Mice lacking aortic carboxypeptidase-like protein (ACLP) exhibit a gastroschisis (GS) like abdominal wall defect. The objectives of this study were to evaluate the pathophysiological features of GS in ACLP Ϫ/Ϫ mice and to characterize the neuromuscular development of the eviscerated intestine (EI). ACLP Ϫ/Ϫ mice were created by heterozygous mating from previously generated mice with targeted disruption of ACLP. Specimens were processed for H&E, and immunohistochemistry for smooth muscle cells [SMC, ␣-smooth muscle actin (␣-SMA) antibody], interstitial cells of Cajal (ICC, c-kit-antibody), neural crest cells (NCC, Hox-b5-antibody), and enteric neurons (EN, PGP9.5-, ␣-internexin, and synaptophysin antibody). From 47 fetuses genotyped, 13 (27.7%) were wild type, 20 (42.5%) were heterozygous, and 14 (29.8%) were ACLP homozygous. In GS mice, expression of c-kit, Hox-b5, PGP-9.5, ␣-internexin, and synaptophysin were almost completely absent and only faint ␣-SMA expression was seen in the EI. In contrast, c-kit, Hox-b5, PGP9.5, ␣-internexin, synaptophysin, and ␣-SMA expression in intra-abdominal intestine in GS fetuses was the same as control intestine. The defect observed in ACLP Ϫ/Ϫ mice closely resembles GS. Absence of ICC, NCC, EN, and immature differentiation of SMC supports an associated defect in neuromuscular development that is restricted to the EI. (Pediatr Res 68: 23-28, 2010)