Smoking has an unfavourable effect on peptic ulcer disease. The pathop
hysiological mechanisms underlying this effect are not known. The ente
rochromaffin like (ECL) cell is the cellular source of histamine parti
cipating in the regulation of acid secretion. The ECL cell is under fu
nctional and trophic control of gastrin and the vagus nerves. Nicotine
may affect acid secretion through vagal pathways. Furthermore, nicoti
ne may also stimulate neuroendocrine cells.The present study examined
if chronic nicotine administration could stimulate the function and gr
owth of the ECL cell. Rats inhaled nicotine vapour at a concentration
of approximately 6.2 mumol/m3, 20 hours/day, 5 days/week for 11 weeks.
Steady state plasma nicotine concentration was 461.8 (137.5 (SD)) nmo
l/l. The ECL cell density, histamine content and histidine decarboxyla
se activity of the oxyntic mucosa were similar to the controls. We als
o examined the effect of acute nicotine stimulation on the acid output
and histamine release from the totally isolated vascularly perfused r
at stomach. Nicotine did not stimulate acid secretion or histamine rel
ease. Thus no evidence could be provided to support the hypothesis tha
t nicotine exerts its negative effects on peptic ulcer disease by stim
ulating the ECL cell.