Gluten sensitivity: from gut to brain
Abstract
Gluten sensitivity is a systemic autoimmune disease with diverse manifestations. This disorder is characterised by abnormal immunological responsiveness to ingested gluten in genetically susceptible individuals. Coeliac disease, or gluten-sensitive enteropathy, is only one aspect of a range of possible manifestations of gluten sensitivity. Although neurological manifestations in patients with established coeliac disease have been reported since 1966, it was not until 30 years later that, in some individuals, gluten sensitivity was shown to manifest solely with neurological dysfunction. Furthermore, the concept of extraintestinal presentations without enteropathy has only recently become accepted. In this Personal View, we review the range of neurological manifestations of gluten sensitivity and discuss recent advances in the diagnosis and understanding of the pathophysiological mechanisms underlying neurological dysfunction related to gluten sensitivity.
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The autoimmune target in neurologic gluten sensitivity is TG6 rather than TG2.
“The autoimmune target in neurologic gluten sensitivity is TG6 rather than TG2, which is the target for autoantibodies measured in commercial tests.47”
From The Gut Microbiome and the Brain (2014) · cites this paper as [47]
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The Oslo definitions for coeliac disease and related terms
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Self-citationGluten-Related Disorders: Gluten Ataxia
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Self-citationExtra-intestinal manifestations of non-celiac gluten sensitivity: An expanding paradigm
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Immune Development and Intestinal Microbiota in Celiac Disease
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The spectrum of noncoeliac gluten sensitivity
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Self-citationPrevalence of celiac disease in multiple sclerosis
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Self-citationManagement of celiac disease in daily clinical practice
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Sensitization to Gliadin Induces Moderate Enteropathy and Insulitis in Nonobese Diabetic-DQ8 Mice
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No Effects of a Short-Term Gluten-free Diet on Performance in Nonceliac Athletes
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Effect of gluten-free diet on cerebellar MR spectroscopy in gluten ataxia
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Self-citationExtraintestinal Manifestations of Celiac Disease
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- Authors
- Hadjivassiliou, M., Sanders, D. S., Grünewald, R. A., Woodroofe, N., Boscolo, S., & Aeschlimann, D.
- Affiliations
- Royal Hallamshire Hospital (GB)
- University of Trieste (IT)
- Cardiff University (GB)
- Corresponding author
- Hadjivassiliou, Marios
- Venue
- The Lancet Neurology
- Publisher
- Elsevier BV
- Published
- 2010-03
- Volume
- 9
- Issue
- 3
- Pages
- 318-330
- ISSN
- 1474-4422 (ISSN-L)
- OpenAlex
- W1992303087
- Cited by
- 404
- References
- 137
- Citations by year
- 2026: 16 · 2025: 18 · 2024: 16 · 2023: 15 · 2022: 15 · 2021: 24 · 2020: 21 · 2019: 21 · 2018: 17 · 2017: 29 · 2016: 23 · 2015: 37 · 2014: 39 · 2013: 30 · 2012: 36
- FWCI
- 5.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Lancet Neurology (publishedVersion)
- PubMed (publishedVersion)
- SHURA (Sheffield Hallam University Research Archive) (Sheffield Hallam University) (submittedVersion)
- Funders
- Ryder Briggs Neuroscience Research Fund
- Topics
- Health Sciences › Medicine › Gastroenterology › Celiac Disease Research and Management
- Health Sciences › Medicine › Neurology › Autoimmune Neurological Disorders and Treatments
- Health Sciences › Medicine › Neurology › Peripheral Neuropathies and Disorders
- Keywords
- gluten sensitivity, celiac disease, neurological symptoms, autoimmune disease, pathophysiology, diagnosis
- MeSH terms
- Animals, Brain Diseases, Celiac Disease, Gastrointestinal Diseases, Glutens, Humans, Nervous System Diseases, Diet, Gluten-Free
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