Peer-Reviewed Journal Details
Mandatory Fields
O'Malley, Dervla
2016
November
American Journal of Physiology - Gastrointestinal and Liver Physiology
Neuroimmune Cross Talk in the Gut. Neuroendocrine and neuroimmune pathways contribute to the pathophysiology of irritable bowel syndrome
Published
Optional Fields
Interleukins GLP-1 Leptin Myenteric Submucosal
311
5
G934
G941
Irritable bowel syndrome (IBS) is a common disorder characterized by recurrent abdominal pain, bloating, and disturbed bowel habit, symptoms that impact the quality of life of sufferers. The pathophysiological changes underlying this multifactorial condition are complex and include increased sensitivity to luminal and mucosal factors, resulting in altered colonic transit and visceral pain. Moreover, dysfunctional communication in the bidirectional signaling axis between the brain and the gut, which involves efferent and afferent branches of the peripheral nervous system, circulating endocrine hormones, and local paracrine and neurocrine factors, including immune and perhaps even microbial signaling molecules, has a role to play in this disorder. This minireview will examine recent advances in our understanding of the pathophysiology of IBS and assess how cross talk between hormones, immune, and microbe-derived factors and their neuromodulatory effects on peripheral nerves may underlie IBS symptomatology.%U http://ajpgi.physiology.org/content/ajpgi/311/5/G934.full.pdf
0193-1857
10.1152/ajpgi.00272.2016
Grant Details