Abstract

Bacterial endotoxin is a potent inflammatory antigen abundant in the human intestine. Endotoxins circulate in the blood at low concentrations in all healthy individuals. Elevated levels of circulatory endotoxins may cause inflammation with the development of chronic disease, either affecting metabolism, neurological disease, or resistance to viral and bacterial infections. The most important endotoxin is LPS, being a superantigen. In this narrative review, the effect of various food components to postprandially elevate circulating LPS and inflammatory markers is described. There is evidence that the intake of food enriched in fat, in particular saturated fat, may elevate LPS and pro-inflammatory markers. This occurs in both normal-weight and obese subjects. In obese subjects, inflammatory markers are already elevated before meal consumption. The importance of food choice for endotoxemia and inflammatory response is discussed.

Highlights

  • LPS stays within the intestinal lumen, but can reach the circulation in high concentrations following disruption of the intestinal barrier. This occurs during inflammatory diseases, like allergy and autoimmunity [3], and during chronic inflammatory bowel disease [4], the severity of the disease being correlated to the levels of endotoxemia and inflammatory markers

  • We have focused on the direct role of nutrients to induce endotoxemia and/or elevate the blood levels of pro-inflammatory markers

  • Since obesity has been described as a low-inflammatory state, the influence of a fat-rich meal on endotoxemia and described inflammation investigated in state, obese the subjects and compared

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Summary

Introduction

LPS stays within the intestinal lumen, but can reach the circulation in high concentrations following disruption of the intestinal barrier. This occurs during inflammatory diseases, like allergy and autoimmunity [3], and during chronic inflammatory bowel disease [4], the severity of the disease being correlated to the levels of endotoxemia and inflammatory markers. We have focused on the direct role of nutrients to induce endotoxemia and/or elevate the blood levels of pro-inflammatory markers. To this end, meal studies have been collected and carefully reviewed so as to understand more in detail if any such effect is at hand.

The Superantigen LPS
Endotoxemia and Feeding
Endotoxemia after a Standard Breakfast
Endotoxemia after a Breakfast Containing Fibers
The Mechanism of Postprandial Uptake of LPS
Endotoxemia
Long-Chain Fatty Acids May Be the Trigger for Inflammation
Findings
Conclusions

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