Medical Hypotheses
Volume 73, Issue 3 , Pages 438-440, September 2009

The gluten syndrome: A neurological disease

The Children’s Gastroenterology and Allergy Clinic, P.O. Box 25-265, Christchurch 8144, New Zealand

Received 15 March 2009; accepted 18 March 2009. published online 30 April 2009.

Summary 

Hypothesis: Gluten causes symptoms, in both celiac disease and non-celiac gluten-sensitivity, by its adverse actions on the nervous system.

Many celiac patients experience neurological symptoms, frequently associated with malfunction of the autonomic nervous system. These neurological symptoms can present in celiac patients who are well nourished. The crucial point, however, is that gluten-sensitivity can also be associated with neurological symptoms in patients who do not have any mucosal gut damage (that is, without celiac disease).

Gluten can cause neurological harm through a combination of cross reacting antibodies, immune complex disease and direct toxicity. These nervous system affects include: dysregulation of the autonomic nervous system, cerebella ataxia, hypotonia, developmental delay, learning disorders, depression, migraine, and headache.

If gluten is the putative harmful agent, then there is no requirement to invoke gut damage and nutritional deficiency to explain the myriad of the symptoms experienced by sufferers of celiac disease and gluten-sensitivity. This is called “The Gluten Syndrome”.

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PII: S0306-9877(09)00223-0

doi:10.1016/j.mehy.2009.03.037

Medical Hypotheses
Volume 73, Issue 3 , Pages 438-440, September 2009