Institute of Food Sciences, CNR, 83100 Avellino, Italy.
Center for Celiac Research and Treatment, Massachusetts General Hospital, Boston, MA 02114, USA.
Cells. 2022 Aug 3;11(15):2389. doi: 10.3390/cells11152389.
Non-celiac wheat sensitivity (NCWS) is a clinical entity induced by the ingestion of gluten that leads to intestinal and/or extraintestinal symptoms, and is diagnosed when celiac disease and wheat allergy have been ruled out. In addition to gluten, other grains' components, including amylase trypsin inhibitors (ATIs) and fermentable short-chain carbohydrates (FODMAPs), may trigger symptoms in NCWS subjects. Several studies suggest that, compared with tetraploid and hexaploid modern wheats, ancient diploid wheats species could possess a lower immunogenicity for subjects suffering from NCWS. This review aims to discuss available evidence related to the immunological features of diploid wheats compared to common wheats, and at outlining new dietary opportunities for NCWS subjects.
非乳糜泻小麦敏感(NCWS)是一种由摄入麸质引起的临床病症,可导致肠道和/或肠道外症状,当排除乳糜泻和小麦过敏后即可诊断。除了麸质外,其他谷物的成分,包括淀粉酶胰蛋白酶抑制剂(ATIs)和可发酵的短链碳水化合物(FODMAPs),也可能引发 NCWS 患者的症状。一些研究表明,与四倍体和六倍体现代小麦相比,古代二倍体小麦物种可能对 NCWS 患者的免疫原性较低。本文旨在讨论与二倍体小麦相对于普通小麦的免疫学特征相关的现有证据,并概述 NCWS 患者的新饮食机会。