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Diabetes, Vol 45, Issue 3 295-301, Copyright © 1996 by American Diabetes Association
cAMP-signaling pathway acts in selective synergism with glucose or tolbutamide to increase cytosolic Ca2+ in rat pancreatic beta-cells
K Yaekura, M Kakei and T Yada
Department of Physiology, Kagoshima University School of Medicine, Japan.
cAMP and the insulinotropic peptides that raise cAMP glucose-dependently
increase the cytosolic free Ca2+ concentration ([Ca2+]i) in pancreatic
beta-cells, which is tightly linked to the potentiation of glucose-induced
insulin release. We examined whether cAMP increases [Ca2+]i in specific
cooperation only with glucose or also with other insulin secretagogues that
act through different mechanisms. [Ca2+]i in single rat pancreatic
beta-cells was measured by dual-wavelength fura-2 microfluorometry. In the
presence of a stimulatory concentration of glucose (8.3 mmol/l) and the
moderate elevation in [Ca2+]i induced by it, forskolin, an activator of
adenylyl cyclase, or dibutyryl cAMP produced a marked additional increase
in [Ca2+]i but was ineffective at the basal 2.8 mmol/l glucose. These
cAMP-elevating agents also potentiated the effect of tolbutamide on
[Ca2+]i. The cAMP-induced increase in [Ca2+]i was completely and
selectively inhibited by a blocker of cAMP-dependent protein kinase A
(PKA), and by nitrendipine, a blocker of the L-type Ca2+ channel. However,
in the presence of high KCl and the [Ca2+]i elevation induced by it, a rise
in cAMP failed to further increase [Ca2+]i, whereas BAY K8644, an agonist
of L-type Ca2+ channels, evoked an additional increase in [Ca2+]i. Under
low Na+ conditions, the [Ca2+]i response to cAMP was observed in the
majority of the cells. In the cells in which glucose at 4.5-5 mmol/l was
inadequate to increase [Ca2+]i, the glucose together with a rise in cAMP
often increased [Ca2+]i. Likewise, tolbutamide and a rise in cAMP acted in
concert to increase [Ca2+]i. Thus, cAMP left-shifted the
concentration-[Ca2+]i response relationship for glucose and tolbutamide. In
conclusion, the cAMP-PKA pathway acts in selective synergism with glucose
and tolbutamide to initiate [Ca2+]i signals in pancreatic beta- cells. cAMP
appears to regulate beta-cell sensitivity to glucose and tolbutamide. In
contrast, cAMP fails to cooperate with high KCl to increase [Ca2+]i. It is
suggested that cAMP acts mainly on a site that is more proximal but
functionally linked to the L-type Ca2+ channel, thereby finally increasing
Ca2+ influx through this channel.

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Copyright © 1996 by the American Diabetes Association.
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