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10.1097/NEN.0b013e318160f347 J
The hypothesis behind the LMR is that the smaller mannitol (6.7 ) can pass via the pore pathway and can be considered as a marker for the total small intestinal surface, while the larger disaccharide lactulose (9.5 ) will only pass the larger pores of the leak pathway in the crypt region and at sites where the barrier is damaged ( ex vivo in Ussing chambers, the difference is much less pronounced with a LMR of ~0.8 ex vivo vs
however, this balance can often be disrupted by biotic or abiotic stressors such as superoxide radicals, endogenous lipids, DNA hydroperoxides, hydrogen peroxide, hydroxyl radicals, and hydroxy alkenals
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