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Cited by 543

The DOI matches its Crossref record; 40 of the 40 references it cites were found in a registry or an index.

Zonulin Upregulation Is Associated With Increased Gut Permeability in Subjects With Type 1 Diabetes and Their Relatives

Open access
Sapone, Anna, de Magistris, Laura, Pietzak, Michelle, Clemente, Maria G., Tripathi, Amit, Cucca, Francesco, Lampis, Rosanna, Kryszak, Deborah, Cartenì, Maria, Generoso, Maddalena, Iafusco, Dario, Prisco, Francesco, Laghi, Francesca, Riegler, Gabriele, Carratu, Romano, Counts, Debra, Fasano, Alessio·2006·Diabetes

Abstract

Zonulin, a protein that modulates intestinal permeability, is upregulated in several autoimmune diseases and is involved in the pathogenesis of autoimmune diabetes in the BB/Wor animal model of the disease. To verify the association between serum zonulin levels and in vivo intestinal permeability in patients with type 1 diabetes, both parameters were investigated in different stages of the autoimmune process. Forty-two percent (141 of 339) of the patients had abnormal serum zonulin levels, as compared with age-matched control subjects. The increased zonulin levels correlated with increased intestinal permeability in vivo and changes in claudin-1, claudin-2, and myosin IXB genes expression, while no changes were detected in ZO1 and occludin genes expression. When tested in serum samples collected during the pre–type 1 diabetes phase, elevated serum zonulin was detected in 70% of subjects and preceded by 3.5 ± 0.9 years the onset of the disease in those patients who went on to develop type 1 diabetes. Combined, these results suggest that zonulin upregulation is associated with increased intestinal permeability in a subgroup of type 1 diabetic patients. Zonulin upregulation seems to precede the onset of the disease, providing a possible link between increased intestinal permeability, environmental exposure to non–self antigens, and the development of autoimmunity in genetically susceptible individuals.

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Metadata

Authors
Sapone, A., de Magistris, L., Pietzak, M., Clemente, M. G., Tripathi, A., Cucca, F., Lampis, R., Kryszak, D., Cartenì, M., Generoso, M., Iafusco, D., Prisco, F., Laghi, F., Riegler, G., Carratu, R., Counts, D., & Fasano, A.
Venue
Diabetes
Published
2006-05-01
Volume
55
Issue
5
Pages
1443-1449
ISSN
  • 0012-1797 (ISSN-L)
  • 1939-327X
OpenAlex
W2143844722
Cited by
543
References
40
FWCI
6.89
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Zonulin Upregulation Is Associated With Increased Gut Permeability in Subjects With Type 1 Diabetes and Their Relatives. https://app.cochat.ai/papers/10.2337/db05-1593
The paper
Sapone, A., de Magistris, L., Pietzak, M., Clemente, M. G., Tripathi, A., Cucca, F., Lampis, R., Kryszak, D., Cartenì, M., Generoso, M., Iafusco, D., Prisco, F., Laghi, F., Riegler, G., Carratu, R., Counts, D., & Fasano, A. (2006). Zonulin Upregulation Is Associated With Increased Gut Permeability in Subjects With Type 1 Diabetes and Their Relatives. Diabetes. https://doi.org/10.2337/db05-1593

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.