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Download PDF - The Pancreapedia

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through the common duct into the gut. By the 13 th<br />

day the pancreas is "greatly branched," and by<br />

the 15 th day it is still "diffusely spread" in the<br />

mesentery 93 .<br />

We studied 95 the growth pattern of the hamster<br />

pancreas by examining fetuses and newborns<br />

immediately after birth and for two to four weeks<br />

afterward by histology, immunohistochemistry<br />

and, in part, by scanning electron microscopy<br />

(SEM). Our observations, which are in line with<br />

those in other species, including humans,<br />

indicated the development of endocrine cells from<br />

the pancreatic tubules. Glucagon cells were found<br />

to be the first endocrine cells identifiable in the<br />

budding of the primitive pancreas from the<br />

duodenum at around the 11th day of the<br />

gestation. Even at this early stage, single or a few<br />

glucagon cells could be demonstrated within the<br />

undifferentiated cells 96-98 . At the later stages<br />

(during the 12th and 13th day of gestation), single<br />

or a small group of glucagon cells appear,<br />

distributed along the length of the primitive<br />

branches (Fig. 8). During 13th to 15th day of<br />

gestation, a tubular structure with primitive cells<br />

extended along the greater curvature of the<br />

stomach attached by intserstitium to the primitive<br />

spleen. As the spleen moves to the left side of the<br />

abdomen, it pulls the pancreas with it. At this<br />

stage, scattered α-cells but none or only a few βcells<br />

(cells immunoreactive to anti-insulin<br />

antibody) could be visualized. A small cell<br />

conglomerate of β-cells appeared one day before<br />

birth (day 15 or 16 of gestation). We could not<br />

detect any δ-cells before birth. In a 1.3-g fetus,<br />

the pancreas was already differentiated. <strong>The</strong> fetal<br />

pancreas seems to release an insulin-like<br />

substance, however, islets of Langerhans could<br />

not be seen in the neonatal hamster’s pancreas<br />

neither in our study nor in that of Sak et al. 94<br />

According to these investigators, aldehyde fuchsin<br />

positive granulation could first be observed in the<br />

hamster’s pancreas one hour after birth, which<br />

are found either singly or in scattered, irregular<br />

nests of three to four cells. At day 13, a large<br />

number of the glucagon cells contrasts with the<br />

relatively small number of somatostatin cells and<br />

14<br />

a few, if any, insulin cells. At day 14 of gestation<br />

(a day before birth) cells immunoreactive with<br />

anti-somatostatin and anti-insulin appear and their<br />

increased number correlated with the decreased<br />

number of the glucagon cells (Fig. 8). This<br />

reverse relationship between the number of the<br />

glucagon and insulin cells would indicate a shift in<br />

the synthetic pathway of hormones (from<br />

glucagon to insulin) within the same cells rather<br />

than the generation of these two cell types from<br />

the stem cells. In fact, the presence of two<br />

different hormones within the same cell has also<br />

been found in the embryonic human pancreas 96,<br />

99 . <strong>The</strong>se findings strongly suggest that, even<br />

during the embryonic development, the mature<br />

cells have potential to shift their differentiation<br />

from one mature cell type to another.<br />

Discrete small islets were still relatively rare in<br />

two-week-old hamsters. <strong>The</strong>reafter, islets grew<br />

rapidly for the next two weeks. In fact, islet size<br />

almost doubled to 87.4 ± 28.44 mm and continued<br />

to increase in size with age.<br />

Unlike the islets, acini were recognizable one day<br />

before birth in clusters, buds, and rows that<br />

formed glandular structures with tiny lumens (Fig.<br />

8f). <strong>The</strong>y reached their final size (37.61 ± 12.42 X<br />

26 / 66 ± 6.85 mm) between two and four weeks<br />

after birth and did not show, in contrast to islets,<br />

any size variations by age. Also, the structures of<br />

centroacinar cells, ductules, and ducts were<br />

recognizable in the fetus shortly before birth.<br />

Epithelial cells were ill defined in the small ducts.<br />

Otherwise, their structures did not differ from<br />

those in adults. <strong>The</strong> scanning electron<br />

microscopic findings of the fetal pancreas are<br />

illustrated in Figures 9 and 10.<br />

4b. Cellular and Sub-cellular Anatomy of the<br />

Pancreas<br />

<strong>The</strong> presence of a variety of exocrine and<br />

endocrine cells in the pancreas has hampered our<br />

understanding of the function of each individual<br />

cell component and especially their interaction.<br />

Recent investigations point to a complex dialogue<br />

between the individual exocrine cells on the one<br />

hand, between the endocrine cells a well as

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