The complex biochemical communication network linking the health status of the intestinal epithelial barrier to systemic physiological regulation, notably impacting metabolic and endocrine function. Compromised integrity, often termed “leaky gut,” results in the inappropriate translocation of luminal contents, triggering inflammatory cascades that can disrupt hormonal axes. Clear signaling is essential for maintaining systemic equilibrium.
Origin
This term bridges gastroenterology and endocrinology, evolving from studies on the gut-brain axis and the impact of microbial metabolites on host physiology. “Integrity” refers to the tight junction function of the enterocytes, while “signaling” describes the resultant inflammatory or metabolic messages sent systemically. It acknowledges the gut as an endocrine modulator.
Mechanism
When tight junctions fail, microbial products like lipopolysaccharides (LPS) enter circulation, activating immune cells and inducing systemic low-grade inflammation. This chronic inflammatory state interferes with insulin signaling pathways and can negatively modulate the HPA axis setpoint. Restoring barrier function directly mitigates these aberrant signaling events, promoting endocrine resilience.
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