The Steep Costs of Disrupting Gut-Barrier Harmony

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A conversation between Dr Akash Goel and integrative gastroenterologist Dr Elena Ivanina on new data linking inadequate gut health with various diseases.

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The gut barrier is made up of the mucus layer, gut microbiome, epithelial cells, and immune cells in the lamina propria. When this apparatus is disrupted by factors such as infection, low-fiber diet, antibiotics, and alcohol, then it cannot function normally to selectively keep out the harmful intraluminal substances.leads to translocation of dangerous intraluminal components, such as bacteria and their components, into the gut wall and, most importantly, exposes the immune system to them.

Patients may be completely asymptomatic with leaky gut. Physicians should be suspicious if there is a genetic predisposition to chronic disease or if any risk factors are unveiled after assessing diet and lifestyle exposures. With a fiber-depleted diet, gut microbiota that normally feed on fiber gradually disappear and other commensals shift their metabolism toNew evidence is demonstrating that previous functional conditions of the gastrointestinal tract, like functional dyspepsia, are associated with abnormalities to the intestinal barrier.

What diagnostic testing are you using to determine whether patients have disruptions to the gut barrier? Are they validated or more experimental?, Dr Michael Camilleri found that the optimal probes for measuring small intestinal and colonic permeability are the mass excreted ofIs there an association between alterations in the gut microbiome and gut-barrier disruption?

 

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