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

First Author  Dai C Year  2013
Journal  Diabetes Volume  62
Issue  12 Pages  4144-53
PubMed ID  23630302 Mgi Jnum  J:208966
Mgi Id  MGI:5565441 Doi  10.2337/db12-1657
Citation  Dai C, et al. (2013) Pancreatic islet vasculature adapts to insulin resistance through dilation and not angiogenesis. Diabetes 62(12):4144-53
abstractText  Pancreatic islets adapt to insulin resistance through a complex set of changes, including beta-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 beta-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 beta-cells, parasympathetic nerves, and increased islet blood flow. These compensatory changes in islet vascularization may influence whether beta-cells can adequately respond to insulin resistance and prevent the development of diabetes.
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