BPG is committed to discovery and dissemination of knowledge
Minireviews
Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Methodol. Sep 20, 2026; 16(3): 118207
Published online Sep 20, 2026. doi: 10.5662/wjm.118207
Pancreatic nerves across species: Anatomical and functional disparities and their metabolic ramifications
Si-Yu Zhuang, Lu-Jin Xu, Hai-Xia Yang, Qi-Wei Yang, Geng Chen, Bin Xu, Zhi Yu, Yun Liu, Tian-Cheng Xu
Si-Yu Zhuang, Lu-Jin Xu, Hai-Xia Yang, Qi-Wei Yang, Geng Chen, Bin Xu, Zhi Yu, Yun Liu, Tian-Cheng Xu, Key Laboratory of Acupuncture and Medicine Research of Ministry of Education, Nanjing University of Chinese Medicine, Nanjing 210023, Jiangsu Province, China
Co-first authors: Si-Yu Zhuang and Lu-Jin Xu.
Co-corresponding authors: Yun Liu and Tian-Cheng Xu.
Author contributions: Zhuang SY and Xu LJ conceptualized and designed this review, have made crucial and indispensable contributions towards the completion of the project and thus qualified as the co-first authors of the paper; Zhuang SY, Xu LJ, Yang HX, Yang QW, and Chen G wrote the first draft of the manuscript; all authors have reviewed and approved the final version of the manuscript; Zhuang SY was responsible for the core conceptualization and overall framework, while Xu LJ was responsible for the creation of figures in the initial draft; Liu Y and Xu TC served as the co-corresponding authors, playing key roles in quality control, academic depth enhancement, and final manuscript coordination, have played important and indispensable roles in the manuscript preparation as the co-corresponding authors; Xu B and Yu Z applied for and secured funding for the research project, playing a crucial role in the overall design and quality control, ensuring the academic value and publication quality of the review; Xu TC and Liu Y focused on the academic depth and content rigor of the review, assuming key responsibilities for academic oversight, coordinating feedback from all authors on revised versions, leading responses to reviewer comments during the submission process, and guiding further improvements to the manuscript, ensuring the academic quality and publication standards of the review.
AI contribution statement: We have thoroughly revised the language expression to improve its readability and academic fluency. It should be clearly stated that no AI-generated writing content was used throughout the entire writing and revision process.
Supported by The National Natural Science Foundation of China, Youth Science Fund Project, No. 82305376; The Youth Talent Support Project of the China Acupuncture and Moxibustion Association, No. 2024-2026ZGZJXH-QNRC005; The 2024 Jiangsu Province Youth Science and Technology Talent Support Project, No. JSTJ-2024-380; and Talent Cultivation Program for Young Researchers, Key Laboratory of the Ministry of Education Project, No. zyqt202501 and No. zyqt202503.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Corresponding author: Tian-Cheng Xu, MD, PhD, Academic Fellow, Consultant, Professor, Key Laboratory of Acupuncture and Medicine Research of Ministry of Education, Nanjing University of Chinese Medicine, No. 138 Xianlin Avenue, Qixia District, Nanjing 210023, Jiangsu Province, China. xtc@njucm.edu.cn
Received: December 28, 2025
Revised: January 31, 2026
Accepted: March 9, 2026
Published online: September 20, 2026
Processing time: 196 Days and 1.4 Hours
Abstract

Pancreatic nerves exhibit significant anatomical and functional disparities across species, with profound implications for metabolism and clinical practices like pancreatic transplantation and disease treatment. In humans, pancreatic nerves feature a complex distribution of sympathetic and parasympathetic fibers, forming intricate plexuses that closely interact with surrounding organs, playing a crucial role in regulating both endocrine (e.g., insulin and glucagon release) and exocrine secretions to maintain metabolic balance. Rodents, such as rats and mice-common experimental models-have relatively simpler pancreatic nerve architectures; for instance, mice show more concentrated nerve fibers around islets, while rats display greater variability in nerve density across pancreatic regions, which influences their responses to metabolic stimuli and makes them valuable but not fully analogous to human models. Canines and felines, often used in translational studies, possess pancreatic nerve systems that share some similarities with humans, such as comparable nerve plexus organization, yet differ in fiber type proportions, affecting their susceptibility to metabolic abnormalities like pancreatitis-related glucose dysregulation. These species-specific differences in pancreatic nerves directly impact metabolic processes: In humans, impaired nerve function is linked to metabolic disorders like diabetes and obesity, whereas in animal models, variations in neural control of hormone release and pancreatic homeostasis lead to differences in disease progression and response to interventions. Understanding these discrepancies is vital: It not only helps interpret findings from animal studies when translating to human therapies but also guides pancreatic transplantation by highlighting the need for species-specific considerations in nerve reconstruction to restore metabolic function, and identifies potential therapeutic targets tailored to the unique neural-metabolic interactions of each species.

Keywords: Pancreatic nerves; Species differences; Autonomic innervation; Sympathetic nervous system; Parasympathetic nervous system; Islets of langerhans; Metabolic regulation; Diabetes; Pancreatic transplantation; Rodent models

Core Tip: This review highlights the significant anatomical and functional disparities in pancreatic innervation across humans, rodents, canines, and felines. These species-specific differences profoundly impact metabolic regulation, disease susceptibility (e.g., diabetes, pancreatitis), and responses to therapeutic interventions. Understanding these variations is crucial for accurately translating findings from animal models to human clinical applications, particularly in areas like pancreatic transplantation where nerve reconstruction strategies must be species-appropriate. Recognizing the unique neuro-metabolic interactions in each species can guide the development of more effective, tailored therapies for metabolic disorders and improve the predictive value of preclinical research.

Write to the Help Desk