Ask a Doctor: What Is Leaky Gut?

Ask a Doctor: What Is Leaky Gut?
The immune system works in concert with an ecosystem of microbes living inside the body. (sdecoret/Shutterstock)
Dr. Ann Corson
8/28/2022
Updated:
10/12/2022

A leaky gut is when the intestinal lining develops holes that allow harmful substances to leak into the bloodstream.

The intestinal lining has two main jobs. The first is to digest food to absorb nutrients and water into the bloodstream for distribution throughout the body.

The second job is to act as a barrier, restricting the entry of harmful substances. In fact, the gastrointestinal tract contains a huge number of immune system cells that act as a first line of defense against toxins and infections.

The intestinal epithelium of the small intestine (the tissue that lines the small intestine) is made up of finger-like projections called villi that are formed from a single layer of columnar cells called enterocytes. The surface of those enterocytes consists of even smaller finger-like projections called microvilli. The microvilli maximize the absorptive surface of the enterocytes. The majority of nutrient absorption occurs through the small intestinal villi and their many microvilli.

The enterocytes are almost like bricks in a wall. Between each enterocyte along the gut lining are a group of proteins that form a seal that holds adjacent cells tightly together. These are called tight junctions. Water and nutrients pass into the enterocytes through the microvilli, while the tight junctions act as physical and biological barriers that block large molecules and harmful substances from entering the body.

The intestinal lining functions well when the tight junctions between enterocytes are strong and intact. But if the tight junctions between cells are damaged, larger particles, toxins, and infections are able to pass between the enterocytes into the bloodstream.

That is known as leaky gut, or leaky gut syndrome. Other names for this type of functional defect of the intestinal epithelium include “increased intestinal permeability” and “hyperpermeability of the intestinal tract.”
There’s some controversy regarding leaky gut among conventional medical practitioners and those who practice in a more holistic or complementary fashion. While leaky gut syndrome may not currently be recognized as a medical diagnosis, increased intestinal permeability is noted to be present in a range of diseases.

It’s like the chicken-and-egg situation. Which came first, the symptom or the cause?

In conventional medicine, leaky gut, although real, is regarded as a symptom of various gastrointestinal diseases such as inflammatory bowel disease and celiac disease.

From a holistic point of view, however, an impaired intestinal barrier allows toxins and harmful substances into the bloodstream, which then results in a cascade of inflammatory responses that can manifest as a wide range of disease states throughout the body.

The gut microbiome is a complex ecosystem of microorganisms that lies as a biofilm on the surface of the intestinal epithelium. It’s well-established that the microorganisms in the gut, made up of mostly beneficial and some harmful bacteria, viruses, and fungi, are fundamental for nutrient absorption, metabolism of essential nutrients, and proper immune system function.

Leaky gut can result from gut inflammation and an imbalance of the gut microbiome. Imbalance or overgrowth of the normal microbiome with pathogenic microorganisms is known as gut dysbiosis.

Gut dysbiosis contributes to leaky gut and the movement of pathogens and harmful metabolites into the bloodstream.

A plethora of diseases have been linked to dysbiosis of the gut microbiome. These include gastrointestinal diseases such as Crohn’s disease, irritable bowel syndrome, and colon cancer. Interestingly, gut microbiome-related diseases aren’t limited to the digestive system. Substantial evidence links asthma, food allergies, cardiovascular disease, obesity, diabetes, hepatic encephalopathy, and eczema to an imbalance in the gut microbiome and leaky gut syndrome. Even more interesting, some mental disorders and autism have been shown to have an association with gut dysbiosis and leaky gut syndrome.

Main Causes of Leaky Gut

1. Glyphosate

Stephanie Seneff, a senior research scientist at the Massachusetts Institute of Technology, has researched how glyphosate disrupts the gut microbes. The most widely used herbicide in the world, glyphosate is both an herbicide and crop desiccant that’s used heavily in agriculture.

Dietary exposure to glyphosate harms the gut and the gut microbiome. Glyphosate disrupts an important enzyme in the shikimate pathway, which is essential for the health of beneficial bacteria. Damage to this pathway also stops the good bacteria from making nutrients essential for health.

Glyphosate is also a very efficient mineral chelator and makes ingested minerals unavailable to the gut microbes. For the microbes to function properly, they rely on those minerals and the shikimate enzyme pathway.

Seneff has noted a strong correlation between the rise of gluten intolerance over time and the rise of glyphosate used on wheat as a desiccant prior to harvest. Chronic exposure to glyphosate disturbs the gut microbiome creating a starting point for many diseases, including arthritis and neurological diseases.

In the recent Epoch Health podcast, “The Legal Poison in Our Foods: Dr. Stephanie Seneff on What Glyphosate Does and How to Avoid It,” she states: “Glyphosate basically kills important bacteria in our own gut microbiome that are essential for producing proteins, neurotransmitters, and many other essential things. Once this happens, it allows for the overgrowth of pathogenic bacteria that make us sick.”

2. Gluten

The immune system responds to substances it considers harmful by causing an inflammatory reaction.

Gluten, a protein found in wheat, rye, and barley, can cause inflammation of the intestinal lining in susceptible individuals. This is diagnosed as gluten sensitivity or celiac disease.

Inflammatory molecules damage the integrity of the gut’s tight junctions, leading to leaky gut. Gluten has been shown to activate zonulin, a protein that opens the tight junctions of the small intestine and can be measured as a marker for intestinal permeability.

3. Mold Toxins

Research indicates that mold toxins, also called mycotoxins, can induce leaky gut.

Dietary toxic mold exposure may result in leaky gut through interactions between ingested mycotoxins, the gut microbiome, and the intestinal epithelium.

Mycotoxins from exposure to water-damaged buildings enter the body through the airways or through the skin. Some of the mycotoxins that enter the mouth and nose can be swallowed and contribute to leaky gut.

The gut microbiome helps to detoxify harmful substances. Certain beneficial bacteria protect the body by binding and metabolizing ingested mycotoxins.

Unfortunately, over time, or if dysbiosis is present, mycotoxins can alter the gut microbiome and reduce its detoxification capacity. This results in an accumulation of mycotoxins that disrupts the integrity of the intestinal epithelial barrier, which, in turn, contributes to the development of leaky gut.

Moreover, mycotoxins impair gut health on a structural and functional level. Not only do they displace beneficial bacteria with increased pathogenic bacteria, increasing intestinal permeability, but mycotoxins also cause nutrient malabsorption, exacerbate oxidative stress and inflammation, and allow harmful bacteria, viral, and parasitic infections through the intestinal wall.

Other Causes of Leaky Gut

There are many other causes of leaky gut. Toxins can disrupt the intestinal epithelial layer. Deficiencies of certain vitamins and minerals can weaken the epithelial lining of the intestines. An imbalance or dysbiosis of the gut microbiome is a significant etiology of leaky gut. Other factors contributing to leaky gut include:

A Low-Fiber Diet

Gastroenterologist and gut health expert Dr. Will Bulsiewicz, who wrote the best-selling diet and lifestyle book “Fiber Fueled,” describes the benefits of increasing fiber in the diet. Eating a broad range of fiber-rich foods found primarily in whole plant foods leads to billions of well-fed, high-functioning gut microbes. A low-fiber diet, on the other hand, starves out beneficial microbes. This creates dysbiosis by making room for pathogenic and harmful microbes.

Unhealthy Diet

A diet based on highly processed foods, refined sugars, and unhealthy fat content can lead to increased intestinal permeability or leaky gut.

Chronic Stress

Exposure to stress changes brain-gut interactions. This can lead to a wide range of gastrointestinal disorders, including inflammatory bowel disease, irritable bowel syndrome, food allergies, motility problems, and other digestive issues. Physiological effects of stress on the gut include negative effects on intestinal microbiota and an increase in intestinal permeability.

Zinc Deficiency

Zinc positively influences the barrier function of the intestinal lining. There is evidence that zinc’s action on intestinal tight junctions and enterocyte barrier function makes the mineral a potential therapeutic agent to help to heal gastrointestinal dysfunction and leaky gut.

Potentially Problematic Medications

Several medications can contribute to leaky gut:
  • Antibiotics kill both good and bad microorganisms, including those that inhabit the microbiome, which can lead to leaky gut.
  • NSAIDs, or non-steroidal anti-inflammatory drugs, are disruptive to the intestinal barrier and can contribute to leaky gut.
  • Steroids may suppress the immune system leading to leaky gut, which, in turn, leaves the body open to infection.
  • Birth control pills contribute to excess estrogen which may lead to the overgrowth of Candida, a species of yeast that can cause leaky gut.
  • Antacids suppress gastric acids and can alter the gut microbiome over time, causing an overgrowth of bacteria, which may lead to leaky gut.

Fixing Leaky Gut

There are many things you can do to help to improve any problems you’re experiencing with your gut.

Avoid Glyphosate and Other Toxins

A recent article by Sherra Vorley and Dr. Ann Corson, “Glyphosate, Too Complex to Ignore,” discusses several ways of counteracting exposure to glyphosate. It recommends choosing high-nutrient organic foods such as fruits, vegetables, nuts, seeds, and legumes along with herbs and spices to help fight the effects of glyphosate. A lifestyle with special attention to digestive health along with optimized liver and kidney function will also help.

Limit Gluten

Wheat, barley, and rye are the main grains that contain gluten. Those familiar with gluten sensitivity and celiac disease know just how challenging it can be to avoid gluten. Many beverages, snack foods, candy, and prepared foods have gluten hidden in their ingredients.

Keeping to a whole-food diet is one way to limit exposure to wheat, barley, and rye. It’s also important to diligently search ingredient lists for the many possible sources of gluten such as wheat, barley, rye, spelt, bran, flour, modified food starch, natural flavors, hydrolyzed vegetable protein, soy sauce, malt vinegar, farina, durum, semolina, and barley enzymes.

While limiting exposure to gluten, support your digestive tract and microbiome with a healthy diet and dietary supplements such as zinc, L-glutamine, grass-fed collagen peptides, prebiotics, probiotics, and fiber.

Other potentially helpful supplements include deglycyrrhizinated licorice, curcumin, berberine, and mucilaginous herbs such as marshmallow root.

Be Aware of Toxic Mold Exposure

Toxic molds can cause chronic illness and contribute to leaky gut syndrome.

Unfortunately, such exposures can be quite common given the inadequacies of modern heating, ventilating, and air conditioning systems and building designs that frequently lead to damp areas that give birth to toxic molds.

Many chronic illness are linked to mycotoxin exposure. Resolving these exposures requires fixing the source and treating the resulting condition. Protect yourself from exposure whenever possible while augmenting strategies to reinstitute gastrointestinal health.

Eat More Fiber

A whole-food, plant-based diet might sound, at first, hard to achieve. Start by simply increasing the amount and variety of plant foods in the diet. Begin by eating nuts, fruit, grains, beans, vegetables, and seeds. Evidence shows a fiber-rich diet will help to modulate the gut microbiota.

Seek Support

If you think you may be suffering from intestinal permeability, you can find a support program to help to treat and heal leaky gut.
Dr. Zach Bush is an internationally recognized doctor, educator, and thought leader on the microbiome in health and disease, and food systems. He is triple board-certified in internal medicine, endocrinology, and hospice care. He has developed a support system for the microbiome called ION, which promotes strengthening the integrity of the barriers of the body’s gut, sinuses, and skin.
Another approach is to follow the four R’s, as described by Dr. Amy Myers, which include: removing toxic and inflammatory foods, and gastric irritants; restoring essential ingredients for proper digestion; reinoculating with beneficial bacteria; and repairing the gut lining with nutrients. She provides supplements and valuable information in The Myers Way protocol to treat leaky gut.
Healthy lifestyle choices will help to improve digestive health while naturally repairing a leaky gut. Reducing stress, improving sleep, and getting sufficient exercise are always helpful but are also proven to aid in the recovery of leaky gut. Taking probiotics can help to inoculate the microbiome. We can also feed the microbiome with a high-fiber diet for improved digestive health while recovering from leaky gut.
Dr. Corson obtained her MD degree at the University of Pennsylvania School of Medicine in Philadelphia, PA in 1982 and is board certified in Family Medicine and Integrative Holistic Medicine. Her solo practice in Philadelphia, PA is devoted full time to the treatment of patients suffering from all forms of chronic disease. In 2008, Dr. Corson joined Doctors Against Forced Organ Harvesting (DAFOH) to help raise awareness of China’s live forced organ harvesting of innocent prisoners of conscience, primarily Falun Gong practitioners. Since 2016, she has been editor-in-chief of DAFOH’s newsletter.
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