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Diabetes, Vol 47, Issue 9 1426-1435, Copyright © 1998 by American Diabetes Association
Role of cAMP in upregulation of insulin secretion during the adaptation of islets of Langerhans to pregnancy
AJ Weinhaus, NV Bhagroo, TC Brelje and RL Sorenson
Department of Cell Biology and Neuroanatomy, University of Minnesota Medical School, Minneapolis 55455-0303, USA.
Islets undergo a number of upregulatory changes to meet the increased
demand for insulin during pregnancy, including an increase in
glucose-stimulated insulin secretion with a reduction in the stimulation
threshold. Treatment with the lactogenic hormone prolactin (PRL) in vitro
has been shown to induce changes in islets similar to those observed during
pregnancy. We examined cAMP production in islets treated with PRL to
determine if changes in cAMP are involved in the upregulation of insulin
secretion. Insulin secretion and cAMP concentrations were measured from
islets in response to a suprathreshold (6.8 mmol/l) or high (16.8 mmol/l)
glucose concentration in the presence of the phosphodiesterase inhibitor
isobutylmethylxanthine. Insulin secretion increased by 2.1-, 5.0-, and
5.9-fold at the suprathreshold glucose concentration and by 1.6-, 2.3-, and
2.9-fold at the higher glucose concentration after 1, 3, and 5 days of PRL
treatment, respectively. After a similar pattern, cAMP metabolism increased
by 1.2-, 1.6-, and 2.1-fold at the suprathreshold glucose concentration and
by 1.2-, 1.7-, and 2.2-fold at the high glucose concentration after 1, 3,
and 5 days of PRL treatment, respectively. The similar increases in insulin
secretion and cAMP concentration suggest that changes in cAMP metabolism
are involved in lactogen-induced upregulation of insulin secretion. To gain
additional insight into the role of cAMP in the upregulation of islet
function after lactogen treatment, we examined the relationship between
changes in cAMP concentration and insulin secretion. Under all conditions
(differing glucose concentrations and time periods), the increase in
insulin release was directly proportional to the increase in cAMP. Thus
increased glucose-stimulated insulin secretion from lactogen-treated islets
could be accounted for by increased generation of cAMP and did not appear
to require any further specific changes in intracellular processes mediated
by cAMP. Because the PRL receptor is not directly involved in cAMP
metabolism, the lactogen-induced increase in cAMP was most likely due to
the increase in glucose metabolism that we have previously demonstrated in
PRL-treated islets and in islets during pregnancy.

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Copyright © 1998 by the American Diabetes Association.
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