REVIEW article

Front. Immunol.

Sec. Multiple Sclerosis and Neuroimmunology

Volume 16 - 2025 | doi: 10.3389/fimmu.2025.1575917

This article is part of the Research TopicNeuro-Immune Crosstalk in Peripheral Neuropathy: From Mechanisms to Therapeutic OpportunitiesView all 4 articles

From Sensation to Regulation: The Diverse Functions of Peripheral Sensory nervous system

Provisionally accepted
  • 1Department of Anesthesiology, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China
  • 2Zhejiang Key Laboratory of Pain Perception and Neuromodulation, Hangzhou, Jiangsu Province, China
  • 3State Key Laboratory of Transvascular Implantation Devices, Hangzhou, Jiangsu Province, China

The final, formatted version of the article will be published soon.

The peripheral sensory nervous system (PNS) has been widely recognized for its role in the collection, processing, and transmission of sensory information, including thermal, mechanical, chemical, and proprioceptive stimuli. In recent years, there has been a growing scholarly interest in the PNS attributable to its multiple physiological and pathophysiological non-sensory roles in the organs it innervates. The PNS exerts regulatory functions within the organs it innervates through direct interactions with local cells or through microbe-nerve-cell interactions that differ from the traditional feedback regulatory modes used by the hormonal and sensory brain-sympathetic/parasympathetic systems. The release of the neuropeptide calcitonin gene related peptide (CGRP) by nerves, through its action on CGRP receptors in peripheral cells, constitutes a primary molecular axis for PNS regulation of organ cells, maintaining tissue homeostasis, facilitating pathological processes, and modulating innate and adaptive immunity. This review highlights the non-sensory functions of the peripheral sensory nervous system in various tissues and organs, focusing on phenotypes, molecular mechanisms and their significance, while also exploring future research directions, methodologies and potential preclinical studies aimed at targeting these pathways for the development of novel therapies.

Keywords: peripheral sensory nervous system (PNS), sensory signal transduction, nonsensory regulatory functions, neuro-immune interaction, CGRP signaling pathway, microbe-nerve-cell crosstalk

Received: 13 Feb 2025; Accepted: 21 Apr 2025.

Copyright: © 2025 Mei, Zhou, Zhong, Zheng, Deng, Yu and Jiang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Lina Yu, Department of Anesthesiology, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China
Bao-Chun Jiang, Department of Anesthesiology, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China

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