Academic Journal

The progression of coeliac disease: its neurological and psychiatric implications

التفاصيل البيبلوغرافية
العنوان: The progression of coeliac disease: its neurological and psychiatric implications
المؤلفون: CAMPAGNA, GIOVANNA, PESCE, MIRKO, TATANGELO, RAFFAELLA, RIZZUTO, ALESSIA, LA FRATTA, IRENE, GRILLI, Alfredo
المساهمون: Campagna, Giovanna, Pesce, Mirko, Tatangelo, Raffaella, Rizzuto, Alessia, LA FRATTA, Irene, Grilli, Alfredo
سنة النشر: 2016
المجموعة: ARUd'A - Archivio Istituzionale della ricerca dell'università Chieti-Pescara (IRIS)
مصطلحات موضوعية: CD coeliac disease, CNS central nervous system, EEG electroencephalogram, GFD gluten-free diet, HLA human leucocyte antigen, IEC intestinal epithelial cell, IEL intra-epithelial lymphocyte, IFN interferon, NK natural killer, QOL quality of life, SBD sleep breathing disorder, SCZ schizophrenia, tTG transglutaminase, Coeliac disease, Cognitive impairment, Gluten-free diet, Neurological complication, Psychiatric disorders
الوصف: The aim of the paper is to show the various neurological and psychiatric symptoms in coeliac disease (CD). CD is a T cell-mediated, tissue-specific autoimmune disease which affects genetically susceptible individuals after dietary exposure to proline- and glutamine-rich proteins contained in certain cereal grains. Genetics, environmental factors and different immune systems, together with the presence of auto-antigens, are taken into account when identifying the pathogenesis of CD. CD pathogenesis is related to immune dysregulation, which involves the gastrointestinal system, and the extra-intestinal systems such as the nervous system, whose neurological symptoms are evidenced in CD patients. A gluten-free diet (GFD) could avoid cerebellar ataxia, epilepsy, neuropathies, migraine and mild cognitive impairment. Furthermore, untreated CD patients have more symptoms and psychiatric co-morbidities than those treated with a GFD. Common psychiatric symptoms in untreated CD adult patients include depression, apathy, anxiety, and irritability and schizophrenia is also common in untreated CD. Several studies show improvement in psychiatric symptoms after the start of a GFD. The present review discusses the state of the art regarding neurological and psychiatric complications in CD and highlights the evidence supporting a role for GFD in reducing neurological and psychiatric complications
نوع الوثيقة: article in journal/newspaper
وصف الملف: ELETTRONICO
اللغة: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/27976606; info:eu-repo/semantics/altIdentifier/wos/WOS:000401584500002; volume:30; issue:1; firstpage:25; lastpage:35; numberofpages:11; journal:NUTRITION RESEARCH REVIEWS; http://hdl.handle.net/11564/675993; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85006324111; https://www.cambridge.org/core/journals/nutrition-research-reviews/article/progression-of-coeliac-disease-its-neurological-and-psychiatric-implications/0FEE9E54B80338FD7A7E3637FCA085E9
DOI: 10.1017/S0954422416000214
الاتاحة: http://hdl.handle.net/11564/675993
https://doi.org/10.1017/S0954422416000214
https://www.cambridge.org/core/journals/nutrition-research-reviews/article/progression-of-coeliac-disease-its-neurological-and-psychiatric-implications/0FEE9E54B80338FD7A7E3637FCA085E9
Rights: info:eu-repo/semantics/openAccess
رقم الانضمام: edsbas.4FF97A1C
قاعدة البيانات: BASE
الوصف
DOI:10.1017/S0954422416000214