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Intestinal Mucosal Barrier Function in Health and Disease

Overview
Journal Nat Rev Immunol
Date 2009 Oct 27
PMID 19855405
Citations 1526
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Abstract

Mucosal surfaces are lined by epithelial cells. These cells establish a barrier between sometimes hostile external environments and the internal milieu. However, mucosae are also responsible for nutrient absorption and waste secretion, which require a selectively permeable barrier. These functions place the mucosal epithelium at the centre of interactions between the mucosal immune system and luminal contents, including dietary antigens and microbial products. Recent advances have uncovered mechanisms by which the intestinal mucosal barrier is regulated in response to physiological and immunological stimuli. Here I discuss these discoveries along with evidence that this regulation shapes mucosal immune responses in the gut and, when dysfunctional, may contribute to disease.

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References
1.
Noguchi E, Homma Y, Kang X, Netea M, Ma X . A Crohn's disease-associated NOD2 mutation suppresses transcription of human IL10 by inhibiting activity of the nuclear ribonucleoprotein hnRNP-A1. Nat Immunol. 2009; 10(5):471-9. PMC: 2928218. DOI: 10.1038/ni.1722. View

2.
Sellon R, Tonkonogy S, Schultz M, Dieleman L, Grenther W, Balish E . Resident enteric bacteria are necessary for development of spontaneous colitis and immune system activation in interleukin-10-deficient mice. Infect Immun. 1998; 66(11):5224-31. PMC: 108652. DOI: 10.1128/IAI.66.11.5224-5231.1998. View

3.
Williams K, Fuller C, Dieleman L, DaCosta C, Haldeman K, Sartor R . Enhanced survival and mucosal repair after dextran sodium sulfate-induced colitis in transgenic mice that overexpress growth hormone. Gastroenterology. 2001; 120(4):925-37. DOI: 10.1053/gast.2001.22470. View

4.
Weber C, Nalle S, Tretiakova M, Rubin D, Turner J . Claudin-1 and claudin-2 expression is elevated in inflammatory bowel disease and may contribute to early neoplastic transformation. Lab Invest. 2008; 88(10):1110-20. PMC: 2586671. DOI: 10.1038/labinvest.2008.78. View

5.
Wray C, Mao Y, Pan J, Chandrasena A, Piasta F, Frank J . Claudin-4 augments alveolar epithelial barrier function and is induced in acute lung injury. Am J Physiol Lung Cell Mol Physiol. 2009; 297(2):L219-27. PMC: 2742793. DOI: 10.1152/ajplung.00043.2009. View