Neural plasticity in the gastrointestinal tract: chronic inflammation, neurotrophic signals, and hypersensitivity
Abstract
Neural plasticity is not only the adaptive response of the central nervous system to learning, structural damage or sensory deprivation, but also an increasingly recognized common feature of the gastrointestinal (GI) nervous system during pathological states. Indeed, nearly all chronic GI disorders exhibit a disease-stage-dependent, structural and functional neuroplasticity. At structural level, GI neuroplasticity usually comprises local tissue hyperinnervation (neural sprouting, neural, and ganglionic hypertrophy) next to hypoinnervated areas, a switch in the neurochemical (neurotransmitter/neuropeptide) code toward preferential expression of neuropeptides which are frequently present in nociceptive neurons (e.g., substance P/SP, calcitonin-gene-related-peptide/CGRP) and of ion channels (TRPV1, TRPA1, PAR2), and concomitant activation of peripheral neural glia. The functional counterpart of these structural alterations is altered neuronal electric activity, leading to organ dysfunction (e.g., impaired motility and secretion), together with reduced sensory thresholds, resulting in hypersensitivity and pain. The present review underlines that neural plasticity in all GI organs, starting from esophagus, stomach, small and large intestine to liver, gallbladder, and pancreas, actually exhibits common phenotypes and mechanisms. Careful appraisal of these GI neuroplastic alterations reveals that--no matter which etiology, i.e., inflammatory, infectious, neoplastic/malignant, or deg…
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The ENS maintains its capacity to adapt and reorganize its synapses throughout the host's lifetime, similar to synaptic plasticity in the CNS.
“Much like the CNS, the ENS maintains its capacity to adapt and reorganize its synapses throughout the host's lifetime, similar to synaptic plasticity in the CNS (Demir et al., 2013;Lomax et al., 2005).”
From The Microbiota-Gut-Brain Axis (2019) · cites this paper as Demir et al., 2013
Neuronal plastic changes also occur in the enteric nervous system.
“recently it has become ever more apparent that neuronal plastic changes also occur in the ENS (Demir et al., 2013;Lomax et al., 2005).”
From The Microbiota-Gut-Brain Axis (2019) · cites this paper as Demir et al., 2013
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Background
- Authors
- Demir, I. E., Schäfer, K.-H., Tieftrunk, E., Friess, H., & Ceyhan, G. O.
- Affiliations
- University of Applied Sciences Kaiserslautern (DE)
- TUM Klinikum (DE)
- Venue
- Acta Neuropathologica
- Published
- 2013-02-17
- Volume
- 125
- Issue
- 4
- Pages
- 491-509
- ISSN
- 0001-6322 (ISSN-L)
- 1432-0533
- OpenAlex
- W1977884263
- Cited by
- 77
- References
- 121
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 2 · 2023: 6 · 2022: 7 · 2021: 5 · 2020: 7 · 2019: 9 · 2018: 1 · 2017: 7 · 2016: 5 · 2015: 14 · 2014: 4 · 2013: 4
- FWCI
- 1.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Acta Neuropathologica (publishedVersion)
- PubMed (publishedVersion)
- mediaTUM (Technical University of Munich) (submittedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuropeptides and Animal Physiology
- Keywords
- neuroplasticity, chronic inflammation, hypersensitivity, visceral pain, hyperinnervation, neuropeptides, substance P, calcitonin gene-related peptide, ion channels, TRPV1, TRPA1, PAR2, peripheral glia, neuroimmune interactions, gastrointestinal motility, gastrointestinal secretion
- MeSH terms
- Humans, Inflammation, Neuronal Plasticity, Neurons, Nociceptors, Calcitonin Gene-Related Peptide, Gastrointestinal Tract, TRPV Cation Channels
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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