Evidence map›Paper›PMID 41850537›Full record

ArticleGastroenterology2026

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

Sarah A Najjar, Helene Kildegaard, Ardesheer Talati, Priscila Dib Goncalves, Andrew Del Colle, Zixing Huang, Yan Tong, Daniel Juarez, Rahi Shah, Erfaneh Barati and 14 more

Abstract read
In one paragraph

Article in Gastroenterology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors.

Sarah A NajjarDepartment of Molecular Pathobiology, New York University College of Dentistry, New York, New York; New York University Pain Research Center, New York, New York.
Helene KildegaardMary Elizabeth's Hospital, University Hospital Copenhagen, Rigshospitalet, Copenhagen, Denmark; Clinical Pharmacology, Pharmacy and Environmental Medicine, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Ardesheer TalatiDepartment of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, New York; Division of Epidemiology, Prevention and Services Research, New York State Psychiatric Institute, New York, New York.
Priscila Dib GoncalvesDepartment of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, New York.
Andrew Del ColleDepartment of Pediatrics, Columbia University Irving Medical Center, New York, New York.
Zixing HuangDepartment of Molecular Pathobiology, New York University College of Dentistry, New York, New York; New York University Pain Research Center, New York, New York.
Yan TongDepartment of Molecular Pathobiology, New York University College of Dentistry, New York, New York; New York University Pain Research Center, New York, New York.
Daniel JuarezDepartment of Molecular Pathobiology, New York University College of Dentistry, New York, New York; New York University Pain Research Center, New York, New York.
Rahi ShahDepartment of Molecular Pathobiology, New York University College of Dentistry, New York, New York; New York University Pain Research Center, New York, New York.
Erfaneh BaratiDepartment of Molecular Pathobiology, New York University College of Dentistry, New York, New York; New York University Pain Research Center, New York, New York.
Taeseon WooDepartment of Molecular Pathobiology, New York University College of Dentistry, New York, New York; New York University Pain Research Center, New York, New York.
Melissa MedinaDepartment of Molecular Pathobiology, New York University College of Dentistry, New York, New York; New York University Pain Research Center, New York, New York.
Narek IsraelyanDepartment of Pediatrics, Columbia University Irving Medical Center, New York, New York.
Marguerite BernardDepartment of Pediatrics, Columbia University Irving Medical Center, New York, New York.
Ruxandra ToneaDepartment of Pediatrics, Columbia University Irving Medical Center, New York, New York.
Michelle OvchinskyDepartment of Molecular Pathobiology, New York University College of Dentistry, New York, New York; New York University Pain Research Center, New York, New York.
Noa PesnerDepartment of Molecular Pathobiology, New York University College of Dentistry, New York, New York; New York University Pain Research Center, New York, New York.
Roey RingelDepartment of Pediatrics, Columbia University Irving Medical Center, New York, New York.
Luisa ValdetaroDepartment of Molecular Pathobiology, New York University College of Dentistry, New York, New York; New York University Pain Research Center, New York, New York.
Mette BliddalClinical Pharmacology, Pharmacy and Environmental Medicine, Department of Public Health, University of Southern Denmark, Odense, Denmark; Department of Clinical Research, University of Southern Denmark, Odense, Denmark; Department of Gynecology and Obstetrics, Odense University Hospital, Odense, Denmark.
Martin Thomsen ErnstClinical Pharmacology, Pharmacy and Environmental Medicine, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Michael D GershonDepartment of Pathology and Cell Biology, Columbia University Vagelos College of Physicians, New York, New York.
Lin Y HungDepartment of Molecular Pathobiology, New York University College of Dentistry, New York, New York; New York University Pain Research Center, New York, New York.
Kara G MargolisDepartment of Molecular Pathobiology, New York University College of Dentistry, New York, New York; New York University Pain Research Center, New York, New York; Departments of Cell Biology and Pediatrics, New York University Grossman School of Medicine, New York, New York. Electronic address: km5994@nyu.edu.

Funding

ABCD-USA Consortium: Coordinating CenterU24DA041147 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SANDRA A BROWN, TERRY L. JERNIGAN · 2015 to 2026
$54.7M
ABCD-USA Consortium: Data Analysis, Informatics and Resource CenterU24DA041123 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ANDERS M DALE · 2015 to 2026
$51.5M
Adolescent Substance Use Initiation: Disentangling neurocognitive risks from consequences using longitudinal and genetically-informed methodsU01DA041120 · NIDA · UNIVERSITY OF MINNESOTA · PI Monica Luciana, Sylia Wilson · 2015 to 2026
$34.5M
ABCD-USA Consortium: Research ProjectU01DA041089 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Joanna Jacobus, Susan F. Tapert · 2015 to 2026
$31.7M
Prospective Research Studies of Maturation (PRISM)- Research ProjectU01DA041134 · NIDA · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI ERIN MCGLADE, PERRY FRANKLIN RENSHAW · 2015 to 2026
$29.2M
ABCD-USA CONSORTIUM: RESEARCH PROJECTU01DA041048 · NIDA · CHILDREN'S HOSPITAL OF LOS ANGELES · PI Megan Marie Herting, ELIZABETH R SOWELL · 2015 to 2026
$28.7M
ABCD-USA Consortium: Research ProjectU01DA041106 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Mary M Heitzeg, Chandra Sekhar Sripada · 2015 to 2026
$24.9M
FIU-ABCD: Pathways and Mechanisms to Addiction in the Latino Youth of South FloridaU01DA041156 · NIDA · FLORIDA INTERNATIONAL UNIVERSITY · PI Raul Gonzalez, Angela R Laird · 2015 to 2026
$22.8M
ABCD-USA Consortium: Research ProjectU01DA041148 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI Damien A Fair, Rebekah S Huber · 2015 to 2026
$22.3M
ABCD-USA: NYC Research ProjectU01DA041174 · NIDA · YALE UNIVERSITY · PI Arielle Ryan Baskin-Sommers, Betty J Casey · 2015 to 2026
$19.7M
Adolescent Brain Cognitive Development (ABCD) Prospective Research in Studies of Maturation (PRISM) ConsortiumU01DA041117 · NIDA · UNIVERSITY OF MARYLAND BALTIMORE · PI LINDA CHANG, THOMAS M ERNST · 2015 to 2026
$19.5M
15/21 ABCD-USA Consortium: Research Project Site at LIBRU01DA050989 · NIDA · LAUREATE INSTITUTE FOR BRAIN RESEARCH · PI ROBIN L AUPPERLE, MARTIN P. PAULUS · 2020 to 2026
$14.7M
NIDA NIH HHS K01 DA057389NIDA NIH HHS U01 DA041022NIDA NIH HHS U01 DA041025NIDA NIH HHS U01 DA041028NIDA NIH HHS U01 DA041048NIDA NIH HHS U01 DA041089NIDA NIH HHS U01 DA041093NIDA NIH HHS U01 DA041106NIDA NIH HHS U01 DA041117NIDA NIH HHS U01 DA041120NIDA NIH HHS U01 DA041134NIDA NIH HHS U01 DA041148NIDA NIH HHS U01 DA041156NIDA NIH HHS U01 DA041174NIDA NIH HHS U01 DA050987NIDA NIH HHS U01 DA050988NIDA NIH HHS U01 DA050989NIDA NIH HHS U01 DA051016NIDA NIH HHS U01 DA051018NIDA NIH HHS U01 DA051037NIDA NIH HHS U01 DA051038NIDA NIH HHS U01 DA051039NIDA NIH HHS U24 DA041123NIDA NIH HHS U24 DA041147NIDDK NIH HHS F32 DK132810NIDDK NIH HHS K01 DK144656NIDDK NIH HHS R01 DK093094NIDDK NIH HHS R01 DK126644NIDDK NIH HHS R01 DK130517NIDDK NIH HHS R01 DK136292NIMH NIH HHS R01 MH119510NINDS NIH HHS R01 NS015547
6 · The paper itself

Abstract

BACKGROUND &

aimsAdverse experiences during early life can disrupt gut-brain axis development, but the mechanisms linking early life stress (ELS) to long-term gastrointestinal dysmotility and pain remain unclear.

methodsWe used a maternal separation (MS) mouse model of ELS and assessed visceral pain sensitivity, intestinal motility, and enteric nervous system (ENS) composition. Two large human pediatric population cohorts were also analyzed for associations between ELS and disorders of gut-brain interaction (DGBI) risk.

resultsMS in mice led to visceral hypersensitivity, sex-specific motility defects, and altered ENS composition, including increased serotonergic innervation and changes in subtype-specific neuronal proportions. Degarelix-mediated suppression of gonadal hormones reversed MS-induced visceral pain and motility defects, implicating sex hormones in long-term gut changes. MS led to enhanced sympathetic innervation of the ENS and chemical sympathectomy restored normal motility, suggesting sympathetic overactivity in ELS-related gut dysfunction. In humans, significant associations between maternal mental health problems and pediatric DGBI were observed in both cohorts, mirroring preclinical findings.

conclusionsThese results identify ELS-driven changes in enteric, sensory, and sympathetic pathways as contributors to DGBI risk and offer insight into potential therapeutic targets.

Indexed as

Enteric Nervous SystemGastrointestinal MotilityStress, PsychologicalSympathetic Nervous SystemVisceral PainAdolescentAnimalsBrain-Gut AxisChildChild, PreschoolDisease Models, AnimalFemaleHumansInfantMaleMaternal DeprivationDisorders of Gut-Brain InteractionMaternal Mental HealthSympathetic InnervationVisceral Hypersensitivity

Identifiers

PMID41850537
PMCPMC13004275

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.