The comprehensive strategy to reduce the systemic concentration and limit the inflammatory signaling cascade initiated by lipopolysaccharide (LPS), an endotoxin derived from the cell walls of Gram-negative gut bacteria. Effective mitigation is paramount for preventing chronic inflammation.
Origin
This clinical term is a synthesis of immunology and gut barrier research, focusing on LPS as a major pathological link between gut dysbiosis and systemic metabolic dysfunction. “Mitigation” signifies the targeted reduction of its harmful effects on the host.
Mechanism
Mitigation involves reinforcing the tight junctions of the intestinal epithelial barrier to prevent LPS translocation into the portal circulation, a state termed metabolic endotoxemia. It also requires the host immune system to effectively neutralize circulating LPS and downregulate the inflammatory response mediated by Toll-like Receptor 4 (TLR4). Reducing this endotoxin load is critical for improving insulin sensitivity and restoring healthy endocrine function.
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