Neonatal intestinal injury induced by maternal separation: pathogenesis and pharmacological targets 1

Can J Physiol Pharmacol. 2019 Mar;97(3):193-196. doi: 10.1139/cjpp-2018-0370. Epub 2018 Nov 1.

Abstract

Maternal separation (MS) is a well-studied phenomenon thought to play a role in the pathogenesis of many diseases ranging from neuropsychiatric to early intestinal disorders such as necrotizing enterocolitis. The existing evidence suggests that MS initiates a variety of processes that in turn lead to early intestinal injury. Although there are many theories as to how MS alters normal physiological processes, the exact mechanism of action remains to be elucidated. This review aims to describe some of the pathological processes affecting the intestine that are caused by MS, including (i) brain-gut axis, (ii) intestinal epithelial barrier function, (iii) microbiome, (iv) oxidative stress and endoplasmic reticulum stress, and (v) gut inflammation.

Keywords: entérocolite nécrosante; lésions intestinales néonatales; maternal separation; necrotizing enterocolitis; neonatal intestinal injury; pathogenesis; pathogenèse; séparation d’avec la mère.

Publication types

  • Review

MeSH terms

  • Animals
  • Enterocolitis, Necrotizing / pathology*
  • Humans
  • Inflammation / pathology
  • Intestines / pathology*
  • Maternal Deprivation
  • Oxidative Stress / physiology