It is common to describe the endocrine and the exocrine pancreas as if they were two distinct and independent entities. However the pancreas is an integrated organ involved in the digestion and absorption of nutrients on the one hand, and in the regulation of blood glucose homeostasis, on the other. Most probably, the unique anatomical architecture of this organ, characterized by the dispersion of the endocrine component throughout the acinar parenchyma as hundreds of thousands variable-sized clusters of endocrine cells (islets of Langerhans), has evolved to facilitate interactions between the two glandular components [1]. In order to determine reciprocal influences, many aspects of the relations occurring between exocrine and endocrine pancreas have been investigated in the past three decades [2,3]. Because of the observation that, in contrast to ªtele-insularº acini, ªperi-insularº acini are formed by larger cells, containing more zymogen granules [2, 4±6], numerous studies have addressed the role(s) played by the islet hormones in tuning acinar cell secretion and the anatomical pathways, the so called ªislet-acinar axisª, through which this influence is exerted [2,3,7]. A large body of evidence indicates that a continuous insulo-acinar venous portal system conveys hormone enriched blood from the islets to the acinar parenchyma [2, 3, 8, 9]. The amount of acinar tissue that is ac- Diabetologia (2001) 44: 575±584 Association between islets of Langerhans and pancreatic ductal system in adult rat. Where endocrine and exocrine meet together?
AbstractAims/hypothesis. Studies on the functional and morphological relations between exocrine and endocrine pancreas have been conducted mainly to disclose the influence of islets of Langerhans on acinar parenchyma. Less attention has been paid to the relations occurring between islets and pancreatic ducts. Methods. A series of consecutive sections of normal adult rat pancreas were double stained with islet (hormones) and duct (cytokeratin 20) markers. Electron microscopy was conducted to investigate the ultrastructural features of duct-islet relations and anti-insulin immunogold labelling was carried out to reveal the presence of insulin in the pancreatic duct system. Results. Consecutive double-stained sections demonstrated that 73.60 2.97 % of the islets were attached to the ducts. For each series, 93.48 5.43 % of the islets contacting the duct tree were associated with small-sized ducts or centroacinar cells. Electron microscopy revealed that some insulin and somatostatin cells do face the duct lumen. Insulin was detected within the duct lumen and in the endosomal compartment of the duct cells. Conclusions/interpretation. The finding that most islets are connected with the duct system in the adult pancreas is discussed in terms of hormone secretion into the ducts, islet histogenesis and the relation among the three tissue components of the pancreas, the endocrine, the exocrine and the duct system. [Diabetologia (2001) 44: 575±584]