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Wheat Amylase Trypsin Inhibitors as Divers of Innate Immunity in ...

Wheat Amylase Trypsin Inhibitors as Divers of Innate Immunity in ...

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Celiac dise<strong>as</strong>e<br />

Cd is the best def<strong>in</strong>ed and most frequent <strong>in</strong>test<strong>in</strong>al (auto-)<br />

immune dise<strong>as</strong>e, with gluten (and ATI) <strong>as</strong> triggers, HLA-<br />

DQ2 (DQ8) <strong>as</strong> necessary genetic predisposition and TG2<br />

<strong>as</strong> patho-genetically<br />

l<strong>in</strong>ked autoantigen<br />

<br />

Most c<strong>as</strong>es are not <strong>as</strong>sociated with diarrhea or overt<br />

malabsorption, but are silent or atypical<br />

<br />

Dise<strong>as</strong>e severity depends on 1. gluten dose, 2. HLA-<br />

DQ2(DQ8)-gene dose, 3. <strong>in</strong>nate immunity (triggered<br />

by<br />

ATIs), , 4. 4<br />

. additional polygenetic and environmental factors<br />

<br />

<strong>Innate</strong> immunity to cereal ATI likely impacts other<br />

<strong>in</strong>test<strong>in</strong>al <strong>in</strong>flammatory dise<strong>as</strong>es

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