articleJournal of the Endocrine SocietyFeb 1, 2020GOLD OA

Intestinal Barrier Dysfunction, LPS Translocation, and Disease Development

Hunter Holmes McGuire VA Medical Center · Virginia Commonwealth University Medical Center

PubMed
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Abstract

The intestinal barrier is complex and consists of multiple layers, and it provides a physical and functional barrier to the transport of luminal contents to systemic circulation. While the epithelial cell layer and the outer/inner mucin layer constitute the physical barrier and are often referred to as the intestinal barrier, intestinal alkaline phosphatase (IAP) produced by epithelial cells and antibacterial proteins secreted by Panneth cells represent the functional barrier. While antibacterial proteins play an important role in the host defense against gut microbes, IAP detoxifies bacterial endotoxin lipopolysaccharide (LPS) by catalyzing the dephosphorylation of the active/toxic Lipid A moiety, preventing…

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