Role of the gut microbiota in the pathogenesis of coeliac disease and potential therapeutic implications

<h3>Purpose</h3><p dir="ltr">Although genetic predisposition and exposure to dietary gluten are considered necessary triggers for the development of coeliac disease, alterations in the gut microbial composition may also contribute towards the pathogenesis of coeliac disea...

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Main Author: Anthony K. Akobeng (7713470) (author)
Other Authors: Parul Singh (191877) (author), Manoj Kumar (205700) (author), Souhaila Al Khodor (11657583) (author)
Published: 2020
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author Anthony K. Akobeng (7713470)
author2 Parul Singh (191877)
Manoj Kumar (205700)
Souhaila Al Khodor (11657583)
author2_role author
author
author
author_facet Anthony K. Akobeng (7713470)
Parul Singh (191877)
Manoj Kumar (205700)
Souhaila Al Khodor (11657583)
author_role author
dc.creator.none.fl_str_mv Anthony K. Akobeng (7713470)
Parul Singh (191877)
Manoj Kumar (205700)
Souhaila Al Khodor (11657583)
dc.date.none.fl_str_mv 2020-07-10T06:00:00Z
dc.identifier.none.fl_str_mv 10.1007/s00394-020-02324-y
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Role_of_the_gut_microbiota_in_the_pathogenesis_of_coeliac_disease_and_potential_therapeutic_implications/21601308
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Immunology
Coeliac disease
Microbiota
Metagenomics
Dysbiosis
dc.title.none.fl_str_mv Role of the gut microbiota in the pathogenesis of coeliac disease and potential therapeutic implications
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Purpose</h3><p dir="ltr">Although genetic predisposition and exposure to dietary gluten are considered necessary triggers for the development of coeliac disease, alterations in the gut microbial composition may also contribute towards the pathogenesis of coeliac disease. This review aims to provide an overview of the available data on the potential mechanisms through which the gut microbiota plays a role in the causation of coeliac disease and to discuss the potential therapeutic strategies that could diminish the consequences of microbial dysbiosis.</p><h3>Method</h3><p dir="ltr">A search of the literature was performed using the PubMed, Embase, and JSTOR databases; relevant articles were included.</p><h3>Results</h3><p dir="ltr">Recent studies in patients with coeliac disease have reported an increase in the relative amounts of gram negative bacterial genera such as Bacteroides, Prevotella, and Escherichia, and reduced amounts of protective anti-inflammatory bacteria such as Bifidobacteria and Lactobacilli. Dysbiotic microbiota may lead to a dysregulated immune response that may contribute to the pathogenesis of coeliac disease. In infancy, antibiotic use and certain infant feeding practices may lead to alterations in the developing gut microbiota to influence the immune maturation process and predispose to coeliac disease.</p><h3>Conclusion</h3><p dir="ltr">The induction of the intestinal immune system and gluten intolerance may be influenced by the relative abundance of certain microbiota. Factors such as infant feeding practices, diet, antibiotics, and infections, may be involved in the development of coeliac disease due to their influence on gut microbial composition. The efficacy of potential modulators of the gut microbiota such as probiotics, prebiotics, and fecal microbial transplant as adjunctive treatments to gluten-free diet in coeliac disease is unproven and requires further investigation.</p><h2>Other Information</h2><p dir="ltr">Published in: European Journal of Nutrition<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1007/s00394-020-02324-y" target="_blank">http://dx.doi.org/10.1007/s00394-020-02324-y</a></p>
eu_rights_str_mv openAccess
id Manara2_cee085cbef61468de1d5c104d418130f
identifier_str_mv 10.1007/s00394-020-02324-y
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/21601308
publishDate 2020
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rights_invalid_str_mv CC BY 4.0
spelling Role of the gut microbiota in the pathogenesis of coeliac disease and potential therapeutic implicationsAnthony K. Akobeng (7713470)Parul Singh (191877)Manoj Kumar (205700)Souhaila Al Khodor (11657583)Biomedical and clinical sciencesClinical sciencesImmunologyCoeliac diseaseMicrobiotaMetagenomicsDysbiosis<h3>Purpose</h3><p dir="ltr">Although genetic predisposition and exposure to dietary gluten are considered necessary triggers for the development of coeliac disease, alterations in the gut microbial composition may also contribute towards the pathogenesis of coeliac disease. This review aims to provide an overview of the available data on the potential mechanisms through which the gut microbiota plays a role in the causation of coeliac disease and to discuss the potential therapeutic strategies that could diminish the consequences of microbial dysbiosis.</p><h3>Method</h3><p dir="ltr">A search of the literature was performed using the PubMed, Embase, and JSTOR databases; relevant articles were included.</p><h3>Results</h3><p dir="ltr">Recent studies in patients with coeliac disease have reported an increase in the relative amounts of gram negative bacterial genera such as Bacteroides, Prevotella, and Escherichia, and reduced amounts of protective anti-inflammatory bacteria such as Bifidobacteria and Lactobacilli. Dysbiotic microbiota may lead to a dysregulated immune response that may contribute to the pathogenesis of coeliac disease. In infancy, antibiotic use and certain infant feeding practices may lead to alterations in the developing gut microbiota to influence the immune maturation process and predispose to coeliac disease.</p><h3>Conclusion</h3><p dir="ltr">The induction of the intestinal immune system and gluten intolerance may be influenced by the relative abundance of certain microbiota. Factors such as infant feeding practices, diet, antibiotics, and infections, may be involved in the development of coeliac disease due to their influence on gut microbial composition. The efficacy of potential modulators of the gut microbiota such as probiotics, prebiotics, and fecal microbial transplant as adjunctive treatments to gluten-free diet in coeliac disease is unproven and requires further investigation.</p><h2>Other Information</h2><p dir="ltr">Published in: European Journal of Nutrition<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1007/s00394-020-02324-y" target="_blank">http://dx.doi.org/10.1007/s00394-020-02324-y</a></p>2020-07-10T06:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s00394-020-02324-yhttps://figshare.com/articles/journal_contribution/Role_of_the_gut_microbiota_in_the_pathogenesis_of_coeliac_disease_and_potential_therapeutic_implications/21601308CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/216013082020-07-10T06:00:00Z
spellingShingle Role of the gut microbiota in the pathogenesis of coeliac disease and potential therapeutic implications
Anthony K. Akobeng (7713470)
Biomedical and clinical sciences
Clinical sciences
Immunology
Coeliac disease
Microbiota
Metagenomics
Dysbiosis
status_str publishedVersion
title Role of the gut microbiota in the pathogenesis of coeliac disease and potential therapeutic implications
title_full Role of the gut microbiota in the pathogenesis of coeliac disease and potential therapeutic implications
title_fullStr Role of the gut microbiota in the pathogenesis of coeliac disease and potential therapeutic implications
title_full_unstemmed Role of the gut microbiota in the pathogenesis of coeliac disease and potential therapeutic implications
title_short Role of the gut microbiota in the pathogenesis of coeliac disease and potential therapeutic implications
title_sort Role of the gut microbiota in the pathogenesis of coeliac disease and potential therapeutic implications
topic Biomedical and clinical sciences
Clinical sciences
Immunology
Coeliac disease
Microbiota
Metagenomics
Dysbiosis