Nat. Rev. Gastroenterol. Hepatol. doi: /nrgastro

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Nat. Rev. Gastroenterol. Hepatol. doi:10.1038/nrgastro.2016.107 Figure 1 Relationship between the ENS and components of the peripheral nervous system Figure 1 | Relationship between the ENS and components of the peripheral nervous system. The enteric nervous system (ENS) is a large division of the peripheral nervous system (PNS) that can control gastrointestinal behaviour independently of central nervous system (CNS) input. Mammalian neurons are located in either the CNS (brain and spinal cord) or PNS (cells with soma outside the brain and spinal cord). Afferent information from the periphery to the CNS is conveyed by neurons located in dorsal root or cranial nerve ganglia, which constitute the 'sensory' division of the PNS (yellow). Afferent information integrated by the CNS leads to efferent output through the 'motor' division of the PNS (blue). Efferent projections from the CNS target either skeletal muscle (skeletal motor) or the autonomic nervous system, which is divided into three parts: sympathetic, parasympathetic and enteric6. In contrast to the neurons in sympathetic or parasympathetic ganglia, most enteric neurons receive no direct innervation from the CNS. Enteric neurons are organized in microcircuits that contain intrinsic primary afferent neurons that can respond intrinsically to local stimuli to integrate information and coordinate motor output. The ENS is therefore unique in having both sensory and motor properties (dotted line). Thus, ENS can mediate behaviour independently of the CNS; nevertheless, a two-way communication normally occurs between the bowel and the CNS, which influence one another. Rao, M. & Gershon, M. D. (2016) The bowel and beyond: the enteric nervous system in neurological disorders Nat. Rev. Gastroenterol. Hepatol. doi:10.1038/nrgastro.2016.107