Journal
PEDIATRIC DIABETES
Volume 16, Issue 7, Pages 485-492Publisher
WILEY
DOI: 10.1111/pedi.12305
Keywords
barrier function diabetes; beta-cell autoimmunity; intestinal permeability
Categories
Funding
- National Institutes of Health [AI42288]
- JDRF
- American Diabetes Association
- Jeffrey Keene Family Professorship
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Increasing evidence, both functional and morphological, supports the concept of increased intestinal permeability as an intrinsic characteristic of type 1 diabetes (T1D) in both humans and animal models of the disease. Often referred to as a leaky gut', its mechanistic impact on the pathogenesis of T1D remains unclear. Hypotheses that this defect influences immune responses against antigens (both self and non-self) predominate, yet others argue hyperglycemia and insulitis may contribute to increased gut permeability in T1D. To address these complicated issues, we herein review the many conceptual role(s) for a leaky gut in the pathogenesis of T1D and suggest ways that if true, therapeutic interventions aimed at the gut-pancreas axis may prove promising for future therapeutic interventions.
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