Making Wheat Technically Gluten Free: New Research in Sourdough Methods. Marco Gobbetti
|
|
- Linette Henry
- 5 years ago
- Views:
Transcription
1 Making Wheat Technically Gluten Free: New Research in Sourdough Methods Marco Gobbetti Boston, November 9 11, 2014
2 A mixture of flour (wheat, rye, rice, etc ) and water, fermented by lactic acid bacteria and yeasts, which are responsible for its capacity to leaven a dough, while contemporarily and unavoidably acidifying it (Gobbetti, Trends Food Sci. Technol.)
3 How sourdough lactic acid bacteria and yeasts contribute to the organoleptic features of baked goods Acidification Proteolytic activity Moderate increase of the volume (heterofermentative lactic acid bacteria) Synthesis of volatile compounds Improvement of the dough gas retention Decrease of the rate of bread staling Synthesis of volatile compounds Increase of the volume
4 Biodiversity of the Italian sourdoughs Minervini et al., Applied Environ Microb, 78: L. plantarum, L. paralimentarius, Leuc. mesenteroides L. plantarum, L. paralimentarius L. sanfranciscensis, L. paralimentarius L. sanfranciscensis, L. gallinarum L. plantarum, L. casei, L. sanfranciscensis, P. inopinatus L. sanfranciscensis, L. plantarum, Lc. lactis, L. brevis, C. humilis L. sanfranciscensis, L. plantarum, C. humilis L. plantarum, P. pentosaceus W. cibaria, W. confusa P. pentosaceus L. plantarum, L. brevis, Lc. lactis, Carasau W. paramesenteroides, Leuc. mesenteroides L. sanfranciscensis L. sanfranciscensis L. sanfranciscensis, L. plantarum, L. brevis, L. rossiae, P. argentinicus L. plantarum, Leuc. citreum, L. sanfranciscensis, Leuc. citreum L. sanfranciscensis, E. durans, C. humilis L. sanfranciscensis, L. sakei, Leuc. mesenteroides L. spicheri, L. paralimentarius, K. exigua, K. barnetti L. sanfranciscensis, L. paralimentarius, L. namurensis
5 The first sourdough "library" (Saint-Vith, Belgium) in the world
6 Future therapeutic approaches for celiac disease treatment (Caputo et al., Enzyme Research doi /2010/174354; Gujral et al., World J Gastroenterol. 18: ) Therapeutic agent - Glutenenases and endoprotease Hydrolysis of toxic gliadin - Prolyl endopeptidase - Sourdough lactobacilli - Lyophilised bacteria (VSL#3) - Hexapeptide derived from zonula Prevention of gliadin absorbtion Larazotide occludens toxin ofvibrio cholera - Synthetic polymer poly - Anti-gliadin IgY - Dihydroisoxazoles ttg2 inhibitor - Cinnamoyltriazole - Aryl β-aminoethyl ketones - Three deamidated peptides derived Peptide vaccination from Wheat α-, ω-gliadin, β-hordein - Human hookworm inoculation Mechanism - HLA-DQ2 blocker Modulate immune response - Interleukin blocker - R-spondin-1 Restore intestinal architecture
7
8 The struggle of our research team against the gluten 18,000 6,000 Residual gluten (ppm) 2,480 < Time (year)
9 Pool 1 (ca. log 9/ml) St 1 2 Lb. brevis 14G Lb. alimentarius 15M Lb. hilgardii 51B Lb. sanfranciscensis 7A Pool 2 + (ca. log 8/ml) ϖ -gliadins α, β, ϖ -gliadins Lb. sanfranciscensis E14 Lb. sanfranciscensis E21 Lb. sanfranciscensis 174 Lb. sanfranciscensis 13 Lb. sanfranciscensis A1 Lb. sanfranciscensis Fungal proteases (200 ppm) (CAD) Alb.-Glob. Glutenins Gliadins hydrolized gliadins (SLP) Glutenins Water salt soluble St, European gliadin standard; 1, chemically acidified dough (CAD); 2, fermented dough (20% wheat flour) with pool 1, 2 and proteases (SLP) Organic nitrogen concentration of spray-dried flour R5-ELISA SLP < 10 ppm
10 Mechanisms of gluten proteolysis Fungal Prt Peptides Gluten Free amino acids Opp Dpp Dtp T Peptides H + Cell wall Membrane Cytoplasm LAB Peptidases (PepQ, PepX, PepO, PepN, PepP)
11 33 mer L-Q-L-Q-P-F-P-Q-P-Q-L-P-Y-P-Q-P-Q-L-P-Y-P-Q-P-Q-L-P-Y-P-Q-P-Q-P-F PepN/PepO/PEP L Q L-Q-P F-P-Q-P-Q L-P-Y-P-Q-P-Q L-P-Y-P-Q-P-Q L-P-Y-P-Q-P-Q-P-F PepN/PepX L Q P F-P Q-P-Q L-P Y-P Q-P-Q L-P Y-P Q-P-Q L-P Y-P Q-P Q-P-F PepQ/PepX F P Q-P Q L P Y P Q-P Q L P Y P Q-P Q L P Y P Q P Q-P F PepQ Q P Q P Q P Q P De Angelis et al. 2010, Appl Environ Microbiol 76:508 H + Amino acids
12 Other cereals Durum wheat cultivars Ciccio Colosseo Duilio Simeto Gluten < 10 ppm Other species Barley Rye Oat Gluten > 10 ppm Svevo
13 Viability of Caco-2/TC7 cells (De Angelis et al. 2006a) A 540 nm ctr PT rye LAB PT rye Intracellular F-actin reorganization (IEC-6) ** * Time (hours) ** * Zonulin Release (IEC-6) zonulin(ng/mg protein) 4 3,5 3 2,5 2 1,5 1 0,5 0 Control GliadinA Gliadin C Time 0 time 120 Tissue epithelial electrical resistance Delta Tissue Resist ance (Om hs/cm Ti me (m in ) CD3 + intraepithelial lymphocytes infiltration con tr ol Glut en A gluten C (De Angelis et al. 2006b) CD3+ cells/mm epithelium Agglutination test (K562) 0 VSL#3 CAD Medium (De Angelis et al. 2006b) Synthesis of NO (Caco-2) 10 nanomoles/mg prot/ml * ** (Di Cagno et al., 2004; De Angelis et al. 2006a, 2006b) Fas expression (biopsies) Caspase 3 activity (Caco-2) Caspase-3 activity (micromoles/min/ml) * ** ctr ctr LAB PT rye LAB PT rye 0 ctr ctr LAB PT rye LAB PT rye (De Angelis et al. 2006) (De Angelis et al. 2006a)
14 Clinical Challenge 1: Department of Pediatric, Sapienza - University of Roma Sweet baked goods (200 g) corresponding to 100 g of processed wheat flour which contained 10 g of hydrolyzed gluten Clinical challenge - Eight CD patients (age median 13, range 8-17 years), - Daily consumption of ca. 200 g of Sweet baked goods, - The challenge lasted 60 days (A) Total serum IgA IgA -AGA Serology analyses (A) and intestinal permeability (B) at 0 (t0), 30 (t1), and 60 (t2) days of the clinical challenge (B) IgG -AGA IgA -ttg
15 Clinical Challenge 2: Pediatrics and European Laboratory for the Study of Food Induced Diseases University of Naples, Federico II, Italy Biscuits (200 g) corresponding to 100 g of processed wheat flour which contained 8 g of hydrolyzed gluten Clinical challenge - Sixteen CD patients (age median 19, range years), - Daily consumption of ca. 200 g of biscuits, - The challenge lasted 60 days Greco et al. 2011, Clin Gastroenterol Hepatol 78:1087 Density of σδ + intraepithelial lymphocytes in jejunal biopsy from patient 4 F.I. at the beginning (panel A) and after 60 day of challenge (panel B) (A) (B) TIME ttg EMA MARSH ttg GRADE MARSH CD3 GRADE γδ CD25 CD3 γδ CD (pool S2 + proteasi fungine) F.I. t 0 NFBG 1.6 (controllo) NFBG T0 (controllo) A.An t 60 0 Negative 1.0 T T I.C. A.Am t 0 30 t 60 0 Light 1.9 positivity Negative 1.1 T T T1 0.9 T R.R. S.R. t 0 30 t 60 0 Positive 0.3 Negative 0.3 T T T T I.I. F.I. t 0 60 t 60 0 Positive 0.5 Light 0.3 positivity T0 >200 T T3b 8.4 T C.C. G.S. t 0 60 t 60 0 Positive 0.4 Negative 0.7 T T T3b 21 T ttg, anti-tissue t 60 Positive transglutaminase >200antibodies; T3bT0, normal L.R. duodenal t 0 mucosa; Negative CD3, T1, 0.5 architecturally T1 normal duodenal t 60 mucosa Positive with increased intraepithelial T3b S1BG (pool S1) lymphocytes infiltration; and CD3, γδ CD25 are markers S.A. for intraepithelial t 0 Negative lymphocytes in 0.5duodenal mucosa T t 60 Negative 0.5 T3a P.M. t 0 Negative 1.7 T t 60 Light positivity 9.2 T S2 BG (pool S2 + proteasi fungine)
16 Clinical Challenge 3: Pediatrics and European Laboratory for the Study of Food Induced Diseases University of Naples, Federico II, Italy Hydrolized wheat flour CLINICAL CHALLENGE IN PROGRESS 10 CD patients (range years) - Serology analyses - Morphometric analysis - Immunohistochemistry Time: t 0 t 1 t 2 t 3 - t 4 t 5 - t 6 MONTHS CLINICAL CHALLENGE IN PROGRESS 30 CD patients (range years) Gene Expression Profile of Peripheral Blood Monocytes
17 Water, wheat flour, fungal proteases, selected sourdough lactic acid bacteria 1 Addition of glutenfree ingredients (rice, mais, starch, gums) (short-time baker s yeast fermentation) Wheat gluten-free baked goods 12 Spray dryer (short-time baker s yeast fermentation) Wheat gluten-free flour - Long-time - Semi-liquid sourdough fermentation (structuring agents) Patent number(s) WO A1, US A1. Giuliani et al. 2014
18 Illusion Escher, 1974
19
20 The advantages Wheat gluten-free bread Naturally gluten-free bread Versus Better sensory properties Better rheology properties and extended shelf life Higher mineral, vitamin, amino acid and fiber bioavailability Lower costs Improved social life Dipartimento di Scienze del Suolo, della Pianta e degli Alimenti Università di Bari
21 Sourdough lactic acid bacteria and functional features Modification/increase of the bioavailability of dietary fibers, minerals and vitamins Decrease/elimination of wheat and rye allergies, and intolerance/sensitivity to gluten Enhancement of antioxidant activity Gluten-free productcs and celiac disease Pre-treatment of raw materials (i.e. wheat germ and bran) and use of byproducts of milling Decrease of glycaemic index / response Synthesis of exopolysaccharides Synthesis of bioactive peptides, amino acid derivatives and biogenic compounds (Katina et al., Trends Food Sci Technol. 2005; Katina et al., Food Microbiol. 2007; Gobbetti et al. Food Microbiol. 2014)
22 Sourdough biotechnology with lactic acid bacteria and enzymes to produce safe wheat foods for people suffering from irritable bowel syndrome (IBS) and non-celiac gluten sensitivity (NCGS) WHEATFORALL Phase I (Biotechnology) Phase II (Food processing) Phase III (Clinical) A Selection and use of enzymes and sourdough lactic acid bacteria (LAB) B Fermentation by fructophilic lactic acid bacteria (FLAB) C E F Reconstitution of Bread and Faecal and urine the sourdough pasta Clinical food microbiome and microbiota and processing challenges metabolome use/propagation D Drying In vivo clinical food challenges with IBS and NCGS people Fructose fermentation Full hydrolysis of fructans Full hydrolysis of ATIs Partial hydrolysis of gluten
23 - High throughput sequencing of sourdough microbiota - - Panis erat primis virides mortalibus herbae - (Annibale Carracci, 1646)
24
ORIGINAL ARTICLES ALIMENTARY TRACT. Safety for Patients With Celiac Disease of Baked Goods Made of Wheat Flour Hydrolyzed During Food Processing
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY 2011;9:24 29 ORIGINAL ARTICLES ALIMENTARY TRACT Safety for Patients With Celiac Disease of Baked Goods Made of Wheat Flour Hydrolyzed During Food Processing LUIGI
More informationDEAMIDATED GLIADIN PEPTIDES IN COELIAC DISEASE DIAGNOSTICS
DEAMIDATED GLIADIN PEPTIDES IN COELIAC DISEASE DIAGNOSTICS Z. Vanickova 1, P. Kocna 1, K. Topinkova 1, M. Dvorak 2 1 Institute of Clinical Biochemistry & Laboratory Diagnostics; 2 4th Medical Department,
More informationDiagnosis Diagnostic principles Confirm diagnosis before treating
Diagnosis 1 1 Diagnosis Diagnostic principles Confirm diagnosis before treating Diagnosis of Celiac Disease mandates a strict gluten-free diet for life following the diet is not easy QOL implications Failure
More informationIs It Celiac Disease or Gluten Sensitivity?
Is It Celiac Disease or Gluten Sensitivity? Mark T. DeMeo MD, FACG Rush University Med Center Case Study 35 y/o female Complains of diarrhea, bloating, arthralgias, and foggy mentation Cousin with celiac
More informationNew Gluten World S.r.l. Carmen Lamacchia
EURO GLOBAL SUMMIT AND EXPO ON FOOD AND BEVERAGES AN INNOVATIVE METHOD FOR THE DETOXIFICATION OF GLUTEN PROTEINS FROM GRAINS OF CEREALS New Gluten World S.r.l. Carmen Lamacchia Lead inventor and founder
More informationCeliac Disease: The Quintessential Autoimmune Disease Ivor D. Hill, MB, ChB, MD.
Celiac Disease: The Quintessential Autoimmune Disease Ivor D. Hill, MB, ChB, MD..... Celiac Disease Autoimmune Diseases What are they? How do you get them? Why does it matter? Celiac Disease Autoimmune
More informationPrimary Care Update January 26 & 27, 2017 Celiac Disease: Concepts & Conundrums
Primary Care Update January 26 & 27, 2017 Celiac Disease: Concepts & Conundrums Alia Hasham, MD Assistant Professor Division of Gastroenterology, Hepatology & Nutrition What is the Preferred Initial Test
More informationNovember Laboratory Testing for Celiac Disease. Inflammation in Celiac Disease
November 2011 Gary Copland, MD Chair, Department of Pathology, Unity Hospital Laboratory Medical Director, AMC Crossroads Chaska and AMC Crossroads Dean Lakes Laboratory Testing for Celiac Disease Celiac
More informationTherapeutical implication of regulatory cells and cytokines in celiac disease
Institute of Food Sciences, CNR Avellino, Italy Therapeutical implication of regulatory cells and cytokines in celiac disease Carmen Gianfrani Mastering the coeliac condition: from medicine to social sciences
More informationLarazotide Acetate. Alessio Fasano, M.D. Mucosal Biology Research Center and Center for Celiac Research University of Maryland School of Medicine
Larazotide Acetate Alessio Fasano, M.D. Mucosal Biology Research Center and Center for Celiac Research University of Maryland School of Medicine Alternative/Integrative Approaches To The Gluten Free Diet
More informationBaboons Affected by Hereditary Chronic Diarrhea as a Possible Non-Human Primate Model of Celiac Disease
Baboons Affected by Hereditary Chronic Diarrhea as a Possible Non-Human Primate Model of Celiac Disease Debby Kryszak 1, Henry McGill 2, Michelle Leland 2,, Alessio Fasano 1 1. Center for Celiac Research,
More informationSee Policy CPT CODE section below for any prior authorization requirements
Effective Date: 1/1/2019 Section: LAB Policy No: 404 Medical Policy Committee Approved Date: 12/17; 12/18 1/1/19 Medical Officer Date APPLIES TO: All lines of business See Policy CPT CODE section below
More informationDiagnostic Testing Algorithms for Celiac Disease
Diagnostic Testing Algorithms for Celiac Disease HOT TOPIC / 2018 Presenter: Melissa R. Snyder, Ph.D. Co-Director, Antibody Immunology Laboratory Department of Laboratory Medicine and Pathology, Mayo Clinic
More informationCeliac Disease and Non Celiac Gluten Sensitivity. John R Cangemi, MD Mayo Clinic Florida
Celiac Disease and Non Celiac Gluten Sensitivity John R Cangemi, MD Mayo Clinic Florida DISCLOSURE Commercial Interest None Off Label Usage None Learning Objectives Review the clinical presentation of
More informationDiseases of the gastrointestinal system Dr H Awad Lecture 5: diseases of the small intestine
Diseases of the gastrointestinal system 2018 Dr H Awad Lecture 5: diseases of the small intestine Small intestinal villi Small intestinal villi -Villi are tall, finger like mucosal projections, found
More informationFunctional Medicine Is the application of alternative holistic measures to show people how to reverse thyroid conditions, endocrine issues, hormone
Functional Medicine Is the application of alternative holistic measures to show people how to reverse thyroid conditions, endocrine issues, hormone issues, fibromyalgia, autoimmunity diseases and the like.
More informationDisclosures GLUTEN RELATED DISORDERS CELIAC DISEASE UPDATE OR GLUTEN RELATED DISORDERS 6/9/2015
Disclosures CELIAC DISEASE UPDATE OR GLUTEN RELATED DISORDERS 2015 Scientific Advisory Board: Alvine Pharmaceuticals, Alba Therapeutics, ImmunsanT Peter HR Green MD Columbia University New York, NY GLUTEN
More informationDiet Isn t Working, We Need to Do Something Else
Diet Isn t Working, We Need to Do Something Else Ciarán P Kelly, MD Celiac Center Beth Israel Deaconess Medical Center & Celiac Program Harvard Medical School Boston Gluten Free Diet (GFD) Very good but
More informationChallenges in Celiac Disease. Adam Stein, MD Director of Nutrition Support Northwestern University Feinberg School of Medicine
Challenges in Celiac Disease Adam Stein, MD Director of Nutrition Support Northwestern University Feinberg School of Medicine Disclosures None Overview Celiac disease Cases Celiac disease Inappropriate
More informationCeliac Disease Ce. Celiac Disease. Barry Z. Hirsch, M.D. Baystate Pediatric Gastroenterology and Nutrition. baystatehealth.org/bch
Celiac Disease Ce Celiac Disease Barry Z. Hirsch, M.D. Baystate Pediatric Gastroenterology and Nutrition baystatehealth.org/bch Autoimmune Disease Inappropriate inflammation 1 1/21/15 Celiac Disease Classic
More informationGluten Sensitivity Fact from Myth. Disclosures OBJECTIVES 18/09/2013. Justine Turner MD PhD University of Alberta. None Relevant
Gluten Sensitivity Fact from Myth Justine Turner MD PhD University of Alberta Disclosures None Relevant OBJECTIVES Understand the spectrum of gluten disorders Develop a diagnostic algorithm for gluten
More informationNew Insights on Gluten Sensitivity
New Insights on Gluten Sensitivity Sheila E. Crowe, MD, FRCPC, FACP, FACG, AGAF Department of Medicine University of California, San Diego Page 1 1 low fat diet low carb diet gluten free diet low fat diet
More informationCONTEMPORARY CONCEPT ON BASIC APSECTS OF GLUTEN-SENSITIVE ENTEROPATHY IN ELDERLY PATIENTS
VIII, 2014, 1 33. 1,. 2,. - 1,. 1. 3 1,., 2,., 3, CONTEMPORARY CONCEPT ON BASIC APSECTS OF GLUTEN-SENSITIVE ENTEROPATHY IN ELDERLY PATIENTS Ts. Velikova 1, Z. Spassova 2,. Ivanova-Todorova 1, D. Kyurkchiev
More informationCeliac Disease: The Future. Alessio Fasano, M.D. Mucosal Biology Research Center University of Maryland School of Medicine
Celiac Disease: The Future Alessio Fasano, M.D. Mucosal Biology Research Center University of Maryland School of Medicine Normal small bowel Celiac disease Gluten Gluten-free diet Treatment Only treatment
More informationWhen life throws you lemons, how new innovations and good bacteria selection can help tame the acidity in cool climate wines
When life throws you lemons, how new innovations and good bacteria selection can help tame the acidity in cool climate wines Dr. Sibylle Krieger-Weber R&D Bacteria, Lallemand Germany VitiNord August 2
More informationPeter HR Green MD. Columbia University New York, NY
CELIAC DISEASE, 2008 Peter HR Green MD Celiac Disease Center Columbia University New York, NY pg11@columbia.edu DIAGNOSIS OF CELIAC DISEASE Presence of consistent pathology and response to a gluten-free
More informationCeliac disease: Beyond Glutenfree. AmerEl Sayed, MD LSGE- Annual Meeting 2014
Celiac disease: Beyond Glutenfree diet AmerEl Sayed, MD LSGE- Annual Meeting 2014 Pathogenesis Auto-immune disease, 1% western population 3 main pathways Host Genetic background HLA-DQ2 HLA-DQ8 Non-HLA
More informationGluten-Free China Gastro Q&A
Gluten-Free China Gastro Q&A Akiko Natalie Tomonari MD akiko.tomonari@parkway.cn Gastroenterology Specialist ParkwayHealth Introduction (of myself) Born in Japan, Raised in Maryland, USA Graduated from
More informationActivation of Innate and not Adaptive Immune system in Gluten Sensitivity
Activation of Innate and not Adaptive Immune system in Gluten Sensitivity Update: Differential mucosal IL-17 expression in gluten sensitivity and the autoimmune enteropathy celiac disease A. Sapone, L.
More informationBIOPSY AVOIDANCE IN CHILDREN: THE EVIDENCE
BIOPSY AVOIDANCE IN CHILDREN: THE EVIDENCE Steffen Husby Hans Christian Andersen Children s Hospital Odense University Hospital DK-5000 Odense C, Denmark Agenda Background Algorithm Symptoms HLA Antibodies
More informationCoeliac disease. Do I have coeliac. disease? Diagnosis, monitoring & susceptibilty. Laboratory flowsheet included
Laboratory flowsheet included I have coeliac disease. What monitoring tests should be performed? Do I have coeliac disease? Are either of our children susceptible to coeliac disease? Monitoring tests Diagnostic
More informationThe immunopathogenesis of celiac disease reveals possible therapies beyond the gluten-free diet
Semin Immunopathol (2012) 34:581 600 DOI 10.1007/s00281-012-0318-8 REVIEW ARTICLE The immunopathogenesis of celiac disease reveals possible therapies beyond the gluten-free diet Christopher S. McAllister
More informationSpectrum of Gluten Disorders
Food Intolerance:Celiac Disease and Gluten Sensitivity-A Guide for Healthy Lifestyles Ellen Karlin 2018 Spectrum of Gluten Disorders Wheat allergy - prevalence 3-8 % (up to 3 years old) Non-celiac gluten
More informationThe Gluten Free Diet and Potential Alternative Therapies: The Road Ahead
The Gluten Free Diet and Potential Alternative Therapies: The Road Ahead Daniel Leffler MD, MS Associate Professor of Medicine Harvard Medical School HARVARD MEDICAL SCHOOL Let Thy Food Be Thy Medicine
More informationCoeliac disease: pathogenesis. Riccardo Troncone
Coeliac disease: pathogenesis Riccardo Troncone Department of Pediatrics & European Laboratory for the Investigation of Food-Induced Diseases University Federico II, Naples, Italy Definition of Celiac
More informationThe Health and Nutritional Benefits of Tritordeum, a New Cereal
The Health and Nutritional Benefits of Tritordeum, a New Cereal CONTENTS What is Tritordeum? Tritordeum history Cereal genealogy tree Wheat, Triticale, Tritordeum Nutritional properties Value Chain Price
More informationIntroduction to MLF and biodiversity
Introduction to MLF and biodiversity Maret du Toit DEPARTMENT OF VITICULTURE AND OENOLOGY INSTITUTE FOR WINE BIOTECHNOLOGY Stellenbosch University E-mail: mdt@sun.ac.za Microbiology of wine your perpsectives
More informationCeliac Disease. Detlef Schuppan HARVARD MEDICAL SCHOOL
Celiac Disease Detlef Schuppan Falk Symposium in the Intestinal Tract: Pathogenesis and Treatment, Kiev,, Ukraine, May 15-16, 16, 2009 HARVARD MEDICAL SCHOOL Celiac Disease Intolerance to gluten from wheat,
More informationAm I a Silly Yak? Laura Zakowski, MD. No financial disclosures
Am I a Silly Yak? Laura Zakowski, MD No financial disclosures Patient NP 21 year old male with chronic headaches for 6 years extensively evaluated and treated Acupuncturist suggests testing for celiac
More informationRebecca Rovay-Hazelton Licensed Nutritionist, Functional Diagnostic Nutritionist
Rebecca Rovay-Hazelton Licensed Nutritionist, Functional Diagnostic Nutritionist Section 1: What is gluten? Foods containing gluten Section 2: What is gluten intolerance? Section 3: Testing for gluten
More informationUse of ancient wheat crops for the diet of non-celiac gluten sensitive patients
Use of ancient wheat crops for the diet of non-celiac gluten sensitive patients Giuseppe Mazzarella Institute of Food Sciences-CNR - Avellino 9th PROBIOTICS, PREBIOTICS & NEW FOODS, NUTRACEUTICALS AND
More informationMeredythe A. McNally, M.D. Gastroenterology Associates of Cleveland Beachwood, OH
Meredythe A. McNally, M.D. Gastroenterology Associates of Cleveland Beachwood, OH Case in point 42 year old woman with bloating, gas, intermittent diarrhea alternating with constipation, told she has IBS
More informationCELIAC DISEASE - GENERAL AND LABORATORY ASPECTS Prof. Xavier Bossuyt, Ph.D. Laboratory Medicine, Immunology, University Hospital Leuven, Belgium
CELIAC DISEASE - GENERAL AND LABORATORY ASPECTS Prof. Xavier Bossuyt, Ph.D. Laboratory Medicine, Immunology, University Hospital Leuven, Belgium 5.1 Introduction Celiac disease is a chronic immune-mediated
More informationImmune mediated enteropathies. Aurora Tatu Bern 26/07/2017
Immune mediated enteropathies Aurora Tatu Bern 26/07/2017 Definition/classification Systemic disease, mediated by antibodies, caracterised by histological changes of the small bowel Coeliac and noncoeliac
More informationProduct Catalogue. Experience, Technology, Products
Product Catalogue Experience, Technology, Products ENZYMES Enzymes are biocatalysts used in industry in order to achieve specific technological goals. ABIASA offers a wide range of enzymes for application
More informationOrganic - functional. Opposing views. Simple investigation of GI disorders. The dollar questions. Immune homeostasis of mucosa
Mucosal immunology and immunopathology (IBD, CD & NCGS) Ass. Prof. Knut E. A. Lundin, MD, PhD Endoscopy Unit, Dept of Transplantation medicine Centre for Immune Regulation www.med.uio.no/cir/english Oslo
More informationEpidemiology. The old Celiac Disease Epidemiology:
Epidemiology 1 1 Epidemiology The old Celiac Disease Epidemiology: A rare disorder typical of infancy Wide incidence fluctuates in space (1/400 Ireland to 1/10000 Denmark) and in time A disease of essentially
More informationCeliac Disease: You ve Come A Long Way Baby!
Celiac Disease: You ve Come A Long Way Baby! Celiac Disease (CD): How You ve Changed Increasing numbers of people have celiac disease Changing ways in which celiac disease presents A better understanding
More informationNo relevant financial relationships to disclose
CELIAC DISEASE Michael H. Piper, MD, FACP, FACG Gastroenterology Program Director Chief of Gastroenterology Providence-Providence Park Hospitals/St. John Macomb Hospital No relevant financial relationships
More informationShould you be Gluten Free? Gluten Sensitivity: Today s Most Under Recognized Medical Condition. Disclosures. Gluten Confusion 2/10/2014
Disclosures Gluten Sensitivity: Today s Most Under Recognized Medical Condition Author: South Beach Diet Gluten Solution Arthur Agatston Should you be Gluten Free? Gluten Confusion What is gluten? What
More informationSlides and Resources.
Update on Celiac Disease Douglas L. Seidner, MD, AGAF, FACG Director, Center for Human Nutrition Vanderbilt University As revised/retold by Edward Saltzman, MD Tufts University None Disclosures This ppt
More informationGluten sensitivity in Multiple Sclerosis Experimental myth or clinical truth?
Gluten sensitivity in Multiple Sclerosis Experimental myth or clinical truth? Annals of the New York Academy of Sciences, Vol 1173, Issue 1, page 44, Issue published online 3 Sep 2009. Dana Ben-Ami Shor,
More informationAnalysing the shipwreck beer
Analysing the shipwreck beer Annika Wilhelmson, John Londesborough and Riikka Juvonen VTT Technical Research Centre of Finland Press conference 10 th May 2012 2 The aim of the research was to find out
More informationCeliac Disease 1/13/2016. Objectives. Question 1. Understand the plethora of conditions or symptoms that require testing for Celiac Disease (CD)
Celiac Disease MONTE E. TROUTMAN, DO, FACOI JANUARY 6, 2016 Objectives Understand the plethora of conditions or symptoms that require testing for Celiac Disease (CD) Develop a knowledge of testing needed
More informationInfluence of yeast strain choice on the success of Malolactic fermentation. Nichola Hall Ph.D. Wineries Unlimited, Richmond VA March 29 th 2012
Influence of yeast strain choice on the success of Malolactic fermentation Nichola Hall Ph.D. Wineries Unlimited, Richmond VA March 29 th 2012 INTRODUCTION Changing conditions dictate different microbial
More informationOHTAC Recommendation
OHTAC Recommendation Clinical Utility of Serologic Testing for Celiac Disease in Ontario Presented to the Ontario Health Technology Advisory Committee in April and October, 2010 December 2010 Background
More informationCeliac & Gluten Sensitivity; serum
TEST NAME: Celiac & Gluten Sensitivity (Serum) Celiac & Gluten Sensitivity; serum ANTIBODIES REFERENCE RESULT/UNIT INTERVAL NEG WEAK POS POSITIVE Tissue Transglutaminase (ttg) IgA 1420 U < 20.0 Tissue
More informationUNDERSTANDING COELIAC DISEASE
UNDERSTANDING COELIAC DISEASE COELIAC DISEASE Coeliac Disease (CD) is an immune-mediated systemic disorder generated by gluten intake in genetically susceptible individuals. When someone with coeliac disease
More informationName of Policy: Human Leukocyte Antigen (HLA) Testing for Celiac Disease
Name of Policy: Human Leukocyte Antigen (HLA) Testing for Celiac Disease Policy #: 545 Latest Review Date: June 2015 Category: Laboratory Policy Grade: B Background/Definitions: As a general rule, benefits
More informationFUNCTIONAL AND TECHNOLOGICAL PROPERTIES OF OAT GRAIN AND A LINE OF PROMISING FOOD PRODUCTS ON ITS BASIS
Graduate School of Biotechnology and Food Science Department of Technology and Organization of Nutrition FUNCTIONAL AND TECHNOLOGICAL PROPERTIES OF OAT GRAIN AND A LINE OF PROMISING FOOD PRODUCTS ON ITS
More informationCHAPTER 1 INTRODUCTION
CHAPTER 1 INTRODUCTION 1.1. Background Bread is one of the most widely-consumed food products in the world and breadmaking technology is probably one of the oldest technologies known. This technology has
More informationCeliac disease Crohn s disease Ulcerative colitis Pseudomembranous colitis
2017 / 2018 2nd semester/3rd practice Celiac disease Crohn s disease Ulcerative colitis Pseudomembranous colitis Semmelweis University 2nd Department of Pathology CELIAC DISEASE = Gluten-sensitive enteropathy
More informationCeliac disease (CD) is a gluten-sensitive enteropathy with. Comparative Usefulness of Deamidated Gliadin Antibodies in the Diagnosis of Celiac Disease
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY 2008;6:426 432 Comparative Usefulness of Deamidated Gliadin Antibodies in the Diagnosis of Celiac Disease SHADI RASHTAK,* MICHAEL W. ETTORE, HENRY A. HOMBURGER,
More informationThe first and only fully-automated, random access, multiplex solution for Celiac IgA and Celiac IgG autoantibody testing.
Bio-Rad Laboratories bioplex 2200 SYSTEM BioPlex 2200 Celiac IgA and IgG Kits * The first and only fully-automated, random access, multiplex solution for Celiac IgA and Celiac IgG autoantibody testing.
More informationInternational Journal of Health Sciences and Research ISSN:
International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Original Research Article Role of Blood TTG and Small Intestine Biopsy in Diagnosis of Celiac Disease Anil Batta Professor,
More informationUnderstanding Celiac Disease
Understanding Diagnostic Challenges Sheryl Pfeil, MD Professor of Clinical Medicine Division of Gastroenterology, Hepatology and Nutrition Department of Internal Medicine The Ohio State University Wexner
More informationUnderstanding Celiac Disease
Understanding Celiac Disease Diagnostic Challenges Sheryl Pfeil, MD Professor of Clinical Medicine Division of Gastroenterology, Hepatology and Nutrition Department of Internal Medicine The Ohio State
More informationPresentation and Evaluation of Celiac Disease
Presentation and Evaluation of Celiac Disease C. CUFFARI, MD, FRCPC, FACG, AGAF The Johns Hopkins Hospital Baltimore MD. Main Points Celiac disease is not rare (1 in 100-300) It can present in many ways:
More informationEvidence Based Guideline
Evidence Based Guideline Serologic Diagnosis of Celiac Disease File Name: Origination: Last CAP Review: Next CAP Review: Last Review: serologic_diagnosis_of_celiac_disease 4/2012 Description of Procedure
More informationThe first and only fully-automated, random access, multiplex solution for Celiac IgA and Celiac IgG autoantibody testing.
Bio-Rad Laboratories BIOPLEX 2200 SYSTEM BioPlex 2200 Celiac IgA and IgG Kits The first and only fully-automated, random access, multiplex solution for Celiac IgA and Celiac IgG autoantibody testing. The
More informationGluten and the skin: Celiac disease and gluten sensitivity for the dermatologist
2/10/18 Gluten and the skin: Celiac disease and gluten sensitivity for the dermatologist 76th Annual American Academy of Dermatology Meeting February 16th, 2017 Matthew Goldberg, MD Assistant Professor,
More informationMATURITY AND RIPENING PROCESS MATURITY
MATURITY AND RIPENING PROCESS MATURITY It is the stage of fully development of tissue of fruit and vegetables only after which it will ripen normally. During the process of maturation the fruit receives
More informationMarch Monthly Update, Quest Diagnostics Nichols Institute, Valencia
TEST CHANGES Please Note: Not all test codes assigned to each assay are listed in the table of contents. Please refer to the complete listing on the page numbers indicated. Test Code Former Test Code Test
More informationNatural Dough Relaxation
Your Partner in Flour & Baking Technology Natural Dough Relaxation Using Inactive Yeast By Ernst Benier Pressed Wheat Tortillas and the need for dough relaxation Process: Developed dough Short rest 5 10
More informationPatient Information - Diets.
GLUTEN-FREE DIET A gluten-free diet is most commonly used as a treatment for celiac disease, also known as celiac sprue or gluten-sensitive enteropathy. For more information on celiac disease, please visit
More informationClinical updates on diagnosing glutensensitive enteropathy
Editorial Acta Medica Academica 2011;40(2):105-109 DOI 10.5644/ama2006-124.13 Clinical updates on diagnosing glutensensitive enteropathy Faruk Hadziselimovic 1, 2, Annemarie Bürgin-Wolff 1 1 Institute
More informationThe Clinical Response to Gluten Challenge: A Review of the Literature
Nutrients 2013, 5, 4614-4641; doi:.3390/nu5114614 Review OPEN ACCESS nutrients ISSN 2072-6643 www.mdpi.com/journal/nutrients The Clinical Response to Gluten Challenge: A Review of the Literature Maaike
More informationCeliac Disease. Sheryl Pfeil, MD The Ohio State University Division of Gastroenterology, Hepatology, and Nutrition. January 2015
Celiac Disease Sheryl Pfeil, MD The Ohio State University Division of Gastroenterology, Hepatology, and Nutrition January 2015 Objectives Review the clinical presentation of celiac disease, including intestinal
More informationCRODA EUROPE LTD CIR EXPERT PANEL MEETING MARCH 17, WASHINGTON DC HYDROLYSED WHEAT PROTEINS AND ALLERGY. Innovation you can build on TM
CRODA EUROPE LTD CIR EXPERT PANEL MEETING MARCH 17, WASHINGTON DC HYDROLYSED WHEAT PROTEINS AND ALLERGY Contents Hydrolysis of proteins and what this means and how it is achieved. Measurement of molecular
More informationSaeeda Almarzooqi, 1 Ronald H. Houston, 2 and Vinay Prasad Introduction
Pathology Research International Volume 2013, Article ID 602985, 5 pages http://dx.doi.org/10.1155/2013/602985 Clinical Study Utility of Tissue Transglutaminase Immunohistochemistry in Pediatric Duodenal
More informationRecent advances in celiac disease
Online Submissions: http://www.wjgnet.com/1007-9327office wjg@wjgnet.com doi:10.3748/wjg.v17.i18.2259 World J Gastroenterol 2011 May 14; 17(18): 2259-2272 ISSN 1007-9327 (print) ISSN 2219-2840 (online)
More informationUlrick&Short. Technical Briefing Functionality of Sugar in Cakes. starches flours fibres proteins. Technically the Best
Ulrick&Short Technically the Best Technical Briefing Functionality of Sugar in Cakes starches flours fibres proteins Ulrick&Short Technically the Best Functionality of Sugar in Cakes In July 2015 the Scientific
More informationStudies regarding the obtaining and sensory analysis of gluten-free muffins with buckwheat flour addition
Available online at http://journal-of-agroalimentary.ro Journal of Agroalimentary Processes and Technologies 2015, 21(3), 222-226 Journal of Agroalimentary Processes and Technologies Studies regarding
More informationNon-dietary methods in the treatment of celiac disease
Review paper Anna Szaflarska-Popławska Department of Paediatric Endoscopy and Gastrointestinal Function Testing, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun,
More informationINTEGRATIVE MEDICINE
TEST PATIENT TEST PHYSICIAN DR JOHN DOE 6DPSOH 7HVW 1DPH Sex : ) 111 CLINIC ST5((7 DDWH Collected : 00-00-0000 &/,1,& 68%85% 9,& 111 7(67 ROAD TEST SUBURB /AB,': 00000000 UR#:0000000 IgA P: 1300 688 522
More informationCELIAC SPRUE. What Happens With Celiac Disease
CELIAC SPRUE Celiac Disease (CD) is a lifelong, digestive disorder affecting children and adults. When people with CD eat foods that contain gluten, it creates an immune-mediated toxic reaction that causes
More informationCELIAC DISEASE. Molly Jennings Deb McCafferty MS, RD
CELIAC DISEASE Molly Jennings Deb McCafferty MS, RD WHAT IS CELIAC DISEASE? In short In this disease, exposure to gluten results in damge to the intestinal mucosa. Immune-mediated disorder Also known as
More informationMeasuring Sulfur Dioxide: A Perennial Issue. Tom Collins Fosters Wine Estates Americas
Measuring Sulfur Dioxide: A Perennial Issue Tom Collins Fosters Wine Estates Americas 5 February 2010 Measuring SO 2 : A Perennial Issue In the collaborative proficiency testing program managed by ASEV
More informationG. Ferrara 1, A. Mazzeo 1, A.M.S. Matarrese 1, C. Pacucci 1, V. Gallo 2,3
G. Ferrara 1, A. Mazzeo 1, A.M.S. Matarrese 1, C. Pacucci 1, V. Gallo 2,3 1 Dipartimento di Scienze del Suolo, della Pianta e degli Alimenti - University of Bari Aldo Moro, via Amendola 165/A - 70126 Bari
More informationTEST BULLETIN SUMMARY
March 2018 Dear Healthcare Provider, The information contained here may be very important to your practice. Please take a moment to review this document. CHLAMYDIA/GONORRHEA SPECIMEN COLLECTION UPDATE
More informationRIDASCREEN Gliadin. Validation Report. R-Biopharm AG. Art.No. R7001
RIDASCREEN Gliadin Art.No. R7001 AOAC-Official Method New of Analysis (2012.01) AOAC-RI certified (120601) Codex Alimentarius Method (Type I) Validation Report Test validation RIDASCREEN Gliadin is a sandwich
More informationSheila E. Crowe, MD, FACG
1A: Upper Gut Celiac Disease: When to Look and How? Sheila E. Crowe, MD, FACG Learning Objectives At the end of this presentation, the successful learner should be able to: Identify the many groups of
More informationNutrition 1 amino acids The chemical building blocks of proteins. 2 ascorbic acid Vitamin C 3 BMR Basal metabolism, or the rate of energy use by the
C ULINARY ARTS Nutrition 1 amino acids The chemical building blocks of proteins. 2 ascorbic acid Vitamin C 3 BMR Basal metabolism, or the rate of energy use by the body for automatic processes. 4 calcium
More information(12) Patent Application Publication (10) Pub. No.: US 2012/ A1
(19) United States (12) Patent Application Publication (10) Pub. No.: US 2012/0107847 A1 Bruins et al. US 2012107847A1 (43) Pub. Date: May 3, 2012 (54) (75) (73) (21) (22) (86) (30) TESTING EFFICACY FRCELIAC
More informationCeliac Disease: An Overview and Personal
Celiac Disease: An Overview and Personal Perspective By: Rie-ann Jansen BSN RN CGRN January 20, 2016 Celiac Disease an Overview and Personal Perspective OBJECTIVES: At the conclusion of this presentation,
More informationModule 2: Role of ingredients in baked products manufacture- i) wheat flour, flour improvers and water.
Paper No. 09 Paper Title: Bakery and Confectionery Products Module 2: Role of ingredients in baked products manufacture- i) wheat flour, flour improvers and water. The different baking ingredients can
More informationFood Technology 2014 DEVELOPMENT OF GLUTEN-FREE MILK-FREE FRENCH BREAD. By Annette Bentley
Food Technology 2014 DEVELOPMENT OF GLUTEN-FREE MILK-FREE FRENCH BREAD By Annette Bentley Gluten-Free/Milk-Free Bread A search for palatable and tasty gluten-free/milk free breads was performed in both
More informationImmuno Bloodprint Reactive Foods:
Patient: Sample Patient Physician: Sample Physician Immuno Bloodprint Reactive Foods: Bean, Kidney (+2) Milk, Goat s (+1) Sesame (+1) Bean, Pinto (+1) Mushroom (+1) Soybean (+1) Cheese (+1) Oat (+1) Spinach
More informationDr.Nibras Nazar. Microbial Biomass Production: Bakers yeast
Microbial biomass In a few instances the cells i.e. biomass of microbes, has industrial application as listed in Table 3. The prime example is the production of single cell proteins (SCP) which are in
More informationGLUTEN FREE WHY AND HOW TO GO GLUTEN FREE
GLUTEN FREE WHY AND HOW TO GO GLUTEN FREE Background on Gluten Gluten the protein in strains of wheat, including all kinds of flour including durum (used for flour), semolina (used in pasta), spelt, kamut,
More information