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Notable postnatal alterations in the myenteric plexus of normal human bowel
T Wester1, D S O'Briain, P Puri
1Children's Research Centre, Our Lady's Hospital for Sick Children, Crumlin, Dublin, Ireland.
Gut
|April 16, 1999
Summary
Neurone density in the developing human gut decreases significantly in the first few years of life. This finding is crucial for interpreting enteric nervous system pathology in children.
Area of Science:
- Gastroenterology
- Neuroscience
- Developmental Biology
Background:
- Nitric oxide is a key neurotransmitter in the enteric nervous system.
- Altered nitrergic innervation is implicated in gastrointestinal disorders like Hirschsprung's disease.
- Limited data exists on normal neuronal density in pediatric gastrointestinal tracts.
Purpose of the Study:
- To investigate neurone density, morphology, and nitric oxide synthase distribution in the normal myenteric plexus.
- To analyze these parameters across different pediatric age groups.
Main Methods:
- Postmortem examination of small bowel and colon from 20 children (1 day to 15 years).
- Whole mount preparations of the myenteric plexus.
- Staining with NADPH diaphorase (nitric oxide synthase) and cuprolinic blue (neuronal marker).
Main Results:
- The myenteric plexus becomes less dense with age in early life.
- Ganglion cell density significantly decreases in the first 3-4 years.
- Nitric oxide synthase-positive neurones constitute approximately 34% of the total neurones.
Conclusions:
- Neurone density in the myenteric plexus undergoes significant postnatal development.
- Interpretation of enteric nervous system pathology requires age-specific considerations.
- The enteric nervous system is a dynamic developmental system throughout early childhood.
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