1. Cross-Talk Between Gluten, Intestinal Microbiota and Intestinal Mucosa in Celiac Disease: Recent Advances and Basis of Autoimmunity
- Author
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Atul Munish Chander, Hariom Yadav, Shalini Jain, Sanjay Kumar Bhadada, and Devinder Kumar Dhawan
- Subjects
0301 basic medicine ,Microbiology (medical) ,medicine.drug_class ,030106 microbiology ,Antibiotics ,lcsh:QR1-502 ,Review ,Disease ,medicine.disease_cause ,Microbiology ,lcsh:Microbiology ,law.invention ,Autoimmunity ,03 medical and health sciences ,Probiotic ,Intestinal mucosa ,law ,medicine ,host microbe interactions ,functional foods ,chemistry.chemical_classification ,business.industry ,intestinal microbiome ,Gluten ,glutenases ,Small intestine ,030104 developmental biology ,medicine.anatomical_structure ,oral microbiome ,probiotics ,chemistry ,Immunology ,Oral Microbiome ,business - Abstract
Celiac disease (CD) is an autoimmune disorder of the small intestine, caused by gluten induced inflammation in some individuals susceptible to genetic and environmental influences. To date, pathophysiology of CD in relation to intestinal microbiota is not known well. This review relies on contribution of intestinal microbiome and oral microbiome in pathogenesis of CD based on their interactions with gluten, thereby highlighting the role of upper gastrointestinal microbiota. It has been hypothesized that CD might be triggered by additive effects of immunotoxic gluten peptides and intestinal dysbiosis (microbial imbalance) in the people with or without genetic susceptibilities, where antibiotics may be deriving dysbiotic agents. In contrast to the intestinal dysbiosis, genetic factors even seem secondary in disease outcome thus suggesting the importance of interaction between microbes and dietary factors in immune regulation at intestinal mucosa. Moreover, association of imbalanced counts of some commensal microbes in intestine of CD patients suggests the scope for probiotic therapies. Lactobacilli and specific intestinal and oral bacteria are potent source of gluten degrading enzymes (glutenases) that may contribute to commercialization of a novel glutenase therapy. In this review, we shall discuss advantages and disadvantages of food based therapies along with probiotic therapies where probiotic therapies are expected to emerge as the safest biotherapies among other in-process therapies. In addition, this review emphasizes on differential targets of probiotics that make them suitable to manage CD as along with glutenase activity, they also exhibit immunomodulatory and intestinal microbiome modulatory properties.
- Published
- 2018
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