Intestinal digestive resistance of immunodominant gliadin peptides

Am J Physiol Gastrointest Liver Physiol. 2002 Oct;283(4):G996-G1003. doi: 10.1152/ajpgi.00136.2002.

Abstract

Two recently identified immunodominant epitopes from alpha-gliadin account for most of the stimulatory activity of dietary gluten on intestinal and peripheral T lymphocytes in patients with celiac sprue. The proteolytic kinetics of peptides containing these epitopes were analyzed in vitro using soluble proteases from bovine and porcine pancreas and brush-border membrane vesicles from adult rat intestine. We showed that these proline-glutamine-rich epitopes are exceptionally resistant to enzymatic processing. Moreover, as estimated from the residual peptide structure and confirmed by exogenous peptidase supplementation, dipeptidyl peptidase IV and dipeptidyl carboxypeptidase I were identified as the rate-limiting enzymes in the digestive breakdown of these peptides. A similar conclusion also emerged from analogous studies with brush-border membrane from a human intestinal biopsy. Supplementation of rat brush-border membrane with trace quantities of a bacterial prolyl endopeptidase led to the rapid destruction of the immunodominant epitopes in these peptides. These results suggest a possible enzyme therapy strategy for celiac sprue, for which the only current therapeutic option is strict exclusion of gluten-containing food.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Amino Acid Sequence
  • Animals
  • Cattle
  • Digestion*
  • Dipeptidyl Peptidase 4 / metabolism
  • Endopeptidases / metabolism
  • Epitopes / chemistry
  • Epitopes / metabolism*
  • Female
  • Gliadin / immunology*
  • Gliadin / metabolism*
  • Humans
  • Intestinal Mucosa / metabolism*
  • Intestinal Mucosa / ultrastructure
  • Intestine, Small / ultrastructure
  • Microvilli / metabolism
  • Pancreas / enzymology
  • Peptides / immunology
  • Peptides / metabolism*
  • Prolyl Oligopeptidases
  • Rats
  • Serine Endopeptidases / metabolism
  • Substrate Specificity
  • Swine

Substances

  • Epitopes
  • Peptides
  • Gliadin
  • Endopeptidases
  • Dipeptidyl Peptidase 4
  • dipeptidyl carboxypeptidase
  • Serine Endopeptidases
  • PREPL protein, human
  • Prolyl Oligopeptidases