Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Type I Diabetes II: Pathophysiology01:26

Type I Diabetes II: Pathophysiology

Type 1 diabetes mellitus arises from an immune-mediated destruction of pancreatic β-cells, resulting in an absolute deficiency of insulin. This process develops in genetically susceptible individuals when autoimmunity, environmental exposures, and immunologic dysregulation converge to trigger a targeted attack on the insulin-producing cells of the pancreas. The β-cells are located within the islets of Langerhans and are essential for regulating blood glucose by facilitating cellular uptake of...
Type I Diabetes I: Introduction01:12

Type I Diabetes I: Introduction

Type 1 diabetes mellitus is a chronic metabolic disorder characterized by an absolute deficiency of insulin resulting from the autoimmune destruction of pancreatic β-cells. Although it can occur at any age, it is most commonly diagnosed in childhood, adolescence, or early adulthood. The loss of insulin production impairs cellular glucose uptake, resulting in persistent hyperglycemia and necessitating lifelong insulin therapy.Autoimmune Destruction of β-CellsThe hallmark of type 1 diabetes is an...
Diabetes Mellitus: Overview and Type I Subtype01:22

Diabetes Mellitus: Overview and Type I Subtype

Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type I Diabetes III: Clinical Manifestations01:19

Type I Diabetes III: Clinical Manifestations

Type 1 diabetes mellitus typically presents with rapid-onset symptoms due to the body’s inability to utilize glucose in the absence of insulin. Since insulin is required for glucose uptake into cells, its deficiency leads to hyperglycemia and cellular energy deprivation, resulting in characteristic clinical features.Polyuria and PolydipsiaOne of the earliest, most prominent symptoms is polyuria (excessive urination). When blood glucose concentrations rise above the renal threshold, the kidneys...
Type II Diabetes I: Introduction01:26

Type II Diabetes I: Introduction

Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder characterized by insulin resistance, in which target tissues such as the liver, muscle, and adipose tissue respond poorly to insulin. It is also associated with inadequate compensatory insulin secretion, where pancreatic β-cells fail to produce sufficient insulin. Together, these abnormalities lead to persistent hyperglycemia.EtiologyT2DM develops through a complex interaction of genetic predisposition and environmental or...
Diabetes Mellitus: Introduction01:26

Diabetes Mellitus: Introduction

Diabetes mellitus consists of chronic metabolic disorders characterized by persistent hyperglycemia. This elevated blood glucose results from defects in insulin secretion, impaired insulin action, or both. Insulin, produced by pancreatic β-cells, is essential for maintaining glucose homeostasis by facilitating cellular glucose uptake for energy or storage. Disruptions in insulin production or function lead to glucose accumulation in the bloodstream, causing the clinical features and long-term...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The first epidemiological study of presymptomatic type 1 diabetes among first-degree relatives in Japan: PREP-T1D study.

Diabetes research and clinical practice·2026
Same author

Life-threatening acute complications persist among individuals with type 1 diabetes in Japan: A nationwide registry-based cross-sectional study.

Journal of diabetes investigation·2026
Same author

A novel respiratory reactance index, frequency-dependent, and for effort-independent assessment of COPD severity using MostGraph.

Respiratory medicine·2026
Same author

A case of slowly progressive type 1 diabetes accompanied by positivity for a single islet cell antibody, initially suspected to be childhood-onset type 2 diabetes or maturity-onset diabetes of the young.

Diabetology international·2025
Same author

Slowly progressive type 1 diabetes and female sex as associated factors for pancreatic abnormalities on diagnostic imaging indicating precancerous potential.

BMJ open diabetes research & care·2025
Same author

Rapid and Slow Progressors Toward β-Cell Depletion and Their Predictors in Type 1 Diabetes: Prospective Longitudinal Study in Japanese Type 1 Diabetes (TIDE-J).

Diabetes care·2025

Related Experiment Video

Updated: Jun 26, 2026

Staining Protocols for Human Pancreatic Islets
07:48

Staining Protocols for Human Pancreatic Islets

Published on: May 23, 2012

Insulitis in human type 1 diabetes.

Toshiaki Hanafusa1, Akihisa Imagawa

  • 1First Department of Internal Medicine, Osaka Medical College, Takatsuki, Japan. hanafusa@poh.osaka-med.ac.jp

Annals of the New York Academy of Sciences
|January 6, 2009
PubMed
Summary

Autoimmune and fulminant type 1 diabetes (T1D) exhibit distinct pancreatic islet cell changes. Autoimmune T1D shows gradual beta cell loss, while fulminant T1D involves rapid destruction of both beta and alpha cells.

Area of Science:

  • Endocrinology
  • Immunology
  • Pathology

Background:

  • Type 1 diabetes (T1D) is an autoimmune disease characterized by pancreatic beta cell destruction.
  • T1D presents with different clinical subtypes, including autoimmune and fulminant forms, with distinct pathogenic mechanisms.

Purpose of the Study:

  • To investigate the distinct immunohistological differences between autoimmune and fulminant type 1 diabetes.
  • To elucidate the cellular and molecular mechanisms underlying beta cell loss in T1D subtypes.

Main Methods:

  • Immunohistological analysis of pancreatic tissues from patients with autoimmune T1D, fulminant T1D, and control subjects.
  • Assessment of beta and alpha cell populations, insulitis, and immune cell infiltration.
  • Evaluation of immune markers including MHC class I, Fas antigen, and Fas-ligand expression.

More Related Videos

Isolation of Human Islets from Partially Pancreatectomized Patients
11:10

Isolation of Human Islets from Partially Pancreatectomized Patients

Published on: July 30, 2011

Related Experiment Videos

Last Updated: Jun 26, 2026

Staining Protocols for Human Pancreatic Islets
07:48

Staining Protocols for Human Pancreatic Islets

Published on: May 23, 2012

Isolation of Human Islets from Partially Pancreatectomized Patients
11:10

Isolation of Human Islets from Partially Pancreatectomized Patients

Published on: July 30, 2011

Main Results:

  • Fulminant T1D showed decreased beta and alpha cells, while autoimmune T1D primarily showed decreased beta cells.
  • Insulitis was present in both T1D subtypes but persisted longer in autoimmune T1D.
  • Lymphocytic infiltration of exocrine tissue occurred only in fulminant T1D; specific immune marker upregulations were unique to autoimmune T1D.

Conclusions:

  • Autoimmune T1D involves a slow autoimmune destruction of beta cells.
  • Fulminant T1D is characterized by rapid beta cell destruction, potentially triggered by viral infections.
  • Distinct pathological pathways differentiate autoimmune and fulminant T1D, impacting islet cell survival differently.