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Neuroendocrine differentiation
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Neuroendocrine differentiation : ウィキペディア英語版
Neuroendocrine differentiation
Neuroendocrine differentiation is a term primarily used in relation to prostate cancers that display a significant neuroendocrine cell population on histopathological examination. These types of prostate cancer comprise true neuroendocrine cancers, such as small cell carcinoma, carcinoid and carcinoid-like tumors, as well as prostatic adenocarcinoma exhibiting focal neuroendocrine phenotype.
==Neuroendocrine cells in the normal prostate==
Prostatic neuroendocrine cells, also known as endocrine-paracrine cells,〔 are part of a larger regulatory cell population scattered throughout the whole organism, collectively known as diffuse neuroendocrine system or APUD cells.〔 Neuroendocrine cells are present in all regions of the human prostate, most notably around the ducts, but also in the acinar epithelium and prostatic urothelium; there is a significant inter-individual variability.〔 Two morphologic types have been described: the open type, extending slender apical processes to the ductal or acinar lumen, and the closed type cells, which lack lumenal protrusions but display dendrite-like processes that extend between adjacent epithelial cells.〔〔
Neuroendocrine cells in the human prostate contain a diverse array of secretory products: serotonin (which is present in virtually all neuroendocrine prostatic cells, chromogranin A (CgA), synaptophysin and neuron-specific enolase (NSE) (three proteins that are used as markers for neuroendocrine cells) calcitonin and other peptides of the calcitonin family (calcitonin gene-related peptide (CGRP) and katacalcin, which colocalize to the calcitonin-containing cells), bombesin/gastrin-releasing peptide (GRP), thyroid stimulating hormone-like peptide, parathyroid hormone-related protein (PTHrP), alpha-human chorionic gonadotropin (hCG), somatostatin, cholecystokinin, vasoactive intestinal peptide (VIP), neuropeptide Y, vascular endothelial growth factor (VEGF), and adrenomedullin.〔〔 The physiology of their secretion and its regulation is incompletely understood. Regulatory cues might come through endocrine, paracrine (from neighboring neuroendocrine cells), autocrine or neurocrine routes. The open type cells may in addition receive regulatory signals from luminal molecules
The developmental origin of these cells is as yet unknown. They are thought to arise from a different precursor than other epithelial prostatic cells, possibly through a neurogenic lineage of their own, which is therefore distinct from the secretory and basal cells that derive from urogenital sinus.〔

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