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Pancreas

Anatomy and Physiology · NLM MeSH · updated 2026-10-31 · version 1

Citations verified against PubMedNot yet clinician-reviewed9 referencesApproximately 3 min read

A nodular organ in the abdomen that contains a mixture of endocrine glands and exocrine glands.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 3 complete abstracts (542 words), 9 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

A nodular organ in the abdomen that contains a mixture of endocrine glands and exocrine glands. The small endocrine portion consists of the islets OF langerhans secreting a number of hormones into the blood stream. The large exocrine portion (exocrine pancreas) is a compound acinar gland that secretes several digestive enzymes into the pancreatic ductal system that empties into the duodenum.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Where it fits in the MeSH classification

Broader topics
Digestive System
Narrower topics
Islets of Langerhans; Pancreas, Exocrine; Pancreatic Ducts
See also
Pancreatectomy; Pancreaticojejunostomy

Related concepts

  • Abdomen
  • Endocrine Glands
  • Exocrine Glands
  • Islets
  • Langerhans
  • Exocrine Pancreas
  • Duodenum

Research landscape

PubMed indexes 143,008 records tagged with the MeSH heading “Pancreas” (counts retrieved 2026-10-31). 17,143 of them (12.0%) were published from 2020 onward, and the busiest period so far is through 1999 with 71,869 records.

Reviews account for 14,952 records (10.5%) and meta-analyses for 484. Randomized controlled trials number 1,320 (0.9%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 71,869 records; 2000-2009: 24,008 records; 2010-2019: 29,988 records; 2020 onward: 17,143 records71,869through 199924,0082000-200929,9882010-201917,1432020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 199971,869
2000-200924,008
2010-201929,988
2020 onward17,143
Share of records by publication typeReviews: 10.5 percent; Meta-analyses: 0.3 percent; Randomized controlled trials: 0.9 percentReviews10.5% (14,952)Meta-analyses0.3% (484)Randomized controlled trials0.9% (1,320)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 143,008 PubMed records
TypeRecordsShare
Reviews14,95210.5%
Meta-analyses4840.3%
Randomized controlled trials1,3200.9%

Method: PubMed query "Pancreas"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in anatomy and physiology

Anatomy describes how body structures are built and physiology describes how they normally work, so most findings here are descriptive or mechanistic rather than evidence about treatment. Much of what is known comes from dissection, imaging, tissue studies and experiments in animals, and measurements in healthy volunteers can differ from those in people with disease or at different ages. Normal ranges vary between individuals and populations. Check whether a result was measured in people or in another species, the age and health of the participants, and the method used.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Pancreatic islet α cell function and proliferation require the arginine transporter SLC7A2
Spears E, Stanley JE, Shou M, Yin L, Li X, Dai C, et al.
2026Research article
Design not recorded in structured metadata
15cc by
PMID 42294887 · DOI · PMC13262736
Deep single-cell decoding of human pancreatic islets reveals T2D β-cell gene expression defects
Bandesh K, Motakis E, Nargund S, Kursawe R, Selvam V, Ansarullah, et al.
2026Research article
Design not recorded in structured metadata
5cc by
PMID 41986506 · DOI · PMC13226668
ALDH1L2 regulates reactive oxygen species and acinar-to-ductal metaplasia in the pancreas
Hennequart M, Mervant L, Stockis J, Coomes J, Zarou MM, Gerard L, et al.
2026Research article
Design not recorded in structured metadata
5cc by
PMID 41922744 · DOI · PMC13120998

Pancreatic islet α cell function and proliferation require the arginine transporter SLC7A2 [1]

Research article Spears E, Stanley JE, Shou M, Yin L, Li X, Dai C, et al. · · 2026 · cited 15 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Interrupting glucagon signaling decreases gluconeogenesis and the fractional extraction of amino acids by liver from blood, resulting in lower glycemia.
Closing excerpt
Together, these data indicate a central role for SLC7A2 in amino acid-stimulated α cell proliferation and islet hormone secretion.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (202 words)

Interrupting glucagon signaling decreases gluconeogenesis and the fractional extraction of amino acids by liver from blood, resulting in lower glycemia. The resulting hyperaminoacidemia stimulates α cell proliferation and glucagon secretion via a liver/α cell axis. We hypothesized that α cells detect and respond to circulating amino acids' levels via a unique amino acid transporter repertoire. We found that Slc7a2/SLC7A2 is the most highly expressed cationic amino acid transporter in α cells, with its expression being 3-fold greater in α than β cells in both mouse and human. Employing cell culture, zebrafish, and knockout mouse models, we found that the cationic amino acid arginine and SLC7A2 are required for α cell proliferation in response to interrupted glucagon signaling. Ex vivo and in vivo assessment of islet function in Slc7a2-/- mice showed decreased arginine-stimulated glucagon and insulin secretion. We found that arginine activation of mTOR signaling and induction of the glutamine transporter SLC38A5 was dependent on SLC7A2, showing that the role of both in α cell proliferation is dependent on arginine transport and SLC7A2. Finally, we identified single nucleotide polymorphisms in SLC7A2 associated with HbA1c. Together, these data indicate a central role for SLC7A2 in amino acid-stimulated α cell proliferation and islet hormone secretion.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42294887 · DOI · PMC13262736

Deep single-cell decoding of human pancreatic islets reveals T2D β-cell gene expression defects [2]

Research article Bandesh K, Motakis E, Nargund S, Kursawe R, Selvam V, Ansarullah, et al. · · 2026 · cited 5 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Pancreatic islets maintain glucose homeostasis through coordinated action of endocrine and affiliate cell types and are central to type 2 diabetes (T2D) genetics and pathophysiology.
Closing excerpt
Together, this genomic resource provides an enhanced type 2 diabetes expression-atlas for data exploration, analysis, and hypothesis testing, as well as a novel genomic resource for insights into T2D pathophysiology and human islet dysfunction.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (183 words)

Pancreatic islets maintain glucose homeostasis through coordinated action of endocrine and affiliate cell types and are central to type 2 diabetes (T2D) genetics and pathophysiology. Our understanding of robust human islet cell type-specific alterations in T2D remains limited. Here, we report comprehensive single-cell transcriptome profiling of 245,878 human islet cells from 48 donors spanning non-diabetic, pre-diabetic, and T2D states, and we identify 14 distinct cell types detected in every donor. Cell-cluster analysis reveals ~25-30% β-cell reductions consisting of β-cell loss and proportional increases in a senescent β-cell subpopulation in T2D donors, consistent with previous reports. Further, comparative data integration identifies 511 differentially expressed genes (DEGs) in T2D β-cells, including T2D-associated vitamin A metabolism genes, which are linked to impaired β-cell viability by multimodal functional validation. Integration with T2D genetic, proteomic, and mouse model metabolic phenotypes nominates 58 candidate causal T2D genes, including PDZK1 and GRAMD2B, which preserve β-cell mass. Together, this genomic resource provides an enhanced type 2 diabetes expression-atlas for data exploration, analysis, and hypothesis testing, as well as a novel genomic resource for insights into T2D pathophysiology and human islet dysfunction.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 41986506 · DOI · PMC13226668

ALDH1L2 regulates reactive oxygen species and acinar-to-ductal metaplasia in the pancreas [3]

Research article Hennequart M, Mervant L, Stockis J, Coomes J, Zarou MM, Gerard L, et al. · · 2026 · cited 5 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Acinar-to-ductal metaplasia (ADM) contributes to pancreatic repair after injury1.
Closing excerpt
Overall, our findings identify ROS as a driver of ADM and suggest that circulating formate may serve as a biomarker for PDAC progression.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (157 words)

Acinar-to-ductal metaplasia (ADM) contributes to pancreatic repair after injury1. However, persistent ADM, combined with KRAS mutation, leads to the development of precancerous pancreatic intraepithelial neoplasia (PanIN) that can progress into pancreatic ductal adenocarcinoma (PDAC)2. While PDAC development is well documented, the metabolic rewiring that occurs during early events such as ADM is poorly understood. Here we show that aldehyde dehydrogenase 1 family member L2 (ALDH1L2), an NADPH-producing mitochondrial enzyme of the one-carbon pathway, limits reactive oxygen species (ROS) and formate production in pancreatic acinar cells. However, ALDH1L2 expression decreases progressively during ADM and is completely absent in pancreatic ductal cells. ALDH1L2 loss elevates ROS and promotes ADM in a model of pancreatitis and accelerates tumour progression in models of pancreatic cancer. We also show that formate increases during PDAC progression in mice and humans. Overall, our findings identify ROS as a driver of ADM and suggest that circulating formate may serve as a biomarker for PDAC progression.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 41922744 · DOI · PMC13120998

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Arterial resection during pancreatectomy for pancreatic cancer: a systematic review and meta-analysis [4]
    Mollberg N, Rahbari NN, Koch M, Hartwig W, Hoeger Y, Büchler MW, et al. · Ann Surg · 2011 · cited 311 times (Europe PMC)
  • Research article Impact of type 2 diabetes susceptibility variants on quantitative glycemic traits reveals mechanistic heterogeneity [5]
    Dimas AS, Lagou V, Barker A, Knowles JW, Mägi R, Hivert MF, et al. · Diabetes · 2014 · cited 277 times (Europe PMC)
  • Research article How good is endoscopic ultrasound-guided fine-needle aspiration in diagnosing the correct etiology for a solid pancreatic mass?: A meta-analysis and systematic review [6]
    Puli SR, Bechtold ML, Buxbaum JL, Eloubeidi MA · Pancreas · 2013 · cited 275 times (Europe PMC)
  • Research article Systematic review and meta-analysis of the volume-outcome relationship in pancreatic surgery [7]
    Gooiker GA, van Gijn W, Wouters MW, Post PN, van de Velde CJ, Tollenaar RA, et al. · Br J Surg · 2011 · cited 267 times (Europe PMC)
  • Research article Magnetic resonance cholangiopancreatography: a meta-analysis of test performance in suspected biliary disease [8]
    Romagnuolo J, Bardou M, Rahme E, Joseph L, Reinhold C, Barkun AN · Ann Intern Med · 2003 · cited 246 times (Europe PMC)
  • Research article Ectopic fat accumulation in the pancreas and its clinical relevance: A systematic review, meta-analysis, and meta-regression [9]
    Singh RG, Yoon HD, Wu LM, Lu J, Plank LD, Petrov MS · Metabolism · 2017 · cited 211 times (Europe PMC)

References

  1. Spears E, Stanley JE, Shou M, Yin L, Li X, Dai C, et al.. Pancreatic islet α cell function and proliferation require the arginine transporter SLC7A2. . 2026. PMID 42294887 · DOI · PMC13262736
  2. Bandesh K, Motakis E, Nargund S, Kursawe R, Selvam V, Ansarullah, et al.. Deep single-cell decoding of human pancreatic islets reveals T2D β-cell gene expression defects. . 2026. PMID 41986506 · DOI · PMC13226668
  3. Hennequart M, Mervant L, Stockis J, Coomes J, Zarou MM, Gerard L, et al.. ALDH1L2 regulates reactive oxygen species and acinar-to-ductal metaplasia in the pancreas. . 2026. PMID 41922744 · DOI · PMC13120998
  4. Mollberg N, Rahbari NN, Koch M, Hartwig W, Hoeger Y, Büchler MW, et al.. Arterial resection during pancreatectomy for pancreatic cancer: a systematic review and meta-analysis. Ann Surg. 2011. PMID 22064622 · DOI
  5. Dimas AS, Lagou V, Barker A, Knowles JW, Mägi R, Hivert MF, et al.. Impact of type 2 diabetes susceptibility variants on quantitative glycemic traits reveals mechanistic heterogeneity. Diabetes. 2014. PMID 24296717 · DOI · PMC4030103
  6. Puli SR, Bechtold ML, Buxbaum JL, Eloubeidi MA. How good is endoscopic ultrasound-guided fine-needle aspiration in diagnosing the correct etiology for a solid pancreatic mass?: A meta-analysis and systematic review. Pancreas. 2013. PMID 23254913 · DOI
  7. Gooiker GA, van Gijn W, Wouters MW, Post PN, van de Velde CJ, Tollenaar RA, et al.. Systematic review and meta-analysis of the volume-outcome relationship in pancreatic surgery. Br J Surg. 2011. PMID 21500187 · DOI
  8. Romagnuolo J, Bardou M, Rahme E, Joseph L, Reinhold C, Barkun AN. Magnetic resonance cholangiopancreatography: a meta-analysis of test performance in suspected biliary disease. Ann Intern Med. 2003. PMID 14530225 · DOI
  9. Singh RG, Yoon HD, Wu LM, Lu J, Plank LD, Petrov MS. Ectopic fat accumulation in the pancreas and its clinical relevance: A systematic review, meta-analysis, and meta-regression. Metabolism. 2017. PMID 28285638 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-31.

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Evidence strength

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All 542 articles in Anatomy and Physiology →

At a glance

143,008
PubMed records on this heading
12%
published since 2020
14,952
review articles
1,320
randomized trials
9
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

Related topics See all →

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  • Endocrine SystemAnatomy and Physiology
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  • SweatAnatomy and Physiology
  • Parotid GlandAnatomy and Physiology

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