Gluten-Free Diet Decreases Urinary Peptide Levels in Children with Celiac Disease

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Abstract

Background:

Increased urine secretion of peptides has been found in celiac disease, probably resulting from increased intestinal uptake of peptides caused by damage to the small gut mucosa.

Methods:

High-performance liquid chromatography of low-molecular-weight peptides in the urine was performed over 6 months, before and after a gluten-free diet was instituted in children who clinically improved while consuming the diet.

Results:

A significant decrease of peptide levels was observed in children consuming the gluten-free diet. Certain peptide peaks thought to be gluten related decreased the most after the patients began the diet.

Conclusions:

Because the peptides decrease in patients consuming a gluten-free diet, it is reasonable to conclude that such peptide have a mostly dietary origin.

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