Smooth muscle of the gut
Gabriel M. Makhlouf
Virginia Commonwealth University, Richmond, VA, USA
Search for more papers by this authorKarnam S. Murthy
Virginia Commonwealth University, Richmond, VA, USA
Search for more papers by this authorGabriel M. Makhlouf
Virginia Commonwealth University, Richmond, VA, USA
Search for more papers by this authorKarnam S. Murthy
Virginia Commonwealth University, Richmond, VA, USA
Search for more papers by this authorDaniel K. Podolsky MD
President, University of Texas Southwestern Medical Center, Professor of Internal Medicine, Department of Internal Medicine, University of Texas Southwestern Medical School, Dallas, TX, USA
Search for more papers by this authorMichael Camilleri MD
Executive Dean for Development, Atherton and Winifred W. Bean Professor, Professor of Medicine, Physiology and Pharmacology, Distinguished Investigator, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorJ. Gregory Fitz MD FAASLD
Executive Vice President for Academic Aff airs and Provost, University of Texas Southwestern Medical Center, Dean, Professor of Internal Medicine, Department of Internal Medicine, University of Texas Southwestern Medical School, Dallas, TX, USA
Search for more papers by this authorAnthony N. Kalloo MD
Professor of Medicine, Johns Hopkins University School of Medicine, Director, Division of Gastroenterology & Hepatology, Johns Hopkins Hospital, Baltimore, MD, USA
Search for more papers by this authorFergus Shanahan MD
Professor and Chair, Department of Medicine, Director, Alimentary Pharmabiotic Centre, University College Cork, National University of Ireland, Cork, Ireland
Search for more papers by this authorTimothy C. Wang MD
Chief, Division of Digestive and Liver Diseases, Silberberg Professor of Medicine, Department of Medicine and Irving Cancer Research Center, Columbia University Medical Center, New York, NY, USA
Search for more papers by this authorSummary
The main function of the smooth muscle of the gut is to mix and propel intralumenal contents, enabling efficient digestion of food, progressive absorption of nutrients, and eventual evacuation of residues. This function is regulated by the intrinsic electrical and mechanical properties of smooth muscle, such as the ability to maintain tone or undergo phasic contraction, and by alterations in these properties in response to hormonal and neural signals, particularly signals emanating from the enteric nervous system. The signal transduction pathways present in isolated circular and longitudinal muscle cells regulate tonic contraction and relaxation of intact, syncytial muscle. Extrinsic neurons of the sympathetic and parasympathetic systems influence smooth muscle indirectly by acting on neurons of the myenteric plexus. The disparate changes in signaling triggered by inflammatory cytokines and induced by nuclear factor-kappa B in circular and longitudinal muscle disrupt the activity and functional coordination of the two muscle layers.
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