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Chapter category: Immunology

Structure and Function of the Gastrointestinal Mucosa

Chapter authors:
Mona Bajaj-Elliott and Ian R. Sanderson


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The large mucosal surface of the gastrointestinal tract faces many challenges while maintaining overall body metabolic integrity.1,2 The primary function of the small intestine is to digest and absorb essential nutrients from the complex milieu of the gut lumen into the circulation.3 The mucosal surface extends to the largest area of the body in direct contact with the external environment, which leads to greater exposure to potential noxious stimuli (digestive enzymes, bile salts, acids, pathogenic bacteria). The gut also harbours a wide range of commensal nonpathogenic microflora, some of which are vital for the development of the intestine.4 The vast array of ingested antigens and the gut flora form the major constituents of the gut lumen. This is particularly true for the distal ileum and the colon where the resident anaerobic bacteria exist in very high (108 to 1012 bacteria/gram of luminal contents) concentrations.5 To deal with this continuous and diverse antigenic exposure, a unique immune system exists at the surface of the gastrointestinal tract, which is distinct from the systemic immune system.6 Normal tissue homeostasis in the small intestine is maintained by exquisite interplay between the contents of the gut lumen, the surface epithelium and the immune cells in the lamina propria. The structure and the function of these various cellular constituents that provide dynamic cross-talk between the gut luminal environment and the appropriate host response are the subject of this review.

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