Biomarkers for assessment of intestinal permeability in clinical practice
- PMID: 34009040
- DOI: 10.1152/ajpgi.00113.2021
Biomarkers for assessment of intestinal permeability in clinical practice
Abstract
Intestinal permeability is an important diagnostic marker, yet its determination by established tests, which measure the urinary excretion of orally administered tracer molecules, is time consuming and can only be performed prospectively. Here, we aim to validate proposed surrogate biomarkers, which allow measuring intestinal permeability more easily. In this cross-sectional study, we included two independent cohorts comprising nonobese (Healthy cohort, n = 51) and individuals with obesity (Obesity cohort, n = 27). The lactulose/mannitol (lac/man) ratio was determined in all individuals as an established marker of intestinal permeability. Furthermore, we measured six potential surrogate biomarkers, being albumin, calprotectin, and zonulin, measured in feces, as well as intestinal fatty acid binding protein (I-FABP), lipopolysaccharide binding protein (LBP) and zonulin, measured in plasma. Correlation analyses and multiple linear regression models were conducted to assess possible associations between the established lac/man ratio and the proposed biomarkers by also evaluating a potential effect of age, body mass index (BMI), and sex. The lac/man ratio correlated with plasma LBP levels in all cohorts consistently and with the amount of fecal zonulin in overweight and obese individuals. Multiple linear regression models showed that the association between the lac/man ratio and plasma LBP was independent of age, BMI, and sex. Fecal zonulin levels were associated with the lac/man ratio as well as BMI, but not age and sex. Our data suggest plasma LBP as a promising biomarker for intestinal permeability in adults and fecal zonulin as a potential biomarker in overweight and obese individuals.NEW & NOTEWORTHY This study shows that biomarkers from blood and fecal samples are associated with the cumbersome established tests of intestinal permeability throughout different cohorts. Therefore, such biomarkers could be used to assess gut barrier function in prospective cohort studies and large-scale clinical trials for which tracer-based tests may not be feasible.
Keywords: LBP; gut barrier; gut health; gut permeability; zonulin.
Similar articles
-
Plasma and fecal zonulin are not altered by a high green leafy vegetable dietary intervention: secondary analysis of a randomized control crossover trial.BMC Gastroenterol. 2022 Apr 12;22(1):184. doi: 10.1186/s12876-022-02248-3. BMC Gastroenterol. 2022. PMID: 35413837 Free PMC article.
-
Gut Microbiota Richness and Composition and Dietary Intake of Overweight Pregnant Women Are Related to Serum Zonulin Concentration, a Marker for Intestinal Permeability.J Nutr. 2016 Sep;146(9):1694-700. doi: 10.3945/jn.116.235358. Epub 2016 Jul 27. J Nutr. 2016. PMID: 27466607
-
Markers of Intestinal Permeability and Inflammation in Enterally Fed Children with Cerebral Palsy.Nutrients. 2024 Jul 27;16(15):2447. doi: 10.3390/nu16152447. Nutrients. 2024. PMID: 39125328 Free PMC article.
-
Faecal intestinal permeability and intestinal inflammatory markers in older adults with age-related disorders: A systematic review and meta-analysis.Ageing Res Rev. 2024 Nov;101:102506. doi: 10.1016/j.arr.2024.102506. Epub 2024 Sep 19. Ageing Res Rev. 2024. PMID: 39306247 Review.
-
Limited support for a direct connection between prebiotics and intestinal permeability - a systematic review.Glycoconj J. 2024 Oct;41(4-5):323-342. doi: 10.1007/s10719-024-10165-8. Epub 2024 Sep 17. Glycoconj J. 2024. PMID: 39287885 Free PMC article. Review.
Cited by
-
Ionizing Radiation Dose Differentially Affects the Host-Microbe Relationship over Time.Microorganisms. 2024 Sep 30;12(10):1995. doi: 10.3390/microorganisms12101995. Microorganisms. 2024. PMID: 39458305 Free PMC article.
-
AG1®, a Novel Synbiotic, Maintains Gut Barrier Function following Inflammatory Challenge in a Caco-2/THP1-Blue™ Co-Culture Model.Microorganisms. 2024 Jun 21;12(7):1263. doi: 10.3390/microorganisms12071263. Microorganisms. 2024. PMID: 39065031 Free PMC article.
-
Gut Microbiota Ecology and Inferred Functions in Children With ASD Compared to Neurotypical Subjects.Front Microbiol. 2022 Jun 9;13:871086. doi: 10.3389/fmicb.2022.871086. eCollection 2022. Front Microbiol. 2022. PMID: 35756062 Free PMC article.
-
Serum Versus Fecal Calprotectin Levels in Patients with Severe Obesity Before and 6 Months After Roux-Y-Gastric Bypass: Report of the Prospective Leaky-Gut Study.Obes Surg. 2023 Dec;33(12):4017-4025. doi: 10.1007/s11695-023-06911-w. Epub 2023 Nov 4. Obes Surg. 2023. PMID: 37924465
-
The Role of Intestinal Permeability in Gastrointestinal Disorders and Current Methods of Evaluation.Front Nutr. 2021 Aug 26;8:717925. doi: 10.3389/fnut.2021.717925. eCollection 2021. Front Nutr. 2021. PMID: 34513903 Free PMC article. Review.
Publication types
MeSH terms
Substances
Associated data
LinkOut - more resources
Full Text Sources
Other Literature Sources
Research Materials
Miscellaneous