New insights into human enteric neuropathies

被引:61
作者
De Giorgio, R [1 ]
Guerrini, S [1 ]
Barbara, G [1 ]
Cremon, C [1 ]
Stanghellini, V [1 ]
Corinaldesi, R [1 ]
机构
[1] Univ Bologna, Dept Internal Med & Gastroenterol, Bologna, Italy
关键词
achalasia; chronic constipation; chronic intestinal pseudo-obstruction; enteric nervous system; Hirschsprung's disease; human enteric neuropathies; neuronal degeneration;
D O I
10.1111/j.1743-3150.2004.00491.x
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The functioning of enteric neuronal circuitries has been elucidated in the recent past. Evidence is now gathering to explain how dysfunction of the enteric nervous system (ENS) may lead to human gastrointestinal motor disorders. These conditions include achalasia, congenital hypertrophic pyloric stenosis, chronic intestinal pseudo-obstruction, Hirschsprung's disease, chronic idiopathic constipation, and probably irritable bowel syndrome. Degenerative, inflammatory and genetic mechanisms exert a critical role in ENS dysfunction underlying gut dysmotility. The study of the ENS abnormalities in gut dysmotility provides a framework to better understand the mechanisms involved in degeneration and neuronal loss and fosters the development of targeted therapeutic options.
引用
收藏
页码:143 / 147
页数:5
相关论文
共 41 条
[31]   VARICELLA-ZOSTER VIRUS-DNA IN THE ESOPHAGEAL MYENTERIC PLEXUS IN ACHALASIA [J].
ROBERTSON, CS ;
MARTIN, BAB ;
ATKINSON, M .
GUT, 1993, 34 (03) :299-302
[32]   Hirschsprung's disease: genetic mutations in mice and men [J].
Robertson, K ;
Mason, I ;
Hall, S .
GUT, 1997, 41 (04) :436-441
[33]  
Romeo G, 1998, J INTERN MED, V243, P515
[34]   SOX10 is abnormally expressed in aganglionic bowel of Hirschsprung's disease infants [J].
Sham, MH ;
Lui, VCH ;
Fu, M ;
Chen, B ;
Tam, PKH .
GUT, 2001, 49 (02) :220-226
[35]  
SINGARAM C, 1994, GASTROENTEROLOGY, V106, pA566
[36]   Acquired intestinal aganglionosis and circulating autoantibodies without neoplasia or other neural involvement [J].
Smith, VV ;
Gregson, N ;
Foggensteiner, L ;
Neale, G ;
Milla, PJ .
GASTROENTEROLOGY, 1997, 112 (04) :1366-1371
[37]   Postinfectious irritable bowel syndrome [J].
Spiller, RC .
GASTROENTEROLOGY, 2003, 124 (06) :1662-1671
[38]   PSEUDO-OBSTRUCTION SYNDROMES [J].
STANGHELLINI, V ;
CORINALDESI, R ;
BARBARA, L .
BAILLIERES CLINICAL GASTROENTEROLOGY, 1988, 2 (01) :225-254
[39]   Full-thickness biopsy of the jejunum reveals inflammation and enteric neuropathy in irritable bowel syndrome [J].
Tórnblom, H ;
Lindberg, G ;
Nyberg, B ;
Veress, B .
GASTROENTEROLOGY, 2002, 123 (06) :1972-1979
[40]   Mutant WD-repeat protein in triple-A syndrome [J].
Tullio-Pelet, A ;
Salomon, R ;
Hadj-Rabia, S ;
Mugnier, C ;
de Laet, MH ;
Chaouachi, B ;
Bakiri, F ;
Brottier, P ;
Cattolico, L ;
Penet, C ;
Bégeot, M ;
Naville, D ;
Nicolino, M ;
Chaussain, JL ;
Weissenbach, J ;
Munnich, R ;
Lyonnet, S .
NATURE GENETICS, 2000, 26 (03) :332-335