Hanyang Med Rev.  2010 May;30(2):109-114. 10.7599/hmr.2010.30.2.109.

Complement and Integrative Approach in Gut Health and Immunologic Disease

Affiliations
  • 1Division of Gastroenterology, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. wookyu.jeon@samsung.com

Abstract

The intestine is an organ involved with absorbing, processing, and transporting food into the body. However, if one were to assess the immunological portion of the intestine and compare it with better-known immunologically functioning organs such as the spleen, the intestine would be found to be the largest such organ and the extent of its immunologic function would be found to be equally proportionate. The mucosal surface of the intestine has the ability to respond to effector cells capable of protecting the host from potentially harmful organisms or local antigens. When there is increased intestinal permeability (Leaky gut syndrome), pathogenic bacteria and its products, toxins, antigens, chemicals and incompletely digested food penetrate the intestinal epithelium and are transported throughout the body. They activate the immune system and effect the pathophysiology of acute and chronic inflammatory disease and autoimmune disease. Therefore, by a better understanding of the importance of gut barrier function and the pathophysiology of gut related immunologic disease, we can make helpful suggestions for achieving optimal intestinal health.

Keyword

Intestinal permeability; Leaky gut syndrome; Autoimmune disease; Gut barrier function

MeSH Terms

Autoimmune Diseases
Bacteria
Complement System Proteins
Immune System
Immune System Diseases
Intestinal Mucosa
Intestines
Permeability
Spleen
Complement System Proteins

Figure

  • Fig. 1 Increased epithelial permeability maybe important of chronic gut T cell-mediated inflammation (25 March 2005 vol 307 www.sciencemag.org).

  • Fig. 2 Relationship between leaky gut and several pediatric disease (Acta Paediatrica 2005; 94: 386-393).

  • Fig. 3 Clinical priciples of the permeability test.


Reference

1. Bourlioux P, Koletzko B, Guarner F, Braesco V. The Intestine and its microflora are partners for the protection of the host: report on the Danone Symposium "The Intelligent Intestine," held in Paris, June 14, 2002. Am J Clin Nutr. 2003. 78:675–683.
Article
2. DeMeo MT, Mutlu EA, Keshavarzian A, Tobin MC. Intestinal permeation and gastrointestinal disease. J Clin Gastroenterol. 2002. 34:385–396.
Article
3. Hollander D. Intestinal Permeability, Leaky Gut and Intestinal Disorders. Curr Gastroenterol Rep. 1999. 1:410–416.
Article
4. Dordoni F, Zifferero M. Permeability of intestinal membrane to sulfate ion studied with radiosulfur-labeled sodium sulfate. Arch Ital Sci Farmacol. 1954. 4:287–289.
5. Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease. J Gastroenterol Hepatol. 2003. 18:479–497.
Article
6. Siverman MH, Ostro MJ. Bacterial endotoxin in human disease.
7. Liu Z, Li N, Neu J. Tight junction, leaky intestines, and pediatric disease. Acta Paediatr. 2005. 94:386–393.
8. Bjarnason I, Macpherson A, Hollander D. Intestinal permeability: an overview. Gastroenterology. 1995. 108:1566–1581.
Article
9. Lipski E. Leaky gut syndrome. 1998. L.A.: Keats Publishing.
10. Jeon WK. Novel nutritiontherapy: Gut integrity repair therapy with colostrums. J Korean Soc Parenter Enteral Nutr. 2004. supplement.
11. Korean society of complement and intergrative medicine. Text book of complement and intergrative medicine. 2004. 1st ed. Seoul, Korea: Ehan publishing;117–129.
12. Kim JW, Jeon WK. Protective effects of bovine colostrum on non-steroidal anti-inflammatory drug induced intestinal damage in rats. Asia Pac J Clin Nutr. 2005. 14:103–107.
13. Kim JW, Jeon WK. Combined effects of bovine colostrum and glutamine in diclofenac-induced bacterial translocation in rat. Clin Nutr. 2005. 24:785–793.
Article
Full Text Links
  • HMR
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr