The study of the pathogenesis of islet amyloidosis and its relationship to
the development and progression of type 2 diabetes mellitus has been hamper
ed by the lack of an experimentally inducible animal model. The domestic ca
t, by virtue of the fact that it is one of the few species that spontaneous
ly develop a form of diabetes mellitus that closely resembles human type 2
diabetes, including the formation of amyloid deposits derived from islet am
yloid polypeptide (IAPP), was considered to be an excellent candidate speci
es in which to attempt to develop a nontransgenic animal model for this dis
ease process. To develop the model, 8 healthy domestic cats were given a 50
% pancreatectomy, which was followed by treatment with growth hormone and d
examethasone. Once a stable diabetic state was established, cats were rando
mly assigned to groups treated with either glipizide or insulin at doses ap
propriate to control hyperglycemia. Cats were maintained on this treatment
regimen for 18 months and then euthanized. Based on light microscopic exami
nation of Congo red-stained sections of pancreas, all cats were negative fo
r the presence of islet amyloid at the time of pancreatectomy. At the end o
f the study all 4 glipizide-treated cats had islet amyloid deposits, wherea
s only 1 of 4 insulin-treated cats had detectable amyloid. In addition, the
glipizide treated cats had threefold higher basal and fivefold higher gluc
ose-stimulated plasma IAPP concentrations than insulin-treated cats, sugges
ting an association between elevated IAPP secretion and islet amyloidosis.
Blood-glycosylated hemoglobin concentrations were not significantly differe
nt between the two treatment groups. This study documents for the first tim
e all inducible model of islet amyloidosis in a nontransgenic animal.