Staff Publications

Staff Publications

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    'Staff publications' is the digital repository of Wageningen University & Research

    'Staff publications' contains references to publications authored by Wageningen University staff from 1976 onward.

    Publications authored by the staff of the Research Institutes are available from 1995 onwards.

    Full text documents are added when available. The database is updated daily and currently holds about 240,000 items, of which 72,000 in open access.

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Record number 348537
Title Gluten: a two-edged sword. Immunopathogenesis of celiac disease
Author(s) Koning, F. de; Gilissen, L.J.W.J.; Wijmenga, C.
Source Springer Seminars in Immunopathology 27 (2005)2. - ISSN 0344-4325 - p. 217 - 232.
DOI https://doi.org/10.1007/s00281-005-0203-9
Department(s) PRI Bioscience
Publication type Refereed Article in a scientific journal
Publication year 2005
Keyword(s) t-cell epitope - small-intestinal mucosa - ctla4/cd28 gene region - wide linkage analysis - tissue transglutaminase - susceptibility loci - molecular characterization - binding characteristics - confers susceptibility - rheumatoid-arthritis
Abstract Celiac disease (CD) is a small intestinal disorder caused by adaptive and innate immune responses triggered by the gluten proteins present in wheat. In the intestine, gluten is partially degraded and modified, which results in gluten peptides that bind with high affinity to HLA-DQ2 or HLA-DQ8 and trigger an inflammatory T cell response. Simultaneously, gluten exposure leads to increased production of IL15, which induces the expression of NKG2D on intraepithelial lymphocytes and its ligand MICA on epithelial cells, leading to epithelial cell destruction. The gluten-specific T cell response results in the production of antibodies against tissue transglutaminase and these are specific indicators of disease. CD is one of the most common inherited diseases, the HLA-DQ locus being the major contributing genetic factor. However, as the inheritance does not follow a Mendelian segregation pattern, multiple other genes, each with relative weak effect, contribute to disease development. An important role for environmental factors, however, can not be ignored as the concordance rate in monozygous twins is considerably less than 100%. The identification of these environmental factors and susceptibility genes may allow a better understanding of disease etiology and provide diagnostic and prognostic markers. The current treatment for CD consists of a life-long gluten-free diet. Although long thought to be impossible, recent results suggest that the development of nontoxic wheat varieties may be feasible, which would aid disease prevention and provide an alternative food source for patients.
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