New insights into non-dietary treatment in celiac disease: Emerging therapeutic options

To date, the only treatment for celiac disease (CD) consists of a strict lifelong gluten-free diet (GFD), which has numerous limitations in patients with CD. For this reason, dietary transgressions are frequent, implying intestinal damage and possible long-term complications. There is an unquestiona...

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Detalles Bibliográficos
Autores: Segura Montero, Verónica, Ruiz Carnicer, Ángela, Sousa Martín, Carolina, Moreno Amador, María de Lourdes
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/129016
Acceso en línea:https://hdl.handle.net/11441/129016
https://doi.org/10.3390/nu13072146
Access Level:acceso abierto
Palabra clave:Celiac disease
Gliadin
Gluten
Gluten immunogenic peptides
Gluten-free diet
Non-dietary therapies
Descripción
Sumario:To date, the only treatment for celiac disease (CD) consists of a strict lifelong gluten-free diet (GFD), which has numerous limitations in patients with CD. For this reason, dietary transgressions are frequent, implying intestinal damage and possible long-term complications. There is an unquestionable need for non-dietary alternatives to avoid damage by involuntary contamination or voluntary dietary transgressions. In recent years, different therapies and treatments for CD have been developed and studied based on the degradation of gluten in the intestinal lumen, regulation of the immune response, modulation of intestinal permeability, and induction of immunological tolerance. In this review, therapeutic lines for CD are evaluated with special emphasis on phase III and II clinical trials, some of which have promising results.