Neuroendocrine cell

Neuroendocrine cells are cells that receive neuronal input (neurotransmitters released by nerve cells) and, as a consequence of this input, release message molecules (hormones) to the blood. In this way they bring about an integration between the nervous system and the  endocrine system, a process known as neuroendocrine integration. An example of a neuroendocrine cell is the cell of the adrenal medula (innermost part of the adrenal gland) which releases adrenalin to the blood. The adrenal medullary cells are controlled by the sympathetic division of the autonomic nervous system. These cells are modified postganglionic neurons. Autonomic nerve fibers lead directly to them from the central nervous system. The adrenal medullary hormones are kept in vesicles much in the same way neurotransmitters are kept in neuronal vesicles. Hormonal effects can last up to ten times longer than those of neurotransmitters. Sympathetic nerve fiber impulses stimulate the release of adrenal medullary hormones. In this way the sympathetic division of the autonomic nervous system and the medullary secretions function together.

The major center of neuroendocrine integration in the body is found in the hypothalamus and the pituitary gland. Here hypothalamic neurosecretory cells release factors to the blood. Some of these factors, release at the median eminence, control the secretion of pituitary hormones, while others (the hormones oxytocin and vasopressin) are released directly to the peripheral circulation.

APUD cells are considered part of the neuroendocrine system, and share many staining properties with neuroendocrine cells.

Pulmonary Neuroendocrine Cells
Pulmonary neuroendocrine cells (PNEC) are specialized airway epithelial cells that occur as solitary cells or as clusters called neuroepithelial bodies (NEB) in the lung. They are located in the nasal respiratory epithelium, laryngeal mucosa and throughout the entire respiratory tract from the trachea to the terminal airways.

These cells are bottle- or flask-like in shape, and reach from the basement membrane to the lumen. They can be distinguished by their profile of bioactive amines and peptides namely serotonin, calcitonin, calcitonin gene-related peptide (CGRP), chromogranin A, gastrin-releasing peptide (GRP) and cholecystokinin.

Function of Pulmonary Neuroendocrine Cells
NEB may play a role as chemoreceptors in hypoxia (medical) detection. This is best supported by the presence of an oxygen-sensitive potassium channel coupled to an oxygen sensory protein in the lumenal membrane in the rabbit. They are considered to be involved in regulating localized epithelial cell growth and regeneration through a paracrine mechanism, whereby their bioactive peptides are released into the environment. Additionally, they contain neuroactive substances which are released from their basal cytoplasm. These substances affect autonomic nerve terminals or vasculature in the lamina propria deep to the cells.

Role of PNEC in Fetal lung
In the fetal lung, they are frequently located at the branching points of airway tubules, and in humans are present by 10 weeks gestation. Peptides and amines released by PNEC are involved in normal fetal lung development including branching morphogenesis. The best-characterized peptides are GRP, the mammalian form of bombesin, and CGRP; these substances exert direct mitogenic effects on epithelial cells and exhibit many growth factor-like properties.