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Gluten, the inducer of chronic inflammation, metabolic and autoimmune conditions.

Melgar

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I have a couple of autoimmune disorders relating to gluten, Coeliac and Herpetiformis. My pancreas is also unable to produce enough insulin, despite having normal insulin sensitivity. I came across several research papers that cite gluten as a possible trigger for chronic inflammation as well as autoimmune disorders, not just Coeliac disease. Recently, gluten has come up a few times on threads here. So here are several research papers that maybe of interest. I have done a very brief summary.

Gluten is found in grains such as wheat, barley, rye and often oats, the latter due to x contamination. Gluten is made up of peptides, glutenin and gliadin. You will find gluten in so many foods, not just the obvious ones like bread, pastries, pasta, beer and sauces, but in unexpected food groups, like egg noodles, corn flakes, soups, french fries, soy sauce and restaurant eggs. Just look at the ingredient lists in foods on the supermarket shelves, wheat is often named in bold. Gluten adds an element of elasticity to food, it is a binder making foods like breads become fluffy, and light. Without gluten bread tends to be ‘cakey’ in consistency and rather unpleasant. You can actually buy gluten as an additive.

There are several things of note around gluten. Gluten is known to trigger inflammation in the body, not just in HLA DQ2 and DQ8 positive individuals. It interacts with the immune system in the gut. Gluten is also difficult to digest because of its peptides - glutenin and gliadin, gliadin making up 70% of the proteins in gluten. Gliadin is known to induce cell stress in the gut lining. This causes localized inflammatory response in the gut, IBS and GERD spring to mind. What gluten does is stretch the cells in the lining of the gut. This can make the gut lining more permeable allowing foreign molecules to enter the bloodstream and circulate around the body causing inflammation throughout the body including organs. The body responds to these foreign molecules with an immune response and the release of inflammatory molecules. It stimulates an immune response - an immunogenic effect. In other words it can stimulate the immune system which may lead to autoimmune diseases.

Parts of the body where these peptides have been found include the brain (Gluten Ataxia). In fact research has shown that gluten peptides may be a contributing factor in neurodegeneration, and chronic brain inflammation diseases. The thyroid gland (Hashimoto’s thyroiditis due to the gut-thyroid axis. The skin, herpetiformis a dermatological disruption, which I have. I also over produce histamines which may be another autoimmune response to gluten; and of course the pancreas (Type 1 DM) where gluten peptides have been found in the pancreatic islets, which apparently enhance beta-cell activity ‘increasing the expression of beta-cell antigens, and resulting in pancreatic autoimmunity’. Gluten peptides have also been found in the kidneys, the liver, and the heart.

I have attached the research papers which go into far great detail than my brief summary, but broadly speaking the immunogenic potential of gluten underscores its role as a universal trigger of inflammation and autoimmunity and not just Coeliac disease. These studies show that gluten is not just a concern for coeliacs but for everyone.

 
For me, gluten is the devil! Since the age of 18 I suffered with severe idiopathic hives , covering me from head to toe, for up to eight months, with huge hives. Included in that was severe eye and lip swelling. I can’t tell you how many times I ended up in emergency with doctors just sending me home with no answers. I also had asthma, many allergies, and eventually was diagnosed with Hashimotos. After a bout of acute pancreatitis (not alcohol related, I don’t drink) and uncontrolled Hashimotos (bad doctors) I finally got a doctor who cared, ran a pile of tests, got me properly medicated….she really saved me. She told me to stop eating gluten. She didn’t think I was celiac. I demanded testing, which I got….all tests negative. allergists in the past were awful but I did find a way to get tested without seeing a specialist. Those blood tests were enlightening! Severe allergies to both gluten and wheat…..my most favourite foods! My symptoms disappeared and I haven’t had a hive since 2018. I do blame gluten for my pancreatitis and current diabetes.
i actually stay away from all grains and feel amazing.
 
For me, gluten is the devil! Since the age of 18 I suffered with severe idiopathic hives , covering me from head to toe, for up to eight months, with huge hives. Included in that was severe eye and lip swelling. I can’t tell you how many times I ended up in emergency with doctors just sending me home with no answers. I also had asthma, many allergies, and eventually was diagnosed with Hashimotos. After a bout of acute pancreatitis (not alcohol related, I don’t drink) and uncontrolled Hashimotos (bad doctors) I finally got a doctor who cared, ran a pile of tests, got me properly medicated….she really saved me. She told me to stop eating gluten. She didn’t think I was celiac. I demanded testing, which I got….all tests negative. allergists in the past were awful but I did find a way to get tested without seeing a specialist. Those blood tests were enlightening! Severe allergies to both gluten and wheat…..my most favourite foods! My symptoms disappeared and I haven’t had a hive since 2018. I do blame gluten for my pancreatitis and current diabetes.
i actually stay away from all grains and feel amazing.
@Bcgirl If accidentally gluten myself I get hives along with all my other coeliac related issues. The hives can cover my entire back. The hives merge into one big hive. It hurts and itches at the same time. Accidentally glutening myself the hives return within an hour or so. IBS and GERD will show up soon after along with The herpetoformis which will show up about 8 hours later. And it’s all down to gluten. You are right gluten is the devil
 
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