Gluten may cause IBS & auto-immunity

1. An overview

The word gluten comes from a Latin word meaning “glue”. Gluten’s adhesive and binding properties give bread and cakes their spongy texture. Gluten is a complex protein structure mainly made up of glutenin and gliadin, which in presence of water becomes elastic. 

From an evolutionary point of view, grains were introduced 10.000 years ago, which might not be a sufficient time for humans to have genetically adapted to a high carbohydrates diet, mostly refined, which the “western diet” is very rich of. Moreover, the highly refined wheat flour has only been used for the last 200 years. Before this, the flour in use was wholemeal, containing more fibre, and it was also a mix of different grains and legumes flours.

The process of baking and making bread has also dramatically changed within the last century or so. In fact, bread dough is no longer left to rise over night, but only for a couple of hours. The super spongy texture is then achieved by adding extra gluten to the dough. All this means that the enzymes present in the yeast, needed to raise the dough, do not have enough time to break down so much gluten in a short period of time, which will result in a more indigestible end product.

2. Non-coeliac-gluten-sensitivity

A growing number of people have recently reported intestinal and extra intestinal symptoms after ingestion of gluten containing cereals like wheat, barley, spelt and rye, even without having a wheat allergy or being gluten intolerant, like coeliacs do. Clinical trials have found that these symptoms improve after gluten withdrawal. This new syndrome called “non-celiac gluten-sensitivity” (NCGS) was scientifically recognised in 2012.

In most people, gastro-intestinal symptoms appear from few hours up to one day after ingestion of these grains. Extra-intestinal manifestations may take much longer to appear.

Gastro-intestinal symptoms of NCGS are:

Bloating

Abdominal pain

Diarrhoea

Acid reflux

Nausea

Constipation

Flatulence.

Extra-intestinal manifestations of NCGS are:

Lack of general well being

Headaches

Tiredness

Anxiety

Joint and muscles pain

Foggy brain

Skin rash

Allergies

Depression

Auto-immune disorders.

3. Not just gluten

There are different types of proteins found in wheat, other than gluten, such as α-amylase/trypsin inhibitors (ATIs), which may also contribute to NCGS by increasing innate immune activation, production of pro-inflammatory cytokines and decreasing digestive enzymes action. ATIs are present in wheat, rye and barley and serve these plants as pest controller. Moreover, ATIs are highly present in the modern types of wheat, compared to the more ancient varieties, which may result in IBS type symptoms in coeliac and non-coeliac patients.

In addition, recent studies have evidenced the possible role of fermentable-oligo-di-monosaccharides and polyols (FODMAPs) in the progress of NCGS. FODMAPs are short chain carbohydrates and sugar alcohols that might be poorly absorbed in the intestine. They are present in milk, legumes, honey, some fruits (cherry, watermelon, pear and mango,) and some vegetables (leek, chicory and fennel). FODMAPs also include wheat and rye, which also contain gluten and ATIs.

4. Hyperpermeability, aka “leaky gut”

Your gut wall has a very complex system of nutrients absorption and border control that only allows entry to minerals, vitamins, water, amino acids, fats, sugar and other nutrients.  

Sustained gut inflammation, over time, may lead to “leaky gut” syndrome, which implies hyperpermeability due to gut lining damage and subsequent entry into the body of harmful agents, like microscopic parasites, bacteria and undigested food particles.  

When “invaders” find a breech into the gut wall and penetrate inside the body they will cause an activation of the immune system defence mechanisms. If leaky gut is sustained for a long period of time, the immune system will become over reactive and eventually might miss place attacking and it will start attacking the self, “thinking” it is still attacking the invader. This condition of self-harm over time may develop into an auto-immune disease like diabetes 1, Hashimoto’s, Rheumatoid Arthritis, eczema, MS, Ulcerative Colitis etc.

The above could be linked to the fact that once ingested, gluten stimulates the release of a protein in the intestine called zonulin. This protein contributes to loosening and breaking the bonds between the gut lining cells, consequently causing or worsening “leaky gut” syndrome and increasing intestinal inflammation.

5. From a Nutritional Therapy point of view:

  • If you suspect to have or being diagnosed with IBS, I invite you to read my article here, to understand where your gastro-intestinal issues are coming from.
  • Cut right down your intake of processed meals, which might contain hidden gluten.
  • Avoid gluten containing grains like wheat, spelt, barley, rye and oat, although some oat is free from.
  • Avoid conventional bread, pizza, pasta, cakes and biscuits.
  • Experiment with gluten free products. Please visit the free-from aisle at the grocery store and look for gluten free dishes at the restaurant.
  • Do not rely on or abuse of gluten free processed foods.
  • Implement a wholesome and varied diet aiming for a total of eight portions of fruits and vegetables per day, two to three fruits and five to six vegetables.
  • Use gluten free grains, to include wholemeal, red and black rice, buckwheat, amaranth, millet, quinoa, non GMO corn and gluten free oat.
  • Implement a strict gluten free diet for at least two weeks, but I will recommend extending it to one month. Be mindful of your gastro-intestinal symptoms and extra-intestinal manifestations named above while you do this.                                           
  • I appreciate that it is pretty hard to avoid gluten completely, but do the very best you can. Do not forget to feed back to me on your findings, as I am always happy to hear about your stories.

6. Final thoughts

The word gluten comes from a Latin word meaning “glue”. From an evolutionary standpoint and considering GMO modifications of wheat, plus modern baking procedure, we can assert that humans have not yet genetically adapted to this high and processed carbohydrates diet. In 2012 researches discovered a new syndrome associated with gluten consumption called non-coeliac-gluten-sensitivity, which is associated with IBS types of symptoms, and to more systemic health problems. There are also other proteins in wheat that have proven to trigger gut inflammation, activation of the immune system and support the “leaky gut” pathways to auto-immune diseases. If eliminating gluten from your diet will solve all your problems, then great! If it does not, there may be other dynamics involved, for which I invite you to read my extensive article on IBS here.

Author: Cristiano Percoco, BSc (Hons) Nutritional Therapy

Thank You for reading this article, I wish it was valuable to You. Please leave me a comment, so that we can all continue growing together. Also, please introduce people you care about to this website, if you believe it will be useful to them.

References:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4119241/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3526354/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4772047/pdf/nutrients-08-00084.pdf

https://www.ncbi.nlm.nih.gov/pubmed/24533607

https://www.ncbi.nlm.nih.gov/pubmed/16635908

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5214347/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4053283/

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