Table 1.
Major diseases and conditions associated with an increased intestinal permeability.
Disease/Condition | Paracellular Permeability | Transcellular Permeability | Uncategorized Permeability Changes |
---|---|---|---|
Inflammatory bowel disease | in vivo; altered expression and distribution of tight junction proteins [5]; ex vivo, increased passage of paracellular probes [6,7] | ex vivo; augmented mucosal passage of bacteria and horseradish peroxidase (HRP) [6,7,8] | in vivo; increased urinary secretion of probes [9] |
Irritable bowel syndrome | altered expression of tight junction proteins [10]; ex vivo; increased passage of paracellular probes [1,2]. | ex vivo; increased transepithelial passage of bacteria and HRP [11] | in vivo; increased urinary secretion of probes [12] |
Celiac disease | in vivo: altered structure of tight junction proteins [13,14] ex vivo; increased passage of paracellular probes [15]; alteration in electrophysiological parameters [16] | ex vivo; augmented internalization of bacteria [17]; increased transcellular uptake of gliadin [18] | in vivo; increased urinary secretion of probes [15,19], increased levels of zonulin in blood [20] |
Obesity | in vivo; altered expression of tight junction proteins [3] | ex vivo; increased lipid-induced transcellular permeability [3] | in vivo; increased levels of zonulin and lipopolysaccharide (LPS) in blood [3] |
Diabetes type 2 | - | - | in vivo; increased urinary secretion of probes [4]; increased levels of LPS [21] and zonulin [22] in blood |
Alzheimer’s disease | - | - | in vivo: increased LPS [23] and zonulin levels in blood [24] |
Parkinson disease | - | ex vivo: augmented uptake of bacteria [2] | in vivo: increased urinary secretion of probes [2]; increased blood zonulin levels [25] |
Major depression disorder | - | - | in vivo: increased permeability markers in blood, I-FABP and zonulin [26] |
Autism spectrum disorders | in vivo: altered expression of tight junction proteins [27] | - | in vivo: increased levels of zonulin [28,29] |