Messenger RNA expression in ileal mucosal biopsies from patients with diarrhea-predominant irritable bowel syndrome compared with patients with constipation-predominant irritable bowel syndrome. Note the upregulation of several genes controlling barrier proteins (tight junction protein 1, fibronectin 1, and claudins 1 and 12), repair function (trefoil factor 1) and cellular functions such as genes controlling cell development (KIT ligand), protein phosphatase (protein phosphatase 1 catalytic subunit beta, PPP1CB), guanine nucleotide exchange (Sons of Sevenless [Drosophila] homolog 1, SOS1), and function of endoplasmic reticulum (calreticulin), potentially reflecting protein synthesis. There were also numerical increases (P < 0.10) in expression of genes for histamine H-1 and H-2 receptors (HRH1 and 2) and markers of innate immunity or inflammation (toll-like receptor 1 and 5 [TLR1 and 5] and interleukin-15 [IL-15]). ER, endoplasmic reticulum; TJ, tight junction.