Alterations in pancreatic B-, A- and D-cell populations following administration of corticosteroids. Immunocytochemical study in rats.

O J Zoras, J S Vassilakis, E Xynos, C Kittas, E Neonakis
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Abstract

Prednisolone was administered to two groups of rats for 2 or 4 weeks, respectively. A third group served for control. Serum glucose and insulin levels were measured, and changes in population size along with alterations in staining density of the intracellular granules in pancreatic B-, A- and D-cells were assessed. Two weeks of prednisolone treatment induced significant increases in the staining density of the intracellular granules of B- and D-cells as well as the population size of A-cells, while significant hyperglucosaemia and hyperinsulinaemia were observed. Four weeks of prednisolone administration induced significant increases in population size of B- and D-cells and significant decrease in the population size of A-cells, while hyperglucosaemia and hyperinsulinaemia were even greater. It is concluded that corticosteroids cause an increase in pancreatic B-cell activity and, eventually A-cell numerical atrophy by altering the glucose metabolism. The changes in activity of D-cells possibly reflect functional adaptation to increased B-cell activity.

皮质类固醇治疗后胰腺B、A、d细胞群的改变。大鼠免疫细胞化学研究。
两组大鼠分别给予泼尼松龙治疗2周和4周。第三组作为对照组。测量血清葡萄糖和胰岛素水平,并评估胰腺B、A和d细胞细胞内颗粒染色密度的变化和群体大小的变化。强的松龙治疗2周后,B细胞和d细胞胞内颗粒染色密度显著增加,a细胞群大小显著增加,同时出现明显的高血糖和高胰岛素血症。泼尼松龙治疗4周后,B细胞和d细胞数量显著增加,a细胞数量显著减少,高糖血症和高胰岛素血症更明显。由此得出结论,皮质类固醇通过改变糖代谢导致胰腺b细胞活性增加,最终导致a细胞数量萎缩。d细胞活性的变化可能反映了对b细胞活性增加的功能适应。
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