Evidence map›Paper›PMID 26608460›Full record

ArticleGut2017

Detection of gluten immunogenic peptides in the urine of patients with coeliac disease reveals transgressions in the gluten-free diet and incomplete mucosal healing.

María de Lourdes Moreno, Ángel Cebolla, Alba Muñoz-Suano, Carolina Carrillo-Carrion, Isabel Comino, Ángeles Pizarro, Francisco León, Alfonso Rodríguez-Herrera, Carolina Sousa

5 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Gut, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 143 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
143citing papers in PubMed, 4 pooled it
13.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02344758 early_phase1completednot on this map

Non-invasive Gluten-free Diet Adherence Monitoring in Celiac Patients: Detection of Gluten Immunogenic Peptides in Urine

TypeinterventionalSponsorUniversity of SevilleRan2013 to 2013Enrolled134ConditionsCeliac DiseaseArmsNon-invasive lateral flow test for monitoring gluten intake, gluten-free diet (GFD), gluten-containing diet
NCT03462979 nasuspendednot on this mapstarted 2018, after this paper: background citation

GlPs Improve Practice (GIP) at Home: Effects of Home Gluten Immunogenic Peptide Testing on Children With Celiac Disease

TypeinterventionalSponsorBoston Children's HospitalRan2018 to 2023Enrolled120ConditionsCeliac Disease, Gluten Sensitivity, Gluten Enteropathy, Gastrointestinal DiseaseArmsImmunochromatographic lateral flow test
NCT04477239 nacompletednot on this mapstarted 2020, after this paper: background citation

A Randomized, Triple-blind, Placebo-controlled, Clinical Trial on the Diagnostic Performance of Gluten Immunogenic Peptides in the Evaluation of Gluten-free Diet Adherence: the GRRES Study.

TypeinterventionalSponsorUniversità Politecnica delle MarcheRan2020 to 2020Enrolled25ConditionsCeliac DiseaseArmsGluten (behaviour), Placebo (behaviour)
NCT05066191 unknown statusnot on this mapstarted 2019, after this paper: background citation

Impact of Gluten Contamination in Celiac Patients Clinically

TypeobservationalSponsorFondazione IRCCS Ca' Granda, Ospedale Maggiore PoliclinicoRan2019 to 2022Enrolled300ConditionsCeliac Disease
NCT05119322 nasuspendednot on this mapstarted 2021, after this paper: background citation

Study of the Use of a Home Test for the Detection of Gluten Immunogenic Peptides in Urine and Its Effect on Gluten-free Diet Adherence

TypeinterventionalSponsorBiomedal S.L.Ran2021 to 2027Enrolled66ConditionsCeliac Disease, Treatment Adherence, AdolescentArmsGlutenDetect home urine test
3 · Its place in the literature

Who cites it

143 citing papers in PubMed, 4 syntheses or guidelines pooled it, 320 citations in OpenAlex.

  1. Pooled it
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  12. Beyond gluten-free diet: Novel therapeutic frontiers in celiac disease armamentarium.World journal of gastrointestinal pharmacology and therapeutics · 2026
    Review
  13. Article
  14. Review
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  17. The follow-up of patients with celiac disease.Journal of translational autoimmunity · 2025
    Review
  18. Can the Mucosa Heal Histologically in Celiac Disease? What are the Indicators of Remission in Celiac Patients?The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2025
    Article
  19. Article
  20. Article

83 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 2 countries.

María de Lourdes MorenoFacultad de Farmacia, Departamento de Microbiología y Parasitología, Universidad de Sevilla, Sevilla, Spain.
Ángel CebollaBiomedal S.L., Sevilla, Spain.
Alba Muñoz-SuanoBiomedal S.L., Sevilla, Spain.
Carolina Carrillo-CarrionBiomedal S.L., Sevilla, Spain.
Isabel CominoFacultad de Farmacia, Departamento de Microbiología y Parasitología, Universidad de Sevilla, Sevilla, Spain.
Ángeles PizarroUnidad Clínica de Aparato Digestivo, Hospital Universitario Virgen del Rocío, Sevilla, Spain.
Francisco LeónCelimmune, Bethesda, Maryland, USA.
Alfonso Rodríguez-HerreraUnidad de Gastroenterología y Nutrición, Instituto Hispalense de Pediatría, Sevilla, Spain.
Carolina SousaFacultad de Farmacia, Departamento de Microbiología y Parasitología, Universidad de Sevilla, Sevilla, Spain.
Biomedal (Spain) · ESUniversidad de Sevilla · ESCelimmune (United States) · USHospital Universitario Virgen del Rocío · ESInstituto Hispalense de Pediatria · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveGluten-free diet (GFD) is the only management for coeliac disease (CD). Available methods to assess GFD compliance are insufficiently sensitive to detect occasional dietary transgressions that may cause gut mucosal damage. We aimed to develop a method to determine gluten intake and monitor GFD compliance in patients with CD and to evaluate its correlation with mucosal damage.

designUrine samples of 76 healthy subjects and 58 patients with CD subjected to different gluten dietary conditions were collected. A lateral flow test (LFT) with the highly sensitive and specific G12 monoclonal antibody for the most dominant gluten immunogenic peptides (GIP) and a LFT reader were used to quantify GIP in solid-phase extracted urines.

resultsGIP were detectable in concentrated urines from healthy individuals previously subjected to GFD as early as 4-6 h after single gluten intake, and remained detectable for 1-2 days. The urine assay revealed infringement of the GFD in about 50% of the patients. Analysis of duodenal biopsies revealed that most of patients with CD (89%) with no villous atrophy had no detectable GIP in urine, while all patients with quantifiable GIP in urine showed incomplete intestinal mucosa recovery.

conclusionGIP are detected in urine after gluten consumption, enabling a new and non-invasive method to monitor GFD compliance and transgressions. The method was sensitive, specific and simple enough to be convenient for clinical monitoring of patients with CD as well as for basic and clinical research applications including drug development. TRIAL REGISTRATION NUMBER: NCT02344758.

Indexed as

Patient ComplianceAdolescentAdultAntibodies, MonoclonalBiopsyCase-Control StudiesCeliac DiseaseChildChild, PreschoolChromatography, AffinityDiet, Gluten-FreeDiet RecordsDuodenumFemaleGliadinGlutensAntibodies, MonoclonalGliadinGlutensGTP-Binding ProteinsImmunoglobulin APeptidesProtein Glutamine gamma Glutamyltransferase 2TransglutaminasesCELIAC DISEASEGLUTEN FREE DIET

Identifiers

PMID26608460
PMCPMC5284479
OpenAlexW2203036197

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.