The physiological process of restoring the structural and functional integrity of epithelial layers, particularly the single-cell lining of the gastrointestinal tract, which serves as a critical selective barrier. Successful repair is defined by the re-establishment of robust tight junctions between cells, reducing undesirable paracellular permeability. This repair is fundamental for mitigating systemic inflammation and regulating immune responses.
Origin
‘Epithelial’ refers to the tissue that lines the cavities and surfaces of structures throughout the body. ‘Barrier’ highlights its function as a selective membrane, and ‘repair’ denotes the healing and regeneration process. This concept is central to gastroenterology and clinical immunology.
Mechanism
Repair involves the proliferation and migration of epithelial cells and the up-regulation of specific proteins, such as occludin and zonulin, that form the tight junction complexes. Nutrients like L-glutamine and short-chain fatty acids (e.g., butyrate) provide essential fuel and signaling support for colonocytes to regenerate and reinforce these junctions. The successful mechanism reduces the passage of luminal antigens and toxins into the systemic circulation.
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