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Title

The gluten-free diet: Testing alternative cereals tolerated by celiac patients

AuthorsComino, Isabel; Moreno, María de Lourdes; Real, Ana; Rodríguez-Herrera, Alfonso; Barro Losada, Francisco ; Sousa Martín, Carolina
KeywordsCeliac disease
Gluten detoxification
Cereals
Pseudocereals
Gluten-free diet
Issue Date23-Oct-2013
PublisherMultidisciplinary Digital Publishing Institute
CitationNutrients 5(10): 4250-4268 (2013)
AbstractA strict gluten-free diet (GFD) is the only currently available therapeutic treatment for patients with celiac disease, an autoimmune disorder of the small intestine associated with a permanent intolerance to gluten proteins. The complete elimination of gluten proteins contained in cereals from the diet is the key to celiac disease management. However, this generates numerous social and economic repercussions due to the ubiquity of gluten in foods. The research presented in this review focuses on the current status of alternative cereals and pseudocereals and their derivatives obtained by natural selection, breeding programs and transgenic or enzymatic technology, potential tolerated by celiac people. Finally, we describe several strategies for detoxification of dietary gluten. These included enzymatic cleavage of gliadin fragment by Prolyl endopeptidases (PEPs) from different organisms, degradation of toxic peptides by germinating cereal enzymes and transamidation of cereal flours. This information can be used to search for and develop cereals with the baking and nutritional qualities of toxic cereals, but which do not exacerbate this condition. © 2013 by the authors; licensee MDPI, Basel, Switzerland.
Publisher version (URL)http:dx.doi.org/10.3390/nu5104250
URIhttp://hdl.handle.net/10261/92637
DOI10.3390/nu5104250
Identifiersdoi: 10.3390/nu5104250
issn: 2072-6643
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