PMID- 22847497 OWN - NLM STAT- MEDLINE DCOM- 20130308 LR - 20211021 IS - 1938-2022 (Electronic) IS - 1938-2014 (Print) IS - 1938-2014 (Linking) VI - 4 IP - 3 DP - 2012 May-Jun TI - Islet amyloid polypeptide in pancreatic islets from type 2 diabetic subjects. PG - 223-32 LID - 10.4161/isl.20477 [doi] AB - AIMS/HYPOTHESIS: Islet amyloid polypeptide (IAPP) is a chief constituent of amyloid deposits in pancreatic islets, characteristic histopathology for type 2 diabetes. The goal of this study was to analyze islet cell composition in diabetic islets for the process of transforming water-soluble IAPP in beta-cells to water-insoluble amyloid deposits by Immunocytochemical staining using different dilutions of anti-IAPP antibody. IAPP in beta-cell granules may initiate beta-cell necrosis through apoptosis to form interstitial amyloid deposits in type 2 diabetic islets. RESULTS: Control islets revealed twice as much beta-cells as alpha-cells whereas 15 of 18 type 2 diabetic cases (83%) revealed alpha- cells as major cells in larger islets. Diabetic islets consisted of more larger islets with more sigma-cells than beta-cells, which contribute to hyperglucagonemia. In control islets, percentage of IAPP-positive cells against beta-cells was 40-50% whereas percentage for type 2 diabetic islets was about 25%. Amyloid deposits in diabetic islets were not readily immunostained for IAPP using 1: 800 diluted antibody, however, 1: 400 and 1: 200 diluted solutions provided stronger immunostaining in early stages of islet amyloidogenesis after treating the deparaffinized sections with formic acid. METHODS: Using commercially available rabbit antihuman IAPP antibody, immunocytochemical staining was performed on 18 cases of pancreatic tissues from type 2 diabetic subjects by systematically immunostaining for insulin, glucagon, somatostatin (SRIF) and IAPP compared with controls. Sizes of islets were measured by 1 cm scale, mounted in 10X eye piece. CONCLUSIONS/INTERPRETATION: alpha cells were major islet cells in majority of diabetic pancreas (83%) and all diabetic islets contained less IAPP-positive cells than controls, indicating that IAPP deficiency in pancreatic islets is responsible for decreased IAPP in blood. In diabetic islets, water-soluble IAPP disappeared in beta-cell granules, which transformed to water-insoluble amyloid deposits. Amyloid deposits were not readily immunostained using IAPP 1: 800 diluted antibody but were stronger immunostained for IAPP in early stages of amyloid deposited islets using less diluted solutions after formic acid treatment. In early islet amyloidogenesis, dying beta-cell cytoplasm was adjacently located to fine amyloid fibrils, supporting that IAPP in secretary granules from dying beta cells served as nidus for islet beta-sheet formation. FAU - Tomita, Tatsuo AU - Tomita T AD - Department of Integrative Bioscience, Oregon National Primate Center, Oregon Health and Science University, Portland, OR, USA. tomitat@ohsu.edu LA - eng GR - RR 00063/RR/NCRR NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PL - United States TA - Islets JT - Islets JID - 101495366 RN - 0 (Insulin) RN - 0 (Islet Amyloid Polypeptide) RN - 51110-01-1 (Somatostatin) RN - 9007-92-5 (Glucagon) SB - IM MH - Adult MH - Aged MH - Diabetes Mellitus, Type 2/*metabolism/pathology MH - Female MH - Glucagon/metabolism MH - Glucagon-Secreting Cells/*metabolism/pathology MH - Humans MH - Immunohistochemistry MH - Insulin/metabolism MH - Insulin-Secreting Cells/*metabolism/pathology MH - Islet Amyloid Polypeptide/*metabolism MH - Islets of Langerhans/cytology/*metabolism MH - Male MH - Middle Aged MH - Somatostatin/metabolism PMC - PMC3442820 EDAT- 2012/08/01 06:00 MHDA- 2013/03/09 06:00 PMCR- 2013/05/01 CRDT- 2012/08/01 06:00 PHST- 2012/08/01 06:00 [entrez] PHST- 2012/08/01 06:00 [pubmed] PHST- 2013/03/09 06:00 [medline] PHST- 2013/05/01 00:00 [pmc-release] AID - 20477 [pii] AID - 2012ISLETS0006R [pii] AID - 10.4161/isl.20477 [doi] PST - ppublish SO - Islets. 2012 May-Jun;4(3):223-32. doi: 10.4161/isl.20477.