The enteric nervous system (ENS) in the gut contains a particularly hi
gh concentration of nerve cells, and effectively functions as an indep
endent 'minibrain'. Interactions between nerve, endocrine, immune and
other cell types allow the sophisticated regulation of normal gut phys
iology. They can also bring about a co-ordinated response to parasitic
infection, possibly leading to expulsion of the parasite. In this rev
iew, Derek McKay and Ian Fairweather will consider, in brief, data per
taining to changes in the ENS following intestinal helminth infections
and speculate on the role that these alterations may have in the expu
lsion of the parasite burden and the putative ability of the parasite
to modulate these events.