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Diabetes 51:105-113, 2002
© 2002 by the American Diabetes Association, Inc.

Intracellular pH Plays a Critical Role in Glucose-Induced Time-Dependent Potentiation of Insulin Release in Rat Islets

Subhadra C. Gunawardana, and Geoffrey W.G. Sharp

Department of Molecular Medicine, College of Veterinary Medicine, Cornell University, Ithaca, New York

The underlying mechanisms of glucose-induced time-dependent potentiation in the pancreatic ß-cell are unknown. It had been widely accepted that extracellular Ca2+ is essential for this process. However, we consistently observed glucose-induced priming under stringent Ca2+-free conditions, provided that the experiment was conducted in a HEPES-buffered medium as opposed to the bicarbonate (HCO3-)-buffered medium used in previous studies. The critical difference between these two buffering systems is that islets maintain a lower intracellular pH in the presence of HEPES. The addition of HEPES to a HCO3--buffered medium produced a dramatic decrease in the intracellular pH. If it is the lower intracellular pH in islets in a HEPES-buffered medium that is permissive for glucose-induced time-dependent potentiation (TDP), then experimental lowering of intracellular pH by other means should allow TDP to occur in a Ca2+-free HCO3--buffered medium, where TDP normally does not occur. As expected, experimental acidification produced by dimethyl amiloride (DMA) allowed glucose to induce TDP in a Ca2+-free HCO3--buffered medium. DMA also enhanced the priming normally present in HEPES-buffered media. Priming was also enhanced by transient acidification caused by acetate. Experimental alkalinization inhibited the development of priming. In the presence of Ca2+, the magnitude of glucose-induced TDP was higher in a HEPES-buffered medium than in an HCO3--buffered medium. In summary, glucose-induced priming was consistently observed under conditions of low intracellular pH and was inhibited with increasing intracellular pH, irrespective of the presence of extracellular Ca2+. These data indicate that glucose-induced TDP is critically dependent on intracellular pH.



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