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Reports have indicated an increased level of serine protease activity, possibly originating from bacteria samples recovered from IBS-D sufferers. Although not correlated with bowel movements or present in individuals with acute infectious diarrhea, serine protease activity in mice is associated with increased mucosal colonic permeability and heightened visceral hypersensitivity, symptoms that also occur in humans with IBS-D
Dunlop et al. 2006 Am J Gastroenterol 101(6): 128…