Effect of the timing of gluten introduction on the development of celiac disease

来源 :世界胃肠病学杂志(英文版) | 被引量 : 0次 | 上传用户:kinter1113
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Celiac disease (CD) is a permanent auto-immune enteropathy,triggered in genetically predisposed individuals by the ingestion of dietary gluten. Gluten is the alcohol-soluble protein component of the cereals wheat, rye and barley. CD is a multifactorial condition,originating from the interplay of genetic and environmental factors. The necessary environmental trigger is gluten, while the genetic predisposition has been identified in the major histocompatibility complex region on chromosome 6p21, with over 90% of CD patients expressing HLA DQ2 and the remaining celiac patients express DQ8. The fact that only about 4% of DQ2/8-positive individuals exposed to gluten develop CD, has led to the recognition that other genetic and environmental factors are also necessary. In the last few years,several epidemiological studies have suggested that the timing of the introduction of gluten, as well as the patt of breastfeeding, may play an important role in the subsequent development of CD. Here, we present and review the most recent evidences regarding the effect of timing of gluten introduction during weaning, the amount of gluten introduced and simultaneous breastfeeding,on the development of CD.
其他文献
相关统计发现,糖尿病已成为仅次于心脑血管病、肿瘤的第三大健康杀手.江苏省的糖尿病患病率为2.6%,其中60岁以上为7.8%.而南京地区35岁以上人群糖尿病患病率约为6.8%.rn“南瓜能
目的 探讨变压器噪声对豚鼠旷场行为及听功能的影响.方法 取32只健康成年(5~6月龄)豚鼠随机分为实验组和对照组,每组16只.实验组给予录制的变压器噪声(声压级范围40.8~55 dB SP
先天性主动脉缩窄(CoA)是一种先天性大血管病变,未经治疗的CoA患者大多在30岁前死亡.现报道1例67岁首次诊断主动脉缩窄同时合并严重冠心病、冠脉三支病变并长期存活的老年患
肥胖指体内脂肪堆积过多和/或分布异常,通常伴有体重增加.肥胖是一种慢性代谢疾病,近年来全球肥胖人数急剧增长,在一些发达国家和地区人群患病情况已达到流行的程度.肥胖不仅
超声组织多普勒(tissue Doppler imaging,TDI)作为组织速度成像技术是一种非创伤定量检测局部心肌功能方法.TDI敏感性、无创、操作方便,准确性、特异性均优于常规超声心动图.
既往的国际共识为幽门螺杆菌(Helicobacter pylori,H.pylori感染的管理提供了一般性政策.但是,H.pylori的流行率和抗菌素耐药性、药物和内镜检查的可用性存在地理差异.因此,
期刊
端午节将至,粽子又成了必备食品.然而粽子好吃但并非人人皆宜,东南大学附属中大医院内分泌科主任金晖提醒,糖尿病患者最好吃清水粽子,不要吃有豆沙、蛋黄、肉等馅料的粽子,并
在去年由美国代谢与减肥手术协会和肥胖协会联合举办的年度科学会议肥胖之周2013 (ObesityWeek 2013)上,报告了一项新的研究发现,在这项针对接受减肥手术的严重肥胖妇女的研