1. Presaditev trebušne slinavke : indikacija, kirurška tehnika, klinični pomenGaja Hladnik, Vojko Flis, 2024, pregledni znanstveni članek Opis: Presaditev trebušne slinavke je zlati standard za zdravljenje ledvične odpovedi pri bolnikih s sladkorno
boleznijo oz. pri bolnikih s sladkorno boleznijo, kjer kljub intenzivirani inzulinski terapiji ne uspemo preprečiti
nastanka kroničnih zapletov sladkorne bolezni. Z napredkom kirurgije in novimi imunosupresivnimi zdravili je v zadnjih desetletjih prišlo do bistvenega izboljšanja preživetja bolnikov in presadkov ter povečane kakovosti življenja po presaditvi. Presaditev trebušne slinavke je danes metoda izbire, s katero nadomestimo endokrino funkcijo trebušne slinavke, vzpostavimo normoglikemijo in preprečimo nastanek sekundarnih zapletov sladkorne bolezni. Med presaditve trebušne slinavke prištevamo sočasno presaditev trebušne slinavke in ledvice, presaditev
samo trebušne slinavke, presaditev dela trebušne slinavke ter presaditev otočkovtrebušne slinavke. Enoletno preživetje bolnikov po presaditvi trebušne slinavke znaša 96 %, petletno pa 80 %. Preživetje je najbolj optimalno pri sočasni presaditvi trebušne slinavke in ledvice. Ključne besede: pancreas transplantation, diabetes mellitus, glycemic control, simultaneous pancreas-kidney transplantation Objavljeno v DKUM: 28.01.2025; Ogledov: 0; Prenosov: 14
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2. NMDA receptor inhibition increases, synchronizes, and stabilizes the collective pancreatic beta cell activity : insights through multilayer network analysisMarko Šterk, Lidija Križančić Bombek, Maša Skelin, Marjan Rupnik, Marko Marhl, Andraž Stožer, Marko Gosak, 2021, izvirni znanstveni članek Opis: NMDA receptors promote repolarization in pancreatic beta cells and thereby reduce glucose-stimulated insulin secretion. Therefore, NMDA receptors are a potential therapeutic target for diabetes. While the mechanism of NMDA receptor inhibition in beta cells is rather well understood at the molecular level, its possible effects on the collective cellular activity have not been addressed to date, even though proper insulin secretion patterns result from well-synchronized beta cell behavior. The latter is enabled by strong intercellular connectivity, which governs propagating calcium waves across the islets and makes the heterogeneous beta cell population work in synchrony. Since a disrupted collective activity is an important and possibly early contributor to impaired insulin secretion and glucose intolerance, it is of utmost importance to understand possible effects of NMDA receptor inhibition on beta cell functional connectivity. To address this issue, we combined confocal functional
multicellular calcium imaging in mouse tissue slices with network science approaches. Our results revealed that NMDA receptor inhibition increases, synchronizes, and stabilizes beta cell activity without affecting the velocity or size of calcium waves. To explore intercellular interactions more precisely, we made use of the multilayer network formalism by regarding each calcium wave as an individual network layer, with weighted directed connections portraying the intercellular propagation. NMDA receptor inhibition stabilized both the role of wave initiators and the course of waves. The findings obtained with the experimental antagonist of NMDA receptors, MK-801, were additionally validated with dextrorphan, the active metabolite of the approved drug dextromethorphan, as well as with experiments on NMDA receptor KO mice. In sum, our results provide additional and new evidence for a possible
role of NMDA receptor inhibition in treatment of type 2 diabetes and introduce the multilayer network paradigm as a general strategy to examine effects of drugs on connectivity in multicellular systems. Ključne besede: pancreas, beta cells, insulin, Islets of Langerhans Objavljeno v DKUM: 29.11.2024; Ogledov: 0; Prenosov: 0
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3. Dual mode of action of acetylcholine on cytosolic calcium oscillations in pancreatic beta and acinar cells in situNastja Sluga, Sandra Postić, Srdjan Sarikas, Ya-Chi Huang, Andraž Stožer, Marjan Rupnik, 2021, izvirni znanstveni članek Opis: Cholinergic innervation in the pancreas controls both the release of digestive enzymes to support the intestinal digestion and absorption, as well as insulin release to promote nutrient use in the cells of the body. The effects of muscarinic receptor stimulation are described in detail for endocrine beta cells and exocrine acinar cells separately. Here we describe morphological and functional criteria to separate these two cell types in situ in tissue slices and simultaneously measure their response to ACh stimulation on cytosolic Ca2+ oscillations [Ca2+]c in stimulatory glucose conditions. Our results show that both cell types respond to glucose directly in the concentration range compatible with the glucose transporters they express. The physiological ACh concentration increases the frequency of glucose stimulated [Ca2+]c oscillations in both cell types and synchronizes [Ca2+]c oscillations in acinar cells. The supraphysiological ACh concentration further increases the oscillation frequency on the level of individual beta cells, inhibits the synchronization between these cells, and abolishes oscillatory activity in acinar cells. We discuss possible mechanisms leading to the observed phenomena. Ključne besede: pancreas tissue slices, acetylcholine, beta cell, acinar cell, Ca2+ oscillations Objavljeno v DKUM: 14.10.2024; Ogledov: 0; Prenosov: 17
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4. In vitro disease models of the endocrine pancreasMarko Milojević, Jan Rožanc, Jernej Vajda, Laura Činč Ćurić, Eva Paradiž, Andraž Stožer, Uroš Maver, Boštjan Vihar, 2021, pregledni znanstveni članek Opis: The ethical constraints and shortcomings of animal models, combined with the demand to study disease pathogenesis under controlled conditions, are giving rise to a new field at the interface of tissue engineering and pathophysiology, which focuses on the development of in vitro models of disease. In vitro models are defined as synthetic experimental systems that contain living human cells and mimic tissue- and organ-level physiology in vitro by taking advantage of recent advances in tissue engineering and microfabrication. This review provides an overview of in vitro models and focuses specifically on in vitro disease models of the endocrine pancreas and diabetes. First, we briefly review the anatomy, physiology, and pathophysiology of the human pancreas, with an emphasis on islets of Langerhans and beta cell dysfunction. We then discuss different types of in vitro models and fundamental elements that should be considered when developing an in vitro disease model. Finally, we review the current state and breakthroughs in the field of pancreatic in vitro models and conclude with some challenges that need to be addressed in the future development of in vitro models. Ključne besede: in vitro disease models, pancreas, islet of Langerhans, 3D cell culture, scaffolds, acute tissue slices Objavljeno v DKUM: 01.10.2024; Ogledov: 0; Prenosov: 7
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5. Application of transmission electron microscopy to detect changes in pancreas physiologyMaša Skelin, Jurij Dolenšek, Ismael Valladolid-Acebes, Andraž Stožer, Saška Lipovšek Delakorda, 2022, samostojni znanstveni sestavek ali poglavje v monografski publikaciji Ključne besede: pancreas physiology, exocrine cells, endocrine cells, ultrastructure, metabolic syndrome, type 2 diabetes mellitus, western diet Objavljeno v DKUM: 24.09.2024; Ogledov: 0; Prenosov: 4
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6. Mechanisms of post-pancreatitis diabetes mellitus and cystic fibrosis-related diabetes: a review of preclinical studiesEleonóra Gál, Jurij Dolenšek, Andraž Stožer, László Czakó, Attila Ébert, Viktória Venglovecz, 2021, pregledni znanstveni članek Opis: Anatomical proximity and functional correlations between the exocrine and endocrine pancreas warrant reciprocal effects between the two parts. Inflammatory diseases of the exocrine pancreas, such as acute or chronic pancreatitis, or the presence of cystic fibrosis disrupt endocrine function, resulting in diabetes of the exocrine pancreas. Although novel mechanisms are being increasingly identified, the intra- and intercellular pathways regulating exocrine-endocrine interactions are still not fully understood, making the development of new and more effective therapies difficult. Therefore, this review sought to accumulate current knowledge regarding the pathogenesis of diabetes in acute and chronic pancreatitis, as well as cystic fibrosis. Ključne besede: diabetes of the exocrine pancreas, acute pancreatitis, chronic pancreatitis, cystic fibrosis, interaction Objavljeno v DKUM: 14.08.2024; Ogledov: 65; Prenosov: 6
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7. The effect of forskolin and the role of Epac2A during activation, activity, and deactivation of beta cell networksMaša Skelin, Jurij Dolenšek, Lidija Križančić Bombek, Viljem Pohorec, Marko Gosak, Marjan Rupnik, Andraž Stožer, 2023, izvirni znanstveni članek Opis: Beta cells couple stimulation by glucose with insulin secretion and impairments in this coupling play a central role in diabetes mellitus. Cyclic adenosine monophosphate (cAMP) amplifies stimulus-secretion coupling via protein kinase A and guanine nucleotide exchange protein 2 (Epac2A). With the present research, we aimed to clarify the influence of cAMP-elevating diterpene forskolin on cytoplasmic calcium dynamics and intercellular network activity, which are two of the crucial elements of normal beta cell stimulus-secretion coupling, and the role of Epac2A under normal and stimulated conditions. To this end, we performed functional multicellular calcium imaging of beta cells in mouse pancreas tissue slices after stimulation with glucose and forskolin in wild-type and Epac2A knock-out mice. Forskolin evoked calcium signals in otherwise substimulatory glucose and beta cells from Epac2A knock-out mice displayed a faster activation. During the plateau phase, beta cells from Epac2A knock-out mice displayed a slightly higher active time in response to glucose compared with wild-type littermates, and stimulation with forskolin increased the active time via an increase in oscillation frequency and a decrease in oscillation duration in both Epac2A knock-out and wild-type mice. Functional network properties during stimulation with glucose did not differ in Epac2A knock-out mice, but the presence of Epac2A was crucial for the protective effect of stimulation with forskolin in preventing a decline in beta cell functional connectivity with time. Finally, stimulation with forskolin prolonged beta cell activity during deactivation, especially in Epac2A knock-out mice. Ključne besede: pancreas, tissue slices, beta cells, calcium imaging, amplifying pathway, forskolin, Epac2A KO, intercellular network Objavljeno v DKUM: 27.05.2024; Ogledov: 193; Prenosov: 14
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8. Membrane potential and calcium dynamics in beta cells from mouse pancreas tissue slices : theory, experimentation, and analysisJurij Dolenšek, Denis Špelič, Maša Skelin, Borut Žalik, Marko Gosak, Marjan Rupnik, Andraž Stožer, 2015, pregledni znanstveni članek Opis: Beta cells in the pancreatic islets of Langerhans are precise biological sensors for glucose and play a central role in balancing the organism between catabolic and anabolic needs. A hallmark of the beta cell response to glucose are oscillatory changes of membrane potential that are tightly coupled with oscillatory changes in intracellular calcium concentration which, in turn, elicit oscillations of insulin secretion. Both membrane potential and calcium changes spread from one beta cell to the other in a wave-like manner. In order to assess the properties of the abovementioned responses to physiological and pathological stimuli, the main challenge remains how to effectively measure membrane potential and calcium changes at the same time with high spatial and temporal resolution, and also in as many cells as possible. To date, the most wide-spread approach has employed the electrophysiological patch-clamp method to monitor membrane potential changes. Inherently, this technique has many advantages, such as a direct contact with the cell and a high temporal resolution. However, it allows one to assess information from a single cell only. In some instances, this technique has been used in conjunction with CCD camera-based imaging, offering the opportunity to simultaneously monitor membrane potential and calcium changes, but not in the same cells and not with a reliable cellular or subcellular spatial resolution. Recently, a novel family of highly-sensitive membrane potential reporter dyes in combination with high temporal and spatial confocal calcium imaging allows for simultaneously detecting membrane potential and calcium changes in many cells at a time. Since the signals yielded from both types of reporter dyes are inherently noisy, we have developed complex methods of data denoising that permit for visualization and pixel-wise analysis of signals. Combining the experimental approach of high-resolution imaging with the advanced analysis of noisy data enables novel physiological insights and reassessment of current concepts in unprecedented detail. Ključne besede: calcium sensors, membrane potential sensors, calcium imaging, membrane potential imaging, beta cell, pancreas, denoising, patch-clamp Objavljeno v DKUM: 22.06.2017; Ogledov: 1669; Prenosov: 225
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9. The relationship between membrane potential and calcium dynamics in glucose-stimulated beta cell syncytium in acute mouse pancreas tissue slicesJurij Dolenšek, Andraž Stožer, Maša Skelin, Evan Miller, Marjan Rupnik, 2013, izvirni znanstveni članek Opis: Oscillatory electrical activity is regarded as a hallmark of the pancreatic beta cell glucose-dependent excitability pattern. Electrophysiologically recorded membrane potential oscillations in beta cells are associated with in-phase oscillatory cytosolic calcium activity ([Ca2+]i) measured with fluorescent probes. Recent high spatial and temporal resolution confocal imaging revealed that glucose stimulation of beta cells in intact islets within acute tissue slices produces a [Ca2+]i change with initial transient phase followed by a plateau phase with highly synchronized [Ca2+]i oscillations. Here, we aimed to correlate the plateau [Ca2+]i oscillations with the oscillations of membrane potential using patch-clamp and for the first time high resolution voltage-sensitive dye based confocal imaging. Our results demonstrated that the glucose-evoked membrane potential oscillations spread over the islet in a wave-like manner, their durations and wave velocities being comparable to the ones for [Ca2+]i oscillations and waves. High temporal resolution simultaneous records of membrane potential and [Ca2+]i confirmed tight but nevertheless limited coupling of the two processes, with membrane depolarization preceding the [Ca2+]i increase. The potassium channel blocker tetraethylammonium increased the velocity at which oscillations advanced over the islet by several-fold while, at the same time, emphasized differences in kinetics of the membrane potential and the [Ca2+]i. The combination of both imaging techniques provides a powerful tool that will help us attain deeper knowledge of the beta cell network. Ključne besede: glucose, pancreas, mice Objavljeno v DKUM: 19.06.2017; Ogledov: 1323; Prenosov: 370
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10. Functional connectivity in islets of Langerhans from mouse pancreas tissue slicesAndraž Stožer, Marko Gosak, Jurij Dolenšek, Matjaž Perc, Marko Marhl, Marjan Rupnik, Dean Korošak, 2013, izvirni znanstveni članek Opis: We propose a network representation of electrically coupled beta cells in islets of Langerhans. Beta cells are functionally connected on the basis of correlations between calcium dynamics of individual cells, obtained by means of confocal laser-scanning calcium imaging in islets from acute mouse pancreastissue slices. Obtained functional networks are analyzed in the light of known structural and physiological properties of islets. Focusing on the temporal evolution of the network under stimulation with glucose, we show thatthe dynamics are more correlated under stimulation than under non-stimulated conditions and that the highest overall correlation, largely independent of Euclidean distances between cells, is observed in the activation and deactivation phases when cells are driven by the external stimulus. Moreover, we find that the range of interactions in networks during activity shows a clear dependence on the Euclidean distance, lending support to previous observations that beta cells are synchronized via calcium waves spreading throughout islets. Most interestingly, the functional connectivity patterns between beta cells exhibit small-world properties, suggesting that beta cells do not form a homogeneous geometric network but are connected in a functionally more efficient way. Presented results provide support for the existing knowledge of beta cell physiology from a network perspective and shedimportant new light on the functional organization of beta cell syncitia whose structural topology is probably not as trivial as believed so far. Ključne besede: islets of Langerhans, mouse pancreas Objavljeno v DKUM: 16.06.2017; Ogledov: 1540; Prenosov: 419
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