2009
DOI: 10.2527/jas.2008-1339
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Stress-induced gastrointestinal barrier dysfunction and its inflammatory effects1

Abstract: The intestinal barrier is formed by enterocyte membranes, tight junctions, secreted mucus, and immunologic factors, such as tissue macrophages. Dysfunction of this barrier can be caused by different types of stress (e.g., physiological, pathological, psychological, pharmacological) and can lead to increased intestinal permeability. Increased permeability to endotoxin, a component of the walls of gram-negative bacteria, causes local or systemic inflammatory reactions, or both. The immune response(s) can then pr… Show more

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Cited by 404 publications
(325 citation statements)
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“…Numerous authors have reported that environmental stressors affect intestinal barrier integrity, which is composed of enterocytes, tight junctions, secreted mucous and immune cells, such as macrophages (Lambert et al, 2002;Prosser et al, 2004;Singleton & Wischmeyer, 2006;Chappell et al, 2009;Lambert, 2009).…”
Section: Discussionmentioning
confidence: 99%
“…Numerous authors have reported that environmental stressors affect intestinal barrier integrity, which is composed of enterocytes, tight junctions, secreted mucous and immune cells, such as macrophages (Lambert et al, 2002;Prosser et al, 2004;Singleton & Wischmeyer, 2006;Chappell et al, 2009;Lambert, 2009).…”
Section: Discussionmentioning
confidence: 99%
“…32,61,71,[73][74][75] Moreover, increased intestinal permeability, measured by lactulose, mannitol and sucralose ratios, was found in rats' small intestine, following acute swimming stress. 23 This increase was glucocorticoid-mediated because adrenalectomy and pharmacologic blockade of glucocorticoid receptors inhibited the response, and dexamethasone increased gastrointestinal permeability in control rats. 23 Similarly, rats models of chronic stress (maternal deprivation, 55,[77][78][79] WAS, 45 and crowding stress 52 ) also show increased ionic permeability, and macromolecular permeability throughout the intestine.…”
Section: Permeabilitymentioning
confidence: 99%
“…23 This increase was glucocorticoid-mediated because adrenalectomy and pharmacologic blockade of glucocorticoid receptors inhibited the response, and dexamethasone increased gastrointestinal permeability in control rats. 23 Similarly, rats models of chronic stress (maternal deprivation, 55,[77][78][79] WAS, 45 and crowding stress 52 ) also show increased ionic permeability, and macromolecular permeability throughout the intestine. The increase was mediated partly by mechanisms including, muscarinic and nicotinic pathways, activation and number of mast cells and the release of nerve growth factor.…”
Section: Permeabilitymentioning
confidence: 99%
“…Inflammation, infection and stress are environmental factors that can impact the integrity of epithelial and endothelial barrier structures [73][74][75]. In two different inflammatory diseases, one that occurs in the gut (IBD) and another that occurs in the CNS (multiple sclerosis, MS), there is a reorganization of tight junction proteins between epithelial cells of the respective gut (for IBD) and brain (for MS) barriers that results in a heightened permeability [76][77][78][79].…”
Section: Epithelial and Endothelial Barrier Integritiesmentioning
confidence: 99%