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lüll The functional role of intramuscular interstitial cells of Cajal in the stomach Kito YJ Smooth Muscle Res 2011[]; 47 (2): 47-53Intramuscular interstitial cells of Cajal (ICC-IM) are found within the smooth muscle layers of the stomach. ICC-IM are mainly spindle shaped cells with bipolar processes orientated along the long axis of surrounding smooth muscle cells. ICC-IM make close contacts with nerve varicosities and form gap junctions with neighbouring smooth muscle cells, indicating that ICC-IM mediate enteric motor neurotransmission. These morphological properties of ICC-IM are similar throughout the stomach. However, the electrical properties of these cells differ from region to region. In the fundus, ICC-IM generate spontaneous transient depolarizations (STDs), resulting in an ongoing discharge of unitary potentials in the smooth muscle cells. ICC-IM in the corpus generate slow waves and as they fire at the highest frequency they serve as the dominant pacemaker cells in the stomach. On the other hand, ICC-IM in the antrum generate the secondary component of slow waves triggered by the initial component that propagates passively from myenteric ICC (ICC-MY). Thus, the different electrical properties of ICC-IM play a critical role in creating the distinct functions of the proximal and distal regions of the stomach such that the fundus acts as a reservoir of food, the corpus as a dominant pacemaker region, while the antrum acts as a region for mixing and propulsion of food.|Animals[MESH]|Gastric Fundus/physiology[MESH]|Gastrointestinal Motility/physiology[MESH]|Interstitial Cells of Cajal/*physiology[MESH]|Membrane Potentials/physiology[MESH]|Muscle, Smooth/innervation/physiology[MESH]|Proto-Oncogene Proteins c-kit/genetics/physiology[MESH]|Pyloric Antrum/physiology[MESH]|Stomach/innervation/*physiology[MESH]|Synaptic Transmission/physiology[MESH] |