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Neural regulation of transport. Three divisions of the
autonomic nervous system are involved in regulation of intestinal
function: (1) parasympathetic, predominantly through cholinergic
stimulation of secretion through vagal input; (2) adrenergic
stimulation of absorption through prevertebral and sympathetic
ganglia; and (3) the enteric nervous system (ENS), which
integrates and coordinates the neural activity of the epithelia,
vasculature, and smooth muscle. The enteric system consists
of sensory neurons responsive to intraluminal stimuli, interneurons,
and secretomotor neurons releasing vasoactive intestinal
polypeptide and acetylcholine. Additional neural inputs
and outputs modulate the function of secretory neurons and
the interaction of the ENS with the smooth muscle and with
immune and paracrine cells that may also influence mucosal
transport.
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