Neurogastroenterology & Motility Center, Division of Gastroenterology, Hepatology, and Nutrition, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261.
Neurogastroenterology & Motility Center, Division of Gastroenterology, Hepatology, and Nutrition, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261;
Proc Natl Acad Sci U S A. 2020 Jun 9;117(23):13078-13083. doi: 10.1073/pnas.2002737117. Epub 2020 May 20.
The central nervous system both influences and is influenced by the gastrointestinal system. Most research on this gut-brain connection has focused on how ascending signals from the gut and its microbiome alter brain function. Less attention has focused on how descending signals from the central nervous system alter gut function. Here, we used retrograde transneuronal transport of rabies virus to identify the cortical areas that most directly influence parasympathetic and sympathetic control of the rat stomach. Cortical neurons that influence parasympathetic output to the stomach originated from the rostral insula and portions of medial prefrontal cortex, regions that are associated with interoception and emotional control. In contrast, cortical neurons that influence sympathetic output to the stomach originated overwhelmingly from the primary motor cortex, primary somatosensory cortex, and secondary motor cortex, regions that are linked to skeletomotor control and action. Clearly, the two limbs of autonomic control over the stomach are influenced by distinct cortical networks.
中枢神经系统既影响胃肠道系统,也受其影响。大多数关于肠道-大脑连接的研究都集中在来自肠道及其微生物组的上行信号如何改变大脑功能上。较少关注来自中枢神经系统的下行信号如何改变肠道功能。在这里,我们使用狂犬病病毒逆行转导来确定最直接影响大鼠胃副交感和交感神经控制的皮质区域。影响胃副交感输出的皮质神经元源自前岛叶和内侧前额叶皮质的部分区域,这些区域与内脏感知和情绪控制有关。相比之下,影响胃交感输出的皮质神经元主要来自初级运动皮质、初级体感皮质和次级运动皮质,这些区域与骨骼运动控制和动作有关。显然,对胃的自主控制的两个分支受不同的皮质网络影响。
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