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Diabetes, Vol 46, Issue 8 1305-1311, Copyright © 1997 by American Diabetes Association
Energetic requirement of insulin secretion distal to calcium influx
I Rustenbeck, C Herrmann and T Grimmsmann
Institute of Pharmacology and Toxicology, University of Gottingen, Germany.
A number of agents that inhibit oxidative phosphorylation by different
mechanisms (carbonyl cyanide mchlorophenylhydrazone [CCCP], sodium azide,
oligomycin) induced an increase of cytoplasmic Ca2+ concentration ([Ca2+]i)
in pancreatic beta-cells, as measured by microfluorimetry with digital
imaging. All three agents are known inhibitors of insulin secretion, and
the secretory response to 20 mmol/l glucose was found to be abolished in
spite of elevated [Ca2+]i. Two reasons could account for this dissociation
between increase of [Ca2+]i and insulin secretion: 1) the increase did not
take place at a site critical for exocytosis, 2) a threshold concentration
of a metabolism-derived factor like ATP exists for the induction of
exocytosis. The increase of [Ca2+]i by CCCP and sodium azide involved
release of Ca2+ from internal stores, whereas oligomycin induced a slow D
600-inhibitable Ca2+ influx. Because CCCP and sodium azide, but not
oligomycin, decreased the mitochondrial membrane potential concomitantly
with the increase of [Ca2+]i, release of Ca2+ from the mitochondria most
probably plays a decisive role for the internal mobilization. A Ca2+ influx
induced by 40 mmol/l K+ or 250 micromol/l tolbutamide was unimpaired in the
presence of oligomycin, but oligomycin completely abolished insulin
secretion in response to these agents. While CCCP and sodium azide opened
ATP-sensitive K+ channels, oligomycin was virtually ineffective, although
it could be shown to significantly reduce beta-cell ATP production. By
comparison of the effects of different inhibitors of oxidative
phosphorylation, we conclude that the initiation of exocytosis in
beta-cells is particularly sensitive to a decrease of energy metabolism,
more than ATP-sensitive K+ channels or voltage-dependent Ca2+ channels.
Thus, any increase of [Ca2+]i in beta-cells that occurs in a situation of a
decreased ATP supply is unlikely to elicit a secretory response.

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Copyright © 1997 by the American Diabetes Association.
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