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Intestines

Anatomy and Physiology · NLM MeSH · updated 2026-10-31 · version 1

Citations verified against PubMedNot yet clinician-reviewed9 referencesApproximately 3 min read

The section of the alimentary canal from the stomach to the anal canal.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 3 complete abstracts (571 words), 9 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

The section of the alimentary canal from the stomach to the anal canal. It includes the large intestine and small intestine.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Intestine.

Where it fits in the MeSH classification

Broader topics
Gastrointestinal Tract
Narrower topics
Intestinal Mucosa; Intestine, Large; Intestine, Small
See also
Enterostomy; Gastroenterostomy

Related concepts

  • Stomach
  • Anal Canal
  • Large Intestine
  • Small Intestine

Research landscape

PubMed indexes 442,485 records tagged with the MeSH heading “Intestines” (counts retrieved 2026-10-31). 54,259 of them (12.3%) were published from 2020 onward, and the busiest period so far is through 1999 with 222,223 records.

Reviews account for 35,252 records (8.0%) and meta-analyses for 1,514. Randomized controlled trials number 6,759 (1.5%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 222,223 records; 2000-2009: 72,218 records; 2010-2019: 93,785 records; 2020 onward: 54,259 records222,223through 199972,2182000-200993,7852010-201954,2592020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 1999222,223
2000-200972,218
2010-201993,785
2020 onward54,259
Share of records by publication typeReviews: 8.0 percent; Meta-analyses: 0.3 percent; Randomized controlled trials: 1.5 percentReviews8.0% (35,252)Meta-analyses0.3% (1,514)Randomized controlled trials1.5% (6,759)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 442,485 PubMed records
TypeRecordsShare
Reviews35,2528.0%
Meta-analyses1,5140.3%
Randomized controlled trials6,7591.5%

Method: PubMed query "Intestines"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in anatomy and physiology

Anatomy describes how body structures are built and physiology describes how they normally work, so most findings here are descriptive or mechanistic rather than evidence about treatment. Much of what is known comes from dissection, imaging, tissue studies and experiments in animals, and measurements in healthy volunteers can differ from those in people with disease or at different ages. Normal ranges vary between individuals and populations. Check whether a result was measured in people or in another species, the age and health of the participants, and the method used.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Golgi organization regulates stem cell function in the small intestine
Belevich I, Porcile L, Sola-Carvajal A, Grommisch D, Annusvar K, Heinz P, et al.
2026Research article
Design not recorded in structured metadata
1cc by
PMID 42532997 · DOI · PMC13424321
Mucin O-glycan degradation by GH101 underpins mucosal persistence of Bifidobacterium bifidum PRL2010
Muscò A, Longhi G, Selleri E, Gennaioli E, Lugli GA, Tarracchini C, et al.
2026Research article
Design not recorded in structured metadata
1cc by
PMID 42470485 · DOI · PMC13612775
Intestinal Epithelial MHC-II at the Interface of Microbiota, Immunity, and Inflammation
de Oliveira S, Fachi JL
2026Review article
Design not recorded in structured metadata
1cc by
PMID 42653276 · DOI · PMC13513351

Golgi organization regulates stem cell function in the small intestine [1]

Research article Belevich I, Porcile L, Sola-Carvajal A, Grommisch D, Annusvar K, Heinz P, et al. · · 2026 · cited 1 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Cell-to-cell signaling between niche and stem cells regulates tissue renewal.
Closing excerpt
Our results reveal a stem cell-specific Golgi complex configuration that facilitates efficient niche signal reception and tissue renewal, which is compromised in the aged epithelium.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (174 words)

Cell-to-cell signaling between niche and stem cells regulates tissue renewal. While the identity of many mediating factors is known, it is largely unknown whether stem cells optimize their receptiveness to niche signals according to the niche organization. Here, we show that Lgr5+ small intestinal stem cells (ISCs) regulate the morphology and orientation of their secretory apparatus to match the niche architecture, and to increase transport efficiency of niche signal receptors. ISCs orient their Golgi apparatus laterally towards Paneth cells of the epithelial niche, and divide Golgi into multiple stacks. Stem cells with multiple lateral Golgi transport stem cell receptors with a higher efficiency than cells with one single Golgi. The lateral Golgi orientation and enhanced receptor transport requires A-kinase anchor protein 9 (Akap9), and is necessary for normal renewal capacity. Moreover, reduced Akap9 in aged ISCs renders ISCs insensitive to niche-dependent modulation of Golgi stack number and transport efficiency. Our results reveal a stem cell-specific Golgi complex configuration that facilitates efficient niche signal reception and tissue renewal, which is compromised in the aged epithelium.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42532997 · DOI · PMC13424321

Mucin O-glycan degradation by GH101 underpins mucosal persistence of Bifidobacterium bifidum PRL2010 [2]

Research article Muscò A, Longhi G, Selleri E, Gennaioli E, Lugli GA, Tarracchini C, et al. · · 2026 · cited 1 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Host-derived mucin O-glycans constitute a key chemical component of the human intestinal niche and are continuously encountered by gut-adapted bifidobacterial cells, thereby playing a pivotal role in host-microbe interactions.
Closing excerpt
• These findings reveal a mechanistic connection between mucin glycan metabolism and ecological fitness by mucin-adapted bifidobacterial commensals.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (262 words)

Host-derived mucin O-glycans constitute a key chemical component of the human intestinal niche and are continuously encountered by gut-adapted bifidobacterial cells, thereby playing a pivotal role in host-microbe interactions. Among these microbes, Bifidobacterium bifidum is one of the most persistent members of the human gut microbiota. Comparative genomic analyses of mucosa-associated strains of this species have revealed a gene conserved across its pangenome, predicted to encode a GH101 glycoside hydrolase involved in mucin degradation. In this study, we performed a molecular characterization of the GH101 enzyme encoded by B. bifidum PRL2010. Insertional mutagenesis of the GH101 gene from the PRL2010 genome resulted in a marked reduction in bacterial adhesion to mucin-secreting epithelial cells, along with a significant growth difference when N-acetyl-galactosamine was provided as the sole carbon source. These findings indicate that GH101 mediates the initial cleavage of O-GalNAc core 1 structures, representing a crucial step for the adhesion to human mucosa. However, this enzyme represents only one component of the broader set of glycosidases required for the complete degradation of host mucins. Overall, our results establish a mechanistic link between metabolic specialization and ecological fitness, providing insights into how mucin-adapted commensals may contribute to interactions with the human gut mucosa. KEY POINTS: • The GH101 glycoside hydrolase of Bifidobacterium bifidum PRL2010 plays a pivotal role in host mucin utilization by initiating the cleavage of O-GalNAc core 1 structures. • Insertional mutant of the GH101 gene impairs both mucosal adhesion and growth on N-acetyl-galactosamine. • These findings reveal a mechanistic connection between mucin glycan metabolism and ecological fitness by mucin-adapted bifidobacterial commensals.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42470485 · DOI · PMC13612775

Intestinal Epithelial MHC-II at the Interface of Microbiota, Immunity, and Inflammation [3]

Review article de Oliveira S, Fachi JL · · 2026 · cited 1 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Major histocompatibility complex class II (MHC-II) expression by intestinal epithelial cells (IECs) has emerged as a critical mechanism regulating mucosal immune homeostasis at the interface between the intestinal microbiota, epithelial barrier, and immune system.
Closing excerpt
This review summarizes current knowledge regarding the molecular regulation, spatial organization, and immunological functions of epithelial MHC-II and discusses its emerging role in host-microbiota interactions, mucosal barrier homeostasis, and intestinal disease.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (135 words)

Major histocompatibility complex class II (MHC-II) expression by intestinal epithelial cells (IECs) has emerged as a critical mechanism regulating mucosal immune homeostasis at the interface between the intestinal microbiota, epithelial barrier, and immune system. Beyond professional antigen-presenting cells, IEC-intrinsic MHC-II shapes CD4+ T-cell responses, influencing tolerance to commensal microorganisms, immunity to enteric pathogens, and maintenance of barrier integrity. Recent studies have revealed that epithelial MHC-II expression is dynamically regulated by cytokines, the gut microbiota, dietary factors, and microbiota-derived metabolites, linking environmental signals to local adaptive immune responses. Dysregulation of epithelial antigen presentation has been implicated in chronic intestinal inflammation, including inflammatory bowel disease (IBD). This review summarizes current knowledge regarding the molecular regulation, spatial organization, and immunological functions of epithelial MHC-II and discusses its emerging role in host-microbiota interactions, mucosal barrier homeostasis, and intestinal disease.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42653276 · DOI · PMC13513351

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Intestinal dysbiosis in preterm infants preceding necrotizing enterocolitis: a systematic review and meta-analysis [4]
    Pammi M, Cope J, Tarr PI, Warner BB, Morrow AL, Mai V, et al. · Microbiome · 2017 · cited 562 times (Europe PMC)
  • Research article Incremental Benefit of Achieving Endoscopic and Histologic Remission in Patients With Ulcerative Colitis: A Systematic Review and Meta-Analysis [5]
    Yoon H, Jangi S, Dulai PS, Boland BS, Prokop LJ, Jairath V, et al. · Gastroenterology · 2020 · cited 203 times (Europe PMC)
  • Research article Intracorporeal versus extracorporeal anastomosis in right hemicolectomy: a systematic review and meta-analysis [6]
    van Oostendorp S, Elfrink A, Borstlap W, Schoonmade L, Sietses C, Meijerink J, et al. · Surg Endosc · 2017 · cited 181 times (Europe PMC)
  • Research article Systematic review with meta-analysis: rifaximin is effective and safe for the treatment of small intestine bacterial overgrowth [7]
    Gatta L, Scarpignato C · Aliment Pharmacol Ther · 2017 · cited 179 times (Europe PMC)
  • Research article Predictors of inadequate bowel preparation for colonoscopy: a systematic review and meta-analysis [8]
    Mahmood S, Farooqui SM, Madhoun MF · Eur J Gastroenterol Hepatol · 2018 · cited 154 times (Europe PMC)
  • Research article Bundles Prevent Surgical Site Infections After Colorectal Surgery: Meta-analysis and Systematic Review [9]
    Zywot A, Lau CSM, Stephen Fletcher H, Paul S · J Gastrointest Surg · 2017 · cited 141 times (Europe PMC)

References

  1. Belevich I, Porcile L, Sola-Carvajal A, Grommisch D, Annusvar K, Heinz P, et al.. Golgi organization regulates stem cell function in the small intestine. . 2026. PMID 42532997 · DOI · PMC13424321
  2. Muscò A, Longhi G, Selleri E, Gennaioli E, Lugli GA, Tarracchini C, et al.. Mucin O-glycan degradation by GH101 underpins mucosal persistence of Bifidobacterium bifidum PRL2010. . 2026. PMID 42470485 · DOI · PMC13612775
  3. de Oliveira S, Fachi JL. Intestinal Epithelial MHC-II at the Interface of Microbiota, Immunity, and Inflammation. . 2026. PMID 42653276 · DOI · PMC13513351
  4. Pammi M, Cope J, Tarr PI, Warner BB, Morrow AL, Mai V, et al.. Intestinal dysbiosis in preterm infants preceding necrotizing enterocolitis: a systematic review and meta-analysis. Microbiome. 2017. PMID 28274256 · DOI · PMC5343300
  5. Yoon H, Jangi S, Dulai PS, Boland BS, Prokop LJ, Jairath V, et al.. Incremental Benefit of Achieving Endoscopic and Histologic Remission in Patients With Ulcerative Colitis: A Systematic Review and Meta-Analysis. Gastroenterology. 2020. PMID 32585306 · DOI · PMC7658293
  6. van Oostendorp S, Elfrink A, Borstlap W, Schoonmade L, Sietses C, Meijerink J, et al.. Intracorporeal versus extracorporeal anastomosis in right hemicolectomy: a systematic review and meta-analysis. Surg Endosc. 2017. PMID 27287905 · DOI · PMC5216072
  7. Gatta L, Scarpignato C. Systematic review with meta-analysis: rifaximin is effective and safe for the treatment of small intestine bacterial overgrowth. Aliment Pharmacol Ther. 2017. PMID 28078798 · DOI · PMC5299503
  8. Mahmood S, Farooqui SM, Madhoun MF. Predictors of inadequate bowel preparation for colonoscopy: a systematic review and meta-analysis. Eur J Gastroenterol Hepatol. 2018. PMID 29847488 · DOI
  9. Zywot A, Lau CSM, Stephen Fletcher H, Paul S. Bundles Prevent Surgical Site Infections After Colorectal Surgery: Meta-analysis and Systematic Review. J Gastrointest Surg. 2017. PMID 28620749 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-31.

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Evidence strength

EvidenceHelix's computed view of the study designs behind this topic: how common meta-analyses, randomized trials and reviews are, how recent the literature is, and a plain-language reading. It describes the design mix of the literature. It is not a quality appraisal of any study, and it is not medical advice.

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At a glance

442,485
PubMed records on this heading
12%
published since 2020
35,252
review articles
6,759
randomized trials
9
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

Related topics See all →

  • RectumAnatomy and Physiology
  • CecumAnatomy and Physiology
  • DuodenumAnatomy and Physiology
  • Anal CanalAnatomy and Physiology
  • IleumAnatomy and Physiology

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