Abstract
Background Casein-free, gluten-free diets have been reported to mitigate some of the inflammatory gastrointestinal
and behavioral traits associated with autism, but the mechanism for this palliative effect has not been elucidated. We
recently showed that the opioid peptide beta-casomorphin-7, derived from bovine (bBCM7) milk, decreases cysteine
uptake, lowers levels of the antioxidant glutathione (GSH) and decreases the methyl donor S-adenosylmethionine
(SAM) in both Caco-2 human GI epithelial cells and SH-SY5Y human neuroblastoma cells. While human breast milk
can also release a similar peptide (hBCM-7), the bBCM7 and hBCM-7 vary greatly in potency; as the bBCM-7 is highly
potent and similar to morphine in it's effects. Since SAM is required for DNA methylation, we wanted to further
investigate the epigenetic effects of these food-derived opioid peptides. In the current study the main objective was
to characterize functional pathways and key genes responding to DNA methylation effects of food-derived opioid
peptides.
Methods SH-SY5Y neuroblastoma cells were treated with 1 μM hBCM7 and bBCM7 and RNA and DNA were isolated
after 4 h with or without treatment. Transcriptional changes were assessed using a microarray approach and CpG
methylation status was analyzed at 450,000 CpG sites. Functional implications from both endpoints were evaluated via
Ingenuity Pathway Analysis 4.0 and KEGG pathway analysis was performed to identify biological interactions between
transcripts that were significantly altered at DNA methylation or transcriptional levels (p < 0.05, FDR <0.1).
Results Here we show that hBCM7 and bBCM7, as well as morphine, cause epigenetic changes affecting gene
pathways related to gastrointestinal disease and inflammation. These epigenetic consequences exhibited the same
potency order as opiate inhibition of cysteine uptake insofar as hBCM7 was less potent than bBCM7, which was less
potent than morphine.
Conclusion Our findings indicate that epigenetic effects of milk-derived opiate peptides may contribute to GI
dysfunction and inflammation in sensitive individuals. While the current study was performed using SH-SY5Y
neuronal cellular models, similar actions on other cells types might combine to cause symptoms of intolerance. These
actions may provide a potential contributing mechanism for the beneficial effects of a casein-free diet in alleviating
gastrointestinal symptoms in neurological conditions including autism and other conditions. Lastly, our study also
contributes to the evolving awareness of a “gut-brain connection”.
Keywords: Epigenetics, Gluten free casein free diet, Autism, Glutathione, Gastrointestinal, Inflammation
beta-casomorphin-7 epigenetic effects, casein-derived opioid peptides neuroblastoma, bovine milk peptide DNA methylation, casein-free diet autism mechanism, glutathione cysteine opioid peptides, S-adenosylmethionine casomorphin effects, milk opioid peptide oxidative stress, BCM7 methylation epigenetic changes, casein peptide neurological effects, dietary opioid peptide gene expression
Keywords
Autism, Epigenetics, Gastrointestinal, Glutathione, Gluten Free Casein Free Diet, Inflammation