Intestinal permeability, food antigens and the microbiome: a multifaceted perspective

The gut barrier encompasses several interactive, physical, and functional components, such as the gut microbiota, the mucus layer, the epithelial layer and the gut mucosal immunity. All these contribute to homeostasis in a well-regulated manner. Nevertheless, this frail balance might be disrupted fo...

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Main Authors: Francesco Valitutti, Maurizio Mennini, Gianluca Monacelli, Giulia Fagiolari, Marisa Piccirillo, Giovanni Di Nardo, Giuseppe Di Cara
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Allergy
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Online Access:https://www.frontiersin.org/articles/10.3389/falgy.2024.1505834/full
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author Francesco Valitutti
Francesco Valitutti
Maurizio Mennini
Gianluca Monacelli
Giulia Fagiolari
Marisa Piccirillo
Giovanni Di Nardo
Giuseppe Di Cara
author_facet Francesco Valitutti
Francesco Valitutti
Maurizio Mennini
Gianluca Monacelli
Giulia Fagiolari
Marisa Piccirillo
Giovanni Di Nardo
Giuseppe Di Cara
author_sort Francesco Valitutti
collection DOAJ
description The gut barrier encompasses several interactive, physical, and functional components, such as the gut microbiota, the mucus layer, the epithelial layer and the gut mucosal immunity. All these contribute to homeostasis in a well-regulated manner. Nevertheless, this frail balance might be disrupted for instance by westernized dietary habits, infections, pollution or exposure to antibiotics, thus diminishing protective immunity and leading to the onset of chronic diseases. Several gaps of knowledge still exist as regards this multi-level interaction. In this review we aim to summarize current evidence linking food antigens, microbiota and gut permeability interference in diverse disease conditions such as celiac disease (CeD), non-celiac wheat sensitivity (NCWS), food allergies (FA), eosinophilic gastrointestinal disorder (EOGID) and irritable bowel syndrome (IBS). Specific food elimination diets are recommended for CeD, NCWS, FA and in some cases for EOGID. Undoubtfully, each of these conditions is very different and quite unique, albeit food antigens/compounds, intestinal permeability and specific microbiota signatures orchestrate immune response and decide clinical outcomes for all of them.
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publishDate 2025-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Allergy
spelling doaj-art-ce4aab89f29740f0b14210728b3e0f802025-01-09T06:10:47ZengFrontiers Media S.A.Frontiers in Allergy2673-61012025-01-01510.3389/falgy.2024.15058341505834Intestinal permeability, food antigens and the microbiome: a multifaceted perspectiveFrancesco Valitutti0Francesco Valitutti1Maurizio Mennini2Gianluca Monacelli3Giulia Fagiolari4Marisa Piccirillo5Giovanni Di Nardo6Giuseppe Di Cara7Department of Medicine and Surgery, Pediatric Unit, University of Perugia, Perugia, ItalyEuropean Biomedical Research Institute of Salerno (EBRIS), Salerno, ItalyDepartment of Neurosciences, Mental Health and Sensory Organs (NESMOS), Faculty of Medicine and Psychology, Sapienza University of Rome, Pediatric Unit, Sant'Andrea University Hospital, Rome, ItalyDepartment of Medicine and Surgery, Pediatric Unit, University of Perugia, Perugia, ItalyDepartment of Medicine and Surgery, Pediatric Unit, University of Perugia, Perugia, ItalyDepartment of Neurosciences, Mental Health and Sensory Organs (NESMOS), Faculty of Medicine and Psychology, Sapienza University of Rome, Pediatric Unit, Sant'Andrea University Hospital, Rome, ItalyDepartment of Neurosciences, Mental Health and Sensory Organs (NESMOS), Faculty of Medicine and Psychology, Sapienza University of Rome, Pediatric Unit, Sant'Andrea University Hospital, Rome, ItalyDepartment of Medicine and Surgery, Pediatric Unit, University of Perugia, Perugia, ItalyThe gut barrier encompasses several interactive, physical, and functional components, such as the gut microbiota, the mucus layer, the epithelial layer and the gut mucosal immunity. All these contribute to homeostasis in a well-regulated manner. Nevertheless, this frail balance might be disrupted for instance by westernized dietary habits, infections, pollution or exposure to antibiotics, thus diminishing protective immunity and leading to the onset of chronic diseases. Several gaps of knowledge still exist as regards this multi-level interaction. In this review we aim to summarize current evidence linking food antigens, microbiota and gut permeability interference in diverse disease conditions such as celiac disease (CeD), non-celiac wheat sensitivity (NCWS), food allergies (FA), eosinophilic gastrointestinal disorder (EOGID) and irritable bowel syndrome (IBS). Specific food elimination diets are recommended for CeD, NCWS, FA and in some cases for EOGID. Undoubtfully, each of these conditions is very different and quite unique, albeit food antigens/compounds, intestinal permeability and specific microbiota signatures orchestrate immune response and decide clinical outcomes for all of them.https://www.frontiersin.org/articles/10.3389/falgy.2024.1505834/fullintestinal permeabilitygut barrierceliac diseasefood allergyeosinophilic gastrointestinal disordersirritable bowel syndrome
spellingShingle Francesco Valitutti
Francesco Valitutti
Maurizio Mennini
Gianluca Monacelli
Giulia Fagiolari
Marisa Piccirillo
Giovanni Di Nardo
Giuseppe Di Cara
Intestinal permeability, food antigens and the microbiome: a multifaceted perspective
Frontiers in Allergy
intestinal permeability
gut barrier
celiac disease
food allergy
eosinophilic gastrointestinal disorders
irritable bowel syndrome
title Intestinal permeability, food antigens and the microbiome: a multifaceted perspective
title_full Intestinal permeability, food antigens and the microbiome: a multifaceted perspective
title_fullStr Intestinal permeability, food antigens and the microbiome: a multifaceted perspective
title_full_unstemmed Intestinal permeability, food antigens and the microbiome: a multifaceted perspective
title_short Intestinal permeability, food antigens and the microbiome: a multifaceted perspective
title_sort intestinal permeability food antigens and the microbiome a multifaceted perspective
topic intestinal permeability
gut barrier
celiac disease
food allergy
eosinophilic gastrointestinal disorders
irritable bowel syndrome
url https://www.frontiersin.org/articles/10.3389/falgy.2024.1505834/full
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