Several different markers have been used for the immunocytochemical visuali
zation of enterochromaffin-like (ECL) cells. The ECL cell specificity of so
me of these markers is, however, not yet established. In the present study
several proposed ECL cell markers were compared using double immunostaining
. Immunoreactive (IR) histidine decarboxylase (HDC) was restricted to ECL c
ells. IR-calbindin D28k was also restricted to ECL cells, but was lacking i
n a subpopulation of the cells; vesicular monoamine transporter 2 (VMAT-2)
was found in both ECL cells and in an additional endocrine cell population,
tentatively identified as A-like cells; IR-pancreastatin was found in ECL
cells, somatostatin cells and presumed A-like cells. Since the expression o
f ECL cell markers may depend on the activity state of the cells, one group
of rats received high doses of the acid blocker omeprazole in order to ind
uce high ECL cell activity, and another group of rats were fasted for 24 ho
urs in order to reduce ECL cell activity. HDC and calbindin D28k immunostai
ning became markedly stronger in omeprazole-treated rats and weaker in fast
ed rats; VMAT-2-IR changed less and pancreastatin immunostaining tended to
decrease upon ECL cell activation, presumably due to degranulation. Thus, t
he expression not only of HDC, but also of other ECL cell markers, includin
g IR-calbindin D28k, is dependent upon ECL cell activity. Inactive ECL cell
s may escape detection using HDC or calbindin D28k.