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Pancreatic islets

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effective cure will require a sequential, integrated approach that combines adequate and safe immune interventions with beta cell regenerative approaches. It has also been demonstrated that alpha cells can spontaneously switch fate and transdifferentiate into beta cells in both healthy and diabetic human and mouse pancreatic islets, a possible future source for beta cell regeneration. In fact, it has been found that islet morphology and endocrine differentiation are directly related. Endocrine progenitor cells differentiate by migrating in cohesion and forming bud-like islet precursors, or "peninsulas", in which alpha cells constitute the peninsular outer layer and beta cells form later beneath them. Cryopreservation has shown promise to improve the supply chain of pancreatic islets for better transplantation outcomes.
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The proportion of beta cells in islets varies depending on the species, in humans it is about 40–50%. In addition to endocrine cells, there are stromal cells (fibroblasts), vascular cells (endothelial cells, pericytes), immune cells (granulocytes, lymphocytes, macrophages, dendritic cells,) and
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produced by islets and vascular endothelial cells. However, intraportal transplantation has some other shortcomings, and so other alternative sites that would provide better microenvironment for islets implantation are being examined. Islet transplant research also focuses on islet encapsulation,
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Islet transplantation only involves the transfer of tissue consisting of beta cells that are necessary as a treatment of this disease. It thus represents an advantage over whole pancreas transplantation, which is more technically demanding and poses a risk of, for example, pancreatitis leading to
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would contribute to overcoming the shortage of donor organs for transplantation. The field of regenerative medicine is rapidly evolving and offers great hope for the nearest future. However, type 1 diabetes is the result of the autoimmune destruction of beta cells in the pancreas. Therefore, an
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of pancreatic islets differs between species. In particular, while rodent islets are characterized by a predominant proportion of insulin-producing beta cells in the core of the cluster and by scarce alpha, delta and PP cells in the periphery, human islets display alpha and beta cells in close
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and the low value of islet survival a few minutes after transplantation, because the vascular density at this site is after the surgery several months lower than in endogenous islets. Thus, neovascularization is key to islet survival, that is supported, for example, by
489:(BMI) are unsuitable pancreatic donors due to greater technical complications during transplantation. However, it is possible to isolate a larger number of islets because of their larger pancreas, and therefore they are more suitable donors of islets. 221:
There are about 1 million islets distributed throughout the pancreas of a healthy adult human. While islets vary in size, the average diameter is about 0.2 mm. Each islet is separated from the surrounding pancreatic tissue by a thin, fibrous,
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Ichii H, Inverardi L, Pileggi A, Molano RD, Cabrera O, Caicedo A, Messinger S, Kuroda Y, Berggren PO, Ricordi C (2005). "A novel method for the assessment of cellular composition and beta-cell viability in human islet preparations".
209:. The pancreatic islets constitute 1–2% of the pancreas volume and receive 10–15% of its blood flow. The pancreatic islets are arranged in density routes throughout the human pancreas, and are important in the metabolism of 388:(GPCRs) regulate the secretion of insulin, glucagon, and somatostatin from pancreatic islets, and some of these GPCRs are the targets of drugs used to treat type-2 diabetes (ref GLP-1 receptor agonists, DPPIV inhibitors). 1881:
BermĂșdez-Silva, F. J.; SuĂĄrez, J.; Baixeras, E.; Cobo, N.; Bautista, D.; Cuesta-Muñoz, A. L.; Fuentes, E.; Juan-Pico, P.; Castro, M. J.; Milman, G.; Mechoulam, R.; Nadal, A.; RodrĂ­guez de Fonseca, F. (2008-03-01).
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Zhan, L., Rao, J.S., Sethia, N. et al. Pancreatic islet cryopreservation by vitrification achieves high viability, function, recovery and clinical scalability for transplantation. Nat Med (2022).
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van der Meulen, T.; Mawla, A.M.; DiGruccio, M.R.; Adams, M.W.; Nies, V.; Dolleman, S.; Liu, S.; Ackermann, A.M.; Caceres, E.; Hunter, A.E.; Kaestner, K.H.; Donaldson, C.J.; Huising, M.O. (2017).
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Jansson, Leif; Barbu, Andreea; Bodin, Birgitta; Drott, Carl Johan; Espes, Daniel; Gao, Xiang; Grapensparr, Liza; KĂ€llskog, Örjan; Lau, Joey; LiljebĂ€ck, Hanna; Palm, Fredrik (2016-04-02).
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Hormones produced in the pancreatic islets are secreted directly into the blood flow by (at least) five types of cells. In rat islets, endocrine cell types are distributed as follows:
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Sharon, N.; Chawla, R.; Mueller, J.; Vanderhooft, J.; Whitehorn, L.J.; Rosenthal, B.; GĂŒrtler, M.; Estanboulieh, R.R.; Shvartsman, D.; Gifford, D.K.; Trapnell, C.; Melton, D. (2019).
2035:"Effects of oral, smoked, and vaporized cannabis on endocrine pathways related to appetite and metabolism: a randomized, double-blind, placebo-controlled, human laboratory study" 470:, clinicians and researchers are actively pursuing islet transplantation as a means of restoring physiological beta cell function, which would offer an alternative to a complete 2115: 1931:
Flores, Luis E.; Alzugaray, María E.; Cubilla, Marisa A.; Raschia, María A.; Del Zotto, Héctor H.; Romån, Carolina L.; Suburo, Ángela M.; Gagliardino, Juan J. (October 2013).
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Juan-PicĂł, Pablo; Fuentes, Esther; Javier BermĂșdez-Silva, F.; Javier DĂ­az-Molina, F.; Ripoll, Cristina; RodrĂ­guez de Fonseca, Fernando; Nadal, Angel (2006-02-01).
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Amisten, S; Salehi, A; Rorsman, P; Jones, PM; Persaud, SJ (2013). "An atlas and functional analysis of G-protein coupled receptors in human islets of Langerhans".
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A large amount of blood flows through the islets, 5–6 mL/min per 1 g of islet. It is up to 15 times more than in exocrine tissue of the pancreas.
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Pileggi A, Cobianchi L, Inverardi L, Ricordi C (2006). "Overcoming the challenges now limiting islet transplantation: a sequential, integrated approach".
2856: 1932: 1702: 346: 334: 482:. Alternatively, daily insulin injections are an effective treatment for type 1 diabetes patients who are not candidates for islet transplantation. 2108: 682: 394: 1490:
Niclauss, Nadja; Meier, Raphael; BĂ©dat, BenoĂźt; Berishvili, Ekaterine; Berney, Thierry (2016-01-27), Stettler, C.; Christ, E.; Diem, P. (eds.),
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techniques. It has turned out that the behavior of cells in intact islets differs significantly from the behavior of dispersed cells.
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Chang, Charles A.; Lawrence, Michael C.; Naziruddin, Bashoo (October 2017). "Current issues in allogeneic islet transplantation".
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are found widely expressed in islets of Langerhans, and several studies have investigated specific distribution and mechanisms of
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capsule which is continuous with the fibrous connective tissue that is interwoven throughout the rest of the pancreas.
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Pour, Parviz M.; Standop, Jens; Batra, Surinder K. (January 2002). "Are islet cells the gatekeepers of the pancreas?".
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communication, and beta cells are coupled electrically to six to seven other beta cells, but not to other cell types.
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Sleisenger, edited by Mark Feldman, Lawrence S. Friedman, Lawrence J. Brandt; consulting editor, Marvin H. (2015).
418: 385: 1814:"A Peninsular Structure Coordinates Asynchronous Differentiation with Morphogenesis to Generate Pancreatic Islets" 2877: 2404: 754: 571: 2424: 471: 120: 70:
A pancreatic islet from a mouse in a typical position, close to a blood vessel; insulin in red, nuclei in blue.
2613: 2524: 2282: 2267: 2161: 2636: 2176: 2141: 2125: 955: 377: 266: 144: 132: 1198: 906:"Assessment of human pancreatic islet architecture and composition by laser scanning confocal microscopy" 2228: 2171: 1290:"Biophysical properties of gap junctions between freshly dispersed pairs of mouse pancreatic beta cells" 605:. Different cell types are colour-coded. Rodent islets, unlike the human ones, show the characteristic 1987: 466:
Because the beta cells in the pancreatic islets are selectively destroyed by an autoimmune process in
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Sleisenger & Fordtran's gastrointestinal and liver disease pathophysiology, diagnosis, management
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Marques, Joana Moreira; Nunes, Rute; Florindo, Helena; Ferreira, Domingos; Sarmento, Bruno (2021).
475: 2093: 2536: 2504: 2486: 2294: 2151: 1968: 1743: 1682: 1228: 1004:"The unique cytoarchitecture of human pancreatic islets has implications for islet cell function" 981: 831: 791: 654: 46: 731: 2628: 2541: 2514: 2419: 2332: 2289: 2064: 2015: 2007: 1960: 1952: 1913: 1905: 1851: 1833: 1794: 1735: 1727: 1674: 1666: 1631: 1623: 1586: 1568: 1521: 1511: 1465: 1424: 1380: 1329: 1270: 1218: 1177: 1154: 1113: 1095: 1051: 1033: 973: 927: 883: 817: 783: 735: 497: 223: 2813: 2678: 2673: 2668: 2553: 2546: 2519: 2469: 2384: 2379: 2374: 2369: 2327: 2322: 2277: 2272: 2210: 2198: 2054: 2046: 1999: 1944: 1895: 1841: 1825: 1784: 1774: 1719: 1658: 1615: 1576: 1560: 1503: 1455: 1414: 1370: 1360: 1319: 1311: 1262: 1210: 1144: 1103: 1087: 1041: 1023: 965: 917: 873: 775: 723: 634: 479: 294: 96: 2696: 2688: 2581: 2576: 2494: 2477: 2399: 1604:
Chatenoud L (2008). "Chemical immunosuppression in islet transplantation—friend or foe?".
843: 533: 529: 486: 467: 206: 31: 1988:"Cannabinoid receptors regulate Ca2+ signals and insulin secretion in pancreatic ÎČ-cell" 1763:"Virgin Beta Cells Persist throughout Life at a Neogenic Niche within Pancreatic Islets" 1715: 1307: 1019: 2745: 2660: 2591: 2509: 2499: 2342: 2193: 2166: 2059: 2034: 1846: 1813: 1789: 1581: 1548: 1460: 1375: 1348: 1324: 1289: 1214: 1133:"Role of islet structure and cellular interactions in the control of insulin secretion" 1108: 1075: 1046: 1003: 878: 865: 688: 65: 2084: 1547:
Gamble, Anissa; Pepper, Andrew R.; Bruni, Antonio; Shapiro, A. M. James (2018-03-04).
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Brissova M, Fowler MJ, Nicholson WE, Chu A, Hirshberg B, Harlan DM, Powers AC (2005).
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Langerhans P (1869). "Beitrage zur mikroscopischen anatomie der bauchspeichel druse".
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Glycogen/Glucagon: activates alpha cells which activates beta cells and delta cells.
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organ loss. Another advantage is that patients do not require general anesthesia.
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Somatostatin: inhibits alpha cells and beta cells. Also inhibits the secretion of
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Proceedings of the National Academy of Sciences of the United States of America
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An alternative source of beta cells, such insulin-producing cells derived from
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Cabrera O, Berman DM, Kenyon NS, Ricordi C, Berggren PO, Caicedo A (2006).
977: 931: 866:"An immunocytochemical and morphometric study of the rat pancreatic islets" 787: 1884:"Presence of functional cannabinoid receptors in human endocrine pancreas" 1333: 1149: 1132: 887: 525:) immunosuppression, biomarkers of islet damage or islet donor shortage. 2846: 2718: 2358: 631: 602: 562: 460: 242: 194: 84: 52: 1365: 2605: 650: 606: 496:
Islet transplantation for type 1 diabetes (as of 2008) requires potent
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feedback system of the pancreatic islets has the following structure:
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Kelly, Catriona; McClenaghan, Neville H.; Flatt, Peter R. (2011).
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Electrical activity of pancreatic islets has been studied using
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Glucose/Insulin: activates beta cells and inhibits alpha cells.
30:"Islets of Langerhans" redirects here. Not to be confused with 1444:"25 Years of the Ricordi Automated Method for Islet Isolation" 1199:"A demanding path from iPSCs toward pancreatic ÎČ- and α-cells" 590: 463:. It is thought that they are destroyed by immune assaults. 1172:
Wang, Michael B.; Bullock, John; Boyle, Joseph R. (2001).
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Barrett KE, Boitano S, Barman SM, Brooks HL (2009-07-22).
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Elayat AA; el-Naggar MM; Tahir M; Bassam dahrouj (1995).
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PĂ©rez-Armendariz M, Roy C, Spray DC, Bennett MV (1991).
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Pancreatic islets, the lighter tissue among the darker,
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Pancreatic islets are groups of cells found within the
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relationship with each other throughout the cluster.
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Mouse islet immunostained for pancreatic polypeptide
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Berlin: Gustav Lange 910:Journal of Histochemistry and Cytochemistry 2857:List of human endocrine organs and actions 2656: 2482: 2460: 2446: 2438: 2255: 2116: 2102: 2094: 1870:https://doi.org/10.1038/s41591-022-01718-1 1703:Annals of the New York Academy of Sciences 1203:Recent Advances in IPSC-Derived Cell Types 64: 45: 2058: 1899: 1845: 1788: 1778: 1580: 1459: 1418: 1374: 1364: 1323: 1148: 1107: 1045: 1027: 959: 921: 877: 849:CS1 maint: multiple names: authors list ( 1651:Current Opinion in Organ Transplantation 683:Adrift Just Off the Islets of Langerhans 637:functions, where they play an important 308:Islets can influence each other through 699: 544: 390: 352:A pancreatic islet, showing beta cells. 340:A pancreatic islet, showing alpha cells 318: 1401:Hogan A, Pileggi A, Ricordi C (2008). 839: 829: 424:Mouse islet immunostained for glucagon 172: 36: 1542: 1540: 1485: 1483: 1481: 1479: 1069: 1067: 1065: 726:Ganong's review of medical physiology 412:Mouse islet immunostained for insulin 7: 459:, and so play a significant role in 948:American Journal of Transplantation 577:Illustration of dog pancreas. 250x. 507:The islets are transplanted into a 265:(gamma cells or F cells) producing 1215:10.1016/B978-0-12-822230-0.00002-8 1080:Upsala Journal of Medical Sciences 25: 2239:Liver sinusoidal endothelial cell 1353:World Journal of Gastroenterology 1205:. Advances in Stem Cell Biology. 455:of the pancreatic islets secrete 2126:liver, pancreas and biliary tree 1267:10.1016/j.pharmthera.2013.05.004 970:10.1111/j.1600-6143.2005.00913.x 582: 570: 547: 417: 405: 393: 345: 333: 321: 293:It has been recognized that the 169:Anatomical terms of microanatomy 2033:Farokhnia, Mehdi (2020-02-19). 1607:New England Journal of Medicine 677:Pancreatic neuroendocrine tumor 597:islets (bottom) as well as the 589:Structural differences between 1442:Piemonti L, Pileggi A (2013). 872:. 186. (Pt 3) (Pt 3): 629–37. 1: 1565:10.1080/19382014.2018.1428511 1316:10.1016/S0006-3495(91)82200-7 1092:10.3109/03009734.2016.1164769 1949:10.1097/MPA.0b013e31828fd32d 1663:10.1097/MOT.0000000000000448 328:A pancreatic islet, stained. 653:production, secretion, and 558:pancreatic tissue, hemalum- 386:G protein-coupled receptors 2894: 2184:Fibrous capsule of Glisson 2004:10.1016/j.ceca.2005.10.005 1830:10.1016/j.cell.2018.12.003 1780:10.1016/j.cmet.2017.03.017 245:(20% of total islet cells) 29: 2051:10.1038/s41398-020-0756-3 1901:10.1007/s00125-007-0890-y 1502:, S. Karger AG: 146–162, 167: 63: 44: 480:unstable type 1 diabetes 2525:Somatomammotrophic cell 2268:Intrahepatic bile ducts 1724:10.1196/annals.1375.059 1620:10.1056/NEJMcibr0708067 1407:Frontiers in Bioscience 1029:10.1073/pnas.0510790103 923:10.1369/jhc.5C6684.2005 205:pathological anatomist 193:are the regions of the 27:Regions of the pancreas 378:pancreatic polypeptide 267:pancreatic polypeptide 2229:Hepatic stellate cell 1496:Endocrine Development 1150:10.4161/isl.3.2.14805 620:Cannabinoid receptors 523:calcineurin-inhibitor 442:Clinical significance 2840:Organ of Zuckerkandl 2830:Enteroendocrine cell 2189:Perisinusoidal space 672:Neuroendocrine tumor 191:islets of Langerhans 114:insulae pancreaticae 2619:Parafollicular cell 2300:Common hepatic duct 2089:Human Protein Atlas 1716:2006NYASA1079..383P 1366:10.3748/wjg.13.6347 1347:Meloche RM (2007). 1308:1991BpJ....59...76P 1295:Biophysical Journal 1020:2006PNAS..103.2334C 476:artificial pancreas 472:pancreas transplant 430:Electrical activity 18:Pancreatic hormones 2763:Islets of pancreas 2537:Corticotropic cell 2295:Right hepatic duct 2152:Ligamentum venosum 1824:(4): 790–804.e13. 870:Journal of Anatomy 842:has generic name ( 647:pancreatic ÎČ-cells 384:A large number of 2865: 2864: 2705: 2704: 2629:Parathyroid gland 2600: 2599: 2542:Gonadotropic cell 2515:Somatotropic cell 2435: 2434: 2420:Centroacinar cell 2415:Pancreatic islets 2353: 2352: 2333:Sphincter of Oddi 2290:Left hepatic duct 2039:Transl Psychiatry 1517:978-3-318-05638-9 1508:10.1159/000439412 1183:978-0-683-30603-3 823:978-1-4557-4989-8 780:10.1159/000064718 741:978-0-07-160568-7 593:islets (top) and 541:Additional images 504:of donor islets. 498:immunosuppression 485:People with high 224:connective tissue 197:that contain its 187:pancreatic islets 183: 182: 178: 40:Pancreatic islets 16:(Redirected from 2885: 2878:Pancreas anatomy 2814:Corpora arenacea 2679:Zona reticularis 2674:Zona fasciculata 2669:Zona glomerulosa 2657: 2554:Chromophobe cell 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902: 895: 863: 862: 858: 848: 838: 828: 824: 811: 810: 803: 765: 764: 760: 753: 749: 742: 721: 720: 716: 706: 705: 701: 697: 687:a novelette by 663: 630:in relation to 617: 610: 587: 578: 575: 566: 552: 543: 487:body mass index 468:type 1 diabetes 449: 444: 432: 425: 422: 413: 410: 401: 398: 360: 353: 350: 341: 338: 329: 326: 232: 219: 207:Paul Langerhans 179: 71: 59: 35: 32:Langerhans cell 28: 23: 22: 15: 12: 11: 5: 2891: 2889: 2881: 2880: 2870: 2869: 2863: 2862: 2860: 2859: 2854: 2849: 2844: 2843: 2842: 2832: 2826: 2824: 2820: 2819: 2817: 2816: 2811: 2805: 2803: 2797: 2796: 2794: 2793: 2788: 2783: 2778: 2773: 2767: 2765: 2759: 2758: 2756: 2755: 2754: 2753: 2748: 2746:Granulosa cell 2743: 2733: 2732: 2731: 2726: 2715: 2713: 2707: 2706: 2703: 2702: 2700: 2699: 2693: 2691: 2685: 2684: 2682: 2681: 2676: 2671: 2665: 2663: 2654: 2648: 2647: 2645: 2644: 2639: 2633: 2631: 2625: 2624: 2622: 2621: 2616: 2610: 2608: 2602: 2601: 2598: 2597: 2595: 2594: 2592:Herring bodies 2589: 2584: 2579: 2574: 2568: 2566: 2560: 2559: 2557: 2556: 2551: 2550: 2549: 2544: 2539: 2529: 2528: 2527: 2522: 2520:Prolactin cell 2517: 2510:Acidophil cell 2507: 2502: 2500:Pars tuberalis 2497: 2491: 2489: 2480: 2474: 2473: 2467: 2465: 2464: 2457: 2450: 2442: 2433: 2432: 2430: 2429: 2428: 2427: 2422: 2417: 2409: 2408: 2407: 2402: 2394: 2393: 2392: 2382: 2377: 2372: 2363: 2361: 2355: 2354: 2351: 2350: 2348: 2347: 2346: 2345: 2343:Cholecystocyte 2337: 2336: 2335: 2325: 2320: 2314: 2312: 2306: 2305: 2303: 2302: 2297: 2292: 2287: 2286: 2285: 2280: 2275: 2264: 2262: 2253: 2247: 2246: 2244: 2243: 2242: 2241: 2236: 2231: 2226: 2218: 2213: 2208: 2203: 2202: 2201: 2194:Liver sinusoid 2191: 2186: 2181: 2180: 2179: 2174: 2167:Lobes of liver 2164: 2162:Round ligament 2159: 2154: 2149: 2144: 2138: 2136: 2130: 2129: 2123: 2121: 2120: 2113: 2106: 2098: 2092: 2091: 2080: 2079:External links 2077: 2075: 2074: 2025: 1998:(2): 155–162. 1978: 1923: 1894:(3): 476–487. 1873: 1861: 1804: 1773:(4): 911–926. 1753: 1692: 1657:(5): 437–443. 1641: 1614:(11): 1192–3. 1596: 1536: 1516: 1475: 1434: 1390: 1339: 1280: 1255:Pharmacol Ther 1245: 1223: 1189: 1182: 1164: 1123: 1061: 991: 954:(7): 1635–45. 937: 916:(9): 1087–97. 893: 856: 822: 801: 774:(5): 440–448. 758: 747: 740: 714: 698: 696: 693: 692: 691: 689:Harlan Ellison 679: 674: 669: 662: 659: 616: 613: 612: 611: 588: 581: 579: 576: 569: 567: 553: 546: 542: 539: 448: 445: 443: 440: 431: 428: 427: 426: 423: 416: 414: 411: 404: 402: 399: 392: 382: 381: 374: 371: 359: 356: 355: 354: 351: 344: 342: 339: 332: 330: 327: 320: 302:neural cells. 291: 290: 280: 270: 260: 246: 231: 228: 218: 215: 181: 180: 171: 165: 164: 159: 153: 152: 147: 141: 140: 135: 129: 128: 123: 117: 116: 111: 105: 104: 100: 99: 94: 88: 87: 82: 78: 77: 73: 72: 69: 61: 60: 50: 42: 41: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 2890: 2879: 2876: 2875: 2873: 2858: 2855: 2853: 2850: 2848: 2845: 2841: 2838: 2837: 2836: 2833: 2831: 2828: 2827: 2825: 2821: 2815: 2812: 2810: 2807: 2806: 2804: 2802: 2798: 2792: 2789: 2787: 2784: 2782: 2779: 2777: 2774: 2772: 2769: 2768: 2766: 2764: 2760: 2752: 2751:Corpus luteum 2749: 2747: 2744: 2742: 2741:Theca interna 2739: 2738: 2737: 2734: 2730: 2727: 2725: 2722: 2721: 2720: 2717: 2716: 2714: 2712: 2708: 2698: 2695: 2694: 2692: 2690: 2686: 2680: 2677: 2675: 2672: 2670: 2667: 2666: 2664: 2662: 2658: 2655: 2653: 2652:Adrenal gland 2649: 2643: 2640: 2638: 2635: 2634: 2632: 2630: 2626: 2620: 2617: 2615: 2612: 2611: 2609: 2607: 2603: 2593: 2590: 2588: 2585: 2583: 2580: 2578: 2575: 2573: 2570: 2569: 2567: 2565: 2561: 2555: 2552: 2548: 2545: 2543: 2540: 2538: 2535: 2534: 2533: 2532:Basophil cell 2530: 2526: 2523: 2521: 2518: 2516: 2513: 2512: 2511: 2508: 2506: 2505:Pars distalis 2503: 2501: 2498: 2496: 2493: 2492: 2490: 2488: 2484: 2481: 2479: 2475: 2471: 2463: 2458: 2456: 2451: 2449: 2444: 2443: 2440: 2426: 2425:Stellate cell 2423: 2421: 2418: 2416: 2413: 2412: 2411:Microanatomy 2410: 2406: 2403: 2401: 2398: 2397: 2395: 2390: 2386: 2383: 2381: 2378: 2376: 2373: 2371: 2368: 2367: 2365: 2364: 2362: 2360: 2356: 2344: 2341: 2340: 2338: 2334: 2331: 2330: 2329: 2326: 2324: 2321: 2319: 2316: 2315: 2313: 2311: 2307: 2301: 2298: 2296: 2293: 2291: 2288: 2284: 2281: 2279: 2276: 2274: 2271: 2270: 2269: 2266: 2265: 2263: 2261: 2257: 2254: 2252: 2251:Biliary tract 2248: 2240: 2237: 2235: 2232: 2230: 2227: 2225: 2222: 2221: 2220:Microanatomy 2219: 2217: 2216:Liver segment 2214: 2212: 2209: 2207: 2204: 2200: 2197: 2196: 2195: 2192: 2190: 2187: 2185: 2182: 2178: 2175: 2173: 2170: 2169: 2168: 2165: 2163: 2160: 2158: 2157:Porta hepatis 2155: 2153: 2150: 2148: 2145: 2143: 2140: 2139: 2137: 2135: 2131: 2127: 2119: 2114: 2112: 2107: 2105: 2100: 2099: 2096: 2090: 2086: 2083: 2082: 2078: 2070: 2066: 2061: 2056: 2052: 2048: 2044: 2040: 2036: 2029: 2026: 2021: 2017: 2013: 2009: 2005: 2001: 1997: 1993: 1989: 1982: 1979: 1974: 1970: 1966: 1962: 1958: 1954: 1950: 1946: 1942: 1938: 1934: 1927: 1924: 1919: 1915: 1911: 1907: 1902: 1897: 1893: 1889: 1885: 1877: 1874: 1871: 1865: 1862: 1857: 1853: 1848: 1843: 1839: 1835: 1831: 1827: 1823: 1819: 1815: 1808: 1805: 1800: 1796: 1791: 1786: 1781: 1776: 1772: 1768: 1764: 1757: 1754: 1749: 1745: 1741: 1737: 1733: 1729: 1725: 1721: 1717: 1713: 1710:(1): 383–98. 1709: 1705: 1704: 1696: 1693: 1688: 1684: 1680: 1676: 1672: 1668: 1664: 1660: 1656: 1652: 1645: 1642: 1637: 1633: 1629: 1625: 1621: 1617: 1613: 1609: 1608: 1600: 1597: 1592: 1588: 1583: 1578: 1574: 1570: 1566: 1562: 1558: 1554: 1550: 1543: 1541: 1537: 1527: 1523: 1519: 1513: 1509: 1505: 1501: 1497: 1493: 1486: 1484: 1482: 1480: 1476: 1471: 1467: 1462: 1457: 1453: 1449: 1445: 1438: 1435: 1430: 1426: 1421: 1416: 1412: 1408: 1404: 1397: 1395: 1391: 1386: 1382: 1377: 1372: 1367: 1362: 1358: 1354: 1350: 1343: 1340: 1335: 1331: 1326: 1321: 1317: 1313: 1309: 1305: 1301: 1297: 1296: 1291: 1284: 1281: 1276: 1272: 1268: 1264: 1261:(3): 359–91. 1260: 1256: 1249: 1246: 1234: 1230: 1226: 1224:9780128222300 1220: 1216: 1212: 1208: 1204: 1200: 1193: 1190: 1185: 1179: 1175: 1168: 1165: 1160: 1156: 1151: 1146: 1142: 1138: 1134: 1127: 1124: 1119: 1115: 1110: 1105: 1101: 1097: 1093: 1089: 1085: 1081: 1077: 1070: 1068: 1066: 1062: 1057: 1053: 1048: 1043: 1039: 1035: 1030: 1025: 1021: 1017: 1014:(7): 2334–9. 1013: 1009: 1005: 998: 996: 992: 987: 983: 979: 975: 971: 967: 962: 957: 953: 949: 941: 938: 933: 929: 924: 919: 915: 911: 907: 900: 898: 894: 889: 885: 880: 875: 871: 867: 860: 857: 852: 845: 833: 825: 819: 815: 808: 806: 802: 797: 793: 789: 785: 781: 777: 773: 769: 768:Pancreatology 762: 759: 756: 751: 748: 743: 737: 733: 728: 727: 718: 715: 710: 703: 700: 694: 690: 686: 684: 680: 678: 675: 673: 670: 668: 665: 664: 660: 658: 656: 652: 648: 644: 640: 636: 633: 629: 628:CB2 receptors 625: 621: 614: 608: 604: 600: 596: 592: 585: 580: 573: 568: 564: 561: 557: 550: 545: 540: 538: 535: 531: 526: 524: 519: 514: 510: 505: 503: 499: 494: 490: 488: 483: 481: 477: 473: 469: 464: 462: 458: 454: 446: 441: 439: 437: 429: 420: 415: 408: 403: 396: 391: 389: 387: 379: 375: 372: 369: 368: 367: 365: 357: 348: 343: 336: 331: 324: 319: 317: 315: 311: 306: 303: 299: 296: 288: 284: 283:Epsilon cells 281: 278: 274: 271: 268: 264: 261: 258: 254: 250: 247: 244: 240: 237: 236: 235: 229: 227: 225: 216: 214: 212: 208: 204: 200: 196: 192: 188: 176: 170: 166: 163: 160: 158: 154: 151: 148: 146: 142: 139: 136: 134: 130: 127: 124: 122: 118: 115: 112: 110: 106: 101: 98: 95: 93: 89: 86: 83: 79: 74: 67: 62: 58: 55:that release 54: 48: 43: 38: 33: 19: 2801:Pineal gland 2791:Epsilon cell 2762: 2729:Sertoli cell 2642:Oxyphil cell 2572:Pars nervosa 2414: 2283:Interlobular 2234:Kupffer cell 2206:Portal triad 2147:Cantlie line 2042: 2038: 2028: 1995: 1992:Cell Calcium 1991: 1981: 1940: 1936: 1926: 1891: 1888:Diabetologia 1887: 1876: 1864: 1821: 1817: 1807: 1770: 1766: 1756: 1707: 1701: 1695: 1654: 1650: 1644: 1611: 1605: 1599: 1559:(2): 80–94. 1556: 1552: 1529:, retrieved 1499: 1495: 1451: 1447: 1437: 1420:10.2741/2755 1410: 1406: 1356: 1352: 1342: 1302:(1): 76–92. 1299: 1293: 1283: 1258: 1254: 1248: 1236:. Retrieved 1206: 1202: 1192: 1173: 1167: 1143:(2): 41–47. 1140: 1136: 1126: 1086:(2): 81–95. 1083: 1079: 1011: 1007: 951: 947: 940: 913: 909: 869: 859: 840:|first= 813: 771: 767: 761: 750: 725: 717: 708: 702: 681: 618: 527: 506: 495: 491: 484: 465: 450: 433: 383: 361: 307: 304: 300: 292: 277:somatostatin 233: 230:Microanatomy 220: 190: 186: 184: 138:A05.9.01.019 113: 2852:Development 2835:Paraganglia 2809:Pinealocyte 2724:Leydig cell 2318:Cystic duct 2310:Gallbladder 1454:(1): 8–22. 1209:: 227–256. 667:Betatrophin 639:homeostatic 509:portal vein 436:patch clamp 273:Delta cells 239:Alpha cells 103:Identifiers 2786:Delta cell 2771:Alpha cell 2637:Chief cell 2260:Bile ducts 2224:Hepatocyte 2045:(71): 71. 1531:2020-09-11 1238:18 January 1174:Physiology 695:References 655:resistance 632:pancreatic 521:CNI-free ( 513:thrombosis 453:beta cells 285:producing 275:producing 251:producing 249:Beta cells 241:producing 2776:Beta cell 2587:Pituicyte 2564:Posterior 2405:accessory 2142:Bare area 2012:0143-4160 1957:0885-3177 1910:1432-0428 1838:0092-8674 1732:0077-8923 1671:1087-2418 1628:0028-4793 1573:1938-2014 1233:234135648 1100:0300-9734 1038:1091-6490 956:CiteSeerX 832:cite book 645:modulate 641:role, as 635:endocrine 502:rejection 364:paracrine 314:autocrine 310:paracrine 279:(<10%) 217:Structure 199:endocrine 97:Endocrine 2872:Category 2847:Placenta 2719:Testicle 2487:Anterior 2359:Pancreas 2177:Quadrate 2085:Pancreas 2069:32075958 2020:16321437 1973:36905885 1965:24005231 1937:Pancreas 1918:18092149 1856:30661759 1799:28380380 1748:33009393 1740:17130583 1687:37483032 1679:28692442 1636:18337609 1591:29394145 1526:26824893 1470:30505878 1429:17981623 1385:18081223 1275:23694765 1159:21372635 1118:27124642 1056:16461897 978:15943621 932:15923354 796:37257345 788:12378111 661:See also 615:Research 603:pancreas 461:diabetes 447:Diabetes 358:Function 289:(<1%) 269:(<5%) 263:PP cells 243:glucagon 195:pancreas 85:Pancreas 57:hormones 53:pancreas 2781:PP cell 2689:Medulla 2606:Thyroid 2172:Caudate 2087:at the 2060:7031261 1847:6705176 1790:8586897 1712:Bibcode 1582:5895174 1461:6267808 1376:4205453 1334:2015391 1325:1281120 1304:Bibcode 1109:4900068 1047:1413730 1016:Bibcode 888:7559135 879:1167020 651:insulin 626:versus 607:insulin 599:ventral 457:insulin 287:ghrelin 253:insulin 211:glucose 126:D007515 81:Part of 76:Details 2711:Gonads 2661:Cortex 2396:Ducts 2366:Gross 2339:Cells 2067:  2057:  2018:  2010:  1971:  1963:  1955:  1916:  1908:  1854:  1844:  1836:  1797:  1787:  1746:  1738:  1730:  1685:  1677:  1669:  1634:  1626:  1589:  1579:  1571:  1553:Islets 1524:  1514:  1468:  1458:  1448:CellR4 1427:  1383:  1373:  1332:  1322:  1273:  1231:  1221:  1180:  1157:  1137:Islets 1116:  1106:  1098:  1054:  1044:  1036:  986:234176 984:  976:  958:  930:  886:  876:  820:  794:  786:  738:  595:humans 556:acinar 259:(≈70%) 257:amylin 203:German 92:System 2823:Other 2736:Ovary 2582:Stalk 2134:Liver 1969:S2CID 1744:S2CID 1683:S2CID 1229:S2CID 982:S2CID 792:S2CID 609:core. 563:stain 560:eosin 173:[ 162:16016 109:Latin 2400:main 2385:Head 2380:Neck 2375:Body 2370:Tail 2065:PMID 2016:PMID 2008:ISSN 1961:PMID 1953:ISSN 1914:PMID 1906:ISSN 1852:PMID 1834:ISSN 1818:Cell 1795:PMID 1736:PMID 1728:ISSN 1708:1079 1675:PMID 1667:ISSN 1632:PMID 1624:ISSN 1587:PMID 1569:ISSN 1522:PMID 1512:ISBN 1466:PMID 1425:PMID 1381:PMID 1330:PMID 1271:PMID 1240:2023 1219:ISBN 1178:ISBN 1155:PMID 1114:PMID 1096:ISSN 1052:PMID 1034:ISSN 974:PMID 928:PMID 884:PMID 851:link 844:help 818:ISBN 784:PMID 736:ISBN 518:VEGF 451:The 362:The 312:and 255:and 185:The 150:3128 133:TA98 121:MeSH 2055:PMC 2047:doi 2000:doi 1945:doi 1896:doi 1842:PMC 1826:doi 1822:176 1785:PMC 1775:doi 1720:doi 1659:doi 1616:doi 1612:358 1577:PMC 1561:doi 1504:doi 1456:PMC 1415:doi 1371:PMC 1361:doi 1320:PMC 1312:doi 1263:doi 1259:139 1211:doi 1145:doi 1104:PMC 1088:doi 1084:121 1042:PMC 1024:doi 1012:103 966:doi 918:doi 874:PMC 776:doi 732:316 624:CB1 591:rat 532:or 474:or 189:or 157:FMA 145:TA2 2874:: 2063:. 2053:. 2043:10 2041:. 2037:. 2014:. 2006:. 1996:39 1994:. 1990:. 1967:. 1959:. 1951:. 1941:42 1939:. 1935:. 1912:. 1904:. 1892:51 1890:. 1886:. 1850:. 1840:. 1832:. 1820:. 1816:. 1793:. 1783:. 1771:25 1769:. 1765:. 1742:. 1734:. 1726:. 1718:. 1706:. 1681:. 1673:. 1665:. 1655:22 1653:. 1630:. 1622:. 1610:. 1585:. 1575:. 1567:. 1557:10 1555:. 1551:. 1539:^ 1520:, 1510:, 1500:31 1498:, 1494:, 1478:^ 1464:. 1450:. 1446:. 1423:. 1411:13 1409:. 1405:. 1393:^ 1379:. 1369:. 1357:13 1355:. 1351:. 1328:. 1318:. 1310:. 1300:59 1298:. 1292:. 1269:. 1257:. 1227:. 1217:. 1201:. 1153:. 1139:. 1135:. 1112:. 1102:. 1094:. 1082:. 1078:. 1064:^ 1050:. 1040:. 1032:. 1022:. 1010:. 1006:. 994:^ 980:. 972:. 964:. 950:. 926:. 914:53 912:. 908:. 896:^ 882:. 868:. 836:: 834:}} 830:{{ 804:^ 790:. 782:. 770:. 734:. 657:. 213:. 2461:e 2454:t 2447:v 2391:) 2387:( 2117:e 2110:t 2103:v 2071:. 2049:: 2022:. 2002:: 1975:. 1947:: 1920:. 1898:: 1858:. 1828:: 1801:. 1777:: 1750:. 1722:: 1714:: 1689:. 1661:: 1638:. 1618:: 1593:. 1563:: 1506:: 1472:. 1452:1 1431:. 1417:: 1387:. 1363:: 1336:. 1314:: 1306:: 1277:. 1265:: 1242:. 1213:: 1207:4 1186:. 1161:. 1147:: 1141:3 1120:. 1090:: 1058:. 1026:: 1018:: 988:. 968:: 952:5 934:. 920:: 890:. 853:) 846:) 826:. 798:. 778:: 772:2 744:. 711:. 685:, 565:. 380:. 177:] 34:. 20:)

Index

Pancreatic hormones
Langerhans cell

pancreas
hormones

Pancreas
System
Endocrine
Latin
MeSH
D007515
TA98
A05.9.01.019
TA2
3128
FMA
16016
Anatomical terms of microanatomy
edit on Wikidata
pancreas
endocrine
German
Paul Langerhans
glucose
connective tissue
Alpha cells
glucagon
Beta cells
insulin

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