Cited by 404Celiac Disease Research and ManagementAutoimmune Neurological Disorders and TreatmentsPeripheral Neuropathies and Disorders

Gluten sensitivity: from gut to brain

Hadjivassiliou, Marios, Sanders, David S, Grünewald, Richard A, Woodroofe, Nicola, Boscolo, Sabrina, Aeschlimann, Daniel·2010·The Lancet Neurology

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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Crossref · 10.1016/s1474-4422(09)70290-x

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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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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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