Overview
Larazotide is a synthetic octapeptide that acts on intestinal tight junctions to reduce paracellular permeability, mainly studied as an adjunct in celiac disease.
- Synthesized in research laboratories
- Oral capsule
Mechanism of action
Antagonizes zonulin signaling at intestinal tight junctions, keeping them closed in response to gluten and other triggers.
- · Zonulin antagonism
- · Tight-junction regulation (ZO-1, occludin)
How it acts on the body
Zonulin is the endogenous protein that signals intestinal tight junctions to open and close. In celiac disease and several other intestinal conditions, zonulin is overactive and tight junctions stay too open, allowing antigens to cross into the lamina propria and drive immune reactivity.
Larazotide is an antagonist that blocks zonulin-driven opening. Taken before meals, it reduces the post-gluten permeability and symptom flare in patients on a gluten-free diet who still react to trace exposure.
Hormonal & endocrine impact
How this peptide is reported to shift specific hormones and signaling molecules. Directionality reflects research literature and preclinical models, not clinical prescribing data.
Curves are schematic shapes (sigmoid for increases/decreases, damped oscillation for modulation/stabilization) anchored to a 100% baseline. They communicate direction and tempo of change reported in research literature — not absolute hormone concentrations.
Effects on the body
Organ system effects
Closes tight junctions in response to trigger antigens.
Reduces antigen exposure to gut-associated lymphoid tissue.
Reported effects
Drawn from preclinical research, anecdote, and small-scale clinical observation. No evidence grades are assigned — most peptides on this page lack rigorous human trials.
- Symptom reduction in celiac patients with persistent reactivity
- Mechanism-targeted rather than symptomatic
Potential side effects
- · Headache
- · Urinary tract symptoms
- · Nausea
- · No notable serious effects reported in trials
Drug interactions
No notable interactions reported.
Pairing context
- Gluten-free diet adherenceAdjunct, not replacement, for dietary control.
- Active intestinal infection requiring barrier permeability for clearanceMechanism opposes that process.