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The intestinal barrier separates the intestinal lumen (where microorganisms reside) from host tissues. The gut barrier is composed of three layers: the outermost mucus layer acts as a physical barrier against invading microorganisms; AMPs and antibodies (e.g. IgA) form a chemical barrier. Subsequent to the mucosal layer is the epithelium: a monolayer of epithelial cells mechanically linked by TJ proteins (e.g. claudin, occludin, JAMS, ZO-1). TJs regulate paracellular transport, selectively allowing the passage of small molecules. The epithelium also harbors the mucus-secreting goblet cells (not shown), hormone-secreting enteroendocrine cells (not shown), and several other immune cell types (e.g. intraepithelial lymphocytes). Finally, the lamina propria is a layer of connective tissue beneath the epithelium. It contains the majority of immune cells: innate immune cells such as macrophages, dendritic cells, and mast cells, and adaptive immune cells, such as T cells and antibody-producing plasma B cells. The epithelial and immune cells produce cytokines, or signaling molecules, to communicate across the layers of the intestinal barrier. (Figure adapted from König et al. 201629)
C. butyricum strains improve gut barrier function by increasing the thickness of the mucosal layer and increasing expression of TJ proteins. Increased expression of TJ proteins may also result from C. butyricum's stimulation of IL-17 production from intraepithelial T cells. This improved barrier results in decreased permeation of LPS and pathogenic bacteria into host tissue and blood
C. butyricum strains modulate the immune system to present a tolerant and anti-inflammatory signature. Possibly via butyrate signaling and/or an LTA-activated TLR2-dependent pathway, C. butyricum stimulates TGF-β and IL-10 secretion from APCs (dendritic cells and macrophages), Tregs and intestinal epithelial cells. Increased levels of butyrate, TGF-β, and IL-10 contribute to Treg differentiation. An increased population of Tregs and IL-10 inhibit differentiation of Th17 cells that induce IL-17-mediated inflammation, and Th2 cells that induce an allergic response from eosinophils, mast cells, and plasma B cells. Dotted lines indicate indirect effect