The intestinal epithelial barrier: a therapeutic target?
Open accessAbstract
A fundamental function of the intestinal epithelium is to act as a barrier that limits interactions between luminal contents such as the intestinal microbiota, the underlying immune system and the remainder of the body, while supporting vectorial transport of nutrients, water and waste products. Epithelial barrier function requires a contiguous layer of cells as well as the junctions that seal the paracellular space between epithelial cells. Compromised intestinal barrier function has been associated with a number of disease states, both intestinal and systemic. Unfortunately, most current clinical data are correlative, making it difficult to separate cause from effect in interpreting the importance of barrier loss. Some data from experimental animal models suggest that compromised epithelial integrity might have a pathogenic role in specific gastrointestinal diseases, but no FDA-approved agents that target the epithelial barrier are presently available. To develop such therapies, a deeper understanding of both disease pathogenesis and mechanisms of barrier regulation must be reached. Here, we review and discuss mechanisms of intestinal barrier loss and the role of intestinal epithelial barrier function in pathogenesis of both intestinal and systemic diseases. We conclude with a discussion of potential strategies to restore the epithelial barrier.
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Compromised intestinal barrier function has been associated with a number of disease states, both intestinal and systemic.
“Compromised intestinal barrier function has been associated with a number of disease states, both intestinal and systemic.128”
From The emerging roles of bacterial proteases in intestinal diseases (2023) · cites this paper as [128]
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- Authors
- Odenwald, M. A., & Turner, J. R.
- Affiliations
- University of Chicago (US)
- Brigham and Women's Hospital (US)
- Corresponding author
- Turner, Jerrold R.
- Venue
- Nature Reviews Gastroenterology & Hepatology
- Published
- 2016-11-16
- Volume
- 14
- Issue
- 1
- Pages
- 9-21
- ISSN
- 1759-5045 (ISSN-L)
- 1759-5053
- PMC
- PMC5554468
- OpenAlex
- W2553323458
- Cited by
- 1,288
- References
- 228
- Citations by year
- 2026: 170 · 2025: 156 · 2024: 183 · 2023: 177 · 2022: 166 · 2021: 166 · 2020: 107 · 2019: 76 · 2018: 60 · 2017: 25 · 2016: 2
- FWCI
- 9.17
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Reviews Gastroenterology & Hepatology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Crohn's and Colitis Foundation (252879)
- National Institute of Diabetes and Digestive and Kidney Diseases (F30DK103511, F32DK009180, R01DK068271, P30DK034854, R01DK061931)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (T32HD007009)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Life Sciences › Neuroscience › Neurology › Barrier Structure and Function Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Keywords
- intestinal epithelial barrier, intestinal permeability, tight junctions, paracellular barrier, gut microbiota, systemic disease
- MeSH terms
- Animals, Celiac Disease, Diabetes Mellitus, Type 1, Graft vs Host Disease, Homeostasis, Humans, Intercellular Junctions, Intestinal Mucosa, Permeability, Inflammatory Bowel Diseases
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