Abstract
Coordinated movements of the gastrointestinal tract are regulated by multiple mechanisms including intrinsic and extrinsic neurons, interstitial cells of Cajal (ICC), and myogenic mechanisms. Studies using laboratory animals have shown that although enteric neurons develop early, the first gastrointestinal motility patterns are myogenic, and not neurally mediated. However, neurally mediated contractile activity is prominent by birth, and is essential for propulsive activity as shown by the bowel obstruction that occurs proximal to the aganglionic region in infants with Hirschsprung’s disease. The development of ICC requires signaling via the tyrosine kinase receptor, Kit. Genetic alterations of Kit, and reduced ICC density, have recently been linked to a severe case of idiopathic constipation and megacolon in a child. Studies in preterm and term humans have shown that esophageal peristalsis and sphincter function mature during the late fetal and early postnatal stages. Little is known about the development of motility in the small and large bowel of human infants.
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In the field of gastrointestinal motility, the term “myogenic” has been used to describe contractile activity generated by ICC as well as muscle cells, but here we use the term myogenic to refer to contractions specifically originating from the muscle cells themselves.
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Young, H.M., Beckett, E.A., Bornstein, J.C., Jadcherla, S.R. (2013). Development of Gut Motility. In: Faure, C., Di Lorenzo, C., Thapar, N. (eds) Pediatric Neurogastroenterology. Clinical Gastroenterology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60761-709-9_3
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