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胃肠道模型中脯氨酰内肽酶对麸质的高效降解:对乳糜泻的影响

Efficient degradation of gluten by a prolyl endoprotease in a gastrointestinal model: implications for coeliac disease.

作者信息

Mitea C, Havenaar R, Drijfhout J Wouter, Edens L, Dekking L, Koning F

机构信息

Department of Immunohematology and Blood Transfusion, E3-Q, Leiden University Medical Center, PO Box 9600, 2300 RC Leiden, The Netherlands.

出版信息

Gut. 2008 Jan;57(1):25-32. doi: 10.1136/gut.2006.111609. Epub 2007 May 9.

Abstract

BACKGROUND

Coeliac disease is caused by an immune response to gluten. As gluten proteins are proline rich they are resistant to enzymatic digestion in the gastrointestinal tract, a property that probably contributes to the immunogenic nature of gluten.

AIMS

This study determined the efficiency of gluten degradation by a post-proline cutting enzyme, Aspergillus niger prolyl endoprotease (AN-PEP), in a dynamic system that closely mimics the human gastrointestinal tract (TIM system).

METHODS

Two experiments were performed. In the first, a slice of bread was processed in the TIM system with and without co-administration of AN-PEP. In the second, a standard fast food menu was used. Samples of the digesting meals were taken from the stomach, duodenum, jejunum and ileum compartments at time zero until 4 hours after the start of the experiment. In these samples the levels of immunogenic peptides from gliadins and glutenins were assessed by monoclonal antibody-based competition assays, Western blot analysis and proliferation T-cell assays.

RESULTS

AN-PEP accelerated the degradation of gluten in the stomach compartment to such an extent that hardly any gluten reached the duodenum compartment.

CONCLUSION

AN-PEP is capable of accelerating the degradation of gluten in a gastrointestinal system that closely mimics in-vivo digestion. This implies that the co-administration of AN-PEP with a gluten-containing meal might eliminate gluten toxicity, thus offering patients the possibility of abandoning (occasionally) their strict gluten-free diet.

摘要

背景

乳糜泻由对麸质的免疫反应引起。由于麸质蛋白富含脯氨酸,它们在胃肠道中对酶消化具有抗性,这一特性可能导致了麸质的免疫原性。

目的

本研究在一个紧密模拟人类胃肠道的动态系统(TIM系统)中,测定了一种脯氨酸切割后酶——黑曲霉脯氨酰内肽酶(AN-PEP)对麸质的降解效率。

方法

进行了两项实验。第一项实验中,在TIM系统中对一片面包进行处理,分别添加和不添加AN-PEP。第二项实验中,使用了一份标准快餐菜单。在实验开始后0小时至4小时期间,从胃、十二指肠、空肠和回肠隔室采集正在消化的食物样本。通过基于单克隆抗体的竞争测定、蛋白质印迹分析和增殖T细胞测定,评估这些样本中麦醇溶蛋白和麦谷蛋白免疫原性肽的水平。

结果

AN-PEP极大地加速了胃隔室中麸质的降解,以至于几乎没有麸质到达十二指肠隔室。

结论

AN-PEP能够在一个紧密模拟体内消化的胃肠系统中加速麸质的降解。这意味着将AN-PEP与含麸质餐一起服用可能消除麸质毒性,从而为患者提供(偶尔)放弃严格无麸质饮食的可能性。

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