Cited by 514Gut microbiota and healthGastrointestinal motility and disordersInflammatory Bowel Disease

Gut barrier disruption and chronic disease

Martel, Jan, Chang, Shih-Hsin, Ko, Yun-Fei, Hwang, Tsong-Long, Young, John D., Ojcius, David M.·2022·Trends in Endocrinology & Metabolism

Abstract

The intestinal barrier protects the host against gut microbes, food antigens, and toxins present in the gastrointestinal tract. However, gut barrier integrity can be affected by intrinsic and extrinsic factors, including genetic predisposition, the Western diet, antibiotics, alcohol, circadian rhythm disruption, psychological stress, and aging. Chronic disruption of the gut barrier can lead to translocation of microbial components into the body, producing systemic, low-grade inflammation. While the association between gut barrier integrity and inflammation in intestinal diseases is well established, we review here recent studies indicating that the gut barrier and microbiota dysbiosis may contribute to the development of metabolic, autoimmune, and aging-related disorders. Emerging interventions to improve gut barrier integrity and microbiota composition are also described.

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Crossref · 10.1016/j.tem.2022.01.002

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231 of 231 references verified0 citation errors · 0 not checkable

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  • Chronic interactions can lead to systemic low-grade inflammation contributing to the development of autoimmune, metabolic, and cognitive disorders.

    “Mounting evidence suggests that chronic interactions can lead to systemic, low-grade inflammation contributing to the development of autoimmune, metabolic, and cognitive disorders (358).”

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Authors
Martel, J., Chang, S.-H., Ko, Y.-F., Hwang, T.-L., Young, J. D., & Ojcius, D. M.
Affiliations
  • Chang Gung University (TW)
  • Ming Chi University of Technology (TW)
  • Chang Gung University of Science and Technology (TW)
  • University of the Pacific (US)
Corresponding author
  • Young, John D.
  • Ojcius, David M.
Venue
Trends in Endocrinology & Metabolism
Publisher
Elsevier BV
Published
2022-04
Volume
33
Issue
4
Pages
247-265
ISSN
1043-2760 (ISSN-L)
OpenAlex
W4211008136
Cited by
514
References
231
Citations by year
2026: 113 · 2025: 139 · 2024: 134 · 2023: 99 · 2022: 29
FWCI
10.63
Type
journal article
Language
en
Open access
closed
Locations
  • Trends in Endocrinology and Metabolism (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
  • Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
Keywords
intestinal barrier integrity, intestinal permeability, dysbiosis, low-grade inflammation, microbial translocation, Western diet, antibiotics, alcohol, circadian rhythm disruption, psychological stress, aging, metabolic disorders, autoimmune disease
MeSH terms
Gastrointestinal Microbiome, Chronic Disease, Humans, Inflammation, Microbiota, Dysbiosis

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