Regulation of pancreatic polypeptide secretion in the isolated perfused human pancreas

F. Charles Brunicardi, Paul Druck, You Su Sun, Dariush Elahi, Ronald L. Gingerich, Dana Andersen

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

The isolated perfused human pancreas was usedas a model to assess factors mediating the pancreatic polypeptide cell response to glucose, insulin, gastric inhibitory polypeptide, and splanchnic nerve stimulation. Pancreases obtained from 18 cadaveric organ donors were isolated and perfused by way of the splenic artery utilizing a Krebs bicarbonate buffer in a single-pass perfusion system. Hormonal stimulation and inhibition of pancreatic polypeptide secretion were assessed, as was the influence of direct electrical stimulation of celiac neural fibers innervating the pancreas. In this in vitro human model, pancreatic polypeptide cell secretion was inhibited by hyperglycemia, although the presence of gastric inhibitory polypeptide augmented the pancreatic polypeptide cell response. Perfusion with low levels of insulin and splanchnic nerve stimulation augmented the response of the pancreatic polypeptide cell to hyperglycemia and gastric inhibitory polypeptide. Since the immunoreactive pancreatic polypeptide response was augmented when insulin and somatostatin release was inhibited by perfusion insulin or nerve stimulation, we conclude that the pancreatic polypeptide cell is regulated by the ambient degree of somatostatin relase, insulin release, or both. These findings support a centrifugal pattern of intraislet blood flow.

Original languageEnglish (US)
Pages (from-to)63-69
Number of pages7
JournalThe American Journal of Surgery
Volume155
Issue number1
DOIs
StatePublished - 1988
Externally publishedYes

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Pancreatic Polypeptide-Secreting Cells
Pancreatic Polypeptide
Pancreas
Gastric Inhibitory Polypeptide
Insulin
Splanchnic Nerves
Perfusion
Somatostatin
Hyperglycemia
Splenic Artery
Bicarbonates
Abdomen
Electric Stimulation
Buffers
Tissue Donors
Glucose

ASJC Scopus subject areas

  • Surgery

Cite this

Regulation of pancreatic polypeptide secretion in the isolated perfused human pancreas. / Brunicardi, F. Charles; Druck, Paul; Sun, You Su; Elahi, Dariush; Gingerich, Ronald L.; Andersen, Dana.

In: The American Journal of Surgery, Vol. 155, No. 1, 1988, p. 63-69.

Research output: Contribution to journalArticle

Brunicardi, F. Charles ; Druck, Paul ; Sun, You Su ; Elahi, Dariush ; Gingerich, Ronald L. ; Andersen, Dana. / Regulation of pancreatic polypeptide secretion in the isolated perfused human pancreas. In: The American Journal of Surgery. 1988 ; Vol. 155, No. 1. pp. 63-69.
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