Håkanson R, Chen D, Lindström E, Bernsand M, Norlén P
Department of Pharmacology, Institute of Physiological Sciences, University of Lund, Sweden.
Scand J Clin Lab Invest Suppl. 2001;234:53-60.
The acid-producing part of the stomach is rich in peptide-hormone-producing endocrine/paracrine cells of different types. In birds and all mammals studied, ECL cells constitute the quantitatively predominant endocrine cell population in this location. They produce histamine and an as yet unidentified peptide hormone. The paracrine action of the ECL cells is to provide histamine to mediate the stimulating effect of gastrin on the acid-secreting parietal cells: the gastrin-ECL cell-parietal cell axis. Secretion of histamine from the ECL cells was studied in intact conscious rats subjected to gastric submucosal microdialysis and using isolated cells in primary culture. The microdialysis experiments revealed that ECL-cell histamine can be mobilized by the local infusion of gastrin, pituitary adenylate cyclase-activating peptide (PACAP), vasoactive intestinal peptide (VIP), peptide YY (PYY), met-enkephalin, endothelin and noradrenaline/adrenaline. While gastrin and met-enkephalin induced a sustained elevation of the submucosal histamine concentration, endothelin, PYY, PACAP, VIP, and noradrenaline/adrenaline induced a transient elevation. Somatostatin, galanin and the prostanoid, misoprostol, inhibited gastrin-stimulated histamine mobilization. Studies of isolated ECL cells (80-90% purity) showed gastrin, PACAP and VIP to stimulate histamine secretion and somatostatin, galanin and misoprostol to inhibit gastrin-stimulated secretion. At present, it seems unlikely that metenkephalin, endothelin, adrenaline and PYY act directly on the ECL cells in situ since the effects could not be reproduced with isolated ECL cells. Clearly, the ECL cells operate under the multifactorial control of circulating hormones, local hormones, catecholamines, neuropeptides and inflammatory mediators.
胃的产酸部分富含不同类型的能产生肽类激素的内分泌/旁分泌细胞。在鸟类和所有已研究的哺乳动物中,肠嗜铬样(ECL)细胞是该部位数量上占主导的内分泌细胞群体。它们产生组胺和一种尚未明确的肽类激素。ECL细胞的旁分泌作用是提供组胺,以介导胃泌素对分泌胃酸的壁细胞的刺激作用:胃泌素 - ECL细胞 - 壁细胞轴。采用胃黏膜下微透析技术在清醒的完整大鼠体内以及利用原代培养的分离细胞,对ECL细胞组胺的分泌进行了研究。微透析实验表明,通过局部输注胃泌素、垂体腺苷酸环化酶激活肽(PACAP)、血管活性肠肽(VIP)、肽YY(PYY)、甲硫氨酸脑啡肽、内皮素以及去甲肾上腺素/肾上腺素,可调动ECL细胞的组胺。虽然胃泌素和甲硫氨酸脑啡肽可使黏膜下组胺浓度持续升高,但内皮素、PYY、PACAP、VIP以及去甲肾上腺素/肾上腺素则使其短暂升高。生长抑素、甘丙肽以及前列腺素类药物米索前列醇可抑制胃泌素刺激的组胺调动。对分离的ECL细胞(纯度80 - 90%)的研究显示,胃泌素、PACAP和VIP可刺激组胺分泌,而生长抑素、甘丙肽和米索前列醇则抑制胃泌素刺激的分泌。目前,甲硫氨酸脑啡肽、内皮素、肾上腺素和PYY似乎不太可能直接作用于原位的ECL细胞,因为在分离的ECL细胞中无法重现这些效应。显然,ECL细胞在循环激素、局部激素、儿茶酚胺、神经肽和炎症介质的多因素控制下发挥作用。