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The Link Between Gut Permeability and Chronic Inflammatory Diseases

Recent research reveals that gut permeability, often called "leaky gut," is crucial in chronic inflammatory diseases (CIDs). Here’s what you need to know:


  • Zonulin's Impact: Zonulin, a protein regulating gut permeability, is linked to various CIDs. Elevated zonulin levels may contribute to the development and progression of these diseases.

  • Systemic Inflammation: Increased gut permeability can raise levels of pro-inflammatory cytokines like TNF-α and IL-6, driving systemic inflammation.

  • Autoimmune Disorders: Conditions like celiac disease are directly influenced by gut permeability changes, with gluten ingestion triggering immune responses in sensitive individuals.

  • Metabolic and Aging Effects: Heightened gut permeability is associated with metabolic disorders and aging, highlighting its broader impact on health.


The Hygiene Hypothesis: Improved hygiene and reduced exposure to microorganisms might be linked to the rise in CIDs in industrialized nations:

  • Microbiota Diversity: Lower microbial diversity due to increased cleanliness can disrupt gut microbiota balance, affecting immune function.

  • Environmental Shifts: Modern lifestyles and urbanization have altered our exposure to microbes, potentially influencing the rise in CIDs.

  • Inflammatory Disease Surge: A rise in CIDs parallels lower rates of infectious diseases, suggesting a connection to hygiene practices.


These findings underscore the intricate relationship between gut health, hygiene, and chronic inflammation.


Fasano A. All disease begins in the (leaky) gut: role of zonulin-mediated gut permeability in the pathogenesis of some chronic inflammatory diseases. F1000Research. 2020;9.

 



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