Journal
NEUROGASTROENTEROLOGY AND MOTILITY
Volume 30, Issue 12, Pages -Publisher
WILEY
DOI: 10.1111/nmo.13406
Keywords
autonomic nervous system; enteric mucosal immune system; inflammatory bowel disorders; intestinal epithelium; mucosal permeability
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Background Nerve-mucosa interactions control various elements of gastrointestinal functions, including mucosal host defense, gut barrier function, and epithelial cell growth and differentiation. In both intestinal and extra-intestinal diseases, alterations of autonomic nerve activity have been observed to be concurrent with the disease course, such as in inflammatory and functional bowel diseases, and neurodegenerative diseases. This is relevant as the extrinsic autonomic nervous system is increasingly recognized to modulate gut inflammatory responses. The molecular and cellular mechanisms through which the extrinsic and intrinsic nerve pathways may regulate digestive mucosal functions have been investigated in several pre-clinical and clinical studies. Purpose The present review focuses on the involvement of neural pathways in gastrointestinal disease, and addresses the current strategies to intervene with neuronal pathway as a means of treatment.
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