I have been looking more closely at the reduction of defensin 5 alpha reported by Wu et al in the ALS mouse model as to me, the leaky gut is the first notable symptom for ALS and it occurs ahead of neurological symptoms.  My self selecting question about whether or not people had gut issues ahead of ALS found that 60% of respondents said they had gut issues ahead, and for years by some of them.  So, given that the lack of defensin 5 alpha is causing a shift away from butyrate forming microbiota to a more harmful one and a reduced protection from intestinal barrier which causes a huge range of other problems, figuring out how to help the body make defensin 5 alpha seems like a good strategy for fighting back.

So, what can help the body make defensin 5 alpha?  Anyone have any sources for doing that?

Wu, Shaoping, et al. "Leaky intestine and impaired microbiome in an amyotrophic lateral sclerosis mouse model." Physiological reports 3.4 (2015): e12356.

Ghosh, Dipankar, et al. "Paneth cell trypsin is the processing enzyme for human defensin-5." Nature immunology 3.6 (2002): 583-590.

Wang, Wei, et al. "Effect of bifidobacterium on defensin-5 expression in intestinal injury of preweaning rats." World journal of gastroenterology: WJG 21.9 (2015): 2638.

Hetz, Claudio, et al. "XBP-1 deficiency in the nervous system protects against amyotrophic lateral sclerosis by increasing autophagy." Genes & development 23.19 (2009): 2294-2306.  (my note - helps the paneth cells, I think)

Courth, Lioba F., et al. "Crohn's disease-derived monocytes fail to induce Paneth cell defensins." Proceedings of the National Academy of Sciences 112.45 (2015): 14000-14005.

Kaser, Arthur, et al. "XBP1 links ER stress to intestinal inflammation and confers genetic risk for human inflammatory bowel disease." Cell 134.5 (2008): 743-756.

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