Pancreatic islet amyloidosis has been previously reported in aged diabetic and nondiabetic humans, nonhuman primates, cats, raccoons (Procyon lotor), and degus (Ocrodon degus, a South American rodent).h In nonhuman primates, islet amyloidosis, often accompanied by diabetes mellitus, has been reported in Celebes crested macaques (Macaca nigYU)~ rhesus monkeys (Macaca ~nulatta), cynomolgus monkeys (Macaca fascicularis), a Formosan rock macaque (Macaca cyclopis), and a drill baboon (Mandrillus leucophams). 1.2.7.8 Human and feline islet amyloid deposits are derived from the polymerization of islet amyloid polypeptide (IAPP; amylin), whereas in the degu, they are derived from insulin.69 IAPP is an islet beta-cell product secreted with insulin by humans and many other ~pecies.~ The definitive biological functions of IAPP and the significance of IAPP in the pathogenesis of human type 2 (non-insulin dependent) diabetes mellitus and feline diabetes mellitus are unre~olved.~.~-~ The purpose of this study was to examine the immunoreactivity of pancreatic islet amyloid in captive nonhuman primates. A review of necropsy records from several sources identified four cynomolgus monkeys, three Celebes crested macaques, and one orangutan (Pongo pygmaeus) with islet amyloid deposits. All of the nonhuman primates were adults ranging from 7 to 26 years of age. One of the Celebes crested macaques had diabetes mellitus, but the metabolic status of the other animals was not known. Formalin-fixed, paraffin-embedded tissues were sectioned at 5 lm and stained with either hematoxylin and eosin (HE) or Congo red with or without KMnO, pretreatment. Congo red-stained sections were examined by both bright field and polarized light microscopy. Using a modified avidin-biotin-peroxidase complex (ABC) method,> pancreatic tissues were evaluated for immunoreactivity with guinea pig anti-porcine insulin serum (Dako Corp., Carpinteria, CA) diluted 1 : 800 in phosphate-buffered saline (PBS), pH 7.4; 1 : 400 rabbit anti-human glucagon serum (Dako); 1 : 100 rabbit anti-human somatostatin serum (Dako); 1 : 400 rabbit anti-human pancreatic polypeptide serum (Dako); 1 : 800 rabbit anti-human calcitonin gene-related peptide (CGRP) serum (Peninsula Laboratories, Belmont, CA); and 1 : 200 rabbit anti-human amylin serum (Peninsula). Positive controls included internal controls in the tissue sections containing islet amyloid and application of the primary antisera to tissue sections from normal bonnet macaque (Macaca radiata) pancreas. Negative controls included replacing the primary antisera with the appropriate nonimmune sera and applying the primary antisera to tissue sections from a canine kidney containing glomerular amyloid. Five-micrometer tissue sections were collected on positively charged glass slides (Fisher Scientific, Pittsburgh, PA), deparaffinized, rehydrated, and incubated in 1.5% normal goat serum in PBS for 20 minutes at room temperature in a humidified chamber. Sections were incubated with primary antibody for 1 hour under the same conditions, followed by a 30-minute incubation in 3% hydrogen peroxide in methanol to block endogenous peroxidase activity and 30-minute incubations of biotinylated goat anti-rabbit or anti-guinea pig IgG (Vector Laboratories, Burlingame, CA), and ABC (Vector). The chromagen was 0.0 16% diaminobenzidine tetrahydrochloride (Sigma Chemical Co., St. Louis, MO) with NiCI, (Digene Diagnostics, Silver Spring, MD) in 0.024% hydrogen peroxide and PBS. Sections were counterstained with nuclear fast red (Digene). All the animals in this study had either multifocal or diffuse pancreatic islet amyloidosis. The extent and distribution of amyloid ranged from mild multifocal deposition surrounding islet capillaries with little or no loss of islet cells to marked diffuse deposition in enlarged islets with severely reduced
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