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From the August 2009 Scientific American Magazine | 90 comments

Celiac Disease Insights: Clues to Solving Autoimmunity ( Preview )

Study of a potentially fatal food-triggered disease has uncovered a process that may contribute to many autoimmune disorders

By Alessio Fasano   

 

Foods containing wheat, rye or barley trigger an autoimmune reaction (against the body's own tissues) in people afflicted with celiac disease. The response harms the intestinal lining and impairs the body's absorption of nutrients. Chronic exposure to those foods can also lead to cancer and other ill effects in such individuals.
JupiterImages (photograph); Jen Christiansen (photoillustration)

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Key Concepts

  • Celiac disease (CD) is an autoimmune disorder triggered by ingestion of gluten, a major protein in wheat, or of related proteins in other grains.
  • Research into the root causes indicates that the disorder develops when a person exposed to gluten also has a genetic susceptibility to CD and an unusually permeable intestinal wall.
  • Surprisingly, essentially the same trio—an environmental trigger, a genetic susceptibility and a “leaky gut”—seems to underlie other autoimmune disorders as well. This finding raises the possibility that new treatments for CD may also ameliorate other conditions.

My vote for the most important scientific revolution of all time would trace back 10,000 years ago to the Middle East, when people first noticed that new plants arise from seeds falling to the ground from other plants—a realization that led to the birth of agriculture. Before that observation, the human race had based its diet on fruits, nuts, tubers and occasional meats. People had to move to where their food happened to be, putting them at the mercy of events and making long-term settlements impossible.

Once humans uncovered the secret of seeds, they quickly learned to domesticate crops, ultimately crossbreeding different grass plants to create such staple grains as wheat, rye and barley, which were nutritious, versatile, storable, and valuable for trade. For the first time, people were able to abandon the nomadic life and build cities. It is no coincidence that the first agricultural areas also became "cradles of civilization."

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