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Immuno- and mass spectrometry (MS) test methods have been used to ensure "gluten-free" food products contain less than 20 ppm of gluten. However, comparison of test method performance is difficult due to differences in reporting units. A set of wheat flour fractions was prepared and characterized regarding immunoglobulin E (IgE)-reactivity and protein profile, which were then used to screen a panel of gluten peptides to identify reporters suitable for use in an MS test method for gluten determination. Four peptide markers were selected and synthesized as heavy isotopically labeled versions for further evaluation. Two were derived from α-gliadin (RPQQPYPQPQPQY and QPFPQPQLPY [spanning a celiac toxic motif]), one each from γ-gliadin (GIIQPQQPAQL [spanning a celiac toxic motif and IgE epitope]), and a low-molecular-weight subunit of glutenin (VQQQIPVVQPSIL). Analysis of the wheat flour fractions was achieved with peptides RPQQPYPQPQPQY, GIIQPQQPAQL, and VQQQIPVVQPSIL. Two methods were used to derive a set of factors for converting from peptide marker to gluten protein: one based on calculation and a second on experimental analysis using either the gliadin or glutenin protein fractions. Experimentally derived conversion factors performed better when used in an MS test method to quantify gluten in a set of wheat flour samples. Peptide VQQIPVVQPSIL showed the greatest sensitivity and, when employing a glutenin fraction-based conversion factor, gave comparable results to protein levels determined using Dumas total nitrogen analysis. This peptide marker demonstrated the potential to determine gluten at a level around the 10 mg gluten/kg food product level, showing that the prototype method and approaches described have the potential to deliver a complementary method for determination of gluten in food.
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http://dx.doi.org/10.1021/acs.jafc.4c12344 | DOI Listing |
Public Health
September 2025
Department of Public Health, Erasmus MC University Medical Center, Rotterdam, the Netherlands.
Objectives: Participation rates in fecal immunochemical test (FIT)-based colorectal cancer (CRC) screening differ across socio-demographic subgroups. The largest health gains could be achieved in subgroups with low participation rates and high risk of CRC. We investigated the CRC risk within different socio-demographic subgroups with low participation in the Dutch CRC screening program.
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September 2025
Institute of Medical Science, Gyeongsang National University College of Medicine, Jinju, Republic of Korea; Department of Neurology, Gyeongsang National University Hospital, Jinju, Republic of Korea.
Objective: To compare parenting stress between parents of children with autism spectrum disorder (ASD) and other developmental disabilities (DDs) and to examine ASD's influence on parenting stress through mediation analysis.
Methods: We retrospectively analyzed 48 children with ASD (ASD group) and 77 with non-ASD DDs (non-ASD group), along with one of their parents, at the Gyeongsang National University Hospital between May 2021 and August 2024. All underwent developmental assessments and completed the Korean version of the Parenting Stress Index-4 and the Child Interactive Behavior Test (CIBT).
Am J Emerg Med
September 2025
University of Toronto, Rotman School of Management, Canada.
Study Objective: Accurately predicting which Emergency Department (ED) patients are at high risk of leaving without being seen (LWBS) could enable targeted interventions aimed at reducing LWBS rates. Machine Learning (ML) models that dynamically update these risk predictions as patients experience more time waiting were developed and validated, in order to improve the prediction accuracy and correctly identify more patients who LWBS.
Methods: The study was deemed quality improvement by the institutional review board, and collected all patient visits to the ED of a large academic medical campus over 24 months.
Turk J Pediatr
September 2025
Department of Cardiorespiratory Physiotherapy and Rehabilitation, Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Türkiye.
Background: Vascular changes are observed in children with cystic fibrosis (cwCF), and gender-specific differences may impact arterial stiffness. We aimed to compare arterial stiffness and clinical parameters based on gender in cwCF and to determine the factors affecting arterial stiffness in cwCF.
Methods: Fifty-eight cwCF were included.
Turk J Pediatr
September 2025
Department of Pediatrics, Faculty of Medicine, Afyonkarahisar Health Sciences University, Afyonkarahisar, Türkiye.
Background: With the development of technology, easier access to the internet and its excessive use have led to problematic internet use (PIU). The prevalence of PIU and its association with lifestyle behaviors in adolescents have become subjects of increasing academic interest. This study aimed to determine the prevalence of PIU among Turkish high school students and to investigate its association with sleep, physical activity and dietary habits.
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