Abstract

Coeliac Disease (CD) is an auto-immune reaction to gluten in 1–2% of the human population. A gluten-free (GF) diet, excluding wheat, barley, and rye, is the only remedy. This diet is difficult to adhere to, partly because wheat gluten is added to many processed products for their viscoelastic properties. In addition, GF products are less healthy and expensive. Wheat products containing only hypoimmunogenic gluten proteins would be a desirable option. Various gluten peptides that trigger CD have been characterized. A single wheat variety contains around hundred gluten genes, producing proteins with varying numbers of epitopes. Gene editing using CRISPR/Cas9 can precisely remove or modify the DNA sequences coding for immunogenic peptides. Wheat with hypoimmunogenic gluten thus exemplifies the potential of gene editing for improving crops for human consumption where conventional breeding cannot succeed. We describe here, in relation to breeding hypoimmunogenic wheat varieties, the inconsistencies of applying GM regulation in Europe for gene-edited plants while mutation breeding-derived plants are exempted. We explain that healthy products derived from this new technology may become available in the United States, Canada, Argentina and other countries but not in Europe, because of strict regulation of unintended GM risk at the expense of reduction the existing immunogenicity risks of patients. We argue that regulation of gene-edited plants should be based on scientific evidence. Therefore, we strongly recommend implementing the innovation principle. Responsible Research and Innovation, involving stakeholders including CD patient societies in the development of gene-editing products, will enable progress toward healthy products and encourage public acceptance.

Highlights

  • Coeliac Disease (CD) is an auto-immune reaction to gluten in 1–2% of the human population

  • A single bread wheat variety has a combination of gliadins and glutenins, some without any CD epitopes, others with one or more immunogenic epitopes (Van Herpen et al, 2006; Tye-Din et al, 2010; Salentijn et al, 2013; Ozuna et al, 2015)

  • As the transgenic RNAi construct remains in the wheat genome to silence the genes, these plants are subject to GM regulation, which in the EU is expensive, takes a long time, and has an uncertain outcome (Laursen, 2016)

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Summary

WHEAT GLUTEN AND COELIAC DISEASE

Bread wheat (Triticum aestivum) is a staple crop consumed worldwide. The properties that make wheat flour suitable for bread-making are conferred by gluten, the glutenin and gliadin storage proteins present in the grain. As the transgenic RNAi construct remains in the wheat genome to silence the genes, these plants are subject to GM regulation, which in the EU is expensive, takes a long time, and has an uncertain outcome (Laursen, 2016) In practice this precludes investments in what initially will be a niche product. Sequencing data enabled determining the type of mutations generated, while proteomics analysis can identify changes in amino acid composition of modified gliadin proteins These data will enable predicting whether a mutation in an epitope decreases its immunogenicity, as crucial residues have been determined experimentally (Mitea et al, 2010) and the affinity of the human receptors has been fully characterized (Petersen et al, 2014, 2016). As a third and final step, in vivo studies are needed where gluten from mutant grains would be given to voluntary

The Origin of GM Regulation for Gene Editing Plants in Europe
Inconsistent Regulation of Mutated Plants in Europe
Public Acceptance and Responsible Research and Innovation
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