Novel Therapeutic Strategies for Celiac Disease

Nastaran Asri, Mohammad Rostami-Nejad, Mostafa Rezaei-Tavirani, Mohammadreza Razzaghi, Hamid Asadzadeh-Aghdaei, Mohammad Reza Zali

Abstract


Celiac disease (CeD) is a widespread autoimmune enteropathy caused by dietary gluten peptides in genetically susceptible individuals, which includes a range of intestinal and extraintestinal manifestations. Currently, there is no effective treatment for CeD other than strict adherence to a gluten-free diet (GFD). However, persistent or frequent symptoms and also partial villus atrophy were observed in some patients with CeD due to intentional or inadvertent gluten exposure during the use of GFD. It means that GFD alone is not enough to control CeD symptoms and long-term complications. Accordingly, new therapeutic approaches for CeD treatment such as gluten proteolysis, removing gluten from the digestive tract, promoting tight junction assembly, inhibiting intestinal tissue transglutaminase 2, using probiotics, and developing immunotherapeutic methods have been proposed through different strategies. This review focused on discussing the novel therapeutic strategies for CeD management.


Keywords


Celiac disease; Gluten; Auto-immune; Villous atrophy; Diet, Gluten-free; Therapy

Full Text:

PDF


DOI: http://dx.doi.org/10.15171/middle%20east%20j%20di.v12i4.2325

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.