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Overview of the compromised mucosal integrity in celiac disease

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Journal of Molecular Histology Aims and scope Submit manuscript

Abstract

Intestinal epithelium is a dynamic cellular layer that lines the small-bowel and makes a relatively impenetrable barrier to macromolecules. Intestinal epithelial cell polarity is crucial in coordinating signalling pathways within cells and mainly regulated by three conserved polarity protein complexes, the Crumbs (Crb) complex, partitioning defective (PAR) complex, and Scribble (Scrib) complex. Polarity proteins regulate the proper establishment of the intercellular junctional complexes including tight junctions (TJs), adherence junctions (AJs), and desmosomes which hold epithelial cells together and play a major role in maintaining intestinal barrier integrity. Impaired intestinal epithelial cell polarity and barrier integrity result in irreversible immune responses, the host- microbial imbalance and intestinal inflammatory disorders. Disassembling the epithelial tight junction and augmented paracellular permeability is a conspicuous hallmark of celiac disease (CD) pathogenesis. There are several dietary components that can improve intestinal integrity and function. The aim of this review article is to summarize current information about the association of polarity proteins and AJC damages with pathogenesis of CD.

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Acknowledgements

This study was supported by Celiac Disease and Gluten Related Disorders Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Funding

This study was supported by Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

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T.T., M.M.G., N.A. drafted the article, A.N., E.N.M., M.R.T., S.J.S., M.R.N. revised the article and helped to improve it.

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Correspondence to Mohammad Rostami-Nejad.

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The authors declare no competing interests.

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Taraz, T., Mahmoudi-Ghehsareh, M., Asri, N. et al. Overview of the compromised mucosal integrity in celiac disease. J Mol Histol 55, 15–24 (2024). https://doi.org/10.1007/s10735-023-10175-0

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  • DOI: https://doi.org/10.1007/s10735-023-10175-0

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