We are becoming increasingly aware of inherited genetic abnormalities as ca
uses of disease. However, alterations in gene expression can also contribut
e to other disease processes. Recently it has been suggested that our envir
onment may alter such genes and thus be a direct influence on disease. Diet
is a potent mechanism for altering the environment of cells of most organs
, particularly the gastrointestinal tract. This review addresses the influe
nce of nutritional factors on intestinal gene regulation. These influences
include insulin, which is not a dietary component but responds to dietary c
hanges, and butyrate, a short chain fatty acid produced by normal intestina
l flora. Manipulation of diet may be a means of treating intestinal disorde
rs. Nutritional treatment therefore is also discussed in the light of its e
ffect on gene expression.