Isolated Langerhans islets are widely used for diabetic transplantation exp
eriments and investigations of the mechanisms leading to the death or survi
val of insulin-producing cells in cultured islets. The present study was ai
med at investigating programmed cell death and the role of apoptosis-associ
ated peptides in insulin and glucagon cells of islets isolated from untreat
ed rats and held in cultured suspension. Islets were removed from medium on
days 0, 7, 14, 21 and 29, embedded in Epon, and semi-thin serial sections
were prepared. At designated intervals, histologic sections were treated wi
th the direct fluorescein-labelled TUNEL method and immunostained for pancr
eatic hormones (glucagon, insulin) and apoptotic peptides [Bak, Bar, Pas, P
as ligand (FasL)], as well as for the anti-apoptotic peptide Bcl-2. All tis
sue sections were investigated using confocal laser scanning microscopy und
er identical setting for semiquantitative estimation of staining intensity.
The percentage of apoptotic cells was between 1.6 and 2.1% and most apopto
tic cells were beta-cells. Corresponding cells often contained Bak and Bar.
Fas and Fast were mostly detected in islet cells within the first week aft
er preparing the cultured suspension. The insulin content was low (1.1 +/-
0.22 ng per islet) directly after isolation. It then increased progressivel
y up to day 14!, after which it began to decrease. Glucagon expression, on
the other hand, remained high for the entire duration of the investigation.
In conclusion, the islet beta-cells may recover after the isolation proced
ure, but after 4 weeks in culture, both the insulin content and Bcl-2 stain
ing decrease. Moreover, apoptosis is mediated by different mechanisms after
the isolation procedure and after culturing the islets for 1 month. The pr
esent data may be important for further studies on isolated, cultivated or
transplanted islets. Copyright (C) 2001 S. Karger AG, Basel.