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Pectin is a heterogeneous plant-derived polysaccharide and soluble dietary fiber composed mainly of galacturonic acid-rich chains with variable methyl esterification and neutral sugar side chains. In the provided public sources, it is being investigated as a therapeutic nutritional adjunct rather than as a conventional pharmaceutical active ingredient, particularly for improving tolerance to enteral nutrition and reducing diarrhea in critically ill patients, and has also been studied preclinically for anti-inflammatory, lipid-lowering, and anticancer effects. Its proposed mechanisms are multifactorial and formulation/source dependent, including increasing luminal viscosity and semi-solidifying enteral feeds, fermentation by gut microbiota to short-chain fatty acids, and direct modulation of innate immune signaling such as Toll-like receptor 2 and Toll-like receptor 4 pathways, with downstream suppression of inflammatory cytokines including interleukin-6. Because \"pectin\" is a broad, structurally variable natural substance rather than a single well-defined molecular entity, activity can differ substantially by source and preparation such as citrus, orange, apple, or modified pectin.
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