1979
DOI: 10.1620/tjem.129.273
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Differential volumetry of A,B and D cells in the pancreatic islets of diabetic and nondiabetic subjects.

Abstract: The percentile volumes VA, VB and VD of A, B and D cells in the islets of Langerhans were histometrically estimated in the pancreases from 59 autopsy cases including maturity-and growth-onset diabetics and nondiabetics.Volumetry was performed microscopically by point counting method using a square-lattice eyepiece, then the total A, B and D cell volumes VA, VB and VD were calculated from the total islet volume V; of the pancreas estimated separately.The measurement disclosed a prominent difference in VB betwee… Show more

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Cited by 129 publications
(78 citation statements)
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“…The present study forms an interesting parallel to the finding of a decreased islet volume in human Type 2 (non-insulin-dependent) diabetes [13,14] and increased islet volume in obese non-diabetic subjects [15]. It may be implied, as proposed previously from these observations [16,17], that Type 2 diabetes develops only in those individuals who have a diminished capacity for islet cell regeneration.…”
Section: Discussionsupporting
confidence: 85%
“…The present study forms an interesting parallel to the finding of a decreased islet volume in human Type 2 (non-insulin-dependent) diabetes [13,14] and increased islet volume in obese non-diabetic subjects [15]. It may be implied, as proposed previously from these observations [16,17], that Type 2 diabetes develops only in those individuals who have a diminished capacity for islet cell regeneration.…”
Section: Discussionsupporting
confidence: 85%
“…At 3 wk (n = 7) and at 6 wk (n = 4) after pancreatectomy this difference was apparent at 30 min and at 50 min after glucose injection (P < 0.01). Worsening of glucose tolerance was apparent in the 90% group after 6 wk, as depicted by the 50-min determination (6 wk 436Ā±59 vs. 3 wk 342Ā±16 mg/dl, P < 0.01). This abnormality of glucose tolerance has been associated with impaired insulin secretion in previous studies (31).…”
Section: Methodsmentioning
confidence: 88%
“…In noninsulin-dependent diabetes mellitus the deficit of insulin production is less well characterized. Reductions of B cell number (6,7) and of extractable pancreatic insulin (8,9) have been observed at autopsy, although these findings have not been consistent (3)(4)(5) and their functional significance is unknown. Insulin resistance has been shown to be important in increasing the metabolic demands for insulin, but pathogenetic relationships between insulin sensitivity and capacity to produce insulin remain unclear (10).…”
Section: Introductionmentioning
confidence: 99%
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“…Although the amount of insulin/ C-peptide secreted after a glucose or meal challenge gives insight into insulin secretory capacity (4,9), these only indirectly reflect beta-cell mass and do not determine whether this mass is increasing or declining. For example, glucose homeostasis is unaffected until beta-cell mass is reduced to less than half its original value, presumably because of a large functional reserve capacity, and overt diabetes develops only when beta-cell mass is greatly reduced (10)(11)(12). Morphometric analysis of histological sections (13) requires removal of the pancreas to quantify beta-cell mass.…”
mentioning
confidence: 99%