March 18, 2026 · Gastroenterology · DOI: 10.1053/j.gastro.2026.02.030

Enteric and Sympathetic Nervous System Pathways Mediate Early Life Stress Effects on Gut Motility and Pain: Mechanistic Findings with Human Correlation

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The authors investigate how early life stress (ELS) affects gut motility and pain, aiming to elucidate the underlying mechanisms linking ELS to long-term gastrointestinal dysmotility and disorders of gut-brain interaction (DGBI). Using a maternal separation mouse model, they found that ELS leads to visceral hypersensitivity, altered enteric nervous system composition, and sympathetic overactivity, which were also correlated with maternal mental health issues in human pediatric cohorts. These findings suggest that targeting the enteric and sympathetic pathways may provide therapeutic avenues for addressing ELS-related gut dysfunction.

Sarah A Najjar, Helene Kildegaard, Ardesheer Talati, Priscila Dib Goncalves, Andrew Del Colle, Zixing Huang, Yan Tong, Daniel Juarez, Rahi Shah, Erfaneh Barati, Taeseon Woo, Melissa Medina, Narek Israelyan, Marguerite Bernard, Ruxandra Tonea, Michelle Ovchinsky, Noa Pesner, Roey Ringel, Luisa Valdetaro, Mette Bliddal, Martin Thomsen Ernst, Michael D Gershon, Lin Y Hung, Kara G Margolis

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