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Gut microbiota-intestinal epithelial barrier-host immune system axis (Gut-Immune Axis)

Target
Gut-Immune Axis
Molecular classification
Other
01

Overview

The gut microbiota-intestinal epithelial barrier-host immune system axis is a complex, multi-component biological system essential for maintaining systemic homeostasis and local intestinal health (PMID: 31387262). It involves a continuous cross-talk between the diverse microbial community (microbiota), the physical and biochemical barrier of the intestinal epithelium, and the specialized mucosal immune system (Source: Nature Reviews Immunology). The microbiota produces metabolites like short-chain fatty acids that nourish epithelial cells and induce regulatory T cells, while the epithelial barrier prevents the translocation of harmful pathogens and antigens into the systemic circulation (Source: NIH). Dysregulation of this axis, often termed dysbiosis or "leaky gut," is a central feature in the pathogenesis of inflammatory bowel diseases, metabolic syndromes, and various autoimmune conditions (Source: StatPearls). Therapeutic interventions targeting this axis range from microbial replacements and dietary modifications to biologics that modulate gut-specific immune cell trafficking and inflammatory signaling (Source: PubMed).

Other names
Gut-microbiota-immune axisIntestinal barrier-immune system interactionGut-microbiome-immune systemMicrobiota-gut-immune axis
02

Mechanism of action

Modulation of microbial composition, enhancement of epithelial tight junction integrity, and regulation of mucosal immune cell activity and cytokine production.

03

Biological functions

Immune responseHomeostasisMetabolismBarrier functionPathogen defenseOther
04

Disease associations

InflammationCancerInfectionCardiovascular diseaseNeurodegenerative diseaseOther
05

Safety considerations

Risk of systemic infection from live biotherapeuticsPotential for worsening dysbiosisImmunosuppression-related infectionsVariable patient response to microbial modulation
06

Interacting drugs

Vedolizumab

6 more in the full profile.

07

Biomarkers

Fecal calprotectinZonulinShort-chain fatty acidsMicrobial diversity indexC-reactive protein

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