Islet plasticity has proven to be an important platform for the engineering of alternative islet tissue for transplantation. In vitro studies have shown the ability of islets to transdifferentiate into duct-like epithelial structures (DLS) thought to possess progenitor cells capable of replenishing damaged tissue within the pancreas. The aim of this study was to investigate the natural history of human derived duct-like epithelial structures transplanted into nude mice. / Human islet derived duct-like structures from three cadaver pancreases were subcutaneously transplanted into 6-8 week old male HSD athymic nude-Foxn1 mice. Six mice were sacrificed at day 3, 7, 14 and 21 from each time period. DLS were also placed in matrigel for in-vitro control samples. DLS were processed for immunohistochemistry for endocrine markers, epithelial markers, cell death and proliferation markers, islet maturation markers and angiogenic factors. / Our results show that as DLS are transplanted, there is an increase in cell death and proliferation. This increase in cell death and proliferation causes an increase in PDX-1 expression as well as VEGF, an angiogenic factor. But over time, transplanted DLS do not show an increase in cell death and show a small decrease in cell proliferation from pre-transplanted DLS. At day 3 of engraftment, DLS show a significant expression of PDX-1. We see a small increase in endocrine tissue after 3 days of transplantation, then an increase in endocrine cell death, which returns the percentage of endocrine cells back to pre-transplantation levels at day 21. DLS were shown to express VEGF, and once transplanted into an initial hypoxic environment there is a substantial increase in expression, followed by a recruitment of microvessels. Although there is a dynamic change in expression of cell markers throughout engraftment, there is no significant change in DLS size, nuclei per DLS or cell morphology over time. / DLS have been shown to survive subcutaneous transplantation and possess an initial increase in cell proliferation leading to increases in PDX-1 and VEGF expression. Transplanted DLS have shown to possess significant angiogenic properties with the recruitment of microvessels into subcutaneous DLS grafts. Subcutaneous DLS transplantation could be used in combination with islet transplantation to alleviate current problems with islet transplantation such as islet cell death and insufficient blood supply.

No description available.

(A) Gastric Secretion The present study was performed to investigate the canine post-pancreatic duct ligation GIP secretion in response to fat ingestion using a meat meal mixed with unhydrolyzed or hydrolyzed whipping cream, and to determine whether GIP plays a role in the production of hyperacid secretion in the pancreatic duct ligated dogs. Four mongrel female dogs were prepared with Heidenhain pouch (HP) and gastric fistula (GF), and daily acid secretion from the HP was measured before and after pancreatic duct ligation (PDL). HP acid output, serum immunoreactive gastrin (IR-Ga) and serum immunoreactive gastric inhibitory polypeptide (IR-GIP) concentrations during five hours following oral ingestion of a meat meal alone, a meat meal mixed with 125g of unhydrolyzed cream and meat meal mixed with 125g of hydrolyzed cream were measured before and after PDL. Twenty four hour HP acid outputs increased significantly in each of the four dogs after PDL. Five hour HP acid outputs in response to a meat meal alone and a meat meal plus unhydrolyzed cream were modestly increased, while those in response to a meat meal plus hydrolyzed cream were rather reduced after PDL. Serum IR-Ga responses to all stimulants were lowered after PDL and those to meat meal plus hydrolyzed cream lowered most markedly. Serum IR-GIP responses to a meat meal alone were significantly increased, while those to a meat meal plus unhydrolyzed and hydrolyzed cream were reduced. The results of the present study demonstrate serum IR-GIP in response to a meat meal is increased by PDL in dogs, suggesting augmented acid juice passing into the intestinal lumen is responsible for the increased GIP response. It is indicated that hypo-secretion of GIP is not the cause of hypersecretion of gastric acid in the PDL dogs. (B) Glucose Metabolism. Functional alteration in glucose homeostasis especially concerning the early onset of diabetes after PDL was studied in dogs. Intravenous (i.v.) and intragastric glucose tolerance tests were performed at two to ten weeks and two weeks after PDL respectively. Serum glucose, IRI, and IR-GIP in response to a meat meal with and without unhydrolyzed or hydrolyzed fat were estimated at six weeks after PDL. Significantly impaired glucose tolerance and early phase IRI secretion after i.v. glucose were shown at two to ten weeks after PDL. Intragastric glucose load revealed delayed pattern of serum glucose and IRI (no evidence of glucose intolerance or diminished IRI secretion), indicating decreased gastric motility after PDL. Serum IR-GIP response to intragastric glucose load was not attenuated by the operation but showed a similar pattern to IRI response. Serum IRI responses to meat meals with and without unhydrolyzed or hydrolyzed cream were impaired after PDL. It is indicated that dogs after PDL show early onset (two to ten weeks) of diabetes, i.e. blunted early phase insulin secretion, 2 the mechanism of GIP secretion as an insulinotropic enterohormone remains intact after PDL if sufficient stimulants are given. / Surgery, Department of / Medicine, Faculty of / Graduate

名古屋大学博士学位論文 学位の種類 : 博士(医学)(課程) 学位授与年月日:平成7年3月27日 金子健一朗氏の博士論文として提出された

Le pancréas est constitué de deux tissus : exocrine et endocrine. Le tissu endocrine est organisé en îlots de Langerhans, comprenant 5 sous-types cellulaires dont les deux principaux (α et β) sécrètent respectivement le glucagon et l’insuline. Le diabète de type 1 est une maladie auto-immune caractérisée par la perte des cellules β et donc une hyperglycémie chronique. Les thérapies actuelles sont efficaces mais contraignantes, amenant une partie de la recherche actuelle à déchiffrer les mécanismes de la genèse des cellules β et/ou de leur régénération pour tenter d’établir des thérapies alternatives. Des études ont permis de caractériser la cascade de facteurs de transcription différentiant les cellules progénitrices pancréatiques durant le développement, dont Neurog3 spécifiant le lignage endocrine et le gène Pax4 favorisant le lignage β. De précédents résultats nous ont amenés à établir l’hypothèse que les cellules canalaires pancréatiques contiendraient une source potentielle de précurseurs, qui par la réexpression de Neurog3 pourraient devenir endocrine, ce que nous avons analysé in vivo après avoir généré les souris transgéniques correspondantes. Nous avons observé un accroissement considérable de la taille des îlots, dû à une augmentation du nombre de chaque sous-type cellulaire endocrine. Nous démontrons que ces cellules endocrines supplémentaires ont bien une origine canalaires, tandis que des études physiologiques indiquent une réponse fonctionnelle de l’insuline suite à une injection de glucose. Finalement, nos analyses apportent également la preuve que le devenir de ces nouvelles cellules endocrines peut être modulé en agissant sur l’activité du gène Pax4. / The pancreas can be divided into two tissue types: exocrine and endocrine. The endocrine tissue is organized into clusters of cells named islets of Langerhans, comprising five cell subtypes of which the two main (α and β) secrete respectively glucagon and insulin. Type 1 diabetes is an auto-immune disease resulting in the loss of pancreatic β-cells and, consequently, in chronic hyperglycemia. Current therapies are efficient but remain highly binding, leading current research to aim at deciphering the β-cell genesis and/or regeneration to potentially establish new therapies. Many studies characterized the specific cascade of transcription factors differentiating pancreatic progenitor cells during development, including Neurog3 specifying the endocrine lineage and Pax4 favoring the β-cell lineage. Previous results obtained in the lab led us to establish the hypothesis that pancreatic ducts may contain a potential source of progenitor cells, which could become endocrine cells through re-expression of Neurog3. Thus, we investigated the consequences of the ectopic misexpression of Neurog3 in pancreatic duct cells in vivo. Using this strategy, we observed a dramatic increase in islet size, due to an augmentation in all endocrine cells types. Lineage tracing allowed us to demonstrate that the new endocrine cells have a ductal origin, while physiological studies displayed functional insulin response upon a glucose bolus. Finally, our analyses also demonstrated that the fate of these newly generated endocrine cells could be modulated by acting on the Pax4 gene.

Thesis (PhD)--Stellenbosch University, 2000. / ENGLISH ABSTRACT: Diabetes Mellitus (DM) is synonymous with "B-cell failure". Ligation of the pancreatic duct distally to its confluence into the bile duct has been shown to induce endocrine tissue regeneration from a number of probable sources. The cells responsible for regeneration are supposed to possess either dormant pluripotent stem cell ability and/or the plasticity to undergo metaplasia to form new and surplus endocrine tissue able to replace pathologically and/or experimentally compromised pancreas. The sequence of events (cell lineage) during this process of neogenesis, has been the source of controversy for quite some time as various studies suggest that the cell lineage differs from in vivo and in vitro studies, according to experimental model and species of laboratory animal. The object of this study was to utilise an established experimental laboratory animal model to study islet morphological changes, neogenesis and or both in vivo. Further aims of the study were to determine the extent, sequence and magnitude of pancreatic duct ligation (PDL) induced endocrine neogenesis/morphogenesis in a laboratory rat model using occlusive pancreatic duct ligation. PDL's were performed on six groups of 25 normal adult Sprague-Dawley (SD) rats (300g+) according to the method of Hultquist and Jonsson (1965). Experimental animals were sacrificed at 12 hr intervals from day one post-PDL to day 10 and every 24 hrs thereafter to day 14 as described by Wang, Klëppel, Bouwens (1995). Animals received BrdU (a thymidine marker and cell proliferation indicator) 50mglkg intraperitoneally as described by Wang et al. (1995), one hour prior to removal of the pancreas after which it was fixed in Bouin's solution and histologically processed. Seven consecutive 3-6 urn thick serial sections were sequentially stained with H & E, insulin (I), glucagon (G), somatostatin (ST), pancreatic polypeptide (PP), neuropeptide tyrosine (NPY) and peptide tyrosine tyrosine (PYY). Immunolabeling was done according to the method of Guesdon, Temynck , Avrameas (1979). Double immunolabeling for BrdU and each pancreatic peptide was performed on the sections on days 3,5, 7, 9 and 11 as described by Wang et al (1994). Cellular transformation between one and 3Yz days was characterised by simultaneous total deletion and/or transdifferentiation of the acinar compartment and the appearance of immunoreactive cells for I (11.53 ±1.5%), G (1.85 ±0.8%), pp (1.50 ±0.09%), and ST (1.96 ±0.24%). Changes in the endocrine composition in existing islets, occurred along a pathway that saw PP- and ST-cells invading the islet core, islet mantle glucagon deletion and random appearance of all endocrine cell types within the inter-islet interstitium on day 3Yz. Days 4 to 6Yz saw further endocrine expansion while days 7 to 14 were distinguished by islet reconstitution and consolidation. NPY immunoreactivity appeared on day 4Y2 and persisted intermittently throughout while PVV first appeared on day 4 and disappeared after day 7Yz. The results suggest that PDL firstly induced the development of endocrine tissue distributed haphazardly throughout the space previously occupied by acinar parenchyma. Secondly, the appearance of insulin is preceded by the appearance of PP, glucagon and somatostatin by 24-hours. A still to be determined proportion of the ligation induced endocrine formation appeared to be associated with existing islets, resulting in a number of very large islets, some of which might have secretory access through the glomerularlike capillary network known to occupy the islet core. The remainder appeared to form separate "new" islets, which have a dubious access to the blood stream. In conclusion, if it is true that the pancreas can regenerate some of its endocrine tissue then it has potential clinical implication for the stabilising of diabetes mellitus. Ligated exocrine pancreatic tissue, devoid of its acinar component, has been shown to contain notable quantities of insulin positive cells. This presents intriguing possibilities as an alternative for donor tissue, usually obtained from rat foetuses, during foetal rat pancreas transplantation studies. Pancreas tissue harvested from duct ligated rats could replace the foetal tissue currently used in the treatment of experimental diabetes mellitus in laboratory animals in this laboratory. / AFRIKAANSE OPSOMMING: Diabetes Mellitus is sinoniem met B-sel disfunksie. Endokriene regenerasie kan segmenteel bewerkstellig word deur eksperimentele afbinding van die pankreasbuis distaal tot sy samesmelting met die gemene galbuis. 'n Verskeidenheid van selle word vermoedelik by hierdie proses betrek. Dormante stamselle besit die vermoë en/of plastisiteit om 'n aantal vorms van metaplasie te ondergaan om nuwe en/of oortollige endokriene weefsel te vorm wat patologiese en/of eksperimenteel gekompromiseerde weefsel vervang. Die selontwikkelings volgorde wat tydens hierdie proses plaasvind is al vir 'n geruime tyd die middelpunt van 'n meningsverskil. Sommige studies dui daarop dat die in vivo selontwikkelingsvolgorde verskil van in vitro, volgens eksperimentele model en tipe proefdier gebruik. Die doel van die studie was die gebruik van 'n bestaande eksperimentele laboratorium proefdier model om pankreas eiland morfologiese verandering en/ofneogenese of beide in vivo te evalueer. Die oogmerk van die studie was om die omvang en volgorde van veranderings in die endokriene kompartement (neogenese/morfogenese) te bepaal deur gebruik te maak van 'n pankreas buis afbindings (PBA) model wat totale afsnyding van die buis tot gevolg het. PBA's is uitgevoer op ses groepe van 25 volwasse normale Sprague-Dawley (SD) laboratorium rotte (±300g) soos beskryf deur Hultquist en Jonsson (1965). Proefdiere is elke 12 uur geoffer vanaf dag een post-PBA tot dag tien en elke 24 uur daarna tot dag 14 soos beskryf deur Wang, Bouwens, Kloppel (1995) na die toediening van 50 mg/kg 5-Bromo-2-deoksi-uridien intraperitoneaal ('n selprolifererings aanduider) soos beskryf deur Wang et al. (1995). Die pankreas is werwyder, in Bouin se oplossing gefikseer en histologies geprosesseer. Sewe openvolgende seriesnitte (3-6 urn) is alternatiewelik gekleur met H & E, en immunositochemies, soos beskryf deur Guesdon, Terugnek, Avrameas (1979), vir insulien (I), glukagon (G), somatostatien (ST), pankreatiesepolipeptied (PP), neuropeptied tirosien (NPY) en peptied tirosien-tirosien (PYY). BrdU dubbel-immuunkleuring is ingesluit op dae 3,5, 7, 9 en 11 soos beskryf deur Wang et al. (1994). Sellulêre transformasie tussen dae een en 3~ dae is gekenmerk deur gelyktydige en totale uitwissing en/ofmetaplasie van die asinêre kompartement en die verskyning van selle immunorektiefvir I(11.53 ±1.5%), G (1.85 ±0.8%), PP (1.50 ±0.09%), ST (1.96 ±0.24%). Metaplasie was verantwoordelik vir merkbare veranderings in bestaande endokriene weefsel langs In transformasie weg waar eiland insulien kemselle vervang is deur PP- en ST-selle, glukagon buitelaag uitwissing en die toevallige verskyning van alle endokriene seltipes in the inter-eiland interstitium teen dag 3Y2. Dae 4Y2deur 6~ is gekenmerk deur verdere endokrinetoename terwyl dag 7 deur 14 gekenmerk is deur eiland hersamestelling en konsolidering. NPY immunoreaktiwiteit was vanaf dag 4~, met afwisseling, te bespeur terwyl PVV slegs tussen dae 4 en 7 In verskyning gemaak het. . Die resultate suggereer eerstens, PBA induseer die ontwikkeling van oortollige endokriene weefsel op In lukrake wyse versprei deur die ruimte voorheen deur asinêre parenchiem beset. Tweedens, dat die verskyning van insulien deur dié van PP, glukagon en somatostatien met minstens 24-uur voorafgegaan is. Die verhouding, van nuutgevormde endokriene weefsel wat met bestaande eilande assosieer om In aantal baie groot eilande te vorm, moet nog vasgestel word. Sulke strukture mag moontlik afskeidings toegang hê tot die bloedstroom, deur die glomerulusagtige kapillêre netwerk, in die eilandkern teenwoordig terwyl die oorblywende nuutgevormde endokrine weefsel "nuwe" apparte eilande vorm wat wel of gladnie toegang tot die bloedstroom mag hê nie. As gevolgtrekking, indien dit waar is dat volwasse pankreas eilandweefsel wel regenerasie kan ondergaan, dan het dit kliniese implikasie vir die stabilisering van diabetes mellitus. Weefsel verkry uit PBA bevat geen asinêre weefsel nie maar wel merkbare hoeveelhede endokriene weefsel, veral insulin positief. Dit bied dan interessante alternatiewe as skenker weefsel by fetal rot pankreas oorplantings. PBA en/of die oorplanting van pankreasbuis afgebinde weefsel, na in vitro weefsel kultuur, bied moontlikhede vir die behandeling van diabetes mellitus.