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Animal models to study gluten sensitivity

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Abstract

The initial development and maintenance of tolerance to dietary antigens is a complex process that, when prevented or interrupted, can lead to human disease. Understanding the mechanisms by which tolerance to specific dietary antigens is attained and maintained is crucial to our understanding of the pathogenesis of diseases related to intolerance of specific dietary antigens. Two diseases that are the result of intolerance to a dietary antigen are celiac disease (CD) and dermatitis herpetiformis (DH). Both of these diseases are dependent upon the ingestion of gluten (the protein fraction of wheat, rye, and barley) and manifest in the gastrointestinal tract and skin, respectively. These gluten-sensitive diseases are two examples of how devastating abnormal immune responses to a ubiquitous food can be. The well-recognized risk genotype for both is conferred by either of the HLA class II molecules DQ2 or DQ8. However, only a minority of individuals who carry these molecules will develop either disease. Also of interest is that the age at diagnosis can range from infancy to 70–80 years of age. This would indicate that intolerance to gluten may potentially be the result of two different phenomena. The first would be that, for various reasons, tolerance to gluten never developed in certain individuals, but that for other individuals, prior tolerance to gluten was lost at some point after childhood. Of recent interest is the concept of non-celiac gluten sensitivity, which manifests as chronic digestive or neurologic symptoms due to gluten, but through mechanisms that remain to be elucidated. This review will address how animal models of gluten-sensitive disorders have substantially contributed to a better understanding of how gluten intolerance can arise and cause disease.

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Abbreviations

CD:

Celiac disease

DH:

Dermatitis herpetiformis

T1D:

Type 1 diabetes

NOD:

Non-obese diabetic

IDD:

Insulin dependent diabetes

GFC:

Gluten-free chow

GCC:

Gluten-containing chow

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Authors and Affiliations

  1. Department of Immunology, Mayo Clinic, Rochester, MN, USA

    Eric V. Marietta & Joseph A. Murray

  2. Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA

    Eric V. Marietta & Joseph A. Murray

  3. Department of Dermatology, Mayo Clinic, Rochester, MN, USA

    Eric V. Marietta

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  1. Eric V. Marietta
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  2. Joseph A. Murray
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Correspondence to Joseph A. Murray.

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This work was supported in part by NIH grant DK071003 and Mayo Foundation for Medical Education and Research.

This article is published as part of the Special Issue on Celiac Disease [34:5]

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Marietta, E.V., Murray, J.A. Animal models to study gluten sensitivity. Semin Immunopathol 34, 497–511 (2012). https://doi.org/10.1007/s00281-012-0315-y

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