Chromaffin cell

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Adrenal gland. (Medulla labeled at bottom right.)
Adrenal gland. (Medulla labeled at bottom right.)

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Overview

Chromaffin cells are neuroendocrine cells found in the medulla of the adrenal gland (suprarenal gland - located above the kidneys) and in other ganglia of the sympathetic nervous system. They are derived from the embryonic neural crest.

In the fifth week of (human) fetal development, neuroblast cells migrate from the neural crest to form the sympathetic chain and preaortic ganglia. The cells migrate a second time to the adrenal medulla. Chromaffin cells also settle near the sympathetic ganglia, vagus nerve, paraganglia, and carotid arteries. In lower concentrations, extra-adrenal chromaffin cells also reside in the bladder wall, prostate, and behind the liver.

Function

Chromaffin cells of the adrenal medulla are innervated by the splanchnic nerve and secrete epinephrine, norepinephrine, and enkephalin into the bloodstream. As such, they play an important role in the fight-or-flight response. They are also referred to as granules and this is where the enzyme dopamine-hydroxylase catalyzes the conversion of dopamine to noradrenaline. Distinct N and E cell forms exist (also Na and A cells in British nomenclature - noradrenaline and adrenaline); the former produce norepinephrine, the latter arise out of N cells through interaction with glucocorticoids, and convert norepinephrine into epinephrine.[1]

Nomenclature

These cells are so-named because they can be visualized by staining with chromium salts. Chromaffin salts oxidize and polymerize catecholamines to form a brown color, most strongly in the cells secreting noradrenaline.

(The enterochromaffin cells cells are so named because of their histological similarity to chromaffin cells (they also stain yellow when treated with chromium salts), but their function is quite different.)

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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .

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