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Progress On Developing Drug To Combat Gluten for Celiacs

We all know, only too well, how very difficult it is to live a gluten free life. Not so much at home where we are in control of the foods, recipes, and products bought, prepared and consumed, but what happens when we go out? Shopping, dinner, to attend events from funerals to weddings, to tailgate parties before a ballgame, to reunions, to business meetings, and ad infinitum. There’s a hundred, if not a thousand times we are uncomfortably confronted with the burden of politely refusing to eat what’s being served – although we’re starving! Not to mention snuggling up to a bar and ordering a gluten free beer? “A what free?” is too often the reply. And food is only the beginning. Shampoos, medicines, makeup, incorrect or no labeling on products – all enter into the life of we who must avoid products that contain wheat, barley or rye.

On the horizon are a number of promising drugs that do not, at this time, portend to be able to reverse a person’s autoimmune system to accept gluten but rather, to neutralize the affects of gluten ingestion. Think of it. You’re invited out with friends to their favorite Italian restaurant where homemade pasta and fresh bread are their specialties. If you could take a pill that would neutralize the gluten you would be consuming, would it not be worth it? And then, next day, back to your gluten free diet.

Alvine Pharmaceuticals in San Carlos, California completed their 2nd Phase of testing a drug that has the potential to “Diminish gluten-induced injury for Celiacs.” The following is a direct quote from the company’s October 24, 2011 News Release attributed to Markku Maeki, M.D. chair and professor of pediatrics at the University of Tampere, Finland and coordinating investigator of the ALV003 Phase 2 trial.

“The results are groundbreaking as they demonstrate for the first time, in a controlled clinical trial, that a drug has the potential to diminish gluten-induced injury in celiac patients.

Phase 2a Trial Design in the double-bind, placebo-controlled Phase 2a clinical trail, 41 well-controlled, well-characterized adult celiac patients who were maintained on a GFD for one or more years, were randomized to receive ALV003 or placebo daily for six weeks at the time of ingestion of 2g of gluten in the form of bread crumbs. Study participants underwent small bowel biopsy at the beginning of the trail and after being given the daily gluten challenge for six weeks.

The results:

– Biopsy date demonstrated significantly less small intestinal mucosal injury as measured by Vh:Cd in patients treated with ALV003 then in placebo-treated patients

– IELs, including CD3+ and CD3+ alpha/beta and gamma/delta sublets, which measures inflammatory response, were significantly unchanged in the ALV003-treated patients but significantly increased in the placebo-treated patients.”

More on this encouraging R&D as it becomes available.

Is Bullying a problem towards children with Celiac?

Children often experience teasing when growing up and it can occur at any time, any place and can have serious affects both physically and emotionally. We often associate teasing with the way one dresses, the way one talks, nationality or who their friends are, but being labeled as having a “disease” can also be cause for taunting and to be shunned.

Think of it. Johnny walks into a pizza parlor and his friends, trying to be funny and smart, move away exclaiming “ Johnny has Celiac Disease” but chances are no one in the group knows that Celiac Disease is an autoimmune condition, is not contagious and therefore of no danger to anyone. Johnny is devastated, smiles the best he can, turns and walks home, depressed with his self-esteem at rock bottom. This form of bullying can have negative consequences on his school work, his behavior and unless it is recognized and addressed, could carry over into his adult life with equally serious consequences.

But the very word ‘disease’ frightens most children (and some adults too) and it’s a problem the Celiac community needs to address. Why, when new gluten free products come out or Celiac is being reviewed by the media, why do they list the disastrous ‘could-happen’ physical problems if Celiac is left untreated, and why do they always say “Celiac Disease” instead of just “Celiac.”

We know that Cancer is a disease but no one says “Cancer Disease.” Diabetes is a disease but no one says “Diabetes Disease.” And when cancer or diabetes is mentioned, there is rarely if ever a list of dire consequences if left untreated as there are when Celiac Disease is mentioned.

More on this later. What do you think?

Featured Recipe: Gluten Free Roast Pork

Comment: We will often serve roast pork as it is a lean, low fat and succulent meat and nothing beats the flavorful aroma of a roasting pork whiffing throughout the kitchen. And while it’s best to measure the internal temperature to determine when it’s done you want to avoid overcooking it as that toughens the meat and there’s no need to do that for ‘safety’ reasons. If the internal heat of the roast is between 155-160 degrees, you’re fine.
Cooking time:
1 ¾ to 2 pounds, 1 hour at 350 degrees
Serves:
4
Ingredients:
1 ¾-2 pounds Boneless Center Cut
4 large baking potatoes or 4 large white potatoes for boiling (mashed)
1 medium size green zucchini, cut longwise into quarters and then sliced across, boiled
1 medium size yellow zucchini, cut lengthwise into quarters and then sliced across, boiled
4 carrots cut into slices, boiled with 1 tbl butter and 1 tbl Honey
1 full cup HomeMade Applesauce
1 tbl grated Parmesan cheese
1 4 oz can whole sliced mushrooms, drained
1 tbl olive oil
2 tbl butter
Salt, pepper, Garlic Powder

Preparation:
1. Preheat oven to 350 degree.
2. Sprinkle olive oil over roast adding salt, pepper and Garlic Powder and use a typical oven roasting pan for cooking. Roast until internal heat is between 155-160 degrees.
3. Prepare potatoes by baking 20 minutes (more or less depending on the degree of heat your micro produces or, put potatoes in the oven and bake with the roast. If you prefer mashed, peel, slice and boil potatoes adding a splash of butter and salt just before mashing.
4. Combine your two zucchinis into a medium sized pan with enough water to cover and boil until tender, drain thoroughly (don’t push) and add 1 tbl butter. Sprinkle with cheese.
5. Boil carrots in a small pan, drain, add 1 tbl butter and Honey.
6. Have your applesauce heated – either in a small pan or micro.
7. Combine mushrooms with gravy.
8. Prepare a plate(s) with slices of pork, vegetables, applesauce, potatoes and drizzle with gravy.

Condiments: Sour Cream
Sides: Fresh Green Salad

Make your HomeMade Gravy:
1. Drain off excess fatty oils from pan used to cook roast but save (sticking to the bottom and sides of the pan) the meat residue. (Its assumed you have removed the meat)
2. Take the pan and put it over medium-high cook top heat until the residue begins to brown and nearly burn. This will cause smoke so if you have an exhaust fan, use it; if not, minimize the burning to minimize the smoke but the residue has to brown.
3. Pour 8 oz hot tap water into the pan but be careful of spattering fat which can cause flames. Our suggestion is that you turn off the heat until you have added the water and then immediately turn the heat on and resume cooking. (No flames, no fire).
4. With a wooden spoon begin to scrape the liquefied residue stirring it to mix to a combined liquid form.
5. In a separate 1 cup plastic measuring cup, add 4 ozs cold water and 1 tbls Corn Starch and mix to a slurry and pour that into the now-boiling gravy to thicken it. It will first appear to color the gravy milky but after mixing it will blend in and become brown. After well mixed and boiled, strain the gravy into a heat proof glass bowl and its ready to serve.

Featured Recipe: Gluten Free Squash Medley

Squash MedleyComment: Megg brought this over for a large family gathering and it was what we call a “can I have the recipe” recipe as it was an immediate hit. It’s light, creamy, a little bit crunchy, just sweet enough and the cheese/bread crumb topping is very satisfying. When you serve it be sure to have copies handy as you’ll be asked “can I have the recipe.”
Cooking time:Bake 30 minutes @ 350 degrees
Steam time: 5 minutes
Serves: 5-8
Ingredients:
2 cups combined yellow & green zucchini, chopped
1 cup shredded cheddar cheese
1 cup HomeMade GF Breadcrumbs
½ cup mayonnaise
½ cup onion, chopped
1 egg
1 tsp sugar
1 tbls butter or Margarine
Preparation:
1. Preheat oven to 350 degrees.
2. Steam zucchini squash 5 minutes.
3. Mix squash, mayo, onions, egg and sugar and spread in a 9” x 12” casserole dish.
4. Spread cheddar cheese evenly over squash mix.
5. Spread breadcrumbs evenly over cheese.
6. Dot butter over breadcrumbs.
7. Bake for 30 minutes, remove from oven and serve hot.