The intestinal barrier is critical
for maintaining intestinal homeostasis,
and its dysfunction is associated with various diseases. Recent findings
have revealed the multifunctional role of intestinal alkaline phosphatase
(IAP) in diverse biological processes, including gut health maintenance
and function. This review summarizes the protective effects of IAP
on intestinal barrier integrity, encompassing the physical, chemical,
microbial, and immune barriers. We discuss the results and insights
from in vitro, animal model, and clinical studies as well as the available
evidence regarding the impact of diet on IAP activity and expression.
IAP can also be used as an indicator to assess intestinal-barrier-related
diseases. Further research into the mechanisms of action and long-term
health effects of IAP in maintaining overall intestinal health is
essential for its future use as a dietary supplement or functional
component in medical foods.