2021
DOI: 10.3389/fphys.2021.567650
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Pathophysiologic Role of Neurotransmitters in Digestive Diseases

Abstract: Neurotransmitters are special molecules that serve as messengers in chemical synapses between neurons, cells, or receptors, including catecholamines, serotonin, dopamine, and other neurotransmitters, which play an important role in both human physiology and pathology. Compelling evidence has indicated that neurotransmitters have an important physiological role in various digestive diseases. They act as ligands in combination with central or peripheral receptors, and transmits signals through chemical synapses,… Show more

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Cited by 27 publications
(17 citation statements)
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“…It requires a proper network of enteric neuronal and glial cells with balanced neurotransmission for GI physiological function regulation. 29,30 Chronic constipation is a multifactorial disorder with a complex pathogenesis that includes abnormalities within the ENS. 31,32 In terms of animal models, different approaches have been used to provide a better understanding of the pathophysiology of constipation where changes in density and/or altered morphology of the ENS, as well as altered neurotransmission, have been found.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…It requires a proper network of enteric neuronal and glial cells with balanced neurotransmission for GI physiological function regulation. 29,30 Chronic constipation is a multifactorial disorder with a complex pathogenesis that includes abnormalities within the ENS. 31,32 In terms of animal models, different approaches have been used to provide a better understanding of the pathophysiology of constipation where changes in density and/or altered morphology of the ENS, as well as altered neurotransmission, have been found.…”
Section: Discussionmentioning
confidence: 99%
“…It requires a proper network of enteric neuronal and glial cells with balanced neurotransmission for GI physiological function regulation. 29 , 30 …”
Section: Discussionmentioning
confidence: 99%
“…The release of serotonin (5-HT), a neurotransmitter monoamine related to the pathophysiological mechanisms of inflammatory disease in the gastrointestinal tract, increases inflammation in the context of intestinal inflammation, probably via the serotonin receptors 5-HTR1B and 5-HTR2A on DCs, increasing proinflammatory cytokines in activated B cells via NF-kB [ 89 , 90 ]. In contrast, the deletion, mainly in DCs, of 5-HTR, or even blockade with SB-269970, a 5-HTR antagonist, was shown to increase the severity of inflammation in colitis models, increasing the production of proinflammatory cytokines (e.g., IL-1β, IL-6, and TNF-α) [ 90 , 91 ], showing the possible close relationship between the neuronal mediators and the modulation of the immune system in the liver by DCs. Thus, these data suggest that the role of DCs via neuroendocrine-immune interactions may be related to the modulation of the immune response in the liver, but further studies are needed to clarify how this occurs.…”
Section: The Hepatic Tolerogenic Microenvironment and The Interplay W...mentioning
confidence: 99%
“…In addition, HSCs express the serotonin receptors 5-HT2A and 5-HT2B; these cells also take up and release serotonin through the 5-HT receptor [ 98 ]. These receptors contribute to hepatic fibrosis, HSC proliferation, gene transcription, and apoptosis [ 90 , 99 ]. Human HSCs also respond to NE, as cellular exposure to this neurotransmitter triggers pro-inflammatory responses with the secretion of inflammatory chemokines, such as RANTES and IL-8, and calcium spikes, which were partially attenuated with the administration of a nonspecific beta-blocker (propranolol) [ 100 ].…”
Section: The Hepatic Tolerogenic Microenvironment and The Interplay W...mentioning
confidence: 99%
“…In the brain, 5-HT helps regulate behaviors such as sleep and learning [ 1 , 2 ] as well as onset of anxiety and depression [ 3 ]. 5-HT is produced at even higher levels in the mammalian GI tract in pathways responsible for peristalsis [ 4 ], visceral sensation [ 5 ], and symptoms such as nausea [ 6 ], and has been implicated in a number of functional GI disorders [ 7 , 8 , 9 , 10 ]. Often, the goal is to quantify 5-HT concentrations within tissues or bodily fluids and correlate this with biological processes, especially underlying disease.…”
Section: Introductionmentioning
confidence: 99%