Page 285 - Anatomy and Physiology of Farm Animals, 8th Edition
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          levels adequate for nerve and muscle
  VetBooks.ir  function. Calcium is removed from the
          bone matrix, and this decalcification can
          lead to bone deformities and osteoporo-
          sis. This  creates the  medical condition
          nutritional secondary hyperparathy-
          roidism. In young animals, growth may
          be disrupted and limb and spine abnor-
          malities may develop, a manifestation of
          hyperparathyroidism sometimes called
          rickets. A particular form of nutritional
          hyperparathyroidism commonly called
          bran disease or bighead is seen in horses
          fed excessive amounts of cereal by‐prod-  Figure  13-11.  Pancreatic islet (encircled) sur­
          ucts (e.g., bran) in conjunction with cal-  rounded by cells of the exocrine pancreas. Source:
          cium‐poor hay. Bone tissue that has been   courtesy of Sandra Pitcaithley, DVM.
          decalcified by high levels of circulating
          PTH is frequently replaced with soft,   islet), and they produce the hormone insu-
          bulky fibrous tissue; this is especially   lin. Glucagon is produced by the α‐cells.
          prominent in the flat bones of the face    β‐Cells are sensitive to increases in
          and mandible, giving rise to the appear-  blood glucose (sugar), such as occur after a
          ance of an enlarged head. Prompt cor-   meal containing digestible carbohydrates,
          rection of the dietary imbalance may    and they release insulin in response to such
          improve most symptoms (e.g., lameness)   increases in blood glucose. Glucose is able
          of bran disease, although the enlarged   to move in to cells by either facilitated
          facial features are usually permanent.    diffusion  or active  transport and insulin
                                                  stimulates the uptake of glucose via certain
                                                  glucose transporters, thus lowering blood
          Pancreatic Islets                       glucose levels. The primary targets for
                                                  insulin‐mediated  glucose   transporter
          The  pancreas of domestic animals is a   uptake are skeletal and adipose tissues.
          bilobed gland adjacent to the proximal   The brain is considered to be an “insulin
          part of the duodenum (small intestine).   insensitive” organ because the glucose
          The pancreas is an important exocrine   transporters maintain a basal rate of glu­
          gland whose enzymatic secretions are    cose uptake; however, recent evidence sug­
          delivered to the lumen of the duodenum   gests that insulin does have neuroprotective
          by one or two ducts. Scattered through­  effects in the CNS and may convey infor­
          out the substance of the pancreas are   mation about energy reserves in the body.
          small  masses  of endocrine  tissue  called   Insulin also stimulates skeletal muscle and
          pancreatic islets (formerly the  islets of   liver cells to synthesize glycogen, the stor­
          Langerhans).                            age form of glucose. Insulin affects the
            The pancreatic islets are clumps of pale‐  metabolism of amino acids and lipids, for it
          staining cells, arranged in irregular cords   stimulates protein synthesis in skeletal
          separated by capillaries (Fig.  13‐11).   muscle and liver and the deposition of
          Special stains are used to demonstrate the   lipids in adipose tissue. Insulin is also the
          types of epithelial cells found in the   major endocrine stimulus for the state of
            pancreatic islets. The known number of   anabolism that exists after a meal is
          distinct kinds of cells is still growing, but   digested and nutrients are absorbed. When
          the two best characterized are the α‐cells   blood glucose decreases (such as during
          and  β‐cells. The  β‐cells are the more   fasting), the stimulus for insulin secretion
          numerous (about 75% of all cells in the   is lost and insulin levels are extremely low.
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