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Myenteric plexus (Auerbach plexus) (None established for the myenteric plexus, though "ENS" is commonly used for the enteric nervous system)

Target
None established for the myenteric plexus, though "ENS" is commonly used for the enteric nervous system
Molecular classification
Other (anatomical nerve plexus, not a molecule), Contains neurons expressing ion channels, G protein-coupled receptors (e.g., muscarinic, serotonergic, tachykinin receptors), enzymes (e.g., neuronal nitric oxide synthase), and more
01

Overview

The intestinal nerve plexus specifically refers to the interconnected networks of autonomic nerve fibers and ganglia regulating intestinal function—primarily the myenteric plexus (Auerbach plexus) and submucosal plexus (Meissner plexus). The myenteric plexus is situated between the muscle layers of the gut and is the main controller of gastrointestinal motility, coordinating peristaltic and segmental contractions through a combination of excitatory (cholinergic, tachykinin) and inhibitory (nitrergic, VIP) neurons. It contains a variety of neuron types: sensory (IPANs), interneurons, and motor neurons. Function and signaling are mediated by several neurotransmitters, with regulation from both the local environment and the central nervous system via the vagus nerve. Dysfunction of this plexus causes significant gastrointestinal disorders. While individual molecular targets (e.g., neurotransmitter receptors, enzymes) found within the plexus are targeted therapeutically, the plexus itself is not considered a specific drug target but a tissue system encompassing many such targets[1][2][3][4][7]. For therapeutic targeting or structured annotation, precise molecular entities or receptors within the plexus should be named (e.g., "muscarinic acetylcholine receptor M3," "neuronal nitric oxide synthase") rather than the general network ("intestinal nerve plexus"), which is an anatomical term, not a canonical molecular target[1][2][3].

Other names
Myenteric plexus (Auerbach plexus)Submucosal plexus (Meissner plexus)Enteric nervous system (ENS) (umbrella term for both plexuses)Digestive nerve plexusIntestinal nerve plexus (non-specific, not commonly used in modern research)
02

Mechanism of action

Drugs target specific neurotransmitter receptors, ion channels, or enzymes within ENS neurons to modulate motility and/or secretion—e.g., stimulation or blockade of muscarinic, serotonergic, or nitrergic signaling alters peristalsis and smooth muscle activity

03

Biological functions

Control of gastrointestinal motility (peristalsis and segmental contractions)Regulation of secretion and absorptionCoordination of blood flow in the gutModulation of communication between gut and central nervous systemRhythm generation via interstitial cells of Cajal
04

Disease associations

Motility disorders (e.g., achalasia, Hirschsprung disease, gastroparesis)Other dysfunctions: chronic intestinal pseudo-obstruction, constipation, irritable bowel syndrome (linked to altered ENS activity)
05

Safety considerations

Modulation of ENS neuronal activity can cause severe motility disturbances (e.g., ileus, constipation, diarrhea)Many agents acting indirectly on ENS elicit off-target effects—anticholinergics cause dry mouth, urinary retention; serotonergic agonists may provoke arrhythmiaENS-targeted therapies can carry neurological risks if not specific enough, such as confusion with drugs crossing the blood-brain barrier
06

Interacting drugs

Acetylcholinergic drugs (e.g., bethanechol, neostigmine)

5 more in the full profile.

07

Biomarkers

Null (No established clinical biomarkers directly monitoring ENS/intestinal nerve plexus integrity; disease diagnostics rely on clinical, functional, or histochemical markers such as ChAT, nNOS for exploration in research )

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