Page B J, du Toit D F, Muller C J, Mattysen J, Lyners R
Department of Anatomy and Histology, Faculty of Medicine, University of Stellenbosch. Tygerberg, South Africa.
JOP. 2000 Nov;1(4):191-203.
Ligation of the pancreatic duct, distally to its confluence into the bile duct has been shown to induce endocrine tissue regeneration. The surplus endocrine tissue formed is presumed to be able to replace pathologically and/or experimentally compromised tissue.
This is a quantitative study on the histology of duct ligated pancreas employing immunocytochemistry and computerised morphometry.
Pancreatic duct ligation was performed on 25 groups of six normal Sprague-Dawley rats. Experimental animals were sacrificed at 12-hour intervals from day one to ten post-duct ligation and every 24 hours thereafter to day 14, the pancreas removed, fixed and processed. Six consecutive 3-6 micron serial sections were cut on a rotary hand microtome, floated onto 3-aminopropyl-trimethoxysilan coated slides and alternatively immunocytochemically stained for insulin, glucagon, pancreatic polypeptide and somatostatin.
Pancreas transformation between days 1/2 and 3 1/2 was characterised by acinar deletion and the appearance of immunoreactive cells for the primary endocrine hormones. Transdifferentiation of existing endocrine tissue saw islet insulin core cells replaced by pancreatic polypeptide- and somatostatin positive cells, glucagon deletion and random appearance of all endocrine cell types within the inter-islet interstitium by day 3 1/2. Days 4 to 14 were characterised by cellular migration and islet reconstruction.
To date our laboratory has investigated transplantation of foetal tissue beneath the renal capsule in syngeneic, isogeneic and allogeneic normal and diabetic rats. As pancreatic duct ligation induces the development of surplus endocrine tissue our next step would be to investigate the use of ligated pancreas as a replacement for foetal tissue.
胰腺导管在其汇入胆管的远端进行结扎已被证明可诱导内分泌组织再生。形成的多余内分泌组织被认为能够替代病理和/或实验性受损组织。
这是一项采用免疫细胞化学和计算机形态测量法对导管结扎胰腺组织学进行的定量研究。
对25组每组6只正常的Sprague-Dawley大鼠进行胰腺导管结扎。从导管结扎后第1天到第10天,每隔12小时处死实验动物,此后每天处死一次,直到第14天,取出胰腺,固定并进行处理。在旋转式手动切片机上连续切取6张3 - 6微米的系列切片,漂浮到涂有3 - 氨丙基 - 三甲氧基硅烷的载玻片上,交替进行胰岛素、胰高血糖素、胰多肽和生长抑素的免疫细胞化学染色。
在第1/2天到第3 1/2天之间,胰腺的转变特征为腺泡缺失以及主要内分泌激素免疫反应性细胞的出现。到第3 1/2天,现有内分泌组织的转分化表现为胰岛胰岛素核心细胞被胰多肽和生长抑素阳性细胞取代,胰高血糖素缺失,并且在胰岛间间质内随机出现所有内分泌细胞类型。第4天到第14天的特征为细胞迁移和胰岛重建。
迄今为止,我们实验室已经研究了在同基因、同系基因和异基因正常及糖尿病大鼠的肾包膜下移植胎儿组织。由于胰腺导管结扎可诱导多余内分泌组织的发育,我们的下一步将是研究使用结扎的胰腺替代胎儿组织。