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Gut barrier disruption and chronic disease
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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“Mounting evidence suggests that chronic interactions can lead to systemic, low-grade inflammation contributing to the development of autoimmune, metabolic, and cognitive disorders (358).”
From Signalling cognition: The gut microbiota and hypothalamic-pituitary-adrenal axis (2023) · cites this paper as [358]
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Signalling cognition: The gut microbiota and hypothalamic-pituitary-adrenal axis
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Immunopathogenic mechanisms and immunoregulatory therapies in MASLD
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“This phenomenon mirrors the critical role of the gut vascular barrier, where the integrity of this barrier is crucial for preventing systemic in fl ammation and maintaining metabolic homeostasis [156, 157].”
Metadata
- 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
- Licence
- 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
- Health Sciences › Medicine › Gastroenterology › 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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