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Publication Name World Journal of Gastrointestinal Pharmacology and Therapeutics
Manuscript ID 114292
Country India
Category Gastroenterology & Hepatology
Manuscript Type Review
Article Title Beyond gluten-free diet: Novel therapeutic frontiers in celiac disease armamentarium
Manuscript Source Invited Manuscript
All Author List Sandeep K Mundhra and Rakesh K Kochhar
Funding Agency and Grant Number
Corresponding Author Rakesh K Kochhar, DM, Professor, Department of Gastroenterology, Paras Hospital, Paras Hospital Road, Sector-22, Panchkula 134109, Haryana, India. dr_kochhar@hotmail.com
Key Words Celiac disease; Gluten-free diet; Celiac disease pathophysiology; Celiac disease treatment; Novel therapies in celiac disease
Core Tip Celiac disease is managed with a gluten-free diet, which is difficult to sustain and often fails to achieve full mucosal recovery. Advances in disease pathogenesis have led to novel therapies, including gluten-detoxifying enzymes, gluten-sequestering polymers, barrier stabilizers, tissue transglutaminase-2 inhibitors, human leukocyte antigen-DQ antagonists, cytokine-directed biologics, and tolerance-inducing strategies such as nanoparticle-based therapies. This review summarizes the current therapeutic pipeline, discusses the challenges of translating emerging therapies into routine practice, and highlights how future management is likely to evolve towards personalized, multimodal approaches that integrate dietary management with safe and effective adjunctive therapies.
Citation Mundhra SK, Kochhar RK. Beyond gluten-free diet: Novel therapeutic frontiers in celiac disease armamentarium. World J Gastrointest Pharmacol Ther 2026; In press
Received
2025-09-16 06:41
Peer-Review Started
2025-09-16 06:41
First Decision by Editorial Office Director
2025-11-19 10:19
Return for Revision
2025-11-19 10:19
Revised
2025-12-01 18:37
Publication Fee Transferred
Second Decision by Editor
2026-02-02 02:43
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-02-03 00:16
Articles in Press
2026-02-03 00:16
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 2150-5349 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Copyright © The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
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