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Articles Published Processes
9/5/2014 2:31:00 PM | Browse: 1162 | Download: 969
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Received |
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2013-06-13 09:13 |
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Peer-Review Started |
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2013-06-13 09:43 |
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To Make the First Decision |
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2013-06-24 10:22 |
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Return for Revision |
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2013-07-04 15:57 |
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Revised |
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2013-07-08 21:51 |
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Second Decision |
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2013-07-18 17:56 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Executive Editor-in-Chief |
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2013-07-19 02:31 |
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Articles in Press |
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Publication Fee Transferred |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2013-09-22 18:16 |
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Publish the Manuscript Online |
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2013-11-04 12:31 |
Category |
Gastroenterology & Hepatology |
Manuscript Type |
Minireviews |
Article Title |
Non-dietary forms of treatment for adult celiac disease
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Manuscript Source |
Invited Manuscript |
All Author List |
Hugh James Freeman |
Funding Agency and Grant Number |
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Corresponding Author |
Hugh James Freeman, Professor, Department of Medicine (Gastroenterology), University of British Columbia Hospital, 2211 Wesbrook Mall, Vancouver, BC V6T 1W5, Canada. hugfree@shaw.ca |
Key Words |
Adult celiac disease; Gluten-free diet; Non-dietary treatment of celiac disease; Tight junction inhibition; Protease; Immunotherapy; Vaccination |
Core Tip |
Non-dietary forms of treatment for adult celiac disease are currently being evaluated and some have reached clinical trials. Some novel approaches being investigated include hydrolysis of gliadin peptides, inhibition of intestinal permeability, blockade of T lymphocytes and transglutaminase 2/human leukocyte antigen-DQ2 functions as well as induction of immune tolerance. Future evaluations will need to define effects on specific endpoints and ensure an improvement in symptoms, laboratory test results and, most important, mucosal inflammatory changes. Therapeutic trials with novel agents will be difficult from an ethical perspective as the current form of management with a gluten-free diet already provides an excellent result for most compliant patients with celiac disease. Finally, effects on other known superimposed diseases will need close evaluation (i.e., lymphoproliferative and other malignancies). |
Publish Date |
2013-11-04 12:31 |
Citation |
Freeman HJ. Non-dietary forms of treatment for adult celiac disease. World J Gastrointest Phar-macol Ther 2013; 4(4): 108-112 |
URL |
http://www.wjgnet.com/2150-5349/full/v4/i4/108.htm |
DOI |
http://dx.doi.org/10.4292/wjgpt.v4.i4.108 |
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