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Download PDF - The Pancreapedia

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Figure 23. Two cilia in a normal hamster islet cell.<br />

<strong>The</strong> adjacent islet cells show microvilli. Both cilia<br />

and mircovilli resemble those in ductal/ductular<br />

cells. Some endocrine granules show halo<br />

(arrowhead), mitochondriae (M), Golgi complexes<br />

(G), rough endoplasmic reticulum (RER) and<br />

junctional complexes (arrow). X 4,460. Inset: 9x0<br />

axoneme. Arrows point to plasma membrane.<br />

Similar cilia are present in human islet (Fig. 24).<br />

Figure 24. A cilia was found in a cultured islet cell<br />

of a human. <strong>The</strong> cells had lost its granules almost<br />

completely and showed atrophy of RER, small<br />

vacuoles and round mitochondriae (upper left and<br />

lower right). TEM, X 4,250.<br />

<strong>The</strong>se cilia are practically indistinguishable from<br />

those of the ductular cells. It is not known at<br />

present whether or not the sinusoidal spaces<br />

between the islet cells are identical or are<br />

communicating with intra-insular tubules seen<br />

under light microscopy. Small (peri-insular)<br />

ductules separated from the islet only by the thin<br />

basal lamina, which surround the islets and<br />

ductules, are directly adjacent to many islets.<br />

Occasional ductules appear to run through or<br />

22<br />

indent the islets, but again they are separated by<br />

the basal lamina. Acinar cells, however, may be<br />

directly on islet cells and the basal lamina do not<br />

penetrate between the cells where small<br />

junctional structures resembling desmosomes are<br />

noted.<br />

<strong>The</strong> significant portion of islets is represented by<br />

β-cells arranged in a cord or ribbon-like fashion,<br />

with the central region of the islets less compact<br />

than the peripheral areas. <strong>The</strong>y have round or<br />

egg-shaped nuclei with moderate chromatin<br />

content and well-defined polygonal or cylindrical,<br />

vesicular, foamy, or light acinophilic granular cytoplasm<br />

in H&E preparation. In the past, the β-cells<br />

could be identified by Gomori's aldehyde fuschin<br />

procedure, which stains the endocrine granules<br />

purple. <strong>The</strong> α-cells, usually located in the<br />

peripheral region of the islet (abutting a capillary)<br />

can be distinguished from β-cells by their oval or<br />

spindle-shaped nuclei, in which the chromatin<br />

granules are less dense and cytoplasm less<br />

defined than those of the β-cells. In earlier years<br />

their granules could be visualized, somewhat<br />

inconsistently, by Gomori's chrome<br />

alum-hematoxylin-phloxin stain. Silver stains,<br />

such as Bodian and Grimelius, also gave positive<br />

results. By this technique, AIm and Hellman 115<br />

claim to have identified two subtypes of A (α)cells:<br />

the A1 (silver positive) and A2 (silver<br />

negative). In addition to their unsuccessful<br />

attempt to quantitate the number of these<br />

subtypes in the different pancreatic regions, it is<br />

doubtful that the "silver negative" cell is a<br />

derivative of α-cells. <strong>The</strong>y presumably represent<br />

the islet cell precursors, which have been<br />

identified by ourselves and others in several<br />

species (see below). Mallory-Heidenham Azan<br />

allowed identification of the α granules by their<br />

red color, and two distribution patterns of the αcells<br />

(diffusely lying or conglomerate forming<br />

types) have been reported. Gomori's stain<br />

allowed us to identify two to ten α-cells per islet.<br />

Müller 107 reported an alpha/beta ratio of approximately<br />

1:4. All of these stains for α-cell<br />

identification appear to be non-specific. Presently,<br />

monoclonal and/or polyclonal antibodies are

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