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Microbial Translocation Across the GI Tract
Open accessAbstract
The lumen of the gastrointestinal (GI) tract is home to an enormous quantity of different bacterial species, our microbiota, that thrive in an often symbiotic relationship with the host. Given that the healthy host must regulate contact between the microbiota and its immune system to avoid overwhelming systemic immune activation, humans have evolved several mechanisms to attenuate systemic microbial translocation (MT) and its consequences. However, several diseases are associated with the failure of one or more of these mechanisms, with consequent immune activation and deleterious effects on health. Here, we discuss the mechanisms underlying MT, diseases associated with MT, and therapeutic interventions that aim to decrease it.
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“However, in the absence of infection, endotoxin still crosses the mucosal membranes of gut, gums, nose or lungs, the main source being intestinal permeability [36, 37].”
From The endotoxin hypothesis of neurodegeneration (2019) · cites this paper as [37]
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Draganovič, J., Páral, J., Novotný, P., & Sirový, M. (2026) · European surgery. Supplement/European surgery · doi:10.1007/s10353-026-00943-z
Méthodes d'analyse et variations du microbiote digestif
Dubourg, G. (2016) · theses.fr (ABES) · doi:10.70675/a958bd08zd303z4991z9bf9zd61ee389d83b
Espinosa-Carrasco, G. (2016) · theses.fr (ABES) · doi:10.70675/f4c31cbcz110ez48dbza3eaz9a7512ef00fe
Sydenstricker, A. V., Lee, D., Voss, A., Zheng, J. H., Hur, H. B., Kandpal, M., & Goldstein, H. (2026) · Journal of Virology · doi:10.1128/jvi.02063-25
“Even with ART, PWH display HIV-related systemic immune activation, associated with increased levels of LPS and other endotoxins in the blood (63), due to compromised gut barrier integrity enabling microbial translocation from the gut into the circulation (66–68).”
Lu, Y., Lin, X., Lan, R., Du, Y., Zhou, X. Y., Yuan, Z., Liu, L., & Xu, J. (2026) · Nutrients · doi:10.3390/nu18111738
“Typhimurium, exhibiting progressive injury, increased translocation of pathogenic cells into peripheral blood circulation [31].”
Xin, X., Chen, P., Zhu, L., Chen, L., Li, H., Shao, P., Xiao, S., Ding, Y., & He, N. (2026) · European journal of medical research · doi:10.1186/s40001-026-04695-0
“Escherichia–Shigella and Klebsiella are pathobionts capable of producing endotoxin (LPS), which activates Toll-like receptor 4 (TLR4) signaling and stimulates release of IL-1β and TNF-α, perpetuating systemic immune activation [42, 43].”
Shahid, A. S. M. S. B., Denno, D. M., Kariuki, K., Rwigi, D., Gazi, M. A., Shahrin, L., Gumbi, W., Njunge, J. M., Chisti, M. J., Ahmed, T., et al. (2026) · PLOS Global Public Health · doi:10.1371/journal.pgph.0006873
“P. Falci-parum malaria sequesters in intestinal capillaries and is thought to cause local hypoxia and increased permeability which may explain the association with α -1-antitrypsin [35,36].”
Bodykevich, E. G., Vinton, C. L., Ortiz, A. M., & Brenchley, J. M. (2026) · Pathogens and Immunity · doi:10.20411/pai.v11i2.1054
“…cancer, inflammatory bowel disease, cirrhosis, and human immunodeficiency virus (HIV) infection, loss of barrier function and increased intestinal permeability result in microbial translocation: the movement of microbes and/or their products from the gut lumen into systemic circulation [3–7].”
Self-citationDias, J., Far, M. E., Boczar, K. E., Filali-Mouhim, A., Benlarbi, M., Gabriel, E. M., Moreaux, J., Khalfi, S., Salinas, T. R. W., Messier-Peet, M., et al. (2026) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.64898/2026.08.20.746037
Craig, A. M., Clemens, K. J., & Leigh, S. (2026) · Clinical Science · doi:10.1042/cs20250049
Menopause and “leaky gut”: implications for midlife women’s health
Peters, B. A. (2026) · Journal of Clinical Investigation · doi:10.1172/jci209807
Benchmarking methods for extracting microbial signal from host-dominated metatranscriptomes
Colajanni, A., Uricaru, R., Darko, S., Subramanian, R., Douek, D. C., Thiébaut, R., & Thébault, P. (2026) · Briefings in Bioinformatics · doi:10.1093/bib/bbag454
“Microbial translocation [ 36] refers to the presence of microbial RNA originating from the host digestive tract that has crossed organ barriers and is detectable in host-associated samples, such as blood.”
Self-citationHuang, L., Wan, Y., Yang, Z., Zhou, Z., & Zhang, M. (2026) · Frontiers in Immunology · doi:10.3389/fimmu.2026.1953030
“A characteristic feature of treated HIV infection is persistent, non-tumor-speci fi c immune activation associated with microbial translocation, residual viral stimulation, coinfections, and age-associated in fl ammatory programs (35, 37).”
Influential
Metadata
- Authors
- Brenchley, J. M., & Douek, D. C.
- Affiliations
- National Institutes of Health (US)
- Venue
- Annual Review of Immunology
- Publisher
- Annual Reviews
- Published
- 2012-04-23
- Volume
- 30
- Issue
- 1
- Pages
- 149-173
- ISSN
- 0732-0582 (ISSN-L)
- 1545-3278
- PMC
- PMC3513328
- OpenAlex
- W2146488133
- Cited by
- 496
- References
- 222
- Citations by year
- 2026: 22 · 2025: 32 · 2024: 42 · 2023: 30 · 2022: 44 · 2021: 33 · 2020: 42 · 2019: 59 · 2018: 24 · 2017: 40 · 2016: 34 · 2015: 20 · 2014: 27 · 2013: 32 · 2012: 15
- FWCI
- 2.74
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Annual Review of Immunology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute of Allergy and Infectious Diseases (Z01AI001029, ZIAAI005034)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Life Sciences › Immunology and Microbiology › Immunology › Immune Response and Inflammation
- Keywords
- microbial translocation, gut microbiota, gastrointestinal tract, host-microbe interactions, immune activation, systemic inflammation, therapeutic interventions
- MeSH terms
- Animals, Anti-Infective Agents, Digestive System Diseases, Humans, Immunologic Factors, Probiotics, Gastrointestinal Tract, Host-Pathogen Interactions, Metagenome
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