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Other authors suggested that gliadin was able to bind the mono-sialic ganglioside 1 (GM1) or the receptors for the proinflammatory chemokine 3 (CXCR3) in mouse models, leading to the release of zonulin which in turn decreases electrical resistance of epithelial layers, finally resulting in increased epithelial permeability (139, 255)

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It is still unclear whether the patients surviving into adulthood are typical or whether they represent the "best case scenario," with more severe forms of the disease being incompatible with life