Intestinal Barrier Dysfunction in Inflammatory Bowel Disease: Underpinning Pathogenesis and Therapeutics

Dig Dis Sci. 2023 Dec;68(12):4306-4320. doi: 10.1007/s10620-023-08122-w. Epub 2023 Sep 29.

Abstract

The intestinal barrier is composed of several essential elements including luminal enzymes, bile acids, water layer, epithelial layer, and enterocyte layer. It acts as a dynamic interface between the luminal contents of food, commensal and pathogenic bacteria, and the gastrointestinal tract. The role of barrier dysfunction is of significant research interest in the development and targeted treatment of chronic inflammatory gastrointestinal conditions, such as inflammatory bowel disease. This review aims to examine the role of intestinal barrier dysfunction in the development of inflammatory bowel disease, the pathophysiology of increased barrier permeability in inflammatory bowel disease, and to explore potential treatment targets and clinical applications.

Keywords: Inflammatory bowel disease; Intestinal permeability; Mucus; Tight junctions.

Publication types

  • Review
  • Research Support, N.I.H., Extramural

MeSH terms

  • Gastrointestinal Diseases*
  • Humans
  • Inflammatory Bowel Diseases* / drug therapy
  • Inflammatory Bowel Diseases* / pathology
  • Intestinal Mucosa / pathology
  • Intestines / pathology
  • Permeability
  • Tight Junctions / pathology