Morphological changes in the human endocrine pancreas induced by chronic excess of endogenous glucagon

Autor: Tatiana Bani Sacchi, G Biliotti, Daniele Bani
Rok vydání: 1991
Předmět:
Zdroj: Virchows Archiv B Cell Pathology Including Molecular Pathology. 60:199-206
ISSN: 0042-6431
DOI: 10.1007/bf02899547
Popis: The non-tumoral endocrine pancreas from a patient with elevated plasma levels of glucagon due to a malignant glucagonoma was studied immunocytochemically, ultrastructurally and morphometrically. Compared with normal pancreatic islets from control subjects, those of the pancreas from the patient with a glucagonoma showed an almost complete disappearance of A cells, a decrease in immunoreactive insulin in B cells associated with cytological features indicating enhanced synthesis and secretion of this hormone, and an increase in immunoreactive somatostatin and pancreatic polypeptide (PP) accompanied by unusually high numbers of D and PP cells. In addition, numerous B cells were found outside the islets, either forming micro-islets or scattered in the exocrine tissue (nesidioblastosis). The possible mechanisms involved in determining the changes in the secretory activity of B cells and the alterations in the cell composition of the islets are discussed.
Databáze: OpenAIRE