Sympathetic innervation of the development, maturity, and aging of the gastrointestinal tract

Anat Rec (Hoboken). 2023 Sep;306(9):2249-2263. doi: 10.1002/ar.25015. Epub 2022 Jun 28.

Abstract

The sympathetic nervous system inhibits gut motility, secretion, and blood flow in the gut microvasculature and can modulate gastrointestinal inflammation. Sympathetic neurons signal via catecholamines, neuropeptides, and gas mediators. In the current review, we summarize the current understanding of the mature sympathetic innervation of the gastrointestinal tract with a focus mainly on the prevertebral sympathetic ganglia as the main output to the gut. We also highlight recent work regarding the developmental processes of sympathetic innervation. The anatomy, neurochemistry, and connections of the sympathetic prevertebral ganglia with different parts of the gut are considered in adult organisms during prenatal and postnatal development and aging. The processes and mechanisms that control the development of sympathetic neurons, including their migratory pathways, neuronal differentiation, and aging, are reviewed.

Keywords: development; gut innervation; neurotransmitters; prevertebral ganglia; sympathetic nervous system.

Publication types

  • Review

MeSH terms

  • Ganglia, Sympathetic
  • Gastrointestinal Tract*
  • Neurons / metabolism
  • Sympathetic Nervous System* / physiology