The Role of Leaky Gut in Functional Dyspepsia

Bibliographic Details
Title: The Role of Leaky Gut in Functional Dyspepsia
Authors: Lucas Wauters, Matthias Ceulemans, Jolien Schol, Ricard Farré, Jan Tack, Tim Vanuytsel
Source: Frontiers in Neuroscience, Vol 16 (2022)
Publisher Information: Frontiers Media S.A., 2022.
Publication Year: 2022
Collection: LCC:Neurosciences. Biological psychiatry. Neuropsychiatry
Subject Terms: functional dyspepsia, permeability, immunology, duodenum, gut-brain-axis, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
More Details: Patients with functional dyspepsia (FD) complain of epigastric symptoms with no identifiable cause. Increased intestinal permeability has been described in these patients, especially in the proximal small bowel or duodenum, and was associated with mucosal immune activation and symptoms. In this review, we discuss duodenal barrier function, including techniques currently applied in FD research. We summarize the available data on duodenal permeability in FD and factors associated to increased permeability, including mucosal eosinophils, mast cells, luminal and systemic factors. While the increased influx of antigens into the duodenal mucosa could result in local immune activation, clinical evidence for a causal role of permeability is lacking in the absence of specific barrier-protective treatments. As both existing and novel treatments, including proton pump inhibitors (PPI) and pre- or probiotics may impact duodenal barrier function, it is important to recognize and study these alterations to improve the knowledge and management of FD.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1662-453X
Relation: https://www.frontiersin.org/articles/10.3389/fnins.2022.851012/full; https://doaj.org/toc/1662-453X
DOI: 10.3389/fnins.2022.851012
Access URL: https://doaj.org/article/6a547635e0ba4094a7fcc3d3653ddfe0
Accession Number: edsdoj.6a547635e0ba4094a7fcc3d3653ddfe0
Database: Directory of Open Access Journals
More Details
ISSN:1662453X
DOI:10.3389/fnins.2022.851012
Published in:Frontiers in Neuroscience
Language:English