Quantitative electron microscopy of endocrine cells in oxyntic mucosa of normal human stomach

An ultrastructural morphometric study of the endocrine cells of the oxyntic mucosa of the stomach in gastric biopsies collected from five male and five female healthy volunteers aged 19-31 was performed. No sex-related differences were disclosed. Endocrine cells accounted for 1.2 +/- 0.4% of the epithelial volume and 0.9 +/- 0.4% of the mucosal volume, i.e., including the lamina propria. After classification of the specific endocrine cell types according to the ultrastructural morphology of secretory granules, the volume densities of ECL, P and D cells (30 +/- 9%, 24 +/- 7%, and 22 +/- 4% of the entire endocrine cell mass, respectively) were higher than those of other endocrine cell types. In particular, EC cells contributed less than 10% and X cells represented a very low proportion of the total cells. Non-granulated profiles of cells which in all other respects appeared to be endocrine were also found with a volume density of 8 +/- 4%. D cells were distinguished by the high fraction of cytoplasm occupied by secretory granules (31 +/- 5%). Subdivision of the whole mucosa into four horizontal segments revealed the endocrine cells to be mostly distributed in the three lower, with virtually no endocrine cells in the superficial segment. The quantitative ultrastructural analysis of the endocrine cell population of the normal human oxyntic mucosa provided by this study may allow a better evaluation of physiological and pharmacological variations of the endocrine cell population.