title: Persistent reduction of pancreatic beta-cell mass after a limited period of protein-energy malnutrition in the young rat.
abstract: Kwashiorkor, the human disease of protein-energy malnutrition, has been implicated in the aetiology of malnutrition-related diabetes mellitus, a form of diabetes not uncommon in developing countries. We have previously demonstrated that temporary protein-energy malnutrition in young rats causes a persisting impairment of insulin secretion. The present study investigates whether this secretory deficiency is accompanied by structural alterations of the endocrine pancreas. Three-week-old rats were weaned onto semi-synthetic diets containing either 15% or 5% protein and these diets were maintained for 3 weeks. From 6 weeks of age all rats were fed a commercial chow containing 18% protein. The endocrine pancreas was investigated by light and electron microscopic morphometry at 3, 6 and 12 weeks of age. In rats not subjected to protein-energy malnutrition there was a progressive increase, with age, of total pancreatic Beta-cell weight and individual Beta-cell size. In 6-week-old rats fed the low protein diet total pancreatic Beta-cell weight and individual Beta-cell size were diminished. In 12-week-old rats previously fed the low protein diet total Beta-cell weight remained lower compared to control rats. It is concluded that protein-energy malnutrition early in life may result in a diminished reserve for insulin production. This may predispose to glucose intolerance or even diabetes in situations with an increased insulin demand.
authors.affiliation: Department of Medical Cell Biology, Uppsala University, Sweden.
authors.forename: I
authors.initials: I
authors.lastname: Swenne
authors.forename: L A
authors.initials: LA
authors.lastname: Borg
authors.forename: C J
authors.initials: CJ
authors.lastname: Crace
authors.forename: A
authors.initials: A
authors.lastname: Schnell Landström
mesh_terms: D000367:Age Factors; D000818:Animals; D004044:Dietary Proteins / Q000494:pharmacology; D005260:Female; D005947:Glucose / Q000378:metabolism; D007515:Islets of Langerhans / Q000378:metabolism / Q000473:pathology* / Q000648:ultrastructure; D008297:Male; D008854:Microscopy, Electron; D009929:Organ Size / Q000187:drug effects; D011502:Protein-Energy Malnutrition / Q000378:metabolism / Q000473:pathology*; D051381:Rats; D017207:Rats, Sprague-Dawley; D013997:Time Factors
chemical_list: D004044:Dietary Proteins; D005947:Glucose