Abstract

BackgroundBecause insulin is the main regulator of glucose homeostasis, quantitative models describing the dynamics of glucose-induced insulin secretion are of obvious interest. Here, a computational model is introduced that focuses not on organism-level concentrations, but on the quantitative modeling of local, cellular-level glucose-insulin dynamics by incorporating the detailed spatial distribution of the concentrations of interest within isolated avascular pancreatic islets.MethodsAll nutrient consumption and hormone release rates were assumed to follow Hill-type sigmoid dependences on local concentrations. Insulin secretion rates depend on both the glucose concentration and its time-gradient, resulting in second-and first-phase responses, respectively. Since hypoxia may also be an important limiting factor in avascular islets, oxygen and cell viability considerations were also built in by incorporating and extending our previous islet cell oxygen consumption model. A finite element method (FEM) framework is used to combine reactive rates with mass transport by convection and diffusion as well as fluid-mechanics.ResultsThe model was calibrated using experimental results from dynamic glucose-stimulated insulin release (GSIR) perifusion studies with isolated islets. Further optimization is still needed, but calculated insulin responses to stepwise increments in the incoming glucose concentration are in good agreement with existing experimental insulin release data characterizing glucose and oxygen dependence. The model makes possible the detailed description of the intraislet spatial distributions of insulin, glucose, and oxygen levels. In agreement with recent observations, modeling also suggests that smaller islets perform better when transplanted and/or encapsulated.ConclusionsAn insulin secretion model was implemented by coupling local consumption and release rates to calculations of the spatial distributions of all species of interest. The resulting glucose-insulin control system fits in the general framework of a sigmoid proportional-integral-derivative controller, a generalized PID controller, more suitable for biological systems, which are always nonlinear due to the maximum response being limited. Because of the general framework of the implementation, simulations can be carried out for arbitrary geometries including cultured, perifused, transplanted, and encapsulated islets.

Highlights

  • Because insulin is the main regulator of glucose homeostasis, quantitative models describing the dynamics of glucose-induced insulin secretion are of obvious interest

  • In healthy humans, blood glucose levels have to be maintained in a relatively narrow range: typically 4-5 mol m-3 (mM) and usually within 3.5-7.0 mM (60-125 mg/dL) in fasting subjects [1,2]. This is mainly achieved via the finely-tuned glucose-insulin control system whereby b-cells located in pancreatic islets act as glucose sensors and adjust their insulin output as a function of the blood glucose level

  • Because abnormalities in b-cell function are the main culprit behind elevated glucose levels, quantitative models describing the dynamics of glucose-stimulated insulin release (GSIR) are of obvious interest [1] for both type 1 and type 2 diabetes mellitus

Read more

Summary

Introduction

Because insulin is the main regulator of glucose homeostasis, quantitative models describing the dynamics of glucose-induced insulin secretion are of obvious interest. Because abnormalities in b-cell function are the main culprit behind elevated glucose levels, quantitative models describing the dynamics of glucose-stimulated insulin release (GSIR) are of obvious interest [1] for both type 1 (insulin-dependent or juvenile-onset) and type 2 (non-insulin dependent or adult-onset) diabetes mellitus. They could help to better understand the process, and to more accurately assess b-cell function and insulin resistance. There is considerable interest in models focusing on insulin release from encapsulated islets [20,21,22,23,24,25,26], an approach that is being explored as a possibility to immunoisolate and protect transplanted islets

Objectives
Methods
Results
Conclusion
Full Text
Paper version not known

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call

Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.