Unravelling innervation of pancreatic islets

The central and peripheral nervous systems play critical roles in regulating pancreatic islet function and glucose metabolism. Over the last century, in vitro and in vivo studies along with examination of human pancreas samples have revealed the structure of islet innervation, investigated the contr...

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Veröffentlicht in:Diabetologia 2022-07, Vol.65 (7), p.1069-1084
Hauptverfasser: Hampton, Rollie F., Jimenez-Gonzalez, Maria, Stanley, Sarah A.
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container_title Diabetologia
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creator Hampton, Rollie F.
Jimenez-Gonzalez, Maria
Stanley, Sarah A.
description The central and peripheral nervous systems play critical roles in regulating pancreatic islet function and glucose metabolism. Over the last century, in vitro and in vivo studies along with examination of human pancreas samples have revealed the structure of islet innervation, investigated the contribution of sympathetic, parasympathetic and sensory neural pathways to glucose control, and begun to determine how the structure and function of pancreatic nerves are disrupted in metabolic disease. Now, state-of-the art techniques such as 3D imaging of pancreatic innervation and targeted in vivo neuromodulation provide further insights into the anatomy and physiological roles of islet innervation. Here, we provide a summary of the published work on the anatomy of pancreatic islet innervation, its roles, and evidence for disordered islet innervation in metabolic disease. Finally, we discuss the possibilities offered by new technologies to increase our knowledge of islet innervation and its contributions to metabolic regulation. Graphical abstract
doi_str_mv 10.1007/s00125-022-05691-9
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subjects Anatomy
Anatomy & physiology
Glucose
Glucose metabolism
Human Physiology
Humans
Innervation
Internal Medicine
Islets of Langerhans - metabolism
Islets of Langerhans Transplantation
Medicine
Medicine & Public Health
Metabolic Diseases
Metabolic disorders
Metabolism
Nervous system
Neuromodulation
Pancreas
Parasympathetic nervous system
Pathogenesis
Review
Structure-function relationships
title Unravelling innervation of pancreatic islets
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