Effects of glibenclamide on pancreatic β-cell proliferation in vivo

Y Guiot, JC Henquin, J Rahier - European journal of pharmacology, 1994 - Elsevier
Y Guiot, JC Henquin, J Rahier
European journal of pharmacology, 1994Elsevier
Whether hypoglycaemic sulphonylureas promote pancreatic β-cell replication (β-cytotrophic
action) remains controversial largely because previous studies were based on semi-
quantitative techniques only. Here, we used strict quantitative and reliable 0 0 morphological
methods to assess whether glibenclamide affects the replication rate and the mass of β-cells
in normal mice. The animals received a daily intraperitoneal injection of glibenclamide (2
mg/kg body weight) for 7–30 days. Two hours before being killed, they also received an …
Abstract
Whether hypoglycaemic sulphonylureas promote pancreatic β-cell replication (β-cytotrophic action) remains controversial largely because previous studies were based on semi-quantitative techniques only. Here, we used strict quantitative and reliable 0 0 morphological methods to assess whether glibenclamide affects the replication rate and the mass of β-cells in normal mice. The animals received a daily intraperitoneal injection of glibenclamide (2 mg/kg body weight) for 7–30 days. Two hours before being killed, they also received an injection of 5-bromo-2′-deoxyuridine, which accumulates in the nucleus of cells in the S-phase of the cell division cycle. Sections of the pancreas were then stained for immunodetection of insulin-containing β-cells and replicating β-cells (labelled nucleus). The treatment caused a degranulation of β-cells, an increase in the percentage of β-cells with a labelled nucleus, but no β-cell hypertrophy. This stimulation of replication led to a small increase in the β-cell mass at the end of the treatment. However, the effect of glibenclamide on β-cell replication was short-lasting (less than 15 days) and was observed only when the treatment was started in young animals (23 or 30 days old, but not 42 days old). In conclusion, glibenclamide has a β-cytotrophic effect which is transient and only seen in young animals. It is unlikely, therefore, that this effect plays a role in the treatment of adult diabetic patients.
Elsevier