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Can 'Hunger Hormone' Ghrelin Play a Role in Celiac Disease Treatment?

Celiac.com 01/12/2015 - Ghrelin is a peptide that plays an important role in regulating the distribution and rate of use of energy. When the stomach is empty, ghrelin is secreted. When the stomach is stretched, secretion stops. Gherlin has also been shown to have protective effects throughout the gastrointestinal tract. A team of researchers recently investigated the protective effect of gherlin in celiac disease induced in rats.

Photo: CC--John LordThe research team included L.R. Nikoukar, F. Nabavizadeh, S.M. Mohamadi, A. Moslehi, G. Hassanzadeh, H. Nahrevanian, and S. Agah. They are affiliated with the Department of Anatomy, the Department of Liver and Gastrointestinal Research, and the Department of Physiology at the School of Medicine at Tehran University of Medical Sciences, and the Department of Parasitology at the Pasteur Institute of Iran, all in Tehran.

The team divided twenty-four rat pups with celiac disease into 4 groups as follows: a normal non-celiac control group; a celiac disease group, which received 1.5 mg/g intragastric gliadin; pretreatment celiac group that received 50 ng/g intraperitoneal ghrelin before receiving 1.5 mg/g intragastric gliadin; a co-treatment celiac group that received 50 ng/g intraperitoneal ghrelin after receiving 1.5 mg/g intragastric gliadin). The team then charted the animals' weight gain.

The team assessed the results by comparing villus length, villus width, crypt depth and number of intraepithelial lymphocytes. They also compared tissue interferon-gamma as quantified by ELISA, and used ANOVA to compare results statistically.

Results showed that the disease group had shortened villi, while the villi in the pretreatment and co-treatment groups were as long as those of the control group. Crypt depth was increased in the celiac disease group, but became normal in the co-treatment group. The number of intraepithelial lymphocytes was substantially higher in the celiac disease group than the control group, while the team saw no difference between co-treatment and control groups.

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Disease and control animals weighed equally at the end of the experiment, but ghrelin-treated animals had significantly gained more weight than either of the two other groups. Also, there was no significant difference between the groups in terms of interferon-gamma measurement.

From these results, the team concluded administration of ghrelin led to histological improvement of celiac disease, and that the effects were “more obvious if administered after exposure to gliadin.” Certainly, the revelation that a drug that is already part of the human body can allow a person with celiac disease to show totally normal blood tests and undamaged villi after consuming gluten is kind of exciting.

However, because gherlin is so closely tied with hunger and satiation responses, and because these results have not been borne out in humans, it is unclear how it might be used to treat human celiac disease.

Clearly, more research is needed, and will likely follow. Stay tuned for any important developments on the role of ghrelin in treating celiac disease.

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I believe the talk around this forum is that cheerios are not gluten free enough for people with celiac at this time. I don't know if anything has changed on that and when their lawyer calls me I'll quickly delete this. haha

Could be we generally say get off of dairy for a few months when going gluten free. The part of the intestines that produce the enzymes, and help break down dairy are associated with the tips of the villi, which are the most damaged if not gone in celiacs. THIS is why most of us end up with a lactose intolerance early on. And most can introduce it later after healing. As to her symptoms with it there was a bunch of research about dairy permeated the gut and causing neurological issues in a autism study I was looking at years ago. And there have been other studies about damaged intestines and how the hormones in milk can easier effect ones body. Personally I also have a huge grudge against dairy on a personal level as it is not natural to suck on a cows tits and drink the stuff, nor your dogs, nor a rabbits......I mean come on even Human Breast milk you would find odd to drink as an adult right? Back in the past dairy was a great way to get calories and fats when there was famine, etc around I mean it is meant to make a calf grow into a 500+lb cow. But on a genetic and hormonal level it is not really for human consumption and now days the whole corporate BS propaganda push and dairy farms shove that oh its healthy stuff down your throat. There are plenty of dairy free options for everything feel free to message me if you need help finding anything I have been dairy free for over a decade.

The full celiac panel checks TTG IGA and IGG, DGP IGA and IGG, IGA, EMA as Jmg stated above. Your test included TTG IGA and IGA. If your IGA was low, a low on TTG IGA would be inconclusive. But your IGA is fine. A high on any one test is a positive for celiac and should lead to an endoscopy for confirmation. So I'd get tested for TTG IGG, DGP IGA and IGG and EMA since there are symptoms. Warning I'm not a doc.

I did a gluten challenge for my endoscopy and requested a second blood test after my follow up with the consultant. I never did see those results but my GP said no celiac was indicated: Which left me gluten free for life, that wasn't an option after the challenge, but with a less satisfactory diagnosis, one by omission rather than the definitive 'you're celiac' one I was expecting. Yes! I have been 'properly' glutened on a couple of occasions but on several more I've detected a change or a reaction based on what could only have been trace amounts. NCGS is as yet poorly understood but patients tend to have more neuro symptoms than digestive. That's definitely been my experience, although it was only after going gluten free that I realised quite how many digestive symptoms I had just been living with as 'normal'. Close friends and family get the full explanation. 'I have an auto immune disease similar to 'coeliac etc.' If they stay awake long enough I'll tell them about the less than perfect testing process I went through or the Columbia Med research and the possibility of a blood test soon. They can see the difference between me on gluten and off it so they understand its not all in my head* If I'm ordering food in a restauarant or asking questions about food prep etc I will often just self declare as coeliac - people are aware of that and understand those requests are medical rather than fad diet based. I don't have any problem doing this, I'm not going to claim that and then cheat on dessert for instance and to be honest I expect once the research is complete the two conditions may wind up alongside others as different faces of the same coin. In the meantime I safeguard my health and avoid getting into a detailed conversation about genuine gluten sensitivity versus faux hipster posturing! *apart from the bits which are in my head

I originally had it on my face and scalp. (22 years ago) First biopsy with dermatologist came back as folliculitis. Then when I had a new outbreak on my upper back, she was able to remove a nice clean blister and we got the diagnosis of DH. She started me on Dapsone (100mg/day) and gluten free diet. Now I take 25-50 mg/day. My understanding at the time was that DH was the skin version of Celiac. Did a lot of research on my own. I met Dr. Peter Green at a Gluten free Vendors Fair and he said that a diagnosis of DH IS a diagnosis of Celiac, even if no other symptoms. So I stay gluten-free