Celiac Disease and the Microbiome.

Nutrients. 2019;11(10)

Plain language summary

Increasing evidence supports the hypothesis that changes in the intestinal microbiome is associated with various chronic diseases, including coeliac disease (CD). While it is known gluten consumption is one trigger for the onset of CD, other contributing factors remain largely unknown. The aim of this review was to summarize the current evidence on the relationship between the intestinal microbiome and CD. Based on the literature reviewed, the authors conclude though gut microbiome is suggested to be a trigger for the onset of CD, the current evidence is mixed. There is currently a multi-center prospective longitudinal study being done on celiac disease and the microbiome and the results from this are eagerly awaited.

Abstract

Growing evidence supports the hypothesis that changes in both the composition and function of the intestinal microbiome are associated with a number of chronic inflammatory diseases including celiac disease (CD). One of the major advances in the field of microbiome studies over the last few decades has been the development of culture-independent approaches to identify and quantify the components of the human microbiota. The study of nucleic acids DNA and RNA found in feces or other biological samples bypasses the need for tissue cultures and also allows the characterization of non-cultivable microbes. Current evidence on the composition of the intestinal microbiome and its role as a causative trigger for CD is highly heterogeneous and sometimes contradictory. This review is aimed at summarizing both pre-clinical (basic science data) and clinical (cross-sectional and prospective studies) evidence addressing the relationship between the intestinal microbiome and CD.

Lifestyle medicine

Patient Centred Factors : Mediators/Gut microbiome
Environmental Inputs : Nutrients ; Microorganisms
Personal Lifestyle Factors : Nutrition
Functional Laboratory Testing : Not applicable

Methodological quality

Allocation concealment : Not applicable
Publication Type : Journal Article ; Review

Metadata

Nutrition Evidence keywords : Coeliac disease ; Microbiome