Heterogeneity in distribution of amyloid-positive islets in type-2 diabetic patients

Amyloid-containing (A+) islets are characteristic for type-2 diabetes (T2D), but their abundance seems variable among patients. It is unclear whether the distribution of A+ islets follows a certain pattern or occurs randomly throughout the pancreatic organ. We investigated the topography of A+ islet...

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Veröffentlicht in:Virchows Archiv : an international journal of pathology 2005-03, Vol.446 (3), p.232-238
Hauptverfasser: BORROMEO, Cecilia M, POTTIER, Xavier, IN'T VELD, Peter A, PIPELEERS-MARICHAL, Miriam A, KAUFMAN, Leonard, PIPELEERS, Daniel G, VAN SCHRAVENDIJK, Christiaan F
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container_title Virchows Archiv : an international journal of pathology
container_volume 446
creator BORROMEO, Cecilia M
POTTIER, Xavier
IN'T VELD, Peter A
PIPELEERS-MARICHAL, Miriam A
KAUFMAN, Leonard
PIPELEERS, Daniel G
VAN SCHRAVENDIJK, Christiaan F
description Amyloid-containing (A+) islets are characteristic for type-2 diabetes (T2D), but their abundance seems variable among patients. It is unclear whether the distribution of A+ islets follows a certain pattern or occurs randomly throughout the pancreatic organ. We investigated the topography of A+ islets in eight pancreata of T2D patients and eight sex- and age-matched non-diabetic subjects. Transversal sections of head, body and tail segments were stained with synaptophysin combined with Congo red to map/quantify islet tissue and amyloid. In the eight T2D pancreata, the overall percentage of A+ islets varied from 4% to 85%. Further analysis in body and tail indicated that peripheral regions exhibited higher percentages of A+ islets than central regions (averages of, respectively, 30% and 17%, P
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It is unclear whether the distribution of A+ islets follows a certain pattern or occurs randomly throughout the pancreatic organ. We investigated the topography of A+ islets in eight pancreata of T2D patients and eight sex- and age-matched non-diabetic subjects. Transversal sections of head, body and tail segments were stained with synaptophysin combined with Congo red to map/quantify islet tissue and amyloid. In the eight T2D pancreata, the overall percentage of A+ islets varied from 4% to 85%. Further analysis in body and tail indicated that peripheral regions exhibited higher percentages of A+ islets than central regions (averages of, respectively, 30% and 17%, P&lt;0.05). Non-diabetic control pancreata also exhibited A+ islets, albeit at a 25-fold lower frequency; a tendency towards higher percentage of A+ islets in peripheral versus central regions was also observed. The higher percentage A+ islets in peripheral regions was associated with a higher density and relative islet over exocrine surface area. These observations on heterogeneity in abundance and distribution of A+ islets need consideration when sampling tissue for studies on human islet amyloidosis. The present methodology allows us to further investigate the susceptibility to amyloidosis of islets in peripheral regions of the pancreas.</description><identifier>ISSN: 0945-6317</identifier><identifier>EISSN: 1432-2307</identifier><identifier>DOI: 10.1007/s00428-004-1171-5</identifier><identifier>PMID: 15791482</identifier><language>eng</language><publisher>Berlin: Springer</publisher><subject>Aged ; Aged, 80 and over ; Amyloid - metabolism ; Biological and medical sciences ; Diabetes Mellitus, Type 2 - metabolism ; Diabetes Mellitus, Type 2 - pathology ; Female ; Heterogeneity ; Humans ; Image Processing, Computer-Assisted ; Immunohistochemistry ; Investigative techniques, diagnostic techniques (general aspects) ; Islets of Langerhans - metabolism ; Islets of Langerhans - pathology ; Male ; Medical sciences ; Pancreas ; Pancreatic Polypeptide - metabolism ; Pathology. Cytology. Biochemistry. Spectrometry. 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The higher percentage A+ islets in peripheral regions was associated with a higher density and relative islet over exocrine surface area. These observations on heterogeneity in abundance and distribution of A+ islets need consideration when sampling tissue for studies on human islet amyloidosis. The present methodology allows us to further investigate the susceptibility to amyloidosis of islets in peripheral regions of the pancreas.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Amyloid - metabolism</subject><subject>Biological and medical sciences</subject><subject>Diabetes Mellitus, Type 2 - metabolism</subject><subject>Diabetes Mellitus, Type 2 - pathology</subject><subject>Female</subject><subject>Heterogeneity</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted</subject><subject>Immunohistochemistry</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Islets of Langerhans - metabolism</subject><subject>Islets of Langerhans - pathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Pancreas</subject><subject>Pancreatic Polypeptide - metabolism</subject><subject>Pathology. Cytology. Biochemistry. Spectrometry. 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It is unclear whether the distribution of A+ islets follows a certain pattern or occurs randomly throughout the pancreatic organ. We investigated the topography of A+ islets in eight pancreata of T2D patients and eight sex- and age-matched non-diabetic subjects. Transversal sections of head, body and tail segments were stained with synaptophysin combined with Congo red to map/quantify islet tissue and amyloid. In the eight T2D pancreata, the overall percentage of A+ islets varied from 4% to 85%. Further analysis in body and tail indicated that peripheral regions exhibited higher percentages of A+ islets than central regions (averages of, respectively, 30% and 17%, P&lt;0.05). Non-diabetic control pancreata also exhibited A+ islets, albeit at a 25-fold lower frequency; a tendency towards higher percentage of A+ islets in peripheral versus central regions was also observed. 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subjects Aged
Aged, 80 and over
Amyloid - metabolism
Biological and medical sciences
Diabetes Mellitus, Type 2 - metabolism
Diabetes Mellitus, Type 2 - pathology
Female
Heterogeneity
Humans
Image Processing, Computer-Assisted
Immunohistochemistry
Investigative techniques, diagnostic techniques (general aspects)
Islets of Langerhans - metabolism
Islets of Langerhans - pathology
Male
Medical sciences
Pancreas
Pancreatic Polypeptide - metabolism
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Regions
title Heterogeneity in distribution of amyloid-positive islets in type-2 diabetic patients
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