Leaky gut – therapeutic and treatment of leaky intestine syndrome: a bibliographic review

Authors

DOI:

https://doi.org/10.33448/rsd-v11i16.38739

Keywords:

Leaky gut; Treatment; Therapy; Diet.

Abstract

Leaky gut, the leaky gut syndrome, is a disease that is characterized by the loosening of the "TJ" (tight joints), responsible for maintaining a balance of intestinal permeability, so when there is this loosening, a hyperpermeability, increasing the passage of free radicals, pro-inflammatory cytokines and other substances into the bloodstream, causing damage to the functioning of other organs and systems. The objective is search for possible therapies and treatments for Leaky gut. This is a narrative review of the literature. The North American database (PUBMED), Scientific Electronic Library Online (SCIELO), Mendeley, Clinical Trials, Science Direct, among other platforms, were consulted. As inclusion/exclusion criteria, articles were included between 2012 and 2022. When we talk about Leaky gut, despite having little information and research in the area, we found relevant articles and data when talking about its treatment; among the possible treatments and therapies for leaky gut syndrome we can mention some drugs such as lubiprostone, methotrexate, and others, as well as therapies based on medicinal plants such as Flos lonicera thunb, therapies based on supplements such as glutamine and arginine, and also probiotics. Studies show that there are medicines, medicinal plants, supplementary and probiotic therapies that are effective in the treatment of leaky gut syndrome, despite being a new syndrome and recent studies, in addition to professionals and specialized treatments in the area are scarce, which shows that more reliable research is needed than currently available.

References

Ahmadi S., Kavanagh K., Yadav H. (2020). A human-origin probiotic cocktail ameliorates aging-related leaky gut and inflammation via modulating the microbiota/taurine/tight junction axis. JCI insight, 5 (9), e132055. https://doi.org/10.1172/jci.insight.132055

Asbjornsdottir, B., Snorradottir, H., Andresdottir, E., Fasano, A., Lauth, B., Gudmundsson, L. S., & Birgisdottir, B. E. (2020). Zonulin-Dependent Intestinal Permeability in Children Diagnosed with Mental Disorders: A Systematic Review and Meta-Analysis. Nutrients, 12(7), 1982. https://doi.org/10.3390/nu12071982

Avelar Rodriguez, D., Ryan, P. M., Toro Monjaraz, E. M., Ramirez Mayans, J. A., & Quigley, E. M. (2019). Small Intestinal Bacterial Overgrowth in Children: A State-Of-The-Art Review. Frontiers in Pediatrics, 7. https://doi.org/10.3389/fped.2019.00363

Binienda, A., Twardowska, A., Makaro, A., & Salaga, M. (2020). Dietary Carbohydrates and Lipids in the Pathogenesis of Leaky Gut Syndrome: An Overview. International Journal of Molecular Sciences, 21(21), 8368. https://doi.org/10.3390/ijms21218368

Brown, J. M., & Hazen, S. L. (2018). Microbial modulation of cardiovascular disease. Nature Reviews Microbiology, 16(3), 171–181. https://doi.org/10.1038/nrmicro.2017.149

Camilleri, M. (2019). Leaky gut: mechanisms, measurement and clinical implications in humans. Gut, 68(8), 1516–1526. https://doi.org/10.1136/gutjnl-2019-318427

Farré, R., Fiorani, M., Abdu Rahiman, S., & Matteoli, G. (2020). Intestinal Permeability, Inflammation and the Role of Nutrients. Nutrients, 12(4). https://doi.org/10.3390/nu12041185

Fasano, A. (2012). Zonulin, regulation of tight junctions, and autoimmune diseases. Annals of the New York Academy of Sciences, 1258(1), 25–33. https://doi.org/10.1111/j.1749-6632.2012.06538.x

Jhunghyun P., Choi T., Kang K., Choi S. (2021). The interrelationships between intestinal permeability and phlegm syndrome and therapeutic potential of some medicinal herbs. Biomolecules, 11(2), 284. Https://doi.org/10.3390/biom11020284

Johnson, K. V.-A., & Foster, K. R. (2018). Why does the microbiome affect behaviour? Nature Reviews Microbiology, 16(10), 647–655. https://doi.org/10.1038/s41579-018-0014-3

Kato, T., Honda, Y., Kurita, Y., Iwasaki, A., Sato, T., Kessoku, T., Uchiyama, S., Ogawa, Y., Ohkubo, H., Higurashi, T., Yamanaka, T., Usuda, H., Wada, K., & Nakajima, A. (2017). Lubiprostone improves intestinal permeability in humans, a novel therapy for the leaky gut: A prospective randomized pilot study in healthy volunteers. PLOS ONE, 12(4), e0175626. https://doi.org/10.1371/journal.pone.0175626

Levy, M., Kolodziejczyk, A. A., Thaiss, C. A., & Elinav, E. (2017). Dysbiosis and the immune system. Nature Reviews Immunology, 17(4), 219–232. https://doi.org/10.1038/nri.2017.7

Michielan, A., & D’Incà, R. (2015). Intestinal Permeability in Inflammatory Bowel Disease: Pathogenesis, Clinical Evaluation, and Therapy of Leaky Gut. Mediators of Inflammation, 2015, 1–10. https://doi.org/10.1155/2015/628157

Nagpal, R., & Yadav, H. (2017). Bacterial Translocation from the Gut to the Distant Organs: An Overview. Annals of Nutrition and Metabolism, 71(1), 11–16. https://doi.org/10.1159/000479918

Obrenovich, M. (2018). Leaky Gut, Leaky Brain? Microorganisms, 6(4), 107. https://doi.org/10.3390/microorganisms6040107

Obrenovich, M., Jaworski, H., Tadimalla, T., Mistry, A., Sykes, L., Perry, G., & Bonomo, R. (2020). The Role of the Microbiota–Gut–Brain Axis and Antibiotics in ALS and Neurodegenerative Diseases. Microorganisms, 8(5), 784. https://doi.org/10.3390/microorganisms8050784

Pascual, V. (2014). Inflammatory bowel disease and celiac disease: Overlaps and differences. World Journal of Gastroenterology, 20(17), 4846. https://doi.org/10.3748/wjg.v20.i17.4846

Pereira, M.; Gouveia, F. Modulação intestinal: fundamentos e estratégias práticas. Editora trato, ed.1, 2019.

Sturgeon, C., & Fasano, A. (2016). Zonulin, a regulator of epithelial and endothelial barrier functions, and its involvement in chronic inflammatory diseases. Tissue Barriers, 4(4), e1251384. https://doi.org/10.1080/21688370.2016.1251384

Tremaroli, V., & Bäckhed, F. (2012). Functional interactions between the gut microbiota and host metabolism. Nature, 489(7415), 242–249. https://doi.org/10.1038/nature11552

Twardowska, A., Makaro, A., Binienda, A., Fichna, J., & Salaga, M. (2022). Preventing Bacterial Translocation in Patients with Leaky Gut Syndrome: Nutrition and Pharmacological Treatment Options. International Journal of Molecular Sciences, 23(6), 3204. https://doi.org/10.3390/ijms23063204

Valdes, A. M., Walter, J., Segal, E., & Spector, T. D. (2018). Role of the Gut Microbiota in Nutrition and Health. BMJ, 361(361), k2179. https://doi.org/10.1136/bmj.k2179

Published

16/12/2022

How to Cite

NASCIMENTO, H. H. S. .; OLIVEIRA, V. H. L. de .; REIS, E. B. B. dos .; SOUZA, D. M.; FERREIRA, M. B. . Leaky gut – therapeutic and treatment of leaky intestine syndrome: a bibliographic review. Research, Society and Development, [S. l.], v. 11, n. 16, p. e513111638739, 2022. DOI: 10.33448/rsd-v11i16.38739. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/38739. Acesso em: 24 apr. 2024.

Issue

Section

Review Article