The colon's function relies on intricate intrinsic and extrinsic neural networks.
Enteric plexi provide intrinsic innervation, forming neuro-enterocytic junctions and interconnections.
Extrinsic innervation involves the autonomic nervous system (parasympathetic and sympathetic), modulated by the central nervous system.
Purpose:
To detail the neurotransmitters and pathways involved in colonic innervation.
To elucidate the roles of various neurochemicals in mucosal and submucosal neurotransmission.
To describe diseases characterized by enteric plexus destruction.
Summary:
Intrinsic colonic innervation originates from enteric plexi, with axons forming neuro-enterocytic junctions.
Extrinsic innervation is governed by the autonomic nervous system, modulated by the CNS.
Neurotransmission involves acetylcholine (ACh) and vasoactive intestinal peptide (VIP) in the mucosa; serotonin and enkephalins in submucosal ganglia; ACh and VIP in parasympathetic pathways; and norepinephrine, dopamine, NPY, and histamine in sympathetic pathways. Prevertebral ganglia exhibit VIP and substance P activity. The roles of many CNS neuropeptides remain unidentified. Diseases involving enteric plexus destruction are also discussed.
Impact:
Provides a comprehensive overview of colonic neuroanatomy and neurochemistry.
Highlights the complexity of neural control in gastrointestinal function.
Establishes a foundation for understanding neurological disorders affecting the colon.