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The intestinal serotonergic alteration together with the increase of proinflammatory cytokines also generates chronic inflammation, resulting in decreased acid secretion, breakdown of the intestinal barrier, decreased expression of enzymes necessary to digest carbohydrates, and alteration of the intestinal adaptive immune system, leading to the appearance of food intolerances and bacterial overgrowth in the small intestine (129, 181, 182, 184187)

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Activated Caspase-1 then proteolytically cleaves Gasdermin D (GSDMD), releasing its pore-forming N-terminal fragment

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