Enterochromaffin-like (ECL) cells play a pivotal role in the peripheral reg
ulation of gastric acid secretion as they respond to the functionally impor
tant gastrointestinal hormones gastrin and somatostatin and neural mediator
s such as pituitary adenylate cyclase-activating peptide and galanin. Gastr
in is the key stimulus of histamine release from ECL cells in vivo and in v
itro. Voltage-gated K-divided by and Ca-2 divided by channels have been det
ected on isolated ECL cells. Exocytosis of histamine following gastrin stim
ulation and Ca-2 divided by entry across the plasma membrane is catalyzed b
y synaptobrevin and synaptosomal-associated protein of 25 kDa, both charact
erized as a soluble N-ethylmaleimide-sensitive factor attachment protein re
ceptor protein. Histamine release occurs from different cellular pools: pre
existing vacuolar histamine immediately released by Ca2+ entry or newly syn
thesized histamine following induction of histidine decarboxylase (HDC) by
gastrin stimulation. Histamine is synthesized by cytoplasmic HDC and accumu
lated in secretory vesicles by proton-histamine countertransport via the ve
sicular monoamine transporter subtype 2 (VMAT-2). The promoter region of HD
C contains Ca2+ -, cAMP-, and protein kinase C-responsive elements. The gen
e promoter for VMAT-2, however, lacks TATA boxes but contains regulatory el
ements for the hormones glucagon and somatostatin. Histamine secretion from
ECL cells is thereby under a complex regulation of:hormonal signals and ca
n be targeted at several steps during the process of exocytosis.