The Effect of Microbiota and the Immune System on the Development and Organization of the Enteric Nervous System  Yuuki Obata, Vassilis Pachnis  Gastroenterology 

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The Effect of Microbiota and the Immune System on the Development and Organization of the Enteric Nervous System  Yuuki Obata, Vassilis Pachnis  Gastroenterology  Volume 151, Issue 5, Pages 836-844 (November 2016) DOI: 10.1053/j.gastro.2016.07.044 Copyright © 2016 AGA Institute Terms and Conditions

Figure 1 Microbiota and diet control the activity of multiple cell types in the gut wall, including the ENS. For example, the bacterial metabolites SCFAs activate G-protein coupled receptors (eg, GPR41 and GPR43) on enteroendocrine cells of the intestinal epithelium resulting in enhanced production of GLP-1 and 5-HT and changes in gut motility. Gut microbiota also contribute to the conversion of primary bile acids into secondary bile acids, which activate TGR5 expressed by enteroendocrine cells and enteric neurons. TLR signalling (eg, TLR2 and TLR4) maintains subsets of enteric neurons and influences gut motility. In addition, microbiota is essential for the maintenance of mucosal glial cells, which express the neurotrophic factor GDNF and GFAP. 5-HT, Serotonin; α-MSH, α-melanocyte-stimulating hormone; GDNF, glial cell-derived neurotrophic factor; GFAP, glial fibrillary acidic protein; GLP-1, glucagon-like peptide-1; SERT, serotonin-selective reuptake transporter; Tph1, tryptophan hydroxylase 1. Gastroenterology 2016 151, 836-844DOI: (10.1053/j.gastro.2016.07.044) Copyright © 2016 AGA Institute Terms and Conditions

Figure 2 BMP2 from muscularis macrophages (MMs) regulates the activity of enteric neurons (by activating BMPRII) while CSF1 from enteric neurons is essential for the development of MMs (which express CSF1R). Production of CSF1 and BMP2 is dependent on gut microbiota. Activation of MMs by norepinephrine (via β2 adrenergic receptors) contributes to their polarization into M2-type phenotype, which is associated with tissue homeostasis and wound healing. BMP2, bone morphogenetic protein 2; β2AR: β2 adrenergic receptors, CSF1, colony stimulating factor 1; NE, norepinephrine. Gastroenterology 2016 151, 836-844DOI: (10.1053/j.gastro.2016.07.044) Copyright © 2016 AGA Institute Terms and Conditions