Enterochromaffin cell

Enterochromaffin cell
Serotonin
Latin endocrinocytus EC
MeSH Enterochromaffin+Cells
Code TH H3.04.02.0.00029

Enterochromaffin (EC) cells (Kulchitsky cells) are a type of enteroendocrine cell[1] occurring in the epithelia lining the lumen of the digestive tract and the respiratory tract.

Contents

Function

They contain about 90% of the body's store of serotonin (5-HT).[2]

In the gastrointestinal tract, 5-HT is important in response to chemical, mechanical or pathological stimuli in the lumen. It activates both secretory and peristaltic reflexes, and activates vagal afferents (via 5-HT3 receptors) that signal to the brain (important in the generation of nausea). Ondansetron is an antagonist of the 5-HT3 receptor and is an effective anti-emetic.

They are stimulated by gastrin, a molecule that is produced at the antrum of the stomach by G cells.

Origin

They are derived from neural crest.[3]

The enterochromaffin cells are derived from the same stem cells as the rest of the epithelium, and are not derived from the migratory neural crest source that provides the enteric nervous system. [4]

Etymology

They are called "entero"[5] meaning related to the gut and "chromaffin" because of a chromium salt reaction that they share with chromaffin cells of the adrenal medulla (adrenal glands). [6]

"Enterochromaffin-like cells"

Another population of chromaffin cells is found only in the stomach wall, called enterochromaffin-like cells (ECL). They look like EC cells but do not contain 5-HT.

ECL cells respond to gastrin released by G-cells and they release histamine, which will stimulate the parietal cells to produce gastric acid.

Pathophysiology

Neuroendocrine progenitor cells in the bronchial epithelium, the progenitors to Kulchitsky cells, have been implicated in the origin of small cell lung cancer. [7]

See also

References

  1. ^ MeSH Enterochromaffin+Cells
  2. ^ Josef Donnerer; Fred Lembeck (2006). The chemical languages of the nervous system: history of scientists and substances. Karger Publishers. pp. 161–. ISBN 9783805580045. http://books.google.com/books?id=HkOhFssK5UIC&pg=PT161. Retrieved 23 May 2011. 
  3. ^ Tao Le; Vikas Bhushan; Neil Vasan (1 January 2010). First Aid for the USMLE Step 1, 2010. McGraw Hill Professional. pp. 119–. ISBN 9780071633406. http://books.google.com/books?id=eVAtPktgw0UC&pg=PA119. Retrieved 11 November 2010. 
  4. ^ Thompson M, Fleming KA, Evans DJ, Fundele R, Surani MA, Wright NA (October 1990). "Gastric endocrine cells share a clonal origin with other gut cell lineages". Development 110 (2): 477–81. PMID 2133551. 
  5. ^ Entero- definition - Medical Dictionary definitions of popular medical terms easily defined on MedTerms
  6. ^ 1516961798 at GPnotebook
  7. ^ eMedicine - Lung Cancer, Small Cell : Article by Abid Irshad