Epithelial Barrier Integrity denotes the robust, intact structural and functional quality of the epithelial cell layers that line various bodily surfaces, including the gut, skin, lungs, and blood-brain barrier. This integrity is critical as it selectively controls the passage of nutrients, water, and immune cells while physically excluding pathogens and toxins from entering the systemic circulation. A high degree of barrier integrity is a prerequisite for systemic wellness and immune regulation.
Origin
The term is rooted in histology and gastroenterology, where “epithelium” refers to the layer of cells forming the barrier, and “integrity” speaks to its completeness and strength. Its significance in the wellness space has grown with the recognition of the gut-brain axis and the role of the gut barrier in modulating systemic inflammation and hormonal health. Disruption of this barrier is often referred to as increased permeability.
Mechanism
Barrier integrity is primarily maintained by specialized structures between epithelial cells, most notably tight junctions, which are complexes of proteins like occludin and claudin. These junctions regulate paracellular transport, ensuring only specific molecules can pass between cells. Hormones, particularly glucocorticoids and sex steroids, influence the expression and function of these tight junction proteins, thereby modulating the barrier’s protective capacity and influencing local immune responses.
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