Enteric nervous system in exercise physiology: a microbiota-neural interface

Exercise responses vary widely among individuals, yet the biological basis of this variability remains poorly understood. Microbiota-derived metabolites operate on timescales of hours to days, making them insufficient to explain rapid gastrointestinal and performance changes that emerge within minutes of exercise. We propose that the enteric nervous system (ENS) fills this regulatory gap by integrating mechanical, immune, and microbial signals in real time. We review evidence that the ENS modulates gut motility, barrier function, and microbial ecology during exercise, engages in bidirectional crosstalk with the microbiota, and relays gut-derived signals to muscle and brain via neural and humoral routes. We further introduce the concept of neuro-enteric phenotypes to account for inter-individual differences in exercise tolerance and adaptation.

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Publication Details

Journal
npj Metabolic Health and Disease
Published
2026-03-12
DOI
https://doi.org/10.1038/s44324-026-00106-4
Primary Topic
Gut microbiota and health
Type
article
Field-Weighted Citation Impact
0.00

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article

Enteric nervous system in exercise physiology: a microbiota-neural interface

Hui-Ling Chen, Jia-Ting Huang, Jian-Jun Guo, Li-Shun Wang
npj Metabolic Health and Disease
Gut microbiota and health
article

Enteric nervous system in exercise physiology: a microbiota-neural interface

Hui-Ling Chen, Jia-Ting Huang, Jian-Jun Guo, Li-Shun Wang
article en

Abstract

Exercise responses vary widely among individuals, yet the biological basis of this variability remains poorly understood. Microbiota-derived metabolites operate on timescales of hours to days, making them insufficient to explain rapid gastrointestinal and performance changes that emerge within minutes of exercise. We propose that the enteric nervous system (ENS) fills this regulatory gap by integrating mechanical, immune, and microbial signals in real time. We review evidence that the ENS modulates gut motility, barrier function, and microbial ecology during exercise, engages in bidirectional crosstalk with the microbiota, and relays gut-derived signals to muscle and brain via neural and humoral routes. We further introduce the concept of neuro-enteric phenotypes to account for inter-individual differences in exercise tolerance and adaptation.

npj Metabolic Health and DiseaseVol. 4(1)
Fudan University (CN), Minhang District Central Hospital (CN), Obstetrics and Gynecology Hospital of Fudan University (CN), Capital University of Physical Education and Sports (CN)
Shanghai Municipal Health Commission
Openalex Percentile: Top 26%
Gut microbiota and health
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Enteric nervous system in exercise physiology: a microbiota-neural interface — Hui-Ling Chen, Jia-Ting Huang, et al. · npj Metabolic Health and Disease (2026) | TGRS Research Map | TGRS