49] .…”
Section: Discussionmentioning
confidence: 99%
“…The purpose of this study was to modify a traditional food product consumed daily worldwide to support patients with GrDs and those with proven CeD. We recently revised the literature in the field of CeD-related metabolomics, also ascertaining the differences affected by daily gluten intake or deprivation [ 9 ]. The mentioned study revealed that markers of oxidative stress were frequently altered in CeD patients at diagnosis, and this scenario did not return to healthy ranges despite adhering to GFD [ 16 ].…”
Section: Discussionmentioning
confidence: 99%
“…Based on this assumption, previous studies investigated the GFD effect on gut microbiota and observed how it negatively affected the gut microbial communities of both GrD patients [ 7 ] and healthy subjects [ 8 ]. In a recent study [ 9 ], we discussed how the GFD was not sufficient to reverse the CeD pathophysiological status featured by elevated nitric oxide metabolites in serum [ 10 ] and urine [ 11 ]. In fact, considering the high oxidative stress status as a CeD biomarker [ 12 , 13 , 14 , 15 ], it seemed not to be exclusively related to the CeD diagnosis because it was found almost unchanged during the disease follow-ups despite the GFD [ 16 ].…”
Section: Introductionmentioning
confidence: 99%
“…Celiac disease (CD), a common heritable chronic inflammatory condition affecting the small intestine caused by a persistent intolerance to gluten/gliadin (prolamin), is characterized by a complex interplay between genetic and environmental factors [ 67 , 68 , 69 , 70 ].…”
Section: Inflammatory and Gastrointestinal Diseases And Artichokementioning
confidence: 99%