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Diabetes, Vol 41, Issue 4 438-443, Copyright © 1992 by American Diabetes Association
Dual functional role of membrane depolarization/Ca2+ influx in rat pancreatic B-cell
Y Sato, T Aizawa, M Komatsu, N Okada and T Yamada
Department of Geriatrics, Endocrinology and Metabolism, School of Medicine, Shinshu University, Nagano-ken, Japan.
Transient exposure of rat pancreatic B-cell to 50 mM K+ ([K+50]) makes
exocytosis unresponsive to further depolarization, i.e., stimulation with
100 mM K+ or 1 uM glyburide, which closes the ATP-sensitive K+ (K+ATP)
channel, simultaneously with [K+50] does not produce any greater insulin
secretion compared with [K+50] alone. In sharp contrast, 16.7 mM glucose
([G16.7]) applied simultaneously with [K+50] elicits an insulin response
markedly greater than that produced by [K+50] alone, which is not
attenuated by 100 uM diazoxide, an inhibitor of K+ATP channel closure.
[G16.7]-induced insulin secretion at the basal K+ concn of 4.7 mM was
greatly (93%) suppressed by 100 uM diazoxide. Insulin secretion induced by
[K+50] plus [G16.7] ([K+50 + G16.7]) was markedly suppressed (70%) by 1 uM
nifedipine, a Ca(2+)-channel blocker and was completely abolished by 2 mM
2-cyclohexen-1-one, which reportedly decreases reduced glutathione level
and blocks glucokinase. This finding indicates that insulin release induced
by [K+50 + G16.7] is not due to leakage produced by toxic stimuli but to
activation of exocytosis. When graded concentrations (25 and 50 mM) of K+
were applied simultaneously with [G16.7] in the presence of 100 uM
diazoxide, insulin response was clearly dependent on K+ concentration,
indicating that the physiological range of membrane depolarization also
activates the glucose-responsive effector. Membrane depolarization/Ca2+
influx directly stimulates hormone exocytosis on one hand and activates the
K+ATP channel-independent glucose-responsive effector or effectors on the
other in the B-cell. The nature of the glucose-responsive effector or
effectors remains to be established.

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Copyright © 1992 by the American Diabetes Association.
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