Gene set enrichment analysis of altered expression of messenger RNA (mRNA) in ileal biopsies of healthy controls and patients with constipation-predominant irritable bowel syndrome (IBS-C) and diarrhea-predominant irritable bowel syndrome (IBS-D). Left panel: Note, in patients with IBS-C compared with healthy controls, the involvement of genes associated with cellular junction assembly and organization, and regulation of fluid/electrolyte exchange. Right panel: In biopsies from patients with diarrhea-predominant irritable bowel syndrome (IBS-D) compared with IBS-C, note the genes related to altered tight junctions, apical complexes, cellular adhesion, leucocyte migration, and cell development. CALR, calreticulin; CLDN, claudin; CTNNB1, catenin beta 1; FN1, fibronectin 1; GBPAR1, G-protein–coupled bile acid receptor 1; KITLG, KIT ligand; MYLK, myosin light chain kinase; PATJ (also known as inactivation-no-afterpotential D-like); PPP1CB, protein phosphatase 1 catalytic subunit beta; SLC9A1, solute carrier family 9 member A1; SOS1, Sons of Sevenless (Drosophila) homolog 1; TFF1, trefoil factor 1; TJP1, tight junction protein 1; TLR3, toll-like receptor 3.