Studies in vivo of ω-gliadins in gluten sensitivity (coeliac sprue disease)

1. Highly purified omega-gliadins from wheat were used to challenge gluten-sensitized individuals. Characteristic responses by mucosal CD3(+) and gamma delta(+) lymphocytes were demonstrated. Each lymphocyte subset showed an increase within 8-12h post-challenge, indicating a specific response by the rectal mucosa to this gliadin species. 2. Available sequence data for the omega-gliadins and homologous proteins from barley and rye indicate a common repeating octapeptide motif (consensus PQQPFPQQ). The results indicate, therefore, that the octapeptide repeat, or a contained sequence such as PQQP, plays an important role in the mucosal immunopathology of gluten sensitivity.