2008
DOI: 10.1017/s0031182008004770
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Neuronal plasticity of the enteric nervous system is correlated with chagasic megacolon development

Abstract: Chagas' disease is one of the few functional gastrointestinal disorders for which a causative agent has been identified. However, some pathological aspects of the chagasic megasyndromes are still incompletely understood. Chagasic megacolon is characterized by an inflammatory process, organ dilatation and neuronal reduction in both plexuses of the enteric nervous system (ENS). Although some studies on the ENS in Chagas' disease have been performed, the process of neuronal destruction and neuronal regeneration s… Show more

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Cited by 25 publications
(26 citation statements)
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“…In fact, in chagasic megacolon, inhibitory motor neurons (VIP and NOS immunoreactive) are preferentially destroyed. This may explain, at least in part, the partial inability of the involved colon and internal anal sphincter to relax, which seems to induce a mechanical obstruction and dilation of the organ (da Silveira et al 2007b, 2008b). …”
Section: The Role Of Different Cell Populations and Cytokines In Estamentioning
confidence: 99%
“…In fact, in chagasic megacolon, inhibitory motor neurons (VIP and NOS immunoreactive) are preferentially destroyed. This may explain, at least in part, the partial inability of the involved colon and internal anal sphincter to relax, which seems to induce a mechanical obstruction and dilation of the organ (da Silveira et al 2007b, 2008b). …”
Section: The Role Of Different Cell Populations and Cytokines In Estamentioning
confidence: 99%
“…T. cruzi also invades neurons in both the PNS and CNS (38,40). The interaction of T. cruzi with the nervous system may trigger cell survival mechanisms, as judged by nerve tissue-regenerative events in patients in the chronic indeterminate phase of Chagas' disease (16,17,25). For example, although the number of neurons in chagasic patients is lower than that of age-matched healthy individuals, the average number of neurons in both cardiac and gastrointestinal ganglia actually increases with the age of patients, contrary to the age-related physiological reduction in nonchagasic individuals (25).…”
mentioning
confidence: 99%
“…Patients may show signs of neuroregeneration and/or neuroprotection, such as an age-dependent relative increase in the number of ganglion cells in the heart and enteric nervous system (23). Neuroregeneration in the enteric nervous system may occur even in chagasic megacolon (13).…”
mentioning
confidence: 99%