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Pancreatic Structure and Function Evaluation in the Type 2 Diabetic Rat Model It is estimated that 347 million people worldwide are affected by diabetes. Diabetes mellitus type 2 is a metabolic disorder that is characterized by high blood glucose in the context of insulin resistance and insulin deficiency in humans. Type 2 diabetes comprises 90% of people with diabetes around the world and is primarily caused by obesity and physical inactivity. Endpoints • Body weight • Food consumption • Water consumption Following the market of several GLP-1 agonists for the treatment of type 2 diabetes, an association between the use of these therapies and an increased incidence of pancreatitis was suggested based on case reports. This suggested association led to the request from the US Food and Drug Administration to all developers of incretin-based therapies to conduct a 3-month preclinical toxicity study that would investigate the potential effects of their candidate drugs on pancreatic structure and function in an insulin-resistant model of type 2 diabetes. Consequently, the Charles River preclinical diabetes portfolio has expanded over recent years to include fully GLP-compliant investigative study of pancreatic exocrine biomarkers, histology, immunohistochemistry and histomorphometry in the Zucker diabetic fatty (ZDF) male rat model. These preclinical studies allow the assessment of potential toxicity of a given compound on the pancreatic structure and function through the serial monitoring of pancreatic and diabetic markers with extensive histopathologic evaluation of the pancreas, including immunohistochemistry and morphometric assessment of cell proliferation and apoptosis of ductal epithelium in the insulin-resistant Zucker diabetic fatty (ZDF) rat model. Typical toxicology safety endpoints such as body weight, food consumption, water consumption, clinical signs, ophthalmology, bioanalysis, immunogenicity, behavioral assessments, clinical pathology examination and gross and microscopic examinations can be included. Board-certified ophthalmologists, clinical pathologists and anatomical and experienced toxicologists are available to interpret the data generated and produce high-quality contributing reports. The male ZDF rat model has proven to be an appropriate model, as the male ZDF rat progresses through several stages of diabetes in a relatively predictable age-dependent fashion when maintained under the appropriate conditions (standard laboratory diet such as PMI Certified Rodent Chow 5008). The ZDF male rat typically starts to develop hyperglycemia and hyperlipidemia by 8 weeks of age and type 2 diabetes by 12 weeks of age. • Clinical signs • Opthalmology • Bioanalysis • Immunogenicity • Clinical pathology assessment • Gross and microscopic examinations Services • Laboratory Services - Method development - Validation for dose formulation analysis - Bioanalysis - Immunogenicity (HPLC, LC/MS/MS, ELISA, qPCR) • Monitoring of Diabetic State and Pancreatic Toxicity • Study Termination and Analysis • Pathology Evaluation • Immunohistochemistry • Histomorphometry • Photographic Documentation [email protected] www.criver.com © 2013, Charles River Laboratories International, Inc. Sample Study Design 6 Weeks: Animals received, acclimation period 8 Weeks: Dosing initiated via appropriate route; animals become hyperglycemic/ hyperlipidemic 12 Weeks: Type 2 diabetes developed in animals Optimized housing conditions, veterinary oversight and modified handling procedures adapted to their different physical proportions (short limbs and increased fat deposits) are used as a standard to optimize conditions for the animals’ health and longevity during these more fragile months of their lifespan. Laboratory Services Charles River offers a complete range of laboratory support services and can provide method development and validation for dose formulation analysis, as well as bioanalysis and immunogenicity using standard methods such as HPLC, LC/MS/MS, ELISA or specialized methods of analysis (e.g., qPCR). Monitoring of Diabetic State and Pancreatic Toxicity A range of already-validated markers are available for monitoring the animals’ diabetic state (including, but not limited to, insulin, glucose, glycated hemoglobin) and pancreatic toxicity (including, but not limited to, total amylase, pancreatic amylase, lipase, urea and creatinine) throughout the study. 8-20 Weeks: Serial monitoring of disease model and pancreatic markers 21 Weeks: Study termination and analysis: necropsy, pathology evaluation, IHC, histomorphometry Pathology Evaluation Pathologists evaluate the pancreatic tissue with H&E-stained step and serial sections for immunohistochemistry and/or cytochemistry of head, body and tail regions. Transmission electron microscopy (TEM) is available, which may be of interest to further assess potential subcellular alterations. The Provantis 8™ computer system, which allows for rapid tabulation of data sets, is used for reporting pathology findings. Immunohistochemsitry A range of validated immunohistochemical staining procedures are available, including KI-67 for cell proliferation marker, Cytokeratin for duct epithelial cell marker and TUNEL staining for apoptosis. Histomorphometry Study Termination and Analysis Quantitative histological assessment utilizing Image-Pro® Plus is available from our image analysis units. These facilities are available for various applications, such as cell counting, planimetric measurements from tissue structures and measuring areas, and quantitation of KI-67/Cytokeratin-19- and TUNEL/ Cytokeratin-19-positive cells in the pancreas of ZDF male rats. Necropsy Photographic Documentation Pathologists oversee all steps of the work from necropsy to slide preparation. In addition to the weighing and comprehensive collection of tissues and description of lesions at necropsy, whole blood perfusion can be conducted using various fixatives. Beyond the routine histology services, specialized pancreatic trimming, embedding and sectioning can be performed on perfused or immersed-fixed tissue, as well as cryostat sectioning of frozen pancreas. The application of specialized immunohistochemical and cytochemical staining, in combination with morphometric evaluation, can also be utilized in addition to the standard morphologic evaluation of hematoxylin and eosin (H&E) stains. A digital imaging unit (GLP-compliant) for the capture and printing of high-quality digitized images of gross and microscopic pathology specimens is also available. The Aperio® ePathology Solutions™ system for digitizing pathology facilitates image sharing, consultation, collaboration and discussion, and the high quality of the digital images enables their use in study reports and scientific publications. [email protected] www.criver.com © 2013, Charles River Laboratories International, Inc.