Role of the intestinal barrier in inflammatory bowel disease

(整期优先)网络出版时间:2008-03-13
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Acriticalfunctionoftheintestinalmucosaistoformabarrierthatseparatesluminalcontentsfromtheinterstitium.Thesinglelayerofintestinalepithelialcells(IECs)servesasadynamicinterfacebetweenthehostanditsenvironment.Cellpolarityandstructuralpropertiesoftheepitheliumiscomplexandisimportantinthedevelopmentofepithelialbarrierfunction.Epithelialcellsassociatewitheachotherviaaseriesofintercellularjunctions.TheapicalmostintercellularjunctionalcomplexreferredtoastheApicalJunctionComplex(AJC)isimportantinnotonlycell-cellrecognition,butalsointheregulationofparacellularmovementoffluidandsolutes.Defectsintheintestinalepithelialbarrierfunctionhavebeenobservedinanumberofintestinaldisorderssuchasinflammatoryboweldisease(IBD).ItisnowbecomingevidentthatanaberrantepithelialbarrierfunctionplaysacentralroleinthepathophysiologyofIBD.Thus,abetterunderstandingoftheintestinalepithelialbarrierstructureandfunctioninhealthyanddiseasestatessuchasIBDwillfosternewideasforthedevelopmentoftherapiesforsuchchronicdisorders.