Table 2.
Techniques for measurement of human intestinal permeability
Barrier Function |
|||||
---|---|---|---|---|---|
Method | Tests Which Layer? | In vivo | In vitro | Neuroimmune Function | TJ Morphology |
Cell monolayers (e.g., Caco-2/HT29) | Epithelium | − | + | − | − |
Primary cell monolayers derived from organoids (human and animal model) | Epithelium | − | + | − | − |
Ussing chambers + human mucosa | Epithelium | − | + | − | − |
Human fecal or biopsy supernatant applied to animal mucosa | Epithelium | + | − | +/− | +/− |
Zonula occludens-1 IHC | Epithelium | − | − | − | + |
mRNA expression of TJ proteins | Epithelium | − | − | − | − |
Urine excretion of oral probes | All barrier | + | − | − | − |
Serum bacterial lipopolysaccharide and other biomarkers | All barrier | + | − | − | − |
Duodenal mucosal impedance | Epithelium | + | − | − | − |
Confocal endomicroscopy | Epithelium | + | − | + | − |
IHC, immunohistochemistry; TJ, tight junction; +, the method demonstrates the function; −, the method is unable to demonstrate the function; +/−, borderline ability. [Adapted from Camilleri et al. (23).]