Table 1.
Function | Stimulus | Induced, “learned” gut behavior | Putative neural correlate |
---|---|---|---|
Motility | Muscle response induced by: • Repetitive distension (<10 sec) • Repetitive distortion or chemical stimulation of mucosa • Muscle distension after mucosal distortion (≥2 min) • Distension of adjacent regions • Conditoned distension (repetitive stretch of 1.5g→3g→1.5g) • Repetitive gastric step-wise distension (5-20 mmHg) • Stress • High fat diet |
• Attenuated peristaltic reflex • Attenuated peristaltic reflex • Enhanced peristaltic reflex (cross-sensitization) • Enhanced relaxation • Enhanced intestinal contraction after conditioning • Enhanced adaptive relaxation • Increased colonic motility • Increased gastric emptying |
• Synaptic depression in sensory circuits • Synaptic depression in sensory circuits • Synaptic facilitation in sensory circuits • ? • Sustained postsynaptic excitation (LTP), hyperexcitability of sensory neurons • Synaptic facilitation in sensorimotor circuits • LTP and hyperexcitability of sensory neurons • Synaptic facilitation |
ENS activity | • Acute inflammatory insult • Post-inflammatory conditions |
• Decreased propulsive motility “Attention deficit disorder” • Decreased colonic propulsion “Attention deficit disorder” |
• Synaptic facilitation, hyperexcitability of sensory neurons, • Hyperexcitability of sensory neurons and synaptic facilitation remains |
Motility disorders | • Postinfectious irritable bowel syndrome • Postinfectious functional dyspepsia |
• Dysmotility • Dysmotility |
• Postsynaptic sensitization and desensitization • Hyporesponsiveness to synaptic activation |