The role of the sympathetic nervous system in intestinal inflammation.

Abstract:

:The nervous system in the intestine controls motility, secretion, sensory perception, and immune function. Peptidergic neurones with neurotransmitters such as substance P and nerve growth factors have been the main focus of neuroimmunomodulation research in the gut. This review summarises the present knowledge concerning the role of the sympathetic nervous system (SNS) in modulating intestinal inflammation. The role of the SNS for gut inflammation is compared with its role in rheumatoid arthritis which demonstrates notable similarities. Nerve fibres of the SNS not only enter the enteric plexuses but also innervate the mucosa and gut associated lymphoid tissue (GALT). The SNS has pro- and anti-inflammatory functions. Neurotransmitters such as norepinephrine, adenosine, and others can evoke remarkably different opposing effects depending on concentration (presence of sympathetic nerve fibres and extent of neurotransmitter release), receptor affinity at different receptor subtypes, expression of adrenoceptors, availability of cotransmitters, and timing of SNS activity in relation to the inflammatory course. This review attempts to integrate the different perspectives of the pro- and anti-inflammatory effects of the SNS on inflammatory disease of the gut.

journal_name

Gut

journal_title

Gut

authors

Straub RH,Wiest R,Strauch UG,Härle P,Schölmerich J

doi

10.1136/gut.2006.091322

subject

Has Abstract

pub_date

2006-11-01 00:00:00

pages

1640-9

issue

11

eissn

0017-5749

issn

1468-3288

pii

55/11/1640

journal_volume

55

pub_type

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