2011
DOI: 10.3109/08830185.2011.599084
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Unraveling the Ties between Celiac Disease and Intestinal Microbiota

Abstract: Celiac disease is a multifactorial disorder that involves interactions between genetic and environmental factors. Gluten proteins are responsible for the symptoms of celiac disease, but other environmental factors that influence the intestinal ecosystem, including the milk-feeding type and gastrointestinal infections, may also play a role. Moreover, intestinal dysbiosis, characterized by increased Gram-negative bacteria and reduced bifidobacteria, has been detected in celiac disease patients. This review summa… Show more

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Cited by 123 publications
(100 citation statements)
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“…Indeed, deviations in faecal and duodenal microbiota associated with CD have been reported (149,(151)(152)(153) , although recent studies utilising high-throughput methods have reported comparable microbiota compositions in patients and healthy controls (154)(155)(156)(157) . A recent study utilising a highthroughput microarray method in analysing duodenal biopsies of paediatric CD patients in Finland found that while the overall microbiota composition was comparable between CD and healthy subjects, a profile of eight bacterial groups was observed to distinguish patients from healthy controls (157) .…”
Section: Coeliac Diseasementioning
confidence: 99%
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“…Indeed, deviations in faecal and duodenal microbiota associated with CD have been reported (149,(151)(152)(153) , although recent studies utilising high-throughput methods have reported comparable microbiota compositions in patients and healthy controls (154)(155)(156)(157) . A recent study utilising a highthroughput microarray method in analysing duodenal biopsies of paediatric CD patients in Finland found that while the overall microbiota composition was comparable between CD and healthy subjects, a profile of eight bacterial groups was observed to distinguish patients from healthy controls (157) .…”
Section: Coeliac Diseasementioning
confidence: 99%
“…in faeces and duodenal biopsies of CD patients (152,153,163) , although a complete lack of the members of phylum Bacteroidetes was observed in CD predisposed infants in a prospective study (149) . Furthermore, another study reported a reduction in IgA-coated bacteria, especially IgA-coated Bacteroides in faeces of untreated and treated CD patients when compared to healthy controls (151) . The authors stated that host defences against this bacterial group might be reduced in coeliac disease, thus allowing its increased colonisation.…”
Section: Coeliac Diseasementioning
confidence: 99%
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“…41 Other possibilities for how gluten may be related to depression include abnormalities of serotonin production, 42 or gluten exorphins interfering with the CNS, 43 or changes in the gut microbiota. 44 It should be emphasized that the tool used to assess depression in this study was one self-administered questionnaire, and the clinical significance of these findings requires further research using additional measures of depression and of longer duration. Currently, there is no evidence for efficacy of gluten exclusion in mental disorders, 8,45 therefore care must be given when discussing these early results and awareness given to understanding that a major effect of gluten in NCGS patients may be in the perception of their general well-being.…”
Section: Potential Mechanismsmentioning
confidence: 99%
“…Others have noted a relationship between gut bacteria and CD development (Forsberg et al 2004;Ou et al 2009;Sanz et al 2011;Sjöberg et al 2013). Most recently, Sjöberg and colleagues (2013) Although the analogy is not entirely apt, we can contrast the pattern of CD with the global pattern of lactose intolerance (lactase persistence), in which the populations with the longest history of dairying and milk consumption are those with the greatest adaptation to lactose digestion.…”
Section: Presentation Pathophysiology and Genetics Of CDmentioning
confidence: 99%