2017
DOI: 10.3390/nu9020115
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Gluten Contamination in Naturally or Labeled Gluten-Free Products Marketed in Italy

Abstract: Background: A strict and lifelong gluten-free diet is the only treatment of celiac disease. Gluten contamination has been frequently reported in nominally gluten-free products. The aim of this study was to test the level of gluten contamination in gluten-free products currently available in the Italian market. Method: A total of 200 commercially available gluten-free products (including both naturally and certified gluten-free products) were randomly collected from different Italian supermarkets. The gluten co… Show more

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Cited by 61 publications
(52 citation statements)
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“…Such a diet is difficult to follow because of the unintended contamination of "gluten-free" products, improper labeling, social constraints, and ubiquity of gluten proteins in raw or cooked food and pharmaceuticals [34][35][36]. Thus, accidental gluten encounters are likely [37,38]. Different celiac patients show sensitivity to different gluten proteins [9,39].…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…Such a diet is difficult to follow because of the unintended contamination of "gluten-free" products, improper labeling, social constraints, and ubiquity of gluten proteins in raw or cooked food and pharmaceuticals [34][35][36]. Thus, accidental gluten encounters are likely [37,38]. Different celiac patients show sensitivity to different gluten proteins [9,39].…”
Section: Introductionmentioning
confidence: 99%
“…According to the Codex definition, any food product containing >20 mg/kg gluten cannot be considered or labeled as "gluten-free" [43]. Because of the gluten contamination, many inherently gluten-free products (derived from corn, rice, millet, oats, etc.,) cannot be consumed by celiac patients [37,38]. These products, if misbranded as "gluten-free" and used by the celiac patients, will result in recurrence of symptoms [34].…”
Section: Introductionmentioning
confidence: 99%
“…Furthermore, gluten is increasingly separated from wheat (known as "vital wheat gluten") or from wheat modifications (known as "isolated wheat proteins") to improve the structure of bakery products or for enrichment of low-protein flour (Kucek et al, 2015). According to some authors, the gluten content in the granule ranges from 70 % to 80 % (Scherf et al, 2016;Catassi et al, 2017) and is a com-plex mixture of proteins, mostly gliadine and glutenin called prolamines due to the high content of amino acid residues of glutamine (38 %) and proline (20 %) (Biesiekierski, 2017). High proline content makes gluten resistant to degradation of gastrointestinal enzymes and due to that large immunogenic gluten peptides reach the mucosal surface stimulating the development of inflammatory reactions (Čuković-Čavka et al, 2012).…”
Section: Introductionmentioning
confidence: 99%
“…Unfortunately, even the "gluten-free" mark is not always a guarantee that the product meets the labelling requirements (Lee et al, 2014). Verma et al (2017) analysed the gluten content in 200 gluten-free products (including products that naturally do not contain gluten) present in the Italian market. Products that naturally do not contain gluten were contaminated to a greater extent of 16 % and the labelled gluten-free products to the extent of 9 %; where oats were the most contaminated.…”
Section: Introductionmentioning
confidence: 99%
“…Keywords: glutenases, site-directed mutagenesis, thermostability, glutenin, gliadin, celiac disease INTRODUCTION Celiac disease with an autoimmune component affects about 1.4% of the global population (1). Currently, there is only one approved therapy for celiac disease, which is the lifelong gluten abstinence (2,3). The effects of this prescription on individuals and families, makes it difficult to follow, due to cultural, social, technical, and financial concerns (4,5) as well as problems associated with the use of the gluten-free commodities (6,7).…”
mentioning
confidence: 99%