The pancreatic duct system during the early stages of type 1 diabetes
was examined in 8-wk-old female nonobese diabetic (NOD) mice. Infiltra
tion was seen to involve the smaller ducts while the larger ducts were
usually free from ductulitis. The infiltration affected ducts both cl
ose to and remote from the islets of Langerhans. In the former situati
on, infiltration of the islet and that of the duct were not separable.
A strong positivity for both Ia and ICAM-1 molecules was observed in
all infiltrated ducts, indicating that this infiltrating process is du
e to the same elements as are involved in the islet inflammation and t
hat also mononuclear cells infiltrating the nonislet ducts express adh
esive mechanisms. At the ultrastructural level, endocrine cells that w
ere mainly of the 'closed' type were observed intermingled with the du
ctular epithelial cells and infiltrating mononuclear cells were detect
ed either in the connective layer or among the epithelial cells of the
affected ducts.