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Updated: Aug 15, 2026

Visualization of the Interstitial Cells of Cajal (ICC) Network in Mice
Published on: July 27, 2011
The centenary of the problem of the interstitial cells of Cajal
1Department of Anatomy, Nagoya University School of Medicine, Japan.
Insights
Intestinal pacemaker cells are not interstitial cells of Cajal but specialized smooth muscle cells. This study reevaluates Cajal
Area of Science:
- Gastroenterology
- Neuroscience
- Cell Biology
Background:
- Intestinal pacemaker cells are crucial for gut motility but their cellular identity is debated.
- The term 'interstitial cells of Cajal' has been historically applied to diverse histological structures, including fibroblasts and smooth muscle cells.
- Santiago Ramón y Cajal described these cells as a unique 'neuron system' composed of glial and nerve cells.
Purpose of the Study:
- To clarify the cellular identity of intestinal pacemaker cells.
- To re-evaluate Cajal's original descriptions in light of modern histological understanding.
- To investigate the cellular basis of regular mechanical contractions in the guinea-pig colon.
Main Methods:
- Histological examination of intestinal tissues.
- Analysis of mechanical contractions in the guinea-pig colonic flexure.
- Re-examination of Cajal's historical descriptions and drawings.
Main Results:
- Identified a unique smooth muscle tissue responsible for rhythmic contractions (10-12 cycles/min) in the guinea-pig colon.
- Demonstrated that intestinal pacemaker cells are distinct from the structures Cajal described.
- Showed that Cajal's 'interstitial cells' were a composite of glial cells and nerve terminals, not true pacemakers.
Conclusions:
- Intestinal pacemaker cells are specialized smooth muscle cells, not the interstitial cells of Cajal.
- Cajal's historical descriptions require reinterpretation based on current cell biology.
- This finding clarifies the cellular mechanisms underlying gastrointestinal motility.
Abstract:
The intestinal pacemaker cells are often confused with the interstitial cells of Cajal. However, under this term, at least three kinds of histological structures have been discussed: 1) fibroblasts, 2) fibroblast-like cells consisting of several subclasses, and 3) specialized smooth muscle cells. To our surprise, Cajal (1889, 1893) described a chimeric composition of glial (Schwann) cells and varicose nerve terminals as interstitial (nerve) cells. Cajal could not explain the net work formation of the autonomic periphery by the neuron doctrine. Therefore, he described it as special neuron system. We studied a unique smooth muscle tissue that produces regular mechanical contractions of 10-12 cycles/min at the mesenteric border of the pacemaker area in the guinea-pig colonic flexure region. Based on the results of our studies, we reevaluated both Cajal's original description and the cellular identity of intestinal pacemakers.
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