Enteroendocrine cells are specializedcells of thegastrointestinal tract andpancreas withendocrine function. They producegastrointestinal hormones or peptides in response to various stimuli and release them into the bloodstream for systemic effect, diffuse them aslocal messengers, or transmit them to theenteric nervous system to activate nervous responses.[1][2] Enteroendocrine cells of the intestine are the most numerous endocrine cells of the body.[3][4][5] They constitute anenteric endocrine system as a subset of theendocrine system just as theenteric nervous system is a subset of thenervous system.[6] In a sense they are known to act aschemoreceptors, initiating digestive actions and detecting harmful substances and initiating protective responses.[7][8] Enteroendocrine cells are located in the stomach, in the intestine and in the pancreas. Microbiota play key roles in the intestinal immune and metabolic responses in these enteroendocrine cells via their fermentation product (short chain fatty acid),acetate.[9]
Located in an increasing manner throughout thesmall intestine, with the highest levels found in the inileum,[19] N cells releaseneurotensin, and control smooth muscle contraction.[20]
S cells secretesecretin mostly from theduodenum, but also in decreasing amounts throughout the rest of thesmall intestine,[21] and stimulate exocrine pancreatic secretion.[16]
Pancreatic enteroendocrine cells are located in theislets of Langerhans and produce most importantly the hormonesinsulin andglucagon. Theautonomous nervous system strongly regulates their secretion, with parasympathetic stimulation stimulating insulin secretion and inhibiting glucagon secretion and sympathetic stimulation having opposite effect.[25]
Rare and slow growingcarcinoid and non-carcinoid tumors develop from these cells. When a tumor arises it has the capacity to secrete large volumes of hormones.[2][26]
^abSolcia E, Capella C, Buffa R, Usellini L, Fiocca R, Frigerio B, Tenti P, Sessa F (1981). "The diffuse endocrine-paracrine system of the gut in health and disease: ultrastructural features".Scandinavian Journal of Gastroenterology. Supplement.70:25–36.PMID6118945.
^Sternini C (February 2007). "Taste receptors in the gastrointestinal tract. IV. Functional implications of bitter taste receptors in gastrointestinal chemosensing".American Journal of Physiology. Gastrointestinal and Liver Physiology.292 (2): G457–61.doi:10.1152/ajpgi.00411.2006.PMID17095755.
^Friis-Hansen L, Sundler F, Li Y, Gillespie PJ, Saunders TL, Greenson JK, Owyang C, Rehfeld JF, Samuelson LC (March 1998). "Impaired gastric acid secretion in gastrin-deficient mice".The American Journal of Physiology.274 (3 Pt 1): G561–8.doi:10.1152/ajpgi.1998.274.3.G561.PMID9530158.
^Ormsbee HS, Fondacaro JD (March 1985). "Action of serotonin on the gastrointestinal tract".Proceedings of the Society for Experimental Biology and Medicine.178 (3):333–8.doi:10.3181/00379727-178-42016.PMID3919396.S2CID34829257.
^Kitabgi P, Freychet P (August 1978). "Effects of neurotensin on isolated intestinal smooth muscles".European Journal of Pharmacology.50 (4):349–57.doi:10.1016/0014-2999(78)90140-1.PMID699961.
^Zverkov IV, Vinogradov VA, Smagin VG (October 1983). "[Endorphin-containing cells in the gastric antral mucosa in duodenal ulcer]".Biulleten' Eksperimental'noi Biologii I Meditsiny.96 (10):32–4.PMID6194833.
^Kiba T (August 2004). "Relationships between the autonomic nervous system and the pancreas including regulation of regeneration and apoptosis: recent developments".Pancreas.29 (2): e51–8.doi:10.1097/00006676-200408000-00019.PMID15257115.S2CID15849806.