TABLE II.
Level of the brain-gut axis | Estrogen | Progesterone |
---|---|---|
Central nervous system | analgesic or hyperalgesic effect (42) excitatory action on neurons (46) estrogen-induced increase in the number of µ-opioid receptors (43) enhancement of serotonergic postsynaptic responsiveness in the brain (57) central interaction with CRF signaling pathways - modulation of stress responsiveness (68) influence on neuronal plasticity-related processes (48) |
activation of the y-aminobutyric acid (GABA) receptors, major inhibitory receptors in the brain (50) |
Autonomic nervous system | attenuation of sympathetic responsiveness (62) | reduced cholinergic responsiveness (5) |
Enteric nervous system//immune system | expression of estrogen receptors in enteric neurons - regulation of neurogenic reflexes (48) enhancement of visceral signaling following colonic inflammation (56) augmentation of mast cell secretion (76) effects on both pro- and anti- inflammatory pathways (73) peripheral interaction with CRF signaling pathways - modulation of colonic motor and sensory responses to stress (68) |
inhibitiont of gastrointestinal motility (52) inhibition of visceral signaling following colonic inflammation (56) inhibition of mast cell degranulation (77) |
CRF - corticotropin-releasing factor