Histological and transcriptional characterization of the pancreatic acinar tissue in type 1 diabetes

Introduction Despite a reduced function and volume of the exocrine pancreas in type 1 diabetes, the acinar cells remain understudied in type 1 diabetes research. The hypothesis of this study is that the acinar tissue is altered in subjects with type 1 diabetes compared with subjects without diabetes...

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Main Authors: Louise Granlund, Anders Hedin, Miriam Wahlhütter, Peter Seiron, Olle Korsgren, Oskar Skog, Marcus Lundberg
Format: Article
Language:English
Published: BMJ Publishing Group 2021-03-01
Series:BMJ Open Diabetes Research & Care
Online Access:https://drc.bmj.com/content/9/1/e002076.full
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author Louise Granlund
Anders Hedin
Miriam Wahlhütter
Peter Seiron
Olle Korsgren
Oskar Skog
Marcus Lundberg
author_facet Louise Granlund
Anders Hedin
Miriam Wahlhütter
Peter Seiron
Olle Korsgren
Oskar Skog
Marcus Lundberg
author_sort Louise Granlund
collection DOAJ
description Introduction Despite a reduced function and volume of the exocrine pancreas in type 1 diabetes, the acinar cells remain understudied in type 1 diabetes research. The hypothesis of this study is that the acinar tissue is altered in subjects with type 1 diabetes compared with subjects without diabetes.Research design and methods The cell density, expression of digestive enzymes, and transcriptome of acinar tissue at varying distances from islets were analyzed using histology, immunostaining, and AmpliSeq RNA sequencing of laser capture microdissected tissue. Pancreases examined were from organ donors with or without type 1 diabetes.Results We demonstrate preserved acinar nuclei density and find no support of acinar atrophy in type 1 diabetes. Staining for digestive enzymes (amylase, lipase, and trypsin) demonstrated an evenly distributed expression in the exocrine parenchyma; although occasional amylase-negative regions appeared in tissue that had been formalin-fixed and paraffin-embedded, this phenomenon was not evident in frozen tissue. Gene set enrichment analysis of whole transcriptome data identified transcriptional alterations in type 1 diabetes that were present in the acinar tissue independent of the distance from islets. Among these, the two most enriched gene sets were Myc Targets V2 and Estrogen Response Early.Conclusion Taken together, these new data emphasize the involvement of the entire pancreas in type 1 diabetes pathology. The alteration of the gene sets Myc Targets V2 and Estrogen Response Early is a possible link to the increased incidence of pancreatic cancer in type 1 diabetes.
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spelling doaj-art-a0f0343636c94b669ecd14896db7fa092025-08-20T02:50:27ZengBMJ Publishing GroupBMJ Open Diabetes Research & Care2052-48972021-03-019110.1136/bmjdrc-2020-002076Histological and transcriptional characterization of the pancreatic acinar tissue in type 1 diabetesLouise Granlund0Anders Hedin1Miriam Wahlhütter2Peter Seiron3Olle Korsgren4Oskar Skog5Marcus Lundberg6Department of Immunology, Genetics and Pathology, Uppsala Universitet, Uppsala, SwedenDepartment of Immunology, Genetics and Pathology, Uppsala Universitet, Uppsala, SwedenDepartment of Immunology, Genetics and Pathology, Uppsala Universitet, Uppsala, SwedenDepartment of Immunology, Genetics and Pathology, Uppsala Universitet, Uppsala, SwedenDepartment of Immunology, Genetics and Pathology, Uppsala Universitet, Uppsala, SwedenDepartment of Immunology, Genetics and Pathology, Uppsala Universitet, Uppsala, SwedenDepartment of Immunology, Genetics and Pathology, Uppsala Universitet, Uppsala, SwedenIntroduction Despite a reduced function and volume of the exocrine pancreas in type 1 diabetes, the acinar cells remain understudied in type 1 diabetes research. The hypothesis of this study is that the acinar tissue is altered in subjects with type 1 diabetes compared with subjects without diabetes.Research design and methods The cell density, expression of digestive enzymes, and transcriptome of acinar tissue at varying distances from islets were analyzed using histology, immunostaining, and AmpliSeq RNA sequencing of laser capture microdissected tissue. Pancreases examined were from organ donors with or without type 1 diabetes.Results We demonstrate preserved acinar nuclei density and find no support of acinar atrophy in type 1 diabetes. Staining for digestive enzymes (amylase, lipase, and trypsin) demonstrated an evenly distributed expression in the exocrine parenchyma; although occasional amylase-negative regions appeared in tissue that had been formalin-fixed and paraffin-embedded, this phenomenon was not evident in frozen tissue. Gene set enrichment analysis of whole transcriptome data identified transcriptional alterations in type 1 diabetes that were present in the acinar tissue independent of the distance from islets. Among these, the two most enriched gene sets were Myc Targets V2 and Estrogen Response Early.Conclusion Taken together, these new data emphasize the involvement of the entire pancreas in type 1 diabetes pathology. The alteration of the gene sets Myc Targets V2 and Estrogen Response Early is a possible link to the increased incidence of pancreatic cancer in type 1 diabetes.https://drc.bmj.com/content/9/1/e002076.full
spellingShingle Louise Granlund
Anders Hedin
Miriam Wahlhütter
Peter Seiron
Olle Korsgren
Oskar Skog
Marcus Lundberg
Histological and transcriptional characterization of the pancreatic acinar tissue in type 1 diabetes
BMJ Open Diabetes Research & Care
title Histological and transcriptional characterization of the pancreatic acinar tissue in type 1 diabetes
title_full Histological and transcriptional characterization of the pancreatic acinar tissue in type 1 diabetes
title_fullStr Histological and transcriptional characterization of the pancreatic acinar tissue in type 1 diabetes
title_full_unstemmed Histological and transcriptional characterization of the pancreatic acinar tissue in type 1 diabetes
title_short Histological and transcriptional characterization of the pancreatic acinar tissue in type 1 diabetes
title_sort histological and transcriptional characterization of the pancreatic acinar tissue in type 1 diabetes
url https://drc.bmj.com/content/9/1/e002076.full
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