Department of Pharmaceutical Botany, Faculty of Pharmacy, "Iuliu Hațieganu" University of Medicine and Pharmacy, 400337 Cluj-Napoca, Romania.
Department of Pharmacology and Toxicology, Faculty of Medicine, Medical University of Sofia, 1431 Sofia, Bulgaria.
Nutrients. 2024 Oct 25;16(21):3636. doi: 10.3390/nu16213636.
A decade of research on gluten-related disorders (GRDs) is reviewed in this study, with a particular emphasis on celiac disease (CD) and non-celiac gluten sensitivity (NCGS). GRDs are triggered by the ingestion of gluten and gluten-like proteins found in wheat, barley, and rye. These proteins lead to intestinal damage in celiac disease, an autoimmune condition characterized by villous atrophy and a variety of gastrointestinal and extraintestinal symptoms. More enigmatic and less understood, NCGS involves symptoms similar to CD but without the immunological reaction or intestinal damage. Recent years have seen advances in the understanding of GRDs, particularly in connection to how intestinal microbiota influences disease progression and patient outcomes. The gluten-free diet (GFD) is still the standard therapy recommended for GRDs despite significant challenges, as discussed in this article. Precise diagnostic methods, patient education and dietary counseling are critical for improving patients' quality of life. The purpose of this review is to provide a more clear and up-to-date understanding of GRDs, and to help further research on this important topic.
本研究回顾了十年来关于麸质相关疾病(GRD)的研究,特别关注乳糜泻(CD)和非乳糜泻麸质敏感性(NCGS)。GRD 是由摄入小麦、大麦和黑麦中存在的麸质和类似麸质的蛋白质引起的。这些蛋白质会导致乳糜泻的肠道损伤,这是一种自身免疫性疾病,其特征是绒毛萎缩和各种胃肠道和肠外症状。NCGS 更为神秘且了解较少,它涉及与 CD 相似的症状,但没有免疫反应或肠道损伤。近年来,人们对 GRD 的理解有了进展,特别是在肠道微生物群如何影响疾病进展和患者预后方面。尽管存在重大挑战,但无麸质饮食(GFD)仍然是 GRD 的标准治疗方法,本文对此进行了讨论。精确的诊断方法、患者教育和饮食咨询对于提高患者的生活质量至关重要。本综述的目的是提供对 GRD 的更清晰和最新的理解,并帮助进一步研究这一重要课题。
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