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Antral gastrin-producing G-cells and somatostatin-producing D-cells in peptic ulcer

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Summary

The number of G cells and D cells per area unit and the G cell/D cell ratio was studied in control subjects and patients with duodenal or gastric ulcer. A great inter-individual variation in the population density of both types of cells was observed in the three groups studied. G cell density was significantly decreased in both duodenal and gastric ulcer patients, when compared with controls; whereas no difference in G cell density was seen between duodenal ulcer patients and gastric ulcer patients. However, D cell density was significantly decreased in duodenal ulcer patients when compared with control subjects and gastric ulcer patients. In this latter group, D cell density was also lower than in control subjects. A significant positive linear correlation between G cell number and D cell number was found in the three groups studied. The G cell/D cell ratio was significantly increased in duodenal and gastric ulcer patients when compared with controls. This was mainly due to a decrease in D cell numbers. It is concluded that a local deficit in antral D cells in patients with peptic ulcer may favor the pathogenesis of ulcer disease.

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References

  • Arnold R, Hülst MV, Neuhof CH, Schwarting H, Becker H, Creutzfeldt W (1982) Antral gastrin-producing G-cells and somatostatin-producing D-cells in different states of gastricacid secretion. Gut23:285–291

    Google Scholar 

  • Barbara L, Biasco G, Salera M (1978) Antral G cells and mucosal gastrin concentration in normal subjects and in patients with duodenal ulcer. In: Grossman MI, Speranza V, Basso N, Lezoche E (eds). Plenum Press, New York, p 77–81

    Google Scholar 

  • Bertrand P, Willems G (1980) Induction of antral gastrin cell proliferation by refeeding of rats after fasting. Gastroenterology 78:918–924

    Google Scholar 

  • Bloom SR, Mortimer CH, Thorner MO, Besser GM, Hall R, Gomez-Pan A, Roy UM, Russell RCG, Coy DH, Kastin AJ, Schally AV (1974) Inhibition of gastrin and gastric-acid secretion by growth-hormone release-inhibiting hormone. Lancet 2:1106–1109

    Google Scholar 

  • Bordi C, Ravazzola M (1979) Endocrine cells in the intestinal metaplasia of gastric mucosa. Am J Pathol 96:391–398

    Google Scholar 

  • Brazeau P, Vale W, Burgus R, Ling N, Butcher M, Rivier J, Guillemin R (1973) Hypothalamic polypeptide that inhibits the secretion of immunoreactive pituitary growth hormone. Science 179:77–79

    Google Scholar 

  • Chayvialle JA, Descos F, Bernard C, Martin A, Barbe C, Partensky C (1978) Somatostatin in mucosa of stomach and duodenum in gastroduodenal disease. Gastroenterology 75:13–19

    Google Scholar 

  • Colturi TJ, Unger RH, Feldman M (1984) Role of circulating somatostatin in regulation of gastric acid secretion, gastrin release, and islet cell function. Studies in healthy subjects and duodenal ulcer patients. J Clin Invest 74:417–423

    Google Scholar 

  • Creutzfeldt W, Arnold R (1978) Somatostatin and the stomach: exocrine and endocrine aspects. Metabolism 27:1309–1315

    Google Scholar 

  • Creutzfeldt W, Arnold R, Creutzfeldt C, Track S (1976) Mucosal gastrin concentration, molecular forms of gastrin, number and ultrastructure of G-cells in patients with duodenal ulcer. Gut 17:745–754

    Google Scholar 

  • Crivelli O, Pera A, Ferrari A, Rizzetto M, Lombardo L, Babando G, Verme G (1977) G-cell counts in antral endoscopic biopsies by immunofluorescence. Scand J Gastroenterol 12:721–726

    Google Scholar 

  • Dan A (1982) Studies on gastric mucosal gastrin and somatostatin concentrations in the same sample of peptic ulcer patients. Jpn J Gastroenterol 79:1400–1404

    Google Scholar 

  • Dayal Y, O'Brian DS, Wolfe HJ (1979) SRIF and G-cell hyperplasia in duodenal ulcer disease. A morphometric study. Lab Invest 40:251 (Abstr)

    Google Scholar 

  • Friesen SR, Schimke RN, Pearse AGE (1972) Genetic aspects of the Z-E syndrome. Prospective studies in two kindred: antral gastrin cell hyperplasia. Am Surg 176:370–374

    Google Scholar 

  • Fukushima T, Tsumaru S, Hirata K, Samuki E, Matumoto Y, Sumioka M, Kumamoto T, Haruma K, Sano K, Sumii K, Ohe K, Kajiyama G, Miyachi Y, Miyoshi A (1983) Antral somatostatin concentration in duodenal ulcer. Jpn J Gastroenterol 80:1105–1110

    Google Scholar 

  • Ganguli PC, Polak JM, Pearse AGE, Elder JB, Hegarty M (1974) Antralgastrin cell hyperplasia in peptic-ulcer disease. Lancet 1:583–586

    Google Scholar 

  • Gomez-Pan A, Reed JD, Albinus M, Shaw B, Hall R, Besser GM, Coy DH, Kastin AJ, Schally AV (1975) Direct inhibition of gastric acid and pepsin secretion by growth-hormone release-inhibiting hormone in cats. Lancet 1:888–890

    Google Scholar 

  • Gustavsson S, Adami HO, Bjorklund O, Enander LK, Lundqvist G, Loof L, Nordahl A (1982) Fasting blood levels of gastrin, somatostatin and pancreatic polypeptide in peptic ulcer disease. Scand J Gastroenterol 17:81–85

    Google Scholar 

  • Hobbs SE, Polak JM (1978) Quantitative immunocytochemistry. In: Bloom SR (ed). Churchill Livingstone, Edinburgh, pp 87–91

    Google Scholar 

  • Johansson C, Aly A (1982) Stimulation of gastric mucus output by somatostatin in man. Eur J Clin Invest 12:37–39

    Google Scholar 

  • Keuppens F, Willems G, Vansteenkiste Y, Woussencolle MC (1978) Estimation of the antral and duodenal gastrin cell population removed by gastrectomy from patients with peptic ulcer. Surg Gynec Obstet 146:400–406

    Google Scholar 

  • Konturek SJ, Swierczek J, Kwiecien N, Mikos E, Oleksy J, Wierzbicki Z (1977) Effect of somatostatin on meal-induced gastric secretion in duodenal ulcer patients. Am J Dig Dis 22:981–988

    Google Scholar 

  • Larsson LI, Goltermann N, Magistrin L, Rehfeld JF, Schward TW (1979) Somatostatin cell processes as pathways for paracrine secretion. Science 205:1393–1394

    Google Scholar 

  • McIntyre R, Piris J (1981) A method for the quantification of human gastric G cell density in endoscopic biopsy specimens. J Clin Pathol 34:514–518

    Google Scholar 

  • Pearse AGE, Polak JM, Bloom SR (1977) The newer gut hormones: cellular sources, physiology, pathology, and clinical aspects. Gastroenterology 77:746–761

    Google Scholar 

  • Polak JM, Stagg B, Pearse AGE (1972) Two types of Zollinger-Ellison syndrome: immunofluorescent, cytochemical and ultrastructural studies of the antral and pancreatic gastrin cells in different clinical states. Gut 13:501–512

    Google Scholar 

  • Polak JM, Grimelius L, Pearse AGE, Bloom SR, Arimura A (1975) Growth-hormone release-inhibiting hormone in gastrointestinal and pancreatic D cells. Lancet 1:1220–1222

    Google Scholar 

  • Polak JM, Bloom SR, McCrossan MV, Arimura A, Pearse AGE (1976) Morphology of somatostatin in gastrointestinal health and disease. Gut 17:816 (Abstr)

    Google Scholar 

  • Polak JM, Bloom SR, Bishop AE, McCrossan MV (1978) D cell pathology in duodenal ulcers and aclorhydria. Metabolism 27:1239–1242

    Google Scholar 

  • Royston CMS, Polak JM, Bloom SR, Cooke WM, Russell RCG, Pearse AGE, Spencer RB, Welbourn RB, Baron JH (1978) G-cell population of the gastric antrum, plasma gastrin and gastric acid secretion in patients with and without duodenal ulcer. Gut 19:789–798

    Google Scholar 

  • Schrumpf E, Vatn MH, Hanssen KF, Semb LS, Myren J (1976) Somatostatin inhibits insulin-stimulated gastrin release and gastric secretion of acid, pepsin, and intrinsic factor (IF) in duodenal ulcer patients. Scand J Gastroenterol 11:517–520

    Google Scholar 

  • Schusdziarra V (1983) Somatostatin. Physiological and pathophysiological aspects. Scand J Gastroenterol 82:69–84

    Google Scholar 

  • Schwarting H, Sandker RP, Arnold R, Creutzfeldt W (1983) Somatostatin-producing D-cells in the human fundic mucosa in different states of acid secretion. Reg Peptides [Suppl 2] (Abstr)

  • Sloan JM, Buchanan KD, McFarland RJ, Titterington P, Sandford JC (1979) A histological study of the effect of chronic gastritis on gastrin cell distribution in the human stomach. J Clin Pathol 32:201–207

    Google Scholar 

  • Solcia E, Frigerio B, Capella C (1979) Gastrin cells and related endocrine cells modulating gastric secretion. In: Rehfed JF, Amdrup E (eds) An ultrastructural study of normal and pathologic gastric mucosa. Academic Press, New York, pp 31–39

    Google Scholar 

  • Stave R, Brandtzaeg P (1976) Immunohistochemical investigation of gastrin-producing cells (G cells). Scand J Gastroenterol 11:705–712

    Google Scholar 

  • Sternberger LA (1974) Immunocytochemistry. Eaglewood Cliffs, Prentice-Hall. New Jersey, p 129

    Google Scholar 

  • Uvnas-Wallensten K, Efendic S, Johansson C, Sjodin L, Cranwell PD (1981) Effect of intraantral and intrabulbar pH on somatostatin-like immunoreactivity in peripheral venous blood of conscious dogs. The possible function of somatostatin as an inhibitory hormone of gastric acid secretion and its possible identity with bulbogastrone and antral chalone. Acta Physiol Scand 111:390–408

    Google Scholar 

  • Voillemot N, Potet F, Mary JY, Lewin JM (1978) Gastrin cell distribution in normal human stomachs and in patients with Zollinger-Ellison syndrome. Gastroenterology 75:61–65

    Google Scholar 

  • Willems G, Nyst M, Delince Ph, De Graef J (1976) Direct method for estimating the gastrin cell number in the stomach of rats. Gastroenterology 71:533–536

    Google Scholar 

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Torres, A.J., Ortega, L., Blanco, J. et al. Antral gastrin-producing G-cells and somatostatin-producing D-cells in peptic ulcer. Vichows Archiv A Pathol Anat 410, 165–171 (1987). https://doi.org/10.1007/BF00710821

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