{"id":9506,"date":"2024-08-04T00:04:28","date_gmt":"2024-08-03T21:04:28","guid":{"rendered":"https:\/\/medilab.km.ua\/?p=9506"},"modified":"2026-06-18T14:39:53","modified_gmt":"2026-06-18T11:39:53","slug":"intestinal-bar-yer-yak-kishechnyk-zahishhaye-organism-i-shho-vidbuvayets-koli-vin-protikaye","status":"publish","type":"post","link":"https:\/\/medilab.km.ua\/en\/intestinal-bar-yer-yak-kishechnyk-zahishhaye-organism-i-shho-vidbuvayets-koli-vin-protikaye\/","title":{"rendered":"The intestinal barrier: how the gut protects the body and what happens when it &quot;leaks&quot;\u00ab"},"content":{"rendered":"<h2 class=\"\" data-start=\"634\" data-end=\"660\">What is the intestinal barrier?<\/h2>\n<p class=\"\" data-start=\"662\" data-end=\"943\">The intestinal barrier is a multi-layered defense system that separates the internal environment of the body from the contents of the intestine. Normally, it only allows beneficial substances to pass through: nutrients, water, electrolytes. At the same time, the barrier blocks microorganisms, toxins, and undigested food particles.<\/p>\n<p class=\"\" data-start=\"945\" data-end=\"980\">The barrier consists of several layers:<\/p>\n<ul data-start=\"982\" data-end=\"1306\">\n<li class=\"\" data-start=\"982\" data-end=\"1053\">\n<p class=\"\" data-start=\"984\" data-end=\"1053\"><a href=\"https:\/\/medilab.km.ua\/en\/the-human-microbiota-is-a-mysterious-world-that-shapes-our-health\/\"><strong data-start=\"984\" data-end=\"998\">Microbiota<\/strong> <\/a>\u2014 the \u00abfirst line\u00bb of defense that fights pathogens<\/p>\n<\/li>\n<li class=\"\" data-start=\"1054\" data-end=\"1128\">\n<p class=\"\" data-start=\"1056\" data-end=\"1128\"><strong data-start=\"1056\" data-end=\"1072\">Mucous layer<\/strong> \u2014 covers the epithelium, contains mucins and immunoglobulins<\/p>\n<\/li>\n<li class=\"\" data-start=\"1129\" data-end=\"1216\">\n<p class=\"\" data-start=\"1131\" data-end=\"1216\"><strong data-start=\"1131\" data-end=\"1155\">Epithelial cells<\/strong> \u2014 connected to each other by tight junctions<\/p>\n<\/li>\n<li class=\"\" data-start=\"1217\" data-end=\"1306\">\n<p class=\"\" data-start=\"1219\" data-end=\"1306\"><strong data-start=\"1219\" data-end=\"1271\">Immune cells (Peyer&#039;s patches, macrophages, IgA)<\/strong> \u2014 react to integrity violations<\/p>\n<\/li>\n<\/ul>\n<p class=\"\" data-start=\"1308\" data-end=\"1463\">When all levels work together, the body does not react aggressively to food or bacteria. Problems begin when the barrier loses its selective permeability.<\/p>\n<h2 class=\"\" data-start=\"1465\" data-end=\"1504\">Symptoms of intestinal barrier disruption<\/h2>\n<ul data-start=\"1506\" data-end=\"1805\">\n<li class=\"\" data-start=\"1506\" data-end=\"1557\">\n<p class=\"\" data-start=\"1508\" data-end=\"1557\">chronic bloating, rumbling, discomfort after eating<\/p>\n<\/li>\n<li class=\"\" data-start=\"1558\" data-end=\"1612\">\n<p class=\"\" data-start=\"1560\" data-end=\"1612\"><a class=\"wpil_keyword_link\" href=\"https:\/\/medilab.km.ua\/en\/harchova-is-not-a-scientific-researcher-who-has-reached-the-point-of-collapse\/\"   title=\"Food intolerance: from scientific discoveries to everyday life\" data-wpil-keyword-link=\"linked\"  data-wpil-monitor-id=\"146\">food intolerance<\/a> (especially gluten, milk)<\/p>\n<\/li>\n<li class=\"\" data-start=\"1613\" data-end=\"1650\">\n<p class=\"\" data-start=\"1615\" data-end=\"1650\">frequent colds, decreased immunity<\/p>\n<\/li>\n<li class=\"\" data-start=\"1651\" data-end=\"1693\">\n<p class=\"\" data-start=\"1653\" data-end=\"1693\">\u00ab&quot;brain fog&quot;, fatigue, irritability<\/p>\n<\/li>\n<li class=\"\" data-start=\"1694\" data-end=\"1734\">\n<p class=\"\" data-start=\"1696\" data-end=\"1734\">skin manifestations - acne, atopy, eczema<\/p>\n<\/li>\n<li class=\"\" data-start=\"1735\" data-end=\"1805\">\n<p class=\"\" data-start=\"1737\" data-end=\"1805\">predisposition to autoimmune diseases (celiac disease, thyroiditis, psoriasis)<\/p>\n<\/li>\n<\/ul>\n<p class=\"\" data-start=\"1807\" data-end=\"1902\">This condition is called <strong data-start=\"1828\" data-end=\"1873\">leaky gut syndrome<\/strong>, or <strong data-start=\"1879\" data-end=\"1901\">leaky gut syndrome<\/strong>.<\/p>\n<h2 class=\"\" data-start=\"1904\" data-end=\"1930\">Why is the barrier broken?<\/h2>\n<ul data-start=\"1932\" data-end=\"2201\">\n<li class=\"\" data-start=\"1932\" data-end=\"1951\">\n<p class=\"\" data-start=\"1934\" data-end=\"1951\"><a href=\"https:\/\/medilab.km.ua\/en\/chronic-stress-is-a-health-hazard-that-we-used-to-ignore\/\">chronic stress<\/a><\/p>\n<\/li>\n<li class=\"\" data-start=\"1952\" data-end=\"2023\">\n<p class=\"\" data-start=\"1954\" data-end=\"2023\">improper diet (excess sugar, alcohol, food additives)<\/p>\n<\/li>\n<li class=\"\" data-start=\"2024\" data-end=\"2046\">\n<p class=\"\" data-start=\"2026\" data-end=\"2046\">fiber deficiency<\/p>\n<\/li>\n<li class=\"\" data-start=\"2047\" data-end=\"2091\">\n<p class=\"\" data-start=\"2049\" data-end=\"2091\">frequent use of antibiotics or NSAIDs<\/p>\n<\/li>\n<li class=\"\" data-start=\"2092\" data-end=\"2108\">\n<p class=\"\" data-start=\"2094\" data-end=\"2108\">dysbacteriosis<\/p>\n<\/li>\n<li class=\"\" data-start=\"2109\" data-end=\"2147\">\n<p class=\"\" data-start=\"2111\" data-end=\"2147\">gluten (in genetically predisposed individuals)<\/p>\n<\/li>\n<li class=\"\" data-start=\"2148\" data-end=\"2201\">\n<p class=\"\" data-start=\"2150\" data-end=\"2201\">excess of opportunistic flora (candida, proteus)<\/p>\n<\/li>\n<\/ul>\n<p><img decoding=\"async\" class=\"alignnone size-full wp-image-9508\" src=\"https:\/\/medilab.km.ua\/wp-content\/uploads\/2025\/05\/6298fcd3f4f19a1967318c92_why-do-blood-test-results-vary-imaware.jpg\" alt=\"Results of the patient&#039;s zonulin and IgA analysis\" width=\"1200\" height=\"533\" srcset=\"https:\/\/medilab.km.ua\/wp-content\/uploads\/2025\/05\/6298fcd3f4f19a1967318c92_why-do-blood-test-results-vary-imaware.jpg 1200w, https:\/\/medilab.km.ua\/wp-content\/uploads\/2025\/05\/6298fcd3f4f19a1967318c92_why-do-blood-test-results-vary-imaware-150x67.jpg 150w, https:\/\/medilab.km.ua\/wp-content\/uploads\/2025\/05\/6298fcd3f4f19a1967318c92_why-do-blood-test-results-vary-imaware-600x267.jpg 600w, https:\/\/medilab.km.ua\/wp-content\/uploads\/2025\/05\/6298fcd3f4f19a1967318c92_why-do-blood-test-results-vary-imaware-300x133.jpg 300w, https:\/\/medilab.km.ua\/wp-content\/uploads\/2025\/05\/6298fcd3f4f19a1967318c92_why-do-blood-test-results-vary-imaware-1024x455.jpg 1024w, https:\/\/medilab.km.ua\/wp-content\/uploads\/2025\/05\/6298fcd3f4f19a1967318c92_why-do-blood-test-results-vary-imaware-768x341.jpg 768w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/p>\n<h2 class=\"\" data-start=\"2203\" data-end=\"2243\">How the state of the intestinal barrier is examined<\/h2>\n<h3 class=\"\" data-start=\"2245\" data-end=\"2286\">1. Zonulin in blood or stool<\/h3>\n<p class=\"\" data-start=\"2288\" data-end=\"2441\">The main biomarker of disruption of tight junctions between epithelial cells. Increased levels of zonulin indicate impaired intestinal wall permeability.<\/p>\n<h3 class=\"\" data-start=\"2443\" data-end=\"2480\">2. LPS (lipopolysaccharides) in the blood<\/h3>\n<p class=\"\" data-start=\"2482\" data-end=\"2668\">Waste products of gram-negative bacteria that should not enter the bloodstream. Their presence means that <strong data-start=\"2590\" data-end=\"2613\">the barrier has already been broken<\/strong> and microbial particles entered the systemic bloodstream.<\/p>\n<h3 class=\"\" data-start=\"2670\" data-end=\"2706\">3. sIgA (secretory IgA) in feces<\/h3>\n<p class=\"\" data-start=\"2708\" data-end=\"2815\">Assessment of local mucosal immunity. A decrease in the indicator is a marker of reduced intestinal immune defense.<\/p>\n<h3 class=\"\" data-start=\"2817\" data-end=\"2847\">4. <a href=\"https:\/\/medilab.km.ua\/en\/price\/?3325_search_1=%D0%BA%D0%B0%D0%BB%D1%8C%D0%BF%D1%80%D0%BE%D1%82%D0%B5%D0%BA%D1%82%D0%B8%D0%BD&amp;3325_device=laptop&amp;3325_orderby=relevance&amp;3325_paged=1&amp;3325_filtered=true\">Fecal calprotectin<\/a><\/h3>\n<p class=\"\" data-start=\"2849\" data-end=\"3014\">Mucosal inflammation marker. Used for <strong data-start=\"2897\" data-end=\"2953\">Differentiation of IBS and inflammatory bowel diseases<\/strong> (Crohn&#039;s disease, ulcerative colitis), which also disrupt the barrier.<\/p>\n<h3 class=\"\" data-start=\"3016\" data-end=\"3041\">5. Microbiota analyses<\/h3>\n<p class=\"\" data-start=\"3043\" data-end=\"3203\">A comprehensive study of the composition of the intestinal flora allows you to see whether there is an imbalance between beneficial, opportunistic and pathogenic bacteria, fungi and viruses.<\/p>\n<h3 class=\"\" data-start=\"3205\" data-end=\"3238\">6. Lactulose-mannitol test<\/h3>\n<p class=\"\" data-start=\"3240\" data-end=\"3420\">It is rarely performed, but is the gold standard: the patient takes a mixture of sugars, and then their ratio in the urine is measured. A violation of the balance indicates increased mucosal permeability.<\/p>\n<h2 class=\"\" data-start=\"3422\" data-end=\"3463\">What helps restore the intestinal barrier<\/h2>\n<ul data-start=\"3465\" data-end=\"3816\">\n<li class=\"\" data-start=\"3465\" data-end=\"3545\">\n<p class=\"\" data-start=\"3467\" data-end=\"3545\"><strong data-start=\"3467\" data-end=\"3502\">Diet with the exclusion of irritants<\/strong>: gluten, alcohol, dyes, preservatives<\/p>\n<\/li>\n<li class=\"\" data-start=\"3546\" data-end=\"3617\">\n<p class=\"\" data-start=\"3548\" data-end=\"3617\"><strong data-start=\"3548\" data-end=\"3588\">Fiber, prebiotics, and probiotics<\/strong> \u2014 to support the microbiota<\/p>\n<\/li>\n<li class=\"\" data-start=\"3618\" data-end=\"3673\">\n<p class=\"\" data-start=\"3620\" data-end=\"3673\"><strong data-start=\"3620\" data-end=\"3634\">L-glutamine<\/strong> \u2014 an amino acid that nourishes enterocytes<\/p>\n<\/li>\n<li class=\"\" data-start=\"3674\" data-end=\"3731\">\n<p class=\"\" data-start=\"3676\" data-end=\"3731\"><strong data-start=\"3676\" data-end=\"3687\">Omega-3<\/strong>, vitamin D, zinc \u2014 to reduce inflammation<\/p>\n<\/li>\n<li class=\"\" data-start=\"3732\" data-end=\"3816\">\n<p class=\"\" data-start=\"3734\" data-end=\"3816\"><strong data-start=\"3734\" data-end=\"3768\">Curcumin, quercetin, aloe vera<\/strong> \u2014 natural substances with a mucosal healing effect<\/p>\n<\/li>\n<\/ul>\n<p class=\"\" data-start=\"3818\" data-end=\"4118\">The intestinal barrier is not just a function of the intestine, but <strong data-start=\"3871\" data-end=\"3953\">critical point of balance between the external world and the internal environment of the organism<\/strong>. Timely diagnosis of its disorders allows you to avoid long-term inflammatory and autoimmune processes and restore a sense of health, which begins precisely with the intestines.<\/p>","protected":false},"excerpt":{"rendered":"<p>What is the intestinal barrier? The intestinal barrier is a multi-layered defense system that separates the internal environment of the body from the contents of the intestine. In<\/p>","protected":false},"author":627,"featured_media":9507,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[234],"tags":[],"class_list":["post-9506","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-imunitet-ta-profilaktyka"],"_links":{"self":[{"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/posts\/9506","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/users\/627"}],"replies":[{"embeddable":true,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/comments?post=9506"}],"version-history":[{"count":0,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/posts\/9506\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/media\/9507"}],"wp:attachment":[{"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/media?parent=9506"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/categories?post=9506"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/tags?post=9506"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}