Endocrinology Vol. 140, No. 5 2398-2404
Copyright © 1999 by The Endocrine Society
Enterochromaffin-Like Cells, a Cellular Source of Uroguanylin in Rat Stomach1
Yukari Date,
Masamitsu Nakazato,
Hideki Yamaguchi,
Kenji Kangawa,
Yoshikazu Kinoshita,
Tsutomu Chiba,
Yoichi Ueta,
Hiroshi Yamashita and
Shigeru Matsukura
Third Division (Y.D., M.N., Hid.Y., S.M.), Department of
Internal Medicine, Miyazaki Medical College, Miyazaki 889-1692;
National Cardiovascular Center Research Institute (Y.D., K.K.), Osaka
565-8565; Second Division (Y.K.), Department of Internal Medicine,
Shimane Medical University, Shimane 693-8501; Department of Internal
Medicine (T.C.), Postgraduate School of Medicine, Kyoto University,
Kyoto 606-8507; and Department of Physiology (Y.U., Hir.Y.), University
of Occupational and Environmental Health, School of Medicine,
Kitakyushu 807-8555, Japan
Address all correspondence and requests for reprints to: Masamitsu Nakazato, M.D., Ph.D., Third Department of Internal Medicine, Miyazaki Medical College, Kiyotake, Miyazaki 889-1692, Japan. E-mail:
nakazato{at}post.miyazaki-med.ac.jp
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Abstract
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Uroguanylin is an endogenous peptide ligand for guanylyl
cyclase-C, an apical membrane receptor predominantly located in
the gastrointestinal epithelium. It regulates intestinal and renal
fluid and electrolyte transport through the second messenger, cyclic
GMP. Uroguanylin messenger RNA and the peptide are present in rat
stomach, but the cellular source has not been identified. We separated
gastric mucosal cells by size into seven fractions (F1F7) and
enriched endocrine cells into F1F3 using counterflow elutriation.
Uroguanylin messenger RNA and peptide were found in F1F3 by Northern
blot analysis and an RIA specific for rat uroguanylin.
Uroguanylin-producing cells were identified as endocrine cells by
immunocytochemical methods using antisera for uroguanylin,
prouroguanylin, and chromogranin A, as well as by in
situ hybridization cytochemistry. Double-staining showed that
uroguanylin and histamine are colocalized in enterochromaffin-like
(ECL) cells that release histamine, leading to the stimulation of
gastric acid secretion from parietal cells. Uroguanylin is synthesized
in ECL cells. These findings should contribute to elucidating the
physiological functions of ECL cells and the cyclic GMP-mediated
gastric ion transport mechanism.
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Introduction
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GUANYLIN AND uroguanylin are 15- or
16-amino acid peptides that regulate intestinal salt and water
transport (1, 2, 3, 4, 5, 6) and have a 50% amino acid sequence identity. Two
intramolecular disulfide bonds essential for their bioactivities are
conserved. These peptides bind to and activate guanylyl cyclase-C
(GC-C), an apical membrane receptor localized in the epithelia of the
stomach (7), intestine (8), kidney (9), liver (10), reproductive tract
(10), airway (3), and pancreas (4). The increase in intracellular
cyclic GMP (cGMP) induced by GC-C activates type II cGMP-dependent
protein kinase II, thereby phosphorylating the cystic fibrosis
transmembrane conductance regulator (CFTR) Cl- channel
(11, 12, 13). Recent studies showed that both guanylin and uroguanylin
stimulate HCO3- secretion in the duodenum (14, 15). Moreover, uroguanylin (but not guanylin) is more potent and
effective in stimulating anion secretion across the proximal duodenum
when the mucosal surface is exposed to acidic condition (15, 16).
Rat uroguanylin messenger RNA (mRNA) is very abundant in the upper
small intestine; moderately abundant in the stomach, lower small
intestine, and kidney; and present in considerably lesser amounts in
the pancreas, lung, and testis (7, 17, 18, 19). Intestinal rat uroguanylin
was found in enterochromaffin (EC) cells, the most abundant type of
enteroendocrine cells, by in situ hybridization and
immunohistochemical methods (20, 21). Uroguanylin-immunoreactive cells
also were found in the gastric mucosa by an immunohistochemical method
(21), but they were infrequent on the formaldehyde-fixed paraffin
sections. Counterflow elutriation can be used to separate gastric
mucosal cells by size and to enrich endocrine cells (22, 23, 24, 25). We chose
this method to identify the uroguanylin-producing cells in the stomach.
Using the RIA, Northern blot analysis, and immunocytochemical and
in situ hybridization techniques, we showed that rat
uroguanylin is synthesized in EC-like (ECL) cells.
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Materials and Methods
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Cell isolation and separation
Seven-week-old male Sprague Dawley rats (Charles River Japan, Inc., Shiga, Japan) were used in all the experiments.
Glandular stomachs were excised from 14 rats that had been anesthetized
with pentobarbital before being killed. Gastric epithelial cells were
dispersed with pronase (Actinase E; Kaken Pharmaceutical Co. Ltd.,
Tokyo, Japan) then separated by counterflow centrifugation as described
previously (24, 25). Briefly, the dispersed cells were loaded in an
elutriation chamber using a masterflex pump (7521; Cole Parmer,
Chicago, IL) at the flow rate of 8 ml/min, after which the cells were
separated at 1,800 rpm. Seven cell fractions (F1F7) were obtained at
the flow rates of F1, 13.5 ml/min; F2, 16.5 ml/min; F3, 20 ml/min; F4,
24 ml/min; F5, 29 ml/min; F6, 37 ml/min; and F7, 80 ml/min.
Northern blot analysis
Total RNA was obtained from each gastric mucosal cell fraction
using an Isogen kit (Nippon Gene, Tokyo, Japan). Twenty micrograms of
the total RNA was denatured with 16 µl of 1 M glyoxal and
50% dimethylsulfoxide, then electrophoresed on a 1.2% agarose gel
(FMC BioProducts, Rockland, ME) in 10 mM sodium phosphate
buffer (pH 7.0), after which the sample was transferred to a Zeta Probe
membrane (Bio-Rad Laboratories, Inc., Richmond, CA) and
fixed by UV irradiation. The probes used for Northern blot analyses
were full-length rat uroguanylin complementary DNA (cDNA) (17), a
0.42-kb cDNA fragment of rat histidine decarboxylase (HDC), and a
0.25-kb cDNA fragment of rat ß-actin. The membrane first was treated
for 2 h at 37 C in 6 x SSPE (900 mM NaCl, 60
mM NaH2PO4·H2O, 7
mM EDTA, pH 7.4) containing 40% formamide, 5 x
Denhardts solution, 0.5% SDS, and 0.1 mg/ml denatured salmon sperm
DNA, then hybridized for 18 h at 37 C in an identical solution
that contained a 32P-labeled uroguanylin cDNA probe. The
RNA blot was washed with 2 x saline-sodium citrate (SSC) (150
mM NaCl, 15 mM sodium citrate, pH 7.0)/0.1%
SDS solution at 50 C and exposed to film to detect uroguanylin probe
binding. The membrane then was boiled for 20 min at 70 C in 0.1 x
SSC solution to strip it of the uroguanylin probe and used for
sequential hybridizations with the probes for HDC and ß-actin.
Hybridization signals were measured with a Fujix Bio-image analyzer,
BAS 2000 (Fuji Photo Film Co., Ltd., Tokyo, Japan).
Uroguanylin mRNA levels were calculated, relative to the radioactivity
of the ß-actin.
Immunoreactive uroguanylin contents in gastric mucosal cell
fractions
Cells (1 x 107) collected by centrifugation
from each gastric mucosal cell fraction were heated for 10 min at
95100 C in a 10-fold vol of water to inactivate intrinsic proteases,
then cooled to 4 C. Next, CH3COOH and HCl were added to the
respective final concentrations of 1 M and 20
mM, and the cells were homogenized in a Polytron for 5 min.
The homogenates were centrifuged at 11,500 x g for 30
min. The supernatants were applied to Sep-Pak C-18 cartridges (360 mg
resin/cartridge, Waters Corp., Milford, CA), then
washed with 0.5 M CH3COOH, then 10%
acetonitrile (CH3CN) solution containing 0.1%
trifluoroacetic acid. Peptides were eluted with 60% CH3CN
solution containing 0.1% trifluoroacetic acid, then digested with 5
µg trypsin (Sigma Chemical Co., St. Louis, MO) for
3 h at 37 C in 100 µl of 0.1 M Tris-HCl buffer (pH
8.0) to liberate the immunoreactive carboxyterminal 18-amino acid
peptide (uroguanylin-18) from prouroguanylin (21). The reaction was
terminated by the addition of 10 µg soy trypsin inhibitor
(Sigma Chemical Co.) in 300 µl RIA buffer. The resulting
samples were analyzed by RIA for uroguanylin, as described previously
(21). Antiserum against rat uroguanylin was raised in New Zealand white
rabbits by repeated immunization with synthetic rat uroguanylin that
had been conjugated with thyroglobulin by the carbodiimide method. A
diluted sample (100 µl) was incubated for 24 h with 100 µl of
the diluted antiserum (final dilution 1/10,000), then the tracer
solution (16,000 cpm in 100 µl) was added, and the mixture was
incubated for 24 h. The bound and free ligands were separated
using polyethyleneglycol solution. All procedures were done at 4 C, and
duplicate samples were assayed. The minimum level of detection of rat
uroguanylin was 8 fmol/tube (10% replacement). The respective intra-
and interassay coefficients of variation were 4.1% and 3.8%,
respectively, at 50% binding. The antiserum does not cross-react with
rat guanylin, atrial natriuretic peptide, brain natriuretic peptide, or
C-type natriuretic peptide. It recognizes only uroguanylin-15 and
uroguanylin-18 in reverse phase-HPLC analyses of rat urine and
intestinal extract (21). The antiserum does not recognize
prouroguanylin.
Cytological identification and immunocytochemistry
Centrifugation in a Cytospin-3 apparatus (Shandon, Runcorn, UK)
was used to attach the cells (1 x 105) of each
fraction to glass slides. The slides were air-dried, then fixed for 30
sec with 80% acetone and 0.74% formaldehyde in 10 mM PBS.
For the cytological analysis, some slides were stained with
hematoxylin/eosin. For the immunocytochemical study, three separate
slides were incubated with 0.1% Triton X/PBS for 10 min, then treated
with 0.3% hydrogen peroxide for 30 min to inactive endogenous
peroxidases, and incubated with normal goat serum to block nonspecific
binding. Next, they were incubated overnight at 4 C in a moist chamber
with antirat uroguanylin antiserum (final dilution 1/1,000), antirat
prouroguanylin antiserum (6912 in Ref. 20 ; final dilution 1/1,000),
antichromogranin A antiserum (DAKO Corp. A/S, Glostrup,
Denmark; final dilution 1/100), or antihistamine antiserum (CHEMICON
International Inc., Temecula, CA; final dilution 1/100). After being
rinsed 3 times with PBS, then incubated for 2 h with
goat-biotinylated antirabbit IgG (Vectastain, Vector Laboratories, Inc., Burlingame, CA), they were allowed to react
for 60 min with peroxidase-conjugated streptavidin (Gibco BRL, Gaithersburg, MD) diluted 1/200 in 10 mM PBS.
They then were stained for 3 min at room temperature with 0.02%
3,3'-diaminobenzidine tetrahydrochloride (Sigma Chemical Co.) and 0.006% hydrogen peroxide in 50 mM Tris HCl
buffer solution (pH 7.2) and counterstained with hematoxylin. In the
sequential double staining for uroguanylin vs. histamine and
SRIF, uroguanylin first was stained by the streptavidin-peroxidase
method, after which the slides were washed with 100 mM
glycine-HCl buffer (pH 2.2), then stained with antihistamine antiserum
or anti-SRIF antiserum (DAKO Corp. A/S; final dilution
1/200) by the streptavidin-alkaline phosphatase method using a Labelled
Streptavidin Biotin kit (DAKO Corp. A/S). Control studies
were done with normal rabbit serum or antiuroguanylin antiserum that
had been absorbed by 10 µg synthetic rat uroguanylin. At least
200250 cells were counted in different visual fields, and the
findings were expressed as the number of positive cells per visual
field at the magnification of x400.
In situ hybridization
Preparation of the complementary RNA (cRNA) probe. A 260-bp
fragment of rat uroguanylin cDNA (nucleotide number 74333 in Ref. 17)
was produced by RT-PCR amplification of the total RNA extracted from
rat jejunum. The PCR product was subcloned into the pCRII vector
using a TA cloning kit (Invitrogen, San Diego, CA). The
recombinant plasmid was linearized with the restriction enzyme
EcoRV to generate the antisense probe and with
BamHI to generate the sense probe. Antisense and sense
riboprobes were obtained by incubating the linearized-vectors with
[
-35S] uridine triphosphate and RNA polymerase (SP6
polymerase for the antisense probe and T7 polymerase for the sense
probe), using an SP6/T7 transcription kit (Boehringer Mannheim, Mannheim, Germany).
In situ hybridization cytochemistry. Cells (1 x
105) of each fraction (F1F7) were attached to
silane-coated slides by centrifugation. The slides were air dried and
stored at -80 C until used for the in situ hybridization
analysis. The stored slides were allowed to dry for 10 min at room
temperature, then fixed in 4% paraformaldehyde in PBS (pH 7.5) for 5
min and washed twice in PBS (pH 7.5). They next were incubated for 10
min in 0.9% saline containing 0.1 M triethanolamine and
0.25% acetic anhydride, dehydrated in a graded ethanol series, and
delipidated in 100% chloroform for 5 min, after which they were
immersed in 100% ethanol, then 95% ethanol, and were allowed to dry
briefly in air. Hybridization was done at 50 C overnight in 45 µl of
hybridization buffer containing 55% formamide, as described elsewhere
(26). The slides were rinsed in 2 x SSC, then washed for 30 min
in two changes of 2 x SSC/50% formamide at 50 C, after which
they were incubated at 37 C in 2 x SSC containing 20 µg/ml
ribonuclease (RNase) A (Sigma Chemical Co.) to digest any
unhybridized probe. After another 45-min wash in three changes of
2 x SSC/50% formamide at 50 C, the slides were dehydrated in a
graded ethanol series and air-dried. For autoradiography, slides that
had been hybridized with the riboprobes were dipped in K-5 nuclear
emulsion (Ilford, Cheshire, UK) diluted 2:3 with distilled water, then
exposed in the dark at 4 C for 4 days. After being developed in D-19
(Eastman Kodak Co., Rochester, NY) for 4 min, then fixed
with Unifix (Eastman Kodak Co.), the slides were rinsed in
water, counterstained with hematoxylin/eosin, and viewed by bright- and
dark-field microscopy.
RT-PCR for GC-C and guanylin
Total RNAs extracted from each gastric mucosal cell fraction
were used in the RT-PCR analyses for GC-C and guanylin. To digest the
genomic DNA, 3 U RNase-free deoxyribonuclease (DNase) I
(Pharmacia Biotech, Piscataway, NJ), 110 U RNase
inhibitor, 40 mM Tris HCl (pH 7.6), and 6 mM
MgCl2 were added to the 2.5 µg RNA samples. The samples
then were incubated for 30 min at 37 C, after which they were heated to
90 C for 5 min to inactivate the DNase. The primers specific for the
extracellular domain of rat GC-C (8), the guanylin (27), and ß-actin
(28) were designed; and their sequences and names are given in Table 1
. To examine GC-C gene expression, the
first-strand cDNA was synthesized with 0.4 µg of an RNA sample that
had been treated with DNase, 2.5 µM GCC-AS1 primer, the
deoxynucleotide triphosphate mixture (1 mM each), 110 U
RNase inhibitor, and 200 U reverse transcriptase (Gibco BRL). RT was done for 30 min at 42 C, followed by incubation for
3 min at 94 C to inactivate the reverse transcriptase. The resulting
cDNA was subjected to PCR amplification with 2 µM of the
GCC-S and -AS1 primers, and 1.25 U Taq DNA polymerase
(Perkin-Elmer Cetus, Norwalk, CT). The reaction vol was 25
µl, and the PCR conditions were 35 cycles of denaturation for 30 sec
at 94 C, annealing for 30 sec at 53 C, and extension for 60 sec at 72
C. Nested PCR was done with 1 µl of the first-step RT-PCR product and
2 µM of the GCC-S and -AS2 primers under the PCR
conditions described above. To examine guanylin gene expression, the
first-strand cDNA was synthesized with 0.4 µg of an RNA sample that
had been treated with DNase, 5.0 µM oligo
(dT)18 primer, the deoxynucleotide triphosphate mixture (1
mM each), 110 U RNase inhibitor, and 200 U reverse
transcriptase (Gibco BRL). RT was done under the same
condition described above. The resulting cDNA was subjected to PCR
amplification with the 2 µM sense and antisense primers
for guanylin and ß-actin, and 1.25 U Taq DNA polymerase
(Perkin Elmer Cetus). The reaction vol was 25 µl, and
the PCR conditions were 35 cycles of denaturation for 30 sec at 94 C,
annealing for 30 sec at 58 C, and extension for 60 sec at 72 C. The PCR
products were electrophoresed on a 2% agarose gel (FMC
BioProducts).
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Results
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Detection of uroguanylin and HDC mRNAs and immunoreactive
uroguanylin (ir-uroguanylin) of the gastric cell fractions
Chromogranin A-positive cells predominated in small-cell fractions
F1F3 (Fig. 1
). In contrast,
approximately 70% of the cells in F6 and F7 were parietal cells,
identified as large cells with an eosinophilic large cytoplasm.
Uroguanylin mRNA of 0.6 kb was detected mainly in F1F3 (Fig. 2A
). The uroguanylin mRNA levels were
calculated after marking the correction for ß-actin, as described in
Materials and Methods (Fig. 2B
). HDC mRNA of 2.3 kb also was
present in F1F3, and ß-actin was detected in all the RNA samples
(Fig. 2A
). The immunoreactive uroguanylin content was highest in F1,
decreasing in direction to F7 (Fig. 3
).
The dilution curve for the F1 sample paralleled the standard RIA curve
for uroguanylin (Fig. 3
, inset).

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Figure 1. Representative distribution pattern of
chromogranin A-positive cells (open bar) and parietal
cells (closed bar) in gastric mucosal cell fractions
obtained by counterflow elutriation. Chromogranin A-positive cells,
detected by the immunohistochemical method, predominate in the
small-cell fractions (F1F3); and parietal cells, identified by
cytological analysis, predominate in the large-cell fractions (F6 and
F7).
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Figure 2. Representative Northern blot pattern of
uroguanylin, HDC, and ß-actin mRNAs in the gastric mucosal cell
fractions (A). The hybridization intensity of uroguanylin was
quantified with a Bio-image analyzer, after which the membrane was used
for sequential hybridizations with HDC and ß-actin. The uroguanylin
mRNA amount was calculated relative to an arbitrary unit of ß-actin
(B). Values are the means ± SD (n = 3). ND, Not
detected.
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Figure 3. ir-uroguanylin contents of gastric mucosal cell
fractions determined by an RIA. Inset, The standard RIA
curve for rat uroguanylin ( ) and dilution curve for the F1 sample
(). The numeral one, in the dilution curve, denotes 0.2 x
107 cells.
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Immunocytochemistry and in situ hybridization cytochemistry
Uroguanylin and prouroguanylin were found by immunocytochemical
techniques in small cells whose sizes and numbers were consistent with
those of chromogranin A- and histamine-positive cells (Fig. 4
, AD). Parietal cells showed no
uroguanylin or prouroguanylin immunoreactivity (Fig. 4
, A and B).
Uroguanylin and histamine were extensively colocalized in the
double-immunostained specimen (Fig. 4E
), whereas double staining showed
no colocalization of uroguanylin and SRIF (Fig. 4F
). No uroguanylin
immunoreactivity was found when normal rabbit serum or
anti-uroguanylin antiserum that had been absorbed by excess
synthetic rat uroguanylin was used (Fig. 4G
). Strong signals for the
uroguanylin antisense cRNA probe were present on small cells whose
sizes and numbers were the same as those of the
uroguanylin-immunoreactive cells (Fig. 4H
). No hybridization signals
were present on the parietal cells. A control experiment with the
uroguanylin sense probe produced no signals on the small cells (Fig. 4I
).

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Figure 4. Immunocytochemical (AG) and in
situ hybridization (H and I) studies of ECL cells isolated by
counterflow elutriation. Uroguanylin (A), prouroguanylin (B),
chromogranin A (C), and histamine (D) immunoreactivities are present in
endocrine (arrows), but not in parietal
(arrowheads), cells. In the double staining for
uroguanylin vs. histamine (E) and SRIF (F), uroguanylin
was stained by the streptavidin-peroxidase method (brown
stain), and histamine and SRIF by the streptavidin-alkaline
phosphatase method (red stain). Uroguanylin is
colocalized with histamine but not with SRIF. There is no uroguanylin
immunoreactivity when antiuroguanylin antiserum, that had been absorbed
by synthetic rat uroguanylin, was used (G). Hybridization signals for
the rat uroguanylin antisense cRNA probe are present on ECL cells (H),
but no signal is present for the uroguanylin sense cRNA probe (I).
Original magnification: AD and FI, x800; E, x2000.
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RT-PCR for GC-C and guanylin
The GC-C and guanylin gene expressions in each gastric mucosal
cell fraction were examined by RT-PCR because these mRNAs were not
detected by Northern blot analysis (data not shown). A GC-C transcript
product corresponding to the predicted size of 263 bp was found in all
the fractions (Fig. 5
). A guanylin
transcript product corresponding to the predicted size of 337 bp was
detected in F1F5, and ß-actin in all the fractions (Fig. 5
).

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Figure 5. Electrophoretic analysis of the RT-PCR products of
GC-C and guanylin mRNAs in F1F7. The 263-bp GC-C transcript is
present in all the fractions, and the 337-bp guanylin transcript is in
F1F5. The PCR product of ß-actin is present in all the fractions.
Control, Primer only, no cDNA.
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Discussion
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Uroguanylin and guanylin are members of a peptide family that
regulates fluid and electrolyte transport in the intestine and kidney
by activating GC-C. Human and rat guanylin predominate in the
intestine, their mRNA and peptide contents being highest in the colon
and ileum (2, 3, 29, 30, 31). Rat uroguanylin mRNA and peptide also are
abundant in the intestine, being most plentiful in the upper small
intestine; however, uroguanylin also is expressed at lower levels in
the stomach, kidney, lung, pancreas, and testis (7, 17, 18, 19). These
differential distributions suggest that the two peptides have different
roles in the regulation of epithelial functions associated with water
and electrolyte homeostasis. In our previous immunohistochemical study,
uroguanylin was localized to an unidentified population of chromogranin
A-positive endocrine cells in rat oxyntic mucosa (21). None of the
uroguanylin-immunoreactive cells showed SRIF or gastrin
immunoreactivity. We now have made a more complete evaluation of the
cellular source of uroguanylin in rat stomach to clarify its
contribution to gastric ion transport. The gastric mucosal epithelium
consists of chief cells, endocrine cells, parietal cells, mucous cells,
and progenitor cells. We enriched the endocrine cells in the small-cell
fractions by counterflow elutriation. Results of Northern blot
analysis, RIA, in situ hybridization, and
immunocytochemistry showed that uroguanylin is confined exclusively to
ECL cells. We confirmed the specificity of antiuroguanylin antiserum by
identifying uroguanylin-immunoreactive molecules in rat urine and
tissue extract using reverse phase-HPLC and gel filtration, as well as
the specificity of antiprouroguanylin antiserum by Western blot
analysis (20, 21).
At least seven distinct endocrine cells (EC, ECL, D, D1, P, G, and X
cells) have been identified ultrastructurally and immunohistochemically
in rat and human gastric mucosa (32, 33, 34). ECL cells are small cells
(810 µm in diameter) containing cytoplasmic vesicles with eccentric
electron-dense cores (33). They produce histamine, chromogranin A,
pancreastatin, peptide YY, enteroglucagon, and calbindin (35). ECL
cells are scattered in the oxyntic glands, often in direct contact with
parietal cells. The number of ECL cells in mammal stomachs varies
greatly with species. ECL cells constitute 65% of the endocrine cell
mass in rat oxyntic mucosa, whereas D cells represent a minor
population of only 25% (34). Very recently, uroguanylin was found in
human gastrointestinal D cells (36). In human oxyntic mucosa, two of
the major endocrine cell types are ECL and D cells, which respectively
constitute 30% and 22% of the endocrine cell mass (34).
Species-specific differences in the cellular source of uroguanylin
expression may explain the discrepancy between rat and human data.
In an immunohistochemical study on rat stomach,
uroguanylin-immunoreactive cells were infrequent on formaldehyde-fixed
paraffin sections (21). Histamine immunoreactivity also was lost in
these samples, as found in a previous report in which
formaldehyde-fixed paraffin sections had unsatisfactory immunostaining
for histamine (37). In the present study, we isolated gastric endocrine
cells by counterflow elutriation, fixed them with acetone/formaldehyde
solution, then subjected them directly to immunocytochemical analysis.
These procedures may preserve the antigenic determinant sites of both
uroguanylin and histamine, improve antigen-antibody reactivity,
providing excellent uroguanylin and histamine immunostaining.
The major known function of ECL cells is to release histamine in
response to gastrin and acetylcholine (38), thereby stimulating gastric
acid secretion from parietal cells. London et al. (7)
detected GC-C and a truncated, GC-C-like mRNA that has a 159-nucleotide
deletion in the mucosa of rat stomach and intestine. They reported that
exposure of the gastric epithelium to heat-stable enterotoxin (STa), a
bacterially produced analog of uroguanylin, significantly increased
tissue cGMP levels and fluid accumulation in the rat stomach. In this
study, GC-C mRNA was found in all the elutriation fractions when
primers specific for the extracellular domain of rat GC-C were used in
RT-PCR, indicating that GC-C may be present in both the endocrine and
parietal cells. Furthermore, guanylin mRNA was found in F1F5, but not
in F6 or F7, which implies that guanylin, as well as uroguanylin, may
be expressed primarily in the gastric endocrine cells. These findings,
taken together, suggest that uroguanylin and guanylin function in the
regulation of gastric ion and fluid transport through the autocrine
and/or paracrine system. In isolated vascularly and luminally perfused
rat intestine, uroguanylin (produced mainly in the intestine) is
secreted in the lumen, but (in part) in the blood, in response to
sodium chloride administration (unpublished observations). Whether
uroguanylin is secreted from ECL cells in the gastric lumen, systemic
circulation, or both is unknown. Future investigation of the
uroguanylin concentrations of the vascular and luminal effluents from
isolated vascularly perfused rat stomach should provide information on
the direction in which this peptide is secreted and on the mechanisms
that govern its secretion.
Guanylin, uroguanylin, and STa stimulate anion secretion via CFTR that
is a molecular target for cGMP-stimulated protein kinases (39, 40, 41).
CFTR is present immunohistochemically in the epithelia of the sweat
ducts, airway, small pancreatic ducts, kidney tubules, and intestine,
where this protein is thought to function as a Cl- channel
or as a regulator of channel activity (42). CFTR mRNA is abundant in
the small intestine and is present, in a little amount, in the stomach
(43). The short-circuit current response to uroguanylin in the proximal
duodenum is markedly reduced in the CFTR knockout mice, but it is not
completely lost (15). This indicates that uroguanylin may regulate
anion secretion via CFTR-independent, as well as CFTR-dependent,
mechanisms. Uroguanylin may participate in the gastric ion transport in
a manner similar to that of the mechanisms found in the proximal
duodenum.
In summary, our findings confirm that rat ECL cells express
uroguanylin. Although the ECL cell was identified 26 yr ago, except for
the release of histamine, its physiological role and biological
significance are poorly defined (44). Patients with Zollinger-Ellison
syndrome, presenting with gastrinoma, peptic ulcer, and ECL
hyperplasia, have markedly high plasma concentrations of uroguanylin
(unpublished observations). Our results indicate the possibility that a
better understanding of the physiological functions and
pathophysiological implications of uroguanylin in ECL cells will
provide information with which to clarify the gastric ion transport
mechanism and the pathogenesis of acid-related diseases.
 |
Acknowledgments
|
|---|
We thank Dr. Michael F. Goy (University of North Carolina,
Chapel Hill, NC) for providing the prouroguanylin antiserum (6912);
Prof. Tatsuo Suganuma (Department of Anatomy, Miyazaki Medical Col-
lege, Miyazaki, Japan) for his valuable comments on the
immunocyto-chemistry methods used; and Ms. Akiko Kuzuhara for her
technical assistance.
 |
Footnotes
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1 This study was supported, in part, by grants-in-aid from the Ministry
of Education, Science, Sports and Culture and the Ministry of Health
and Welfare, Japan, as well as by grants from the Uehara Memorial
Foundation, the Yamanouchi Foundation for Research on Metabolic
Disorders, The Inamori Foundation, the Society of Molecular Mechanism
of the Digestive Tract, and the Salt Science Research Foundation. 
Received September 10, 1998.
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