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FIGURE 1 In vitiligo patients, high IFN- expression has been implicated in an aggressive and permanent IS response (IFN- CXCL10 (C-X-C Motif Chemokine Ligand 10) CD8 + T cells) (Xie et al., 2016) targeting the population of epithelial cells throughout the body causing visual (Agarwala and Malkud, 2020), hearing (Ma et al., 2021) and vascular dysfunction (Azzazi et al., 2021)

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Prevalence Heightened intestinal permeability has been demonstrated in the following conditions: Autoimmune Diseases: Celiac disease, type 1 diabetes, autoimmune hepatitis, multiple sclerosis, systemic lupus erythematosus and several other forms of autoimmunity have been linked to intestinal permeability syndrome and excessive bacterial translocation (ref) Psychiatric Disorders: Depression, anxiety, bipolar, schizophrenia (ref) Chronic Kidney Disease and Heart Failure (ref) Inflammatory Bowel Diseases: Conditions like ulcerative colitis and Crohns disease exhibit abnormal gut barrier function with increased intestinal permeability (ref) Functional Gastrointestinal Disorders: Irritable bowel syndrome (IBS) and functional dyspepsia (FD) and small intestinal bacterial overgrowth (ref) Metabolic Disorders: Obesity, metabolic syndrome and diabetes (ref) What causes Leaky Gut Syndrome

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