Simple obesity is defined as obesity that exists independently without other comorbidities, primarily attributed to energy imbalance resulting from unhealthy lifestyles, such as improper dietary patterns and insufficient physical activity1. Obesity significantly contributes to the rising incidence of non-communicable diseases among younger populations, characterized by high prevalence rates, early onset, and multisystem complications, positioning it as a critical global public health challenge2. Fatty pancreas is a condition marked by ectopic lipid deposition in this non-adipose organ during metabolic dysregulation. Fatty pancreas reflects a critical interplay between adipose tissue and pancreatic pathophysiology. Excessive pancreatic fat accumulation displaces normal acinar and islet tissues, inducing dual functional impairments in both exocrine and endocrine capacities3,4. This pathological process disrupts α/β-cell ratios, promotes β-cell dedifferentiation with subsequent loss of insulin secretory function5, and mediates direct lipotoxic damage to β-cells6. Concurrently, α-cell proliferation and dysregulated insulin release exacerbate glycemic instability, accelerating progression to type 2 diabetes mellitus (T2DM) and its associated complications7.
Investigating fatty pancreas pathogenesis reveals novel mechanisms underlying metabolic disease progression8. While prior obesity research emphasized hepatic steatosis, emerging evidence identifies pancreatic lipid deposition as an earlier event in metabolic dysregulation9. This paradigm shift enables the construction of a dual-organ pathology model for simple obesity, integrating pancreatic and hepatic steatosis10. Studying their cross-talk may elucidate critical pathways across the disease spectrum spanning lipid metabolism disorder, obesity, insulin resistance, and diabetes, offering fresh insights into disease mechanisms11.In the pathological process of the pancreas, the initial manifestation is significant deposition of pancreatic fat, accompanied by substantial expansion of pancreatic adipocytes. This is predominantly observed in the ventral aspect of the pancreatic head, neck, and body regions, and is primarily located within the interstitial areas between acinar and islet cells. Concurrently, chronic low-grade inflammation of the pancreas is present, while both endocrine and exocrine functions remain largely intact at this stage12,13. Extensive fatty infiltration further impairs pancreatic β-cell function through lipotoxicity and suppresses insulin activity. During this phase, acinar cells are progressively replaced by adipocytes, thereby contributing to the development of T2DM14,15. Although diabetes mellitus is not an independent risk factor for pancreatic cancer, patients with a history of acute pancreatitis and diabetes exhibit a significantly elevated risk of developing pancreatic cancer16.
Macroscopic anatomical analyses quantify pancreatic steatosis severity and infiltration patterns, while IHC evaluations at the microscopic level characterize acinar cell morphology, nuclear positioning, vacuolization frequency, and cellular population dynamics17. This multimodal approach, spanning gross anatomical observation to cellular-resolution IHC, enables comprehensive staging of pancreatic pathology across disease progression. The present study details a standardized protocol encompassing a 1-week acclimatization, a 14-week obesity induction in adult rats, and optimized pancreatic tissue processing for morphological analysis, establishing a robust framework for investigating steatosis-associated metabolic derangements.