review˜The œLancet. Gastroenterology & hepatologyMar 11, 2025HYBRID OA

The intestinal barrier: a pivotal role in health, inflammation, and cancer

Friedrich-Alexander-Universität Erlangen-Nürnberg · Universitätsklinikum Erlangen · +3 more institutions

PubMed
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Abstract

The intestinal barrier serves as a boundary between the mucosal immune system in the lamina propria and the external environment of the intestinal lumen, which contains a diverse array of microorganisms and ingested environmental factors, including pathogens, food antigens, toxins, and other foreign substances. This barrier has a central role in regulating the controlled interaction between luminal factors and the intestinal immune system. Disruptions of intestinal epithelial cells, which serve as a physical barrier, or the antimicrobial peptides and mucins they produce, which act as a chemical barrier, can lead to a leaky gut. In this state, the intestinal wall is unable to efficiently separate the intestinal…

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