肠道是人与环境之间最大的屏障。在这个角色中,肠道不仅负责吸收必需的膳食营养素,还可以保护宿主免受各种摄入的毒素和微生物的侵害。肠屏障系统由粘液层组成,肠上皮细胞(IECs),紧密连接(TJ),免疫细胞,和肠道微生物群,这些都容易受到饮食脂肪等外部因素的影响。当这个屏障系统的部件被破坏时,肠道对管腔内容物的通透性增加,这与炎症性肠病等肠道疾病有关,坏死性小肠结肠炎,还有乳糜泻.目前,越来越多的证据表明,摄入过量的膳食脂肪可以不同地增强肠道通透性。例如,膳食脂肪调节TJs的表达和分布,刺激向破坏屏障的疏水性胆汁酸的转变,甚至诱导IEC氧化应激和细胞凋亡。此外,高脂饮食(HFD)通过刺激促炎信号级联反应直接增强肠道通透性,通过增加屏障破坏细胞因子[TNFα,白细胞介素(IL)1B,IL6和干扰素γ(IFNγ)]和减少屏障形成细胞因子(IL10、IL17和IL22)。最后,HFD负面地调节肠粘液组成并使肠道微生物区系与屏障破坏物种富集。尽管需要进一步研究以了解HFDs在肠道通透性中的确切作用,目前的数据表明,饮食与肠道疾病之间的联系比最初认为的要强。因此,这篇综述旨在强调HFD破坏肠道屏障系统的各种方式及其对人类健康的许多影响。
The intestinal tract is the largest barrier between a person and the environment. In this role, the intestinal tract is responsible not only for absorbing essential dietary nutrients, but also for protecting the host from a variety of ingested toxins and microbes. The intestinal barrier system is composed of a mucus layer, intestinal epithelial cells (IECs), tight junctions (TJs), immune cells, and a gut microbiota, which are all susceptible to external factors such as dietary fats. When components of this barrier system are disrupted, intestinal permeability to luminal contents increases, which is implicated in intestinal pathologies such as inflammatory bowel disease, necrotizing enterocolitis, and celiac disease. Currently, there is mounting evidence that consumption of excess dietary fats can enhance intestinal permeability differentially. For example, dietary fat modulates the expression and distribution of TJs, stimulates a shift to barrier-disrupting hydrophobic bile acids, and even induces IEC oxidative stress and apoptosis. In addition, a high-fat diet (HFD) enhances intestinal permeability directly by stimulating proinflammatory signaling cascades and indirectly via increasing barrier-disrupting cytokines [TNFα, interleukin (IL) 1B, IL6, and interferon γ (IFNγ)] and decreasing barrier-forming cytokines (IL10, IL17, and IL22). Finally, an HFD negatively modulates the intestinal mucus composition and enriches the gut microflora with barrier-disrupting species. Although further research is necessary to understand the precise role HFDs play in intestinal permeability, current data suggest a stronger link between diet and intestinal disease than was first thought to exist. Therefore, this
review seeks to highlight the various ways an HFD disrupts the gut barrier system and its many implications in human health.