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无麸质饮食可降低乳糜泻患儿的尿肽水平。

Gluten-free diet decreases urinary peptide levels in children with celiac disease.

作者信息

Ek J, Stensrud M, Reichelt K L

机构信息

Department of Pediatrics, Buskerud Central Hospital, Drammen, Norway.

出版信息

J Pediatr Gastroenterol Nutr. 1999 Sep;29(3):282-5. doi: 10.1097/00005176-199909000-00008.

Abstract

BACKGROUND

Increased urine secretion of peptides has been found in celiac disease, probably resulting from increased intestinal uptake of peptides caused by damage to the small gut mucosa.

METHODS

High-performance liquid chromatography of low-molecular-weight peptides in the urine was performed over 6 months, before and after a gluten-free diet was instituted in children who clinically improved while consuming the diet.

RESULTS

A significant decrease of peptide levels was observed in children consuming the gluten-free diet. Certain peptide peaks thought to be gluten related decreased the most after the patients began the diet.

CONCLUSIONS

Because the peptides decrease in patients consuming a gluten-free diet, it is reasonable to conclude that such peptides have a mostly dietary origin.

摘要

背景

乳糜泻患者尿液中肽类分泌增加,这可能是由于小肠黏膜受损导致肠道对肽类的摄取增加所致。

方法

对临床症状在食用无麸质饮食期间有所改善的儿童,在采用该饮食前后的6个月内,对其尿液中的低分子量肽进行高效液相色谱分析。

结果

食用无麸质饮食的儿童肽水平显著降低。某些被认为与麸质相关的肽峰在患者开始饮食后下降最为明显。

结论

由于食用无麸质饮食的患者体内肽类减少,因此可以合理推断此类肽类主要来源于饮食。

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