Pancreatic islet vasculature adapts to insulin resistance through dilation and not angiogenesis.

Pancreatic islet vasculature adapts to insulin resistance through dilation and not angiogenesis.
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DOI:
10.2337/db12-1657
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发表时间:
2013-12
期刊:
影响因子:
7.7
通讯作者:
Powers AC
Powers AC
中科院分区:
医学1区
文献类型:
--
作者:
Dai C;Brissova M;Reinert RB;Nyman L;Liu EH;Thompson C;Shostak A;Shiota M;Takahashi T;Powers AC

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Pancreatic islets adapt to insulin resistance through a complex set of changes, including β-cell hyperplasia and hypertrophy. To determine if islet vascularization changes in response to insulin resistance, we investigated three independent models of insulin resistance: ob/ob, GLUT4+/−, and mice with high-fat diet–induced obesity. Intravital blood vessel labeling and immunocytochemistry revealed a vascular plasticity in which islet vessel area was significantly increased, but intraislet vessel density was decreased as the result of insulin resistance. These vascular changes were independent of islet size and were only observed within the β-cell core but not in the islet periphery. Intraislet endothelial cell fenestration, proliferation, and islet angiogenic factor/receptor expression were unchanged in insulin-resistant compared with control mice, indicating that islet capillary expansion is mediated by dilation of preexisting vessels and not by angiogenesis. We propose that the islet capillary dilation is modulated by endothelial nitric oxide synthase via complementary signals derived from β-cells, parasympathetic nerves, and increased islet blood flow. These compensatory changes in islet vascularization may influence whether β-cells can adequately respond to insulin resistance and prevent the development of diabetes.
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