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beta-Cell Loss and beta-Cell Apoptosis in Human Type 2 Diabetes Are Related to Islet Amyloid Deposition
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2011 (English)In: American Journal of Pathology, ISSN 0002-9440, E-ISSN 1525-2191, Vol. 178, no 6, 2632-2640 p.Article in journal (Refereed) Published
Abstract [en]

Amyloid deposition and reduced beta-cell mass are pathological hallmarks of the pancreatic islet in type 2 diabetes; however, whether the extent of amyloid deposition is associated with decreased beta-cell mass is debated. We investigated the possible relationship and, for the first time, determined whether increased islet amyloid and/or decreased beta-cell area quantified on histological sections is correlated with increased beta-cell apoptosis. Formalin-fixed, paraffin-embedded human pancreas sections from subjects with (n = 29) and without (n = 39) diabetes were obtained at autopsy (64 +/- 2 and 70 +/- 4 islets/subject, respectively). Amyloid and beta cells were visualized by thioflavin S and insulin inununolabeling. Apoptotic beta cells were detected by colabeling for insulin and by TUNEL. Diabetes was associated with increased amyloid deposition, decreased beta-cell area, and increased beta-cell apoptosis, as expected. There was a strong inverse correlation between beta-cell area and amyloid deposition (r = -0.42, P < 0.001). beta-Cell area was selectively reduced in individual amyloid-containing islets from diabetic subjects, compared with control subjects, but amyloid-free islets had beta-cell area equivalent to islets from control subjects. Increased amyloid 'deposition was associated with beta-cell apoptosis (r = 0.56, P < 0.01). Thus, islet amyloid is associated with decreased beta-cell area and increased beta-cell apoptosis, suggesting that islet amyloid deposition contributes to the decreased beta-cell mass that characterizes type 2 diabetes.

Place, publisher, year, edition, pages
2011. Vol. 178, no 6, 2632-2640 p.
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Clinical Medicine
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URN: urn:nbn:se:uu:diva-167672DOI: 10.1016/j.ajpath.2011.02.036ISI: 000298306900019PubMedID: 21641386OAI: oai:DiVA.org:uu-167672DiVA: diva2:487890

Title also written as: β-cell loss and β-cell apoptosis in human type 2 diabetes are related to islet amyloid deposition

Available from: 2012-02-01 Created: 2012-01-31 Last updated: 2014-08-15Bibliographically approved

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Westermark, PerWestermark, Gunilla T.
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Molecular and Morphological PathologyDepartment of Medical Cell Biology
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