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Diabetes, Vol 49, Issue 3 311-318, Copyright © 2000 by American Diabetes Association
Diverse roles of K(ATP) channels learned from Kir6.2 genetically engineered mice
S Seino, T Iwanaga, K Nagashima and T Miki
Department of Molecular Medicine, Chiba University Graduate School of Medicine, Japan. seino@molmed.m.chiba-u.ac.jp
The regulation of insulin secretion from pancreatic beta-cells depends
critically on the activities of their plasma membrane ion channels.
ATP-sensitive K+ channels (K(ATP) channels) are present in many cells and
regulate a variety of cellular functions by coupling cell metabolism with
membrane potential. The activity of the K(ATP) channels in pancreatic
beta-cells is regulated by changes in the ATP and ADP concentrations
(ATP/ADP ratio) caused by glucose metabolism. Thus, the K(ATP) channels are
the ATP and ADP sensors in the regulation of glucose-induced insulin
secretion. K(ATP) channels are also the target of sulfonylureas, which are
widely used in the treatment of type 2 diabetes. Molecular cloning of the
two subunits of the pancreatic beta-cell K(ATP) channel, Kir6.2 (an inward
rectifier K+ channel member) and SUR1 (a receptor for sulfonylureas), has
provided great insight into its structure and function. Kir6.2 subunits
form the K+ ion-permeable pore and primarily confer inhibition of the
channels by ATP, while SUR1 subunits confer activation of the channels by
MgADP and K+ channel openers, such as diazoxide, as well as inhibition by
sulfonylureas. The SUR1 subunits also enhance the sensitivity of the
channels to ATP. To determine the physiological roles of K(ATP) channels
directly, we have generated two kinds of genetically engineered mice: mice
expressing a dominant-negative form of Kir6.2 specifically in the
pancreatic beta-cells (Kir6.2G132S Tg mice) and mice lacking Kir6.2 (Kir6.2
knockout mice). Studies of these mice elucidated various roles of the
K(ATP) channels in endocrine pancreatic function: 1) the K(ATP) channels
are the major determinant of the resting membrane potential of pancreatic
beta-cells, 2) both glucose- and sulfonylurea-induced membrane
depolarization of beta-cells require closure of the K(ATP) channels, 3)
both glucose- and sulfonylurea-induced rises in intracellular calcium
concentration in beta-cells require closure of the K(ATP) channels, 4) both
glucose- and sulfonylurea-induced insulin secretions are mediated
principally by the K(ATP) channel-dependent pathway, 5) the K(ATP) channels
are important for beta-cell survival and architecture of the islets, 6) the
K(ATP) channels are important in the differentiation of islet cells, and 7)
the K(ATP) channels in glucose-responsive cells generally participate in
coupling glucose sensing with cell excitability. Interestingly, despite the
severe defect in glucose-induced insulin secretion, Kir6.2 knockout mice
show only a very mild impairment in glucose tolerance. However, when the
knockout mice become obese with age, they develop fasting hyperglycemia and
glucose intolerance, while neither fasting hyperglycemia nor glucose
intolerance is evident in the aged knockout mice without obesity,
suggesting that both the genetic defect in glucose-induced insulin
secretion and the acquired insulin resistance due to environmental factors
are necessary to develop diabetes in Kir6.2 knockout mice. Thus,
Kir6.2G132S Tg mice and Kir6.2 knockout mice provide a model of type 2
diabetes and clarify the various roles of K(ATP) channels in endocrine
pancreatic function.

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Copyright © 2000 by the American Diabetes Association.
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