Benefits
Breaks down gluten in the stomach
In controlled human studies, the AN-PEP enzyme degraded most of the gluten in a test meal while it was still in the stomach, before it could reach the small intestine, and it stays active in the acidic stomach where ordinary digestive enzymes do not.
Backup for small, unintended gluten exposure
It is designed for people already avoiding gluten who may encounter hidden or cross-contaminating traces, for example when eating out. It targets the leftover gluten that a careful gluten-free diet cannot always prevent.
Degrades the fragments humans cannot
Parts of gluten are rich in proline, which makes them resistant to human digestion. AN-PEP breaks down these proline-rich fragments, including the gliadin 33-mer peptide central to the gluten immune response, that would otherwise pass through intact.
Mechanism of action
Proline-specific endoprotease
AN-PEP cleaves peptide bonds on the carboxyl side of proline residues. Human gastric and pancreatic proteases handle these bonds poorly, which is why proline-rich gluten peptides normally survive digestion and reach the gut largely intact.
Acid-stable, works in the stomach
The enzyme has an acidic pH optimum and stays active under gastric conditions (roughly pH 2 to 5) and in the presence of pepsin, so it begins degrading gluten early, in the stomach, rather than being inactivated like many enzymes.
Lowers immunogenic gliadin reaching the gut
By fragmenting proline- and glutamine-rich gliadin peptides, including the 33-mer alpha-gliadin peptide, AN-PEP reduces the amount of intact immunogenic gluten that arrives at the small intestine, where the gluten immune reaction takes place.
Clinical trials
Randomised, double-blind, placebo-controlled crossover trial of high- and low-dose AN-PEP taken with a gluten-containing meal, with stomach and duodenal contents sampled over three hours (König J, Holster S, Bruins MJ, Brummer RJ 2017, Scientific Reports 7(1):13100, PMID 29026170).
18 gluten-sensitive adults; porridge containing 0.5 g gluten taken with high-dose AN-PEP, low-dose AN-PEP, or placebo.
Both AN-PEP doses significantly lowered gluten levels in the stomach versus placebo, and at least 50% more gluten was degraded in the duodenum in 10 of 13 comparisons. The trial measured gluten breakdown, not symptom relief or protection from intestinal damage.
Randomised, double-blind, placebo-controlled study infusing a liquid meal containing gluten with or without AN-PEP directly into the stomach of healthy volunteers (Salden BN, Monserrat V, Troost FJ, Bruins MJ, Edens L, Bartholomé R, Haenen GR, Winkels B, Koning F, Masclee AA 2015, Aliment Pharmacol Ther 42(3):273-285, PMID 26040627).
Healthy adult volunteers with an intragastric feeding tube; a meal with gluten plus AN-PEP or placebo.
AN-PEP substantially and significantly reduced the amount of gluten (alpha-gliadin) reaching the stomach and duodenum compared with placebo (P<0.001). A mechanistic gluten-degradation study in healthy people, not a test of symptom prevention.