What is Gluten?
In terms of the medical definition of Celiac Disease, or Gluten
Intolerance, "gluten" is defined as the mixture of many protein
fragments (called peptide chains or polypeptides) found in common cereal
grains — wheat, rye, barley and sometimes oats (oats don’t naturally
contain gluten, but are often subject to contamination with small
amounts). Wheat is the only grain considered to contain true "gluten"
and the peptides that predominate in wheat gluten are gliadin and
glutenin.
Gliadin is thought to be the peptide chain that instigates the toxic
immune response and subsequent intestinal damage in celiacs. However,
other protein fragments thought to be toxic to celiacs occur in rye,
barley, and oats. They are secalins, hordeins, and avenins,
respectively. Even though some research suggests that the avenins are
not toxic, most celiacs still avoid oats just to be safe. Minute amounts
of any of these protein fragments can cause intestinal damage in people
with celiac disease. Because the disease is not fully understood, it is
thought there may be other peptide chains including some derived from
glutenin, that are also toxic. Because of the lack of definitive
research on the disease, celiacs must often live by the saying, "when in
doubt, leave it out."
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