Silano Marco, Di Benedetto Rita, Maialetti Francesca, De Vincenzi Alessandro, Calcaterra Roberta, Cornell Hugh J, De Vincenzi Massimo
Division of Food Science, Human Nutrition and Health, Istituto Superiore di Sanità, Rome, Italy.
Scand J Gastroenterol. 2007 Nov;42(11):1302-5. doi: 10.1080/00365520701420750.
The avoidance of oats in coeliac patients is still controversial. If oats is confirmed to be safe, it would be a valuable component and offer more variation in a gluten-free diet. The aim of this work was to evaluate whether avenins from different varieties of oats show different abilities in the activation of coeliac peripheral lymphocytes.
In order to assess whether the immunogenic effect of oats varies according to the cultivar, peripheral lymphocytes from 10 coeliac children were exposed to avenins from four different oats varieties: Lampton, Astra, Ava and Nave. Lymphocyte proliferation and interferon-gamma (IFN-gamma) release in the culture medium were measured as indexes of immune activation.
All the varieties of oats tested were immunogenic, with Lampton and Ava avenins inducing lymphocyte activation similar to that activated by wheat gliadin, while Astra and Nave avenins showed less immunogenicity, but still with a measurable effect.
There are still concerns about the suitability of including oats in a gluten-free diet. Coeliac patients consuming oats-containing food should be carefully monitored, until there is more evidence to show the safety of oats and varieties of low-toxicity oats.
乳糜泻患者是否应避免食用燕麦仍存在争议。如果燕麦被证实是安全的,那么它将成为一种有价值的成分,并为无麸质饮食提供更多样化的选择。这项研究的目的是评估不同燕麦品种的燕麦蛋白在激活乳糜泻患者外周淋巴细胞方面是否具有不同的能力。
为了评估燕麦的免疫原性是否因品种而异,将10名乳糜泻儿童的外周淋巴细胞暴露于来自四个不同燕麦品种(Lampton、Astra、Ava和Nave)的燕麦蛋白中。测量培养基中淋巴细胞增殖和干扰素-γ(IFN-γ)释放作为免疫激活指标。
所有测试的燕麦品种都具有免疫原性,Lampton和Ava燕麦蛋白诱导的淋巴细胞激活与小麦醇溶蛋白激活的相似,而Astra和Nave燕麦蛋白的免疫原性较低,但仍有可测量的效果。
将燕麦纳入无麸质饮食的适用性仍令人担忧。食用含燕麦食品的乳糜泻患者应受到密切监测,直到有更多证据表明燕麦的安全性以及低毒性燕麦品种。