How does a celiac iceberg really float? The relationship between celiac disease and gluten

Crit Rev Food Sci Nutr. 2023;63(28):9233-9261. doi: 10.1080/10408398.2022.2064811. Epub 2022 Apr 18.

Abstract

Celiac disease (CD) is an autoimmune intestinal disease caused by intolerance of genetically susceptible individuals after intake of gluten-containing grains (including wheat, barley, etc.) and their products. Currently, CD, with "iceberg" characteristics, affects a large population and is distributed over a wide range of individuals. This present review summarizes the latest research progress on the relationship between CD and gluten. Furthermore, the structure and function of gluten peptides related to CD, gluten detection methods, the effects of processing on gluten and gluten-free diets are emphatically reviewed. In addition, the current limitations in CD research are also discussed. The present work facilitates a comprehensive understanding of CD as well as gluten, which can provide a theoretical reference for future research.

Keywords: Celiac disease; food processing; gluten; gluten-free diet; gut microbiota.

Publication types

  • Review

MeSH terms

  • Celiac Disease* / diagnosis
  • Diet, Gluten-Free / methods
  • Genetic Predisposition to Disease
  • Glutens* / adverse effects
  • Humans
  • Peptides

Substances

  • Glutens
  • Peptides