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Effect of gluten free diet on immune response to gliadin in patients with non-celiac gluten sensitivity

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TLDR
In non-celiac gluten sensitivity patients anti-gliadin antibodies IgG persistence after gluten withdrawal was significantly correlated with the low compliance to gluten-free diet and a mild clinical response.
Abstract
Background Non-celiac gluten sensitivity is a syndrome characterized by gastrointestinal and extra-intestinal symptoms occurring in a few hours/days after gluten and/or other wheat protein ingestion and rapidly improving after exclusion of potential dietary triggers. There are no established laboratory markers for non-celiac gluten sensitivity, although a high prevalence of first generation anti-gliadin antibodies of IgG class has been reported in this condition. This study was designed to characterize the effect of the gluten-free diet on anti-gliadin antibodies of IgG class in patients with non-celiac gluten sensitivity.

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Journal ArticleDOI

An Italian prospective multicenter survey on patients suspected of having non-celiac gluten sensitivity

TL;DR: This prospective survey shows that non-celiac gluten sensitivity has a strong correlation with female gender and adult age, and the prevalence of NCGS seems to be only slightly higher than that of celiac disease.
Journal ArticleDOI

Nonceliac Gluten Sensitivity

TL;DR: A better understanding of the clinical presentation of nonceliac gluten sensitivity is required, as well as its pathogenesis, epidemiology, management, and role in conditions such as irritable bowel syndrome, chronic fatigue, and autoimmunity.
Journal ArticleDOI

Celiac disease and non-celiac gluten sensitivity

TL;DR: Although a gluten-free diet is effective in most patients, this diet can be burdensome and can limit quality of life; consequently, non-dietary therapies are at various stages of development.
Journal ArticleDOI

Intestinal cell damage and systemic immune activation in individuals reporting sensitivity to wheat in the absence of coeliac disease

TL;DR: Findings reveal a state of systemic immune activation in conjunction with a compromised intestinal epithelium affecting a subset of individuals who experience sensitivity to wheat in the absence of coeliac disease.
References
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Coeliac Disease

Journal ArticleDOI

The histopathology of coeliac disease: time for a standardized report scheme for pathologists.

TL;DR: The most important histological differential diagnoses are given, as well as a definition of the different clinical forms of coeliac disease such as symptomatic, silent, latent, potential, treated and refractory coeliasis.
Journal ArticleDOI

Spectrum of gluten-related disorders: consensus on new nomenclature and classification

TL;DR: This review will summarize the current knowledge about the three main forms of gluten reactions: allergic (wheat allergy), autoimmune (celiac disease, dermatitis herpetiformis and gluten ataxia) and possibly immune-mediated (gluten sensitivity), and also outline pathogenic, clinical and epidemiological differences and propose new nomenclature and classifications.
Journal ArticleDOI

No Effects of Gluten in Patients With Self-Reported Non-Celiac Gluten Sensitivity After Dietary Reduction of Fermentable, Poorly Absorbed, Short-Chain Carbohydrates

TL;DR: In a placebo-controlled, cross-over rechallenge study, there is no evidence of specific or dose-dependent effects of gluten in patients with NCGS placed diets low in FODMAPs.
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