The aim of the present study was to clarify the mechanisms by which a sucrose-rich diet (SRD) produces an increase in the pancreatic -cell mass in the rat. Normal Wistar rats were fed for 30 weeks either an SRD (SRD rats; 63% wt/wt), or the same diet but with starch instead of sucrose in the same proportion (CD rats). We studied body weight, serum glucose and triacylglycerol levels, endocrine tissue and -cell mass, -cell replication rate (proliferating cell nuclear antigen; PCNA), islet neogenesis (cytokeratin immunostaining) and -cell apoptosis (propidium iodide). Body weight (g) recorded in the SRD rats was significantly (P<0·05) larger than that of the CD group (556·0 8·3 vs 470·0 13·1). Both serum glucose and triacylglycerol levels (mmol/l) were also significantly higher (P<0·05) in SRD than in CD rats (serum glucose, 8·11 0·14 vs 6·62 0·17; triacylglycerol, 1·57 0·18 vs 0·47 0·04). The number of pancreatic islets per unit area increased significantly (P<0·05) in SRD rats (3·29 0·1 vs 2·01 0·2). A significant increment (2·6 times) in the mass of endocrine tissue was detected in SRD animals, mainly due to an increase in the -cell mass (P=0·0025). The islet cell replication rate, measured as the percentage of PCNA-labelled cells increased 6·8 times in SRD rats (P<0·03). The number of apoptotic cells in the endocrine pancreas decreased significantly (three times) in the SRD animals (P=0·03). The cytokeratin-positive area did not show significant differences between CD and SRD rats. The increase of -cell mass induced by SRD was accomplished by an enhanced replication of cells together with a decrease in the rate of -cell apoptosis, without any evident participation of islet neogenesis. This pancreatic reaction was unable to maintain serum glucose levels of these rats at the level measured in CD animals.