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  • Jefferson Adams
    Jefferson Adams

    Cross-reactivity Between Anti-gliadin Antibodies and Proteins in Spices May Trigger Symptoms in Some People with Celiac Disease

    Reviewed and edited by a celiac disease expert.

    Wondering if spices can trigger adverse reactions in people with celiac disease? It's possible, according to new research. Here's the lowdown.

    Cross-reactivity Between Anti-gliadin Antibodies and Proteins in Spices May Trigger Symptoms in Some People with Celiac Disease - Indian Spices. Image: CC BY 2.0--sara marlowe
    Caption: Indian Spices. Image: CC BY 2.0--sara marlowe

    Celiac.com 05/23/2022 - Many people with celiac disease know to be cautious of possible gluten that might be hidden in selected spices and spice blends. However, there's some evidence to support the notion that some people suffering from celiac disease, wheat allergy or non-celiac gluten sensitivity may react to certain spices.

    A team of researchers recently set out to see if extracts from selected spices, such as caraway, ginger, chili, sweet peppers, anise, sesame, nutmeg and black pepper, might be harmful to people suffering from celiac disease, wheat allergy or non-celiac gluten sensitivity. For each spice, they looked at the reaction of spice proteins with serum antibodies from celiac patients and rabbit antibodies raised to specific glutamine/proline-containing peptides.

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    The research team included Marta Słowianek, Dorota Mańkowska, and Joanna Leszczyńska. They are affiliated with the Institute of General Food Chemistry, Faculty of Biotechnology and Food Sciences, Lodz University of Technology in Lodz, Poland.

    The team used ELISA, SDS-PAGE and immunoblotting to assess potential adverse reactions. They found that each of the spice extracts triggered some reaction from antibodies found in sera from two celiac patients, and to sera from rabbits that had been sensitized to the specific peptides, QQQPP, PQQQ and QQQP. 

    The QQQP peptide is one of the α-gliadin tetrapeptides that has been shown to have in vivo activity in the pathogenesis of celiac disease, and, according to the researchers "The highest level of immunoreactivity to anti-QQQP antibodies was reported in sweet (1054 ± 22) and chili pepper (698 ± 9), and "The most intense reactions in anti-QQQPP rabbit serum occurred with anise (61.8 kDa) protein and caraway (58.7, 53.9 and 21 kDa) proteins. The largest number of proteins that reacted with anti-QQQPP antibodies within a single group was among sesame proteins."

    They noted that these peptides shared sequences that might be included in active epitopes for celiac disease and wheat allergy. 

    The reactions seen by the team indicate that spice proteins could trigger adverse reactions in celiac patients, patients with various wheat allergies or with non-celiac gluten sensitivity, and the study's conclusions are:

    Quote

    Cross-reactivity between anti-gliadin antibodies and spice proteins indicates that patients with celiac disease or wheat allergies may also have an intolerance to many spices. The examined spices contain proteins with a peptide sequence homologous to the toxic and allergenic gluten proteins of cereals. It may be translated into harmful effects of spices on intestinal mucosa of patients with celiac disease and allergenic potential of spices for people with wheat allergy.

    The researchers are calling for further study to better determine the likelihood of their hypothesis.

    Certainly, it would be a big deal if research shows that certain spices trigger reactions in people with celiac disease and non-celiac gluten sensitivity. Right now, the evidence does not support that idea enough to warrant any concern or action.

    Stay tune for more on this and related stories.

    Read more in Food & Agricultural Immunology



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    Guest Margo

    Posted

    This is interesting… especially in explaining why the AIP diet can be helpful for some celiacs. It does beg the question though: were those spices certified gluten free?

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    Scott Adams

    Yes, the spices in the study were tested for gluten.

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    Guest JBL

    Interesting findings. I wonder if the scope was broadened a bit how many other spices would have effects. I already dislike most peppers because I can’t tolerate the heat (love ginger though). Never liked anise; hated caraway. Sesame, however, I love. Now I wonder if I need to stop eating tahini or other foods with it.

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    Grlybrainiac

    Oh boy…I consume a lot of food with chili pepper/powder in it. Though I guess it’s similar how it is with oats for some celiacs - some have cross-reactivity, some don’t.

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    PME

    This is interesting/concerning to me as an asymptomatic celiac. Wondering whether this testing was done with fresh ginger root and whole nutmeg and black peppercorns, etc. -- or the powdered preserved kind...  

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    Yaya

    I guess I'm fortunate since I eat all of the above except any form of glutamine which gives me RLS.  Re the non-glutamine spices, I use them liberally according to the dish I'm preparing.  Of course, I use gluten-free brands.  I am curious though and look forward to the end result of the study.  

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    ForwardMotion

    This is interesting and I am buoyed that more research is being conducted to look at cross-reactivity effects of foods, spices, etc., that are molecularly close to gluten.  I recognized an issue with black pepper years ago, and have nicely substituted it with white pepper.  White pepper is also low in oxalates.  I also have never liked the taste of spicy foods, i.e., Mexican, chili.  Wonder if paprika falls under this same category?

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    Blue-Sky

    Here is a relevant quote from the paper (I don't think spices are an issue):

    "Many polypeptide chains in dietary proteins containing prolamine fractions (e.g. maize), and even some that contain no fractions at all, may contain potentially toxic sequences including tetrapeptides PSQQ, QQQP, QQPY or QPYP. However, these proteins are not etiologic factors in celiac disease. This suggests that the environment, such as presence of additional specific amino acid residues, determines the toxicity of these structural motifs (Cornell & Mothes, 1993). Likewise, spice proteins with peptide sequences homologous with the proteins responsible for celiac disease were recognized in our study by both rabbit (anti-QQQP) and human antibodies. However, the presence of these specific peptide sequences does not necessarily mean that the spices which contain them will be harmful to patients with celiac disease or wheat allergy. This is because the structural environment of the peptides has a critical influence. The amino acid composition determines whether the gluten protein epitopes are active or inactive, enabling spice proteins to be used in a gluten-free diet (Haraszi et al., 2011). Nonetheless, the possibility that these peptides may have adverse effects on the intestinal mucosa of patients with celiac disease cannot be excluded."

     

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    Scott Adams

    Don't forget the last sentence of your quote from this study:

    Quote

    Nonetheless, the possibility that these peptides may have adverse effects on the intestinal mucosa of patients with celiac disease cannot be excluded.

     

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    Raquel2021
    On 6/1/2022 at 11:37 AM, Yaya said:

    I guess I'm fortunate since I eat all of the above except any form of glutamine which gives me RLS.  Re the non-glutamine spices, I use them liberally according to the dish I'm preparing.  Of course, I use gluten-free brands.  I am curious though and look forward to the end result of the study.  

    Hi there 

    Which spices do you use that are gluten free? Thank you

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    Yaya
    2 hours ago, Raquel2021 said:

    Hi there 

    Which spices do you use that are gluten free? Thank you

    McCormick organic also Kroger brand "Private Selection" which is their gluten-free brand.  Because I've read about it but didn't see a gluten-free tag under them, I called and went over every Private Selection condiment, spice etc I have and they were all gluten-free.  We did one at a time.  

    Sorry, I have about 40 different spices including turmeric and ginger, cumin, dill, nutmeg, cinnamon...I can't name all of them, but there is little I don't use.  I cook a wide variety of dishes.   

     

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    Raquel2021
    1 hour ago, Yaya said:

    McCormick organic also Kroger brand "Private Selection" which is their gluten-free brand.  Because I've read about it but didn't see a gluten-free tag under them, I called and went over every Private Selection condiment, spice etc I have and they were all gluten-free.  We did one at a time.  

    Sorry, I have about 40 different spices including turmeric and ginger, cumin, dill, nutmeg, cinnamon...I can't name all of them, but there is little I don't use.  I cook a wide variety of dishes.   

     

    Thanks. This is very helpful.  I am currently using Clubhouse which is under McCormick. They say their single spices only contain the spice it self and that gluten would be listed if it was an ingredient. I react to cumin, paprika and cinnamon 

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    Jefferson Adams is Celiac.com's senior writer and Digital Content Director. He earned his B.A. and M.F.A. at Arizona State University. His articles, essays, poems, stories and book reviews have appeared in numerous magazines, journals, and websites, including North American Project, Antioch Review, Caliban, Mississippi Review, Slate, and more. He is the author of more than 2,500 articles on celiac disease. His university coursework includes studies in science, scientific methodology, biology, anatomy, physiology, medicine, logic, and advanced research. He previously devised health and medical content for Colgate, Dove, Pfizer, Sharecare, Walgreens, and more. Jefferson has spoken about celiac disease to the media, including an appearance on the KQED radio show Forum, and is the editor of numerous books, including "Cereal Killers" by Scott Adams and Ron Hoggan, Ed.D.

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