RT Journal Article SR Electronic T1 Pancreatic Islet Production of Vascular Endothelial Growth Factor-A Is Essential for Islet Vascularization, Revascularization, and Function JF Diabetes JO Diabetes FD American Diabetes Association SP 2974 OP 2985 DO 10.2337/db06-0690 VO 55 IS 11 A1 Brissova, Marcela A1 Shostak, Alena A1 Shiota, Masakazu A1 Wiebe, Peter O. A1 Poffenberger, Greg A1 Kantz, Jeannelle A1 Chen, Zhongyi A1 Carr, Chad A1 Jerome, W. Gray A1 Chen, Jin A1 Baldwin, H. Scott A1 Nicholson, Wendell A1 Bader, David M. A1 Jetton, Thomas A1 Gannon, Maureen A1 Powers, Alvin C. YR 2006 UL http://diabetes.diabetesjournals.org/content/55/11/2974.abstract AB To investigate molecular mechanisms controlling islet vascularization and revascularization after transplantation, we examined pancreatic expression of three families of angiogenic factors and their receptors in differentiating endocrine cells and adult islets. Using intravital lectin labeling, we demonstrated that development of islet microvasculature and establishment of islet blood flow occur concomitantly with islet morphogenesis. Our genetic data indicate that vascular endothelial growth factor (VEGF)-A is a major regulator of islet vascularization and revascularization of transplanted islets. In spite of normal pancreatic insulin content and β-cell mass, mice with β-cell–reduced VEGF-A expression had impaired glucose-stimulated insulin secretion. By vascular or diffusion delivery of β-cell secretagogues to islets, we showed that reduced insulin output is not a result of β-cell dysfunction but rather caused by vascular alterations in islets. Taken together, our data indicate that the microvasculature plays an integral role in islet function. Factors modulating VEGF-A expression may influence islet vascularity and, consequently, the amount of insulin delivered into the systemic circulation.