Table 1.
Features of EECs of colon and rectum
Cell type | Distribution | Ultrastructural features | Secretory granules | IHC | Secretory products |
---|---|---|---|---|---|
EC cell | Most common EEC type; throughout GIT | Pyramid shaped; often have slender apical process reaching luminal surface | 150–500 nm; pleomorphic | CgA, Syn, 5-HT, TPH | 5-HT |
D cell | Throughout GIT. Least common EEC type in colon and rectum | Spindle shaped; often have slender apical process and one shorter wider basal extension | 150–300 nm; round | (Syn), somatostatin | Somatostatin |
L cell | Found in duodenum to rectum; rare before terminal ileum; greatest frequency in rectum | Bottle shaped; often have apical process reaching luminal surface; sometimes have basal process along basement membrane | 200–400 nm; round | (CgA), (Syn), PYY, GLP-1, GLP-2, oxyntomodulin, glicentin | Peptide YY, GLP-1, GLP-2, glicentin, oxyntomodulin |
IHC, immunohistochemistry; EEC, enteroendocrine cell; GIT, gastrointestinal tract; CgA, chromogranin A; Syn, synaptophysin; 5-HT, serotonin; TPH, tryptophan 5-hydroxylase; PYY, peptide YY; GLP-1, glucagon-like peptide 1; GLP-2, glucagon-like peptide 2.