Diabetes, Vol 38, Issue 3 333-337, Copyright © 1989 by American Diabetes Association

ARTICLES

Insulin depolarization of skeletal muscle in absence of external Na+

FS Wu, E Rogus and K Zierler
Department of Physiology, Johns Hopkins University School of Medicine, Baltimore, Maryland.

Three mechanisms have been proposed by which insulin might increase the electrical potential difference across the cell membrane of some of its main target cells: stimulation of an electrogenic pump; increased permeability to K+ (PK); and decreased ratio of permeability to Na+ (PNa) compared to PK, with an absolute decrease in permeability to both ions. Our laboratory has reported that insulin-induced hyperpolarization (IIH) of rat skeletal muscle is not due to stimulation of a ouabain-inhibitable pump and that insulin decreases 42K efflux, apparently eliminating the first two candidate mechanisms. If the remaining hypothesis is correct, when Na+ is removed from the bathing solution, insulin should depolarize, not hyperpolarize. It did. With Tris or N-methyl-D-glucamine substituted for Na+, insulin depolarized by approximately 3 mV. Ouabain had no effect. PNa decreased by greater than 90%; PK was reduced by less than 40%. The main component of the immediate mechanism of IIH is the near elimination of PNa. Furthermore, when a poorly permeable cation was substituted for Na+, muscles hyperpolarized in the absence of insulin. This gave us an opportunity to test the hypothesis that hyperpolarization is a link in the insulin-transduction chain. Consistent with this hypothesis, rat muscles hyperpolarized in this manner in the absence of insulin took up more glucose than paired controls in normal Na+ solution.
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