FunctionECL cells synthesize and secrete histamine being stimulated by the hormones gastrin, acetylcholine and pituitary adenylyl cyclase-activating peptide. Gastrin is transferred from a specific type of G cell in the gastric epithelium to the ECL cells by blood. Histamine and gastrin act synergistically as the most important stimulators of hydrochloric acid secretion from parietal cells and stimulators of secretion of different pepsins from chief cells. Enterochromaffin-like cells also produce pancreastatin and probably other peptide hormones and growth factors. PathologyA prolonged stimulation of these cells causes their hyperplasia. This is especially important in gastrinoma (the tumors in which there is an excessive secretion of gastrin), as this is one of the factors contributing to Zollinger-Ellison's syndrome. It was once believed that tumors of ECL origin form after a prolonged inhibition of gastric acid secretion, however there is no data to support this conclusion and proton pump inhibitors are not thought to contribute to gastric cancer. NameThe name is derived from their location in the enteric system and their chromaffin-like staining pattern in histologic sections, which is characterized by silver staining. ReferencesSee also
| | |||||||||||||||||||||||