PMID- 30230173 OWN - NLM STAT- MEDLINE DCOM- 20190108 LR - 20190213 IS - 1463-1326 (Electronic) IS - 1462-8902 (Linking) VI - 20 Suppl 2 DP - 2018 Sep TI - Pancreatic islet of Langerhans' cytoarchitecture and ultrastructure in normal glucose tolerance and in type 2 diabetes mellitus. PG - 137-144 LID - 10.1111/dom.13380 [doi] AB - While a number of structural and cellular abnormalities occur in the islet of Langerhans in diabetes, and in particular in type 2 diabetes, the focus has been mostly on the insulin producing beta-cells and only more recently on glucagon producing alpha- and delta-cells. There is ample evidence that in type 2 diabetes mellitus (T2DM), in addition to a progressive decline in beta-cell function and associated insulin resistance in a number of insulin-sensitive tissues, alterations in glucagon secretion are also present and may play an important role in the pathogenesis of hyperglycemia both in the fasting and in the postprandial state. Recently, a number of studies have showed that there are also functional and structural alterations in glucagon-producing alpha-cells and somatostatin-producing delta-cells. Thus, it is becoming increasingly clear that multiple cellular alterations of multiple cell types occur, which adds even more complexity to our understanding of the pathophysiology of this common and severe disease. We believe that persistent efforts to increase the understanding of the pathophysiology of hormone secretion in the islets of Langerhans will also improve our capability to better prevent and treat diabetes mellitus. CI - (c) 2018 John Wiley & Sons Ltd. FAU - Folli, Franco AU - Folli F AUID- ORCID: 0000-0001-9824-5222 AD - Endocrinology and Metabolism, Department of Health Science, University of Milano, Milan, Italy. AD - Department of Medicine, Endocrinology and Metabolism, Azienda Socio-Sanitaria Santi Paolo e Carlo, Milan, Italy. FAU - La Rosa, Stefano AU - La Rosa S AD - Institute of Pathology, Lausanne University Hospital, Lausanne, Switzerland. FAU - Finzi, Giovanna AU - Finzi G AD - Anatomical Pathology, Ospedale di Circolo Varese, Varese, Italy. FAU - Davalli, Alberto M AU - Davalli AM AD - Department of Medicine, Endocrinology and Metabolism, H.S Raffaele, Milan, Italy. FAU - Galli, Alessandra AU - Galli A AD - Department of Pharmacological and Biomolecular Sciences, Universita degli Studi di Milano, Milan, Italy. FAU - Dick, Edward J Jr AU - Dick EJ Jr AD - Southwest National Primate Research Center, Texas Biomedical Research Institute, San Antonio, Texas. FAU - Perego, Carla AU - Perego C AD - Anatomical Pathology, Ospedale di Circolo Varese, Varese, Italy. FAU - Mendoza, Rodolfo Guardado AU - Mendoza RG AD - Division of Health Sciences, Department of Medicine and Nutrition, University of Guanajuato, Guanajuato, Mexico. AD - Departamento de Investigacion, Hospital Regional de Alta Especialidad del Bajio, Guanajuato, Mexico. LA - eng GR - P51 OD011133/OD/NIH HHS/United States PT - Journal Article PT - Review PL - England TA - Diabetes Obes Metab JT - Diabetes, obesity & metabolism JID - 100883645 RN - 0 (Amyloid) RN - 0 (Blood Glucose) SB - IM EIN - Diabetes Obes Metab. 2018 Dec;20(12):2925. PMID: 30417538 MH - Amyloid/metabolism MH - Animals MH - Blood Glucose/*metabolism MH - Diabetes Mellitus, Type 2/*pathology MH - Glucagon-Secreting Cells/ultrastructure MH - Haplorhini MH - Humans MH - Islets of Langerhans/*cytology/ultrastructure MH - Mice MH - Models, Animal MH - Pancreatic Polypeptide-Secreting Cells/ultrastructure MH - Papio MH - Rats MH - Somatostatin-Secreting Cells/ultrastructure OTO - NOTNLM OT - IAPP OT - amyloid deposition OT - electron microscopy insulin producing beta-cells OT - glucagon producing alpha-cells OT - pancreatic islet of Langerhans structure OT - somatostatin producing delta-cells OT - type 2 diabetes mellitus OT - ultrastructure EDAT- 2018/09/20 06:00 MHDA- 2019/01/09 06:00 CRDT- 2018/09/20 06:00 PHST- 2018/04/23 00:00 [received] PHST- 2018/05/20 00:00 [revised] PHST- 2018/05/23 00:00 [accepted] PHST- 2018/09/20 06:00 [entrez] PHST- 2018/09/20 06:00 [pubmed] PHST- 2019/01/09 06:00 [medline] AID - 10.1111/dom.13380 [doi] PST - ppublish SO - Diabetes Obes Metab. 2018 Sep;20 Suppl 2:137-144. doi: 10.1111/dom.13380.