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pubmed-article:21641386pubmed:abstractTextAmyloid deposition and reduced ?-cell mass are pathological hallmarks of the pancreatic islet in type 2 diabetes; however, whether the extent of amyloid deposition is associated with decreased ?-cell mass is debated. We investigated the possible relationship and, for the first time, determined whether increased islet amyloid and/or decreased ?-cell area quantified on histological sections is correlated with increased ?-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 ? cells were visualized by thioflavin S and insulin immunolabeling. Apoptotic ? cells were detected by colabeling for insulin and by TUNEL. Diabetes was associated with increased amyloid deposition, decreased ?-cell area, and increased ?-cell apoptosis, as expected. There was a strong inverse correlation between ?-cell area and amyloid deposition (r = -0.42, P < 0.001). ?-Cell area was selectively reduced in individual amyloid-containing islets from diabetic subjects, compared with control subjects, but amyloid-free islets had ?-cell area equivalent to islets from control subjects. Increased amyloid deposition was associated with ?-cell apoptosis (r = 0.56, P < 0.01). Thus, islet amyloid is associated with decreased ?-cell area and increased ?-cell apoptosis, suggesting that islet amyloid deposition contributes to the decreased ?-cell mass that characterizes type 2 diabetes.lld:pubmed
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pubmed-article:21641386pubmed:copyrightInfoCopyright © 2011 American Society for Investigative Pathology. Published by Elsevier Inc. All rights reserved.lld:pubmed
pubmed-article:21641386pubmed:issnTypeElectroniclld:pubmed
pubmed-article:21641386pubmed:volume178lld:pubmed
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pubmed-article:21641386pubmed:articleTitle?-cell loss and ?-cell apoptosis in human type 2 diabetes are related to islet amyloid deposition.lld:pubmed
pubmed-article:21641386pubmed:affiliationDivision of Metabolism, Endocrinology and Nutrition, Veterans Affairs Puget Sound Health Care System and University of Washington, Seattle, Washington, USA.lld:pubmed
pubmed-article:21641386pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:21641386pubmed:publicationTypeResearch Support, U.S. Gov't, Non-P.H.S.lld:pubmed
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