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. 2021 Jun 17;11:12777. doi: 10.1038/s41598-021-92262-4

Figure 1.

Figure 1

Semiquantitative grading of intestinal barrier dysfunction in the terminal ileum under CLE imaging. (A) Healthy terminal ileum (Watson Grade I): Healthy terminal ileum and intact epithelial barrier is characterized by finger-shaped villi with enterocytes forming the epithelial barrier. The intestinal lumen is dark when the intestinal barrier is intact (white asterisk). (B) Functional barrier (Watson Grade II) defect is characterized by shedding of single enterocytes generating a gap or loss of epithelial integrity with fluorescein leakage (red arrows) into the intestinal lumen which then turns bright (red asterisk). (C) Structural barrier defect (Watson Grade III) is characterized by shedding of multiple epithelial cells (red arrows) and fluorescein leakage into the lumen which as a consequence of fluorescein efflux turns bright (red asterisk). Dashed white line: apical border of the enterocytes forming the epithelial barrier.