Metabolic Endotoxemia Mitigation is the clinical process of reducing the chronic, low-grade systemic inflammation caused by the persistent leakage of bacterial lipopolysaccharide (LPS) from the gut into the bloodstream. This state, known as metabolic endotoxemia, is a significant driver of insulin resistance and metabolic syndrome. Mitigation strategies focus on restoring intestinal barrier integrity and modulating the gut microbiome.
Origin
The term emerged from research linking gut permeability and microbial products to metabolic dysfunction, bridging gastroenterology and endocrinology. ‘Endotoxemia’ refers to the presence of endotoxins, like LPS, in the blood, and ‘metabolic’ denotes its link to disorders of energy balance. ‘Mitigation’ is the clinical action taken to reduce this harmful systemic exposure.
Mechanism
Mitigation primarily involves nutritional and microbial interventions aimed at strengthening the intestinal epithelial tight junctions, which act as the physical barrier. Simultaneously, reducing the populations of gram-negative bacteria, which are the primary source of LPS, decreases the overall endotoxin pool in the gut lumen. This dual mechanism effectively limits the inflammatory signal that would otherwise drive chronic metabolic disruption.
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