Intestinal barrier functions in hematologic and oncologic diseases.


Journal

Journal of translational medicine
ISSN: 1479-5876
Titre abrégé: J Transl Med
Pays: England
ID NLM: 101190741

Informations de publication

Date de publication:
31 03 2023
Historique:
received: 15 03 2023
accepted: 26 03 2023
medline: 4 4 2023
entrez: 2 4 2023
pubmed: 3 4 2023
Statut: epublish

Résumé

The intestinal barrier is a complex structure that not only regulates the influx of luminal contents into the systemic circulation but is also involved in immune, microbial, and metabolic homeostasis. Evidence implicating disruption in intestinal barrier functions in the development of many systemic diseases, ranging from non-alcoholic steatohepatitis to autism, or systemic complications of intestinal disorders has increased rapidly in recent years, raising the possibility of the intestinal barrier as a potential target for therapeutic intervention to alter the course and mitigate the complications associated with these diseases. In addition to the disease process being associated with a breach in the intestinal barrier functions, patients with hematologic and oncologic diseases are particularly at high risks for the development of increased intestinal permeability, due to the frequent use of broad-spectrum antibiotics and chemoradiation. They also face a distinct challenge of being intermittently severely neutropenic due to treatment of the underlying conditions. In this review, we will discuss how hematologic and oncologic diseases are associated with disruption in the intestinal barrier and highlight the complications associated with an increase in the intestinal permeability. We will explore methods to modulate the complication. To provide a background for our discussion, we will first examine the structure and appraise the methods of evaluation of the intestinal barrier.

Identifiants

pubmed: 37004099
doi: 10.1186/s12967-023-04091-w
pii: 10.1186/s12967-023-04091-w
pmc: PMC10064590
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

233

Informations de copyright

© 2023. The Author(s).

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Auteurs

Elio Haroun (E)

Division of Hematology and Oncology, State University of New York Upstate Medical University, SUNY Upstate Medical University, 750 E Adams, Syracuse, NY, 13210, USA.

Prashanth Ashok Kumar (PA)

Division of Hematology and Oncology, State University of New York Upstate Medical University, SUNY Upstate Medical University, 750 E Adams, Syracuse, NY, 13210, USA.

Ludovic Saba (L)

Department of Medicine, Saint-Joseph University of Beirut, Beirut, Lebanon.

Joseph Kassab (J)

Department of Medicine, Saint-Joseph University of Beirut, Beirut, Lebanon.

Krishna Ghimire (K)

Division of Hematology and Oncology, State University of New York Upstate Medical University, SUNY Upstate Medical University, 750 E Adams, Syracuse, NY, 13210, USA.

Dibyendu Dutta (D)

Division of Hematology and Oncology, State University of New York Upstate Medical University, SUNY Upstate Medical University, 750 E Adams, Syracuse, NY, 13210, USA. dibyendudutta12@gmail.com.

Seah H Lim (SH)

Division of Hematology and Oncology, State University of New York Upstate Medical University, SUNY Upstate Medical University, 750 E Adams, Syracuse, NY, 13210, USA. seahhlim@yahoo.com.

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