primary prevention of coeliac disease - Associazione Italiana ...
primary prevention of coeliac disease - Associazione Italiana ...
primary prevention of coeliac disease - Associazione Italiana ...
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80 GENETICALLY DETOXIFIED GRAINS<br />
I STEP<br />
Production <strong>of</strong> HMW &<br />
LMW glutenins without any<br />
gliadin contamination<br />
III STEP<br />
Testing the rheologic<br />
functions <strong>of</strong> pure glutenins<br />
(in in vitro experiments) to<br />
confirm that elasticity is mainly<br />
ensured by them<br />
II STEP<br />
Testing HMW<br />
& LMW<br />
glutenin toxicity in in vitro<br />
& in vivo feeding studies<br />
IV STEP<br />
Integrating genes<br />
<strong>of</strong> HMW glutenins and<br />
promoters into maize<br />
by the biolistic method<br />
Fig. 4. A multistep approach to obtain genetically detoxified wheat suitable for baking.<br />
vivo on <strong>coeliac</strong> volunteers (Fig. 4). If the hypothesis <strong>of</strong> safety <strong>of</strong> HMW glutenins is<br />
confirmed, experiments should be planned to confirm the rheologic fractions <strong>of</strong> these<br />
pure fractions and that elasticity is mainly ensured by them. In that case viscous<br />
function could be maintained by proteins other than gliadins. Accordingly, the final step<br />
would be the introduction <strong>of</strong> HMW genes to improve baking quality in grains safe for<br />
CD patients, such as maize, rice and sorghum. This aim is not an easy one. However, it<br />
could be attempted in parallel with targeted inactivation <strong>of</strong> gliadins genes, a procedure<br />
requiring more preliminary information and less likely to lead to the production <strong>of</strong><br />
acceptable baked goods.<br />
Acknowledgements<br />
The authors are in debt with Dr. Donald D Kasarda (US Department <strong>of</strong> Agriculture,<br />
Agricultural Research Service, Albany, CA), Dr. Herbert Wieser (German Research<br />
Institute <strong>of</strong> Food Chemistry, Garching, Germany), Dr. Frederik W Janssen (Insp. <strong>of</strong><br />
Health Protection, Zutphen, The Netherlands), Dr. Rita Redaelli (Istituto Sperimentale<br />
per la Cerealicoltura, Bergamo, Italy) for their helpful suggestions and with<br />
<strong>Associazione</strong> <strong>Italiana</strong> Celiachia for financial support.<br />
References<br />
1. Wieser H. The precipitating factor in <strong>coeliac</strong> <strong>disease</strong>. Bailliere Clin Gastroenterol<br />
1995;9:191-207.<br />
2. Shewry PR, Tatham AS, Kasarda DD. Cereal proteins and <strong>coeliac</strong> <strong>disease</strong>. In: MN<br />
Marsh, ed. Coeliac <strong>disease</strong>. London: Blackwell Scientific 1992;305-48.