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The diffuse endocrine system: from embryogenesis to carcinogenesis
Authors:Montuenga Luis M  Guembe Laura  Burrell M Angela  Bodegas M Elena  Calvo Alfonso  Sola Jesús J  Sesma Pilar  Villaro Ana C
Affiliation:Department of Histology and Pathology, Schools of Science and Medicine, University of Navarra, 31080 Pamplona, Spain. lmontuenga@unav.es
Abstract:
In the present review we will summarise the current knowledge about the cells comprising the Diffuse Endocrine System (DES) in mammalian organs. We will describe the morphological, histochemical and functional traits of these cells in three major systems gastrointestinal, respiratory and prostatic. We will also focus on some aspects of their ontogeny and differentiation, as well as to their relevance in carcinogenesis, especially in neuroendocrine tumors. The first chapter describes the characteristics of DES cells and some of their specific biological and biochemical traits. The second chapter deals with DES in the gastrointestinal organs, with special reference to the new data on the differentiation mechanisms that leads to the appearance of endocrine cells from an undifferentiated stem cell. The third chapter is devoted to DES of the respiratory system and some aspects of its biological role, both, during development and adulthood. Neuroendocrine hyperplasia and neuroendocrine lung tumors are also addressed. Finally, the last chapter deals with the prostatic DES, discussing its probable functional role and its relevance in hormone-resistant prostatic carcinomas.
Keywords:APUD cells   carcinogenesis   carcinoids   diffuse endocrine system   diffuse neuroendocrine system   gastroenteropancreatic diffuse endocrine system   neuroendocrine tumors   paraneurons   peptide secreting cells   prostate neuroendocrine cells   pulmonary diffuse endocrine system
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