Open research questions in Celiac Disease Research and Management
86 unresolved questions extracted from the limitations and future-work sections of 360 Celiac Disease Research and Management papers in our library. Each links back to the study that raised it.
What the literature leaves open
The associations between food-specific IgG and clinical symptoms remain limited. Regional epidemiological data on food-specific IgG are lacking. The complex association patterns between food-specific IgG and specific symptoms remain to be elucidated.
Association rule analysis of food-specific IgG and clinical symptoms in pediatric patients · 2026 · DOIFurther investigation into the potential beneficial role of probiotics, - Evaluation of probiotics in primary prevention, - Assessment of combination probiotics
The paper identifies a gap in the understanding of the effectiveness of probiotics in celiac disease. It notes that the current evidence is limited by variations in formulation, dietary regimen, and clinical outcome markers. It highlights the need for further investigation into the potential beneficial role of probiotics in celiac disease.
Further prospective studies incorporating direct immunological and iron metabolism markers are warranted to clarify underlying mechanisms.
The relationship between Helicobacter pylori severity and hematological parameters in pediatric patients with celiac disease · 2026 · DOIAIM: The relationship between Helicobacter pylori infection and hematological parameters in pediatric celiac disease remains controversial.
The relationship between Helicobacter pylori severity and hematological parameters in pediatric patients with celiac disease · 2026 · DOIFurther research on the implementation of growth based screening parameters in routine practice is warranted.
Growth patterns in coeliac disease – a longitudinal study of children aged 0–6 years in Sweden · 2026 · DOIHowever, there are limited data concerning adherence to GFD among adult CD patients in Saudi Arabia.
Knowledge, Adherence, and Barriers to Gluten-Free Diet Among Adults with Celiac Disease in Saudi Arabia: A Pilot Study at a Tertiary Hospital in Madinah, Saudi Arabia · 2025 · DOIIn addition, we summarize the current knowledge and gaps in understanding related to screening programs for celiac disease in children and adolescents and discuss health benefits, psychosocial aspects and cost-effectiveness, and their potential implications for future public health strategies.
Celiac disease screening in children: evaluating the evidence, benefits, and challenges · 2025 · DOIOur study also indicates that novel treatments adjunctive to diet are warranted in children.
Impact of ESPGHAN no-biopsy strategy on the outcome of celiac disease treatment in children · 2025 · DOIBackground and aim: The prevalence and clinical spectrum of symptoms due to inadvertent gluten exposure in children with celiac disease (CeD) on a gluten-free diet (GFD) are not well defined.
Prevalence of acute reactions to gluten contamination of the diet in children with celiac disease · 2025 · DOIHowever, there is a gap in the literature regarding the association between the severity of CD and the levels of these autoantibodies.
Association of endocrine autoantibodies (anti-TPO, anti-GAD, anti-insulin) with histopathological severity in pediatric Celiac disease: a retrospective cohort study · 2025 · DOICeliac disease is a serious condition that remains under-recognized, resulting in an increased need for programs for better management.
Few studies have looked at the role and perception of telehealth in relation to CD and selective nutrition both before and after the COVID-19 pandemic.
Utilizing Telemedicine Applications in Celiac Disease and Other Gluten-Free-Diet-Dependent Conditions: Insights from the COVID-19 Pandemic · 2024 · DOIThe purpose of this review is to provide a more clear and up-to-date understanding of GRDs, and to help further research on this important topic.
Gluten Unraveled: Latest Insights on Terminology, Diagnosis, Pathophysiology, Dietary Strategies, and Intestinal Microbiota Modulations—A Decade in Review · 2024 · DOIWhile future technology-based strategies for proper vitamin D supplementation could be attractive in the context of personalized medicine, several issues remain to be defined, including standardized assays for vitamin D determination, timely recommendations on vitamin D intake for immune system functioning, and longitudinal studies and randomized controlled trials to definitely establish a causal relationship between serum vitamin D levels and the onset of AITD and CeD.
Vitamin D: An Essential Nutrient in the Dual Relationship between Autoimmune Thyroid Diseases and Celiac Disease—A Comprehensive Review · 2024 · DOIImportance: The extent and factors associated with risk of diagnostic delay in pediatric celiac disease (CD) are poorly understood.
The literature on psychiatric symptoms in celiac disease is heterogeneous. There is a need for further research on the prevalence and treatment of psychiatric symptoms in celiac disease.
Depression and Anxiety as Aspects of Mental Health in Celiac Disease: A Systematic Review and Meta-Analytical Synthesis · 2026 · DOIThe mechanisms by which strict dietary vigilance and perfectionism paradoxically increase anxiety in some celiac disease patients need empirical investigation through prospective studies measuring personality traits (conscientiousness, perfectionism) alongside anxiety trajectories during gluten-free diet initiation and adherence.
Depression and Anxiety as Aspects of Mental Health in Celiac Disease: A Systematic Review and Meta-Analytical Synthesis · 2026 · DOIThere is a need for novel therapeutic strategies to improve disease management and quality of life for patients with celiac disease. The current treatment for celiac disease, a strict gluten-free diet, has important practical and biological limitations.
Gut microbiome based therapeutic strategies and probiotic perspectives in celiac disease · 2026 · DOIOral glutenases (prolyl endopeptidases) Enzymatic cleavage of immunogenic proline-rich gliadin peptides In-vitro, animal models, Phase I–II human trials Clear biochemical detoxification; reduced mucosal immune activation ALV003…
Gut microbiome based therapeutic strategies and probiotic perspectives in celiac disease · 2026 · DOIThe precise environmental factors and immunological mechanisms of coexistence of T1DM and CD are not well understood. The data available on the long-term cardiovascular, microvascular, and bone disease in patients with both diseases is still limited.
Investigating the role of zonulin and CHI3L1 in early disease pathogenesis. Examining the associations between zonulin, CHI3L1, and other biomarkers of intestinal permeability and inflammation.
Serum Zonulin and Chitinase (CHI3L1) as Biomarkers of Intestinal Permeability and Disease Activity in Pediatric Celiac Disease · 2026 · DOIConventional follow-up parameters may not fully reflect ongoing disease activity. There is a need for biomarkers related to intestinal barrier dysfunction and mucosal inflammation.
Serum Zonulin and Chitinase (CHI3L1) as Biomarkers of Intestinal Permeability and Disease Activity in Pediatric Celiac Disease · 2026 · DOIThe lack of gold-standard biomarkers for Self-Reported Wheat/Gluten Sensitivity. The complexity of the immunogenetic and serological patterns in individuals with self-reported wheat/gluten sensitivity.
Immunogenetic HLA-DQ and IgG serological profiles in individuals with self-reported wheat/gluten sensitivity: a retrospective real-world evidence study · 2026 · DOIThe study has a small sample size of 100 participants. The study is based on a non-probabilistic convenience sampling. The study lacks a control group for comparison.
Immunogenetic HLA-DQ and IgG serological profiles in individuals with self-reported wheat/gluten sensitivity: a retrospective real-world evidence study · 2026 · DOI
Most-cited papers in Celiac Disease Research and Management
- Revised criteria for diagnosis of coeliac disease. Report of Working Group of European Society of Paediatric Gastroenterology and Nutrition. · Archives of Disease in Childhood · 1990 · 1,214 citations
- Fracture Risk in Patients with Celiac Disease, Crohn's Disease, and Ulcerative Colitis: A Nationwide Follow-up Study of 16,416 Patients in Denmark · American Journal of Epidemiology · 2002 · 275 citations
- Effect of breast feeding on risk of coeliac disease: a systematic review and meta-analysis of observational studies · Archives of Disease in Childhood · 2005 · 264 citations
- Antigliadin and antiendomysium antibody determination for coeliac disease. · Archives of Disease in Childhood · 1991 · 234 citations
- Causes of Death in Patients With Celiac Disease in a Population-Based Swedish Cohort · Archives of Internal Medicine · 2003 · 219 citations
- Tight Junctions, Intestinal Permeability, and Autoimmunity · Annals of the New York Academy of Sciences · 2009 · 193 citations
- Advances in Celiac Disease and Gluten-Free Diet · Journal of the American Dietetic Association · 2008 · 187 citations
- Gluten-dependent diabetes-related and thyroid-related autoantibodies in patients with celiac disease · The Journal of Pediatrics · 2000 · 163 citations
- Neurologic and Psychiatric Manifestations of Celiac Disease and Gluten Sensitivity · Psychiatric Quarterly · 2011 · 159 citations
- A prospective study of the incidence of childhood celiac disease · The Journal of Pediatrics · 2003 · 158 citations
Most recent work
- Green pediatrics beyond endoscopy: Toward systemic sustainability in celiac care · JPGN Reports · 2026
- Risk of Coeliac Disease After Immune Checkpoint Inhibitor Exposure in Patients With Cancer · Alimentary Pharmacology & Therapeutics · 2026
- The relationship between Helicobacter pylori severity and hematological parameters in pediatric patients with celiac disease · BMC Pediatrics · 2026
- Growth patterns in coeliac disease – a longitudinal study of children aged 0–6 years in Sweden · BMC Pediatrics · 2026
- Depression and Anxiety as Aspects of Mental Health in Celiac Disease: A Systematic Review and Meta-Analytical Synthesis · Quality in Sport · 2026
- Artificial intelligence‐driven histomorphometry: A milestone toward standardizing celiac disease diagnosis · Journal of Pediatric Gastroenterology and Nutrition · 2026
- Adherencia a la dieta sin gluten valorada mediante un cuestionario estructurado en Atención Primaria: un estudio de base poblacional (oral) · Revista Clínica de Medicina de Familia · 2026
- Consumers’ views on gluten-free products market around the Mediterranean basin: A qualitative analysis · Mediterranean Journal of Nutrition and Metabolism · 2026
- Effects of Gluten on BCL-2 Gene Expression and Histopathological Structure of Liver · Bulletin of Pharmaceutical Sciences Assiut University · 2026
- Gut microbiome based therapeutic strategies and probiotic perspectives in celiac disease · Discover Medicine · 2026
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