BACKGROUNDThe islets of Langerhans is an important endocrine gland, which regulate the blood glucose level. The rise in the blood glucose level results in diabetes mellitus, an age old disease which affects all the systems of our body. Nowadays, an increase in the incidence of diabetes is noticed in younger age groups also. The increased intake of alcohol in our state also affects the gland. Scientific advancement like islet transplantation makes most of them correctable. So we found it is very important to assess the age related changes in the islets of Langerhans.
MATERIALS AND METHODSSixty two autopsied specimens of pancreas in an age range from 6 months to 83 years were collected for analysis from the mortuary of Government Medical College, Thiruvananthapuram, Kerala. Histological examination of the glands was done in the Histology Laboratory of Department of Anatomy, Government Medical College, Thiruvananthapuram, Kerala.
RESULTSA significant association between age and diameter of islets were observed in the present study. The number and size of beta cells showed a gradual increase up to 40 years, thereafter the cell number decreased considerably. In a chronic alcoholic patient, hyperplasia of islets and deposition of amyloids within the islets were observed.
CONCLUSIONThe number of beta cells decreased after the age of 40 years. The beta cell destruction may be due to chemicals, diet, genetic factors and autoimmune diseases. The decrease in the number of beta cells result in type I diabetes mellitus.