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Updated: Oct 2, 2026

Visualization of the Interstitial Cells of Cajal (ICC) Network in Mice
Published on: July 27, 2011
Ontogeny of interstitial cells of Cajal in the human intestine
S E Kenny1, G Connell, M N Woodward
1Department of Paediatric Surgery and University of Liverpool, Alder Hey Children's Hospital, England, UK.
Insights
Interstitial cells of Cajal (ICC) are present early in human gut development. Their postnatal development and regional variations are crucial for interpreting potential abnormalities in neonatal disorders.
Area of Science:
- Gastroenterology
- Developmental Biology
- Histology
Background:
- Interstitial cells of Cajal (ICC) are recognized as intestinal pacemaker cells.
- Abnormalities in ICC are linked to neonatal gastrointestinal motility disorders.
Purpose of the Study:
- To investigate the fetal and postnatal differentiation and development of ICC in the human gastrointestinal tract.
- To provide a basis for interpreting pathological specimens related to ICC abnormalities.
Main Methods:
- Immunohistochemical staining of human gastrointestinal specimens from fetuses, neonates, and children.
- Antibodies used included c-kit (ICC marker) and PGP9.5 (neural tissue marker).
Main Results:
- C-kit-positive ICC were found throughout the gut from early gestational ages.
- ICC distribution varied by gestational age and gut region.
- ICC network maturation continues postnatally in a region-specific manner.
Conclusions:
- ICC are present early in human gut development.
- Postnatal development and regional variations in ICC networks are important considerations.
- Apparent ICC abnormalities require careful interpretation considering normal developmental processes.
Background/Purpose:
Interstitial cells of Cajal (ICC) recently have been identified as intestinal pacemaker cells. Abnormalities in ICC are increasingly recognized in a number of neonatal disorders such as infantile hypertrophic pyloric stenosis, Hirschsprung's disease, and transient intestinal pseudo-obstruction. The aim of this study was to determine the fetal and postnatal differentiation and development of ICC in the human gastrointestinal tract to aid interpretation of pathological specimens.
Methods:
Specimens of human gastrointestinal tract from (1) fetuses (9 to 17 weeks' gestation; n = 12), (2) premature and full-term neonates with non-gut motility-related disorders, (age 26 to 59 weeks' gestation; n = 13), and (3) children (age 4 months to 13 years; n = 7) were immunohistochemically stained with antibodies to c-kit(a marker for ICC) and protein gene product 9.5 (PGP9.5, a marker for neural tissue).
Results:
(1) C-kit-positive ICC were present throughout the gut in all specimens including those from the earliest gestational ages. C-kit and PGP9.5 immunoreactivities were present in different cell populations. (2) The distribution of ICC varied with gestational age and with region of the gut. (3) Maturation of ICC networks continues postnatally in a region-specific manner.
Conclusions:
ICC are present from an early stage in human gut development. Interpretation of apparent abnormalities in ICC distribution as being of pathological significance should be tempered by the knowledge that ICC networks continue to develop postnatally and that ICC development varies throughout the gut.
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