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-Ketoisocaproate-induced hypersecretion of insulin by islets from diabetes-susceptible mice

Departments of ¹Biochemistry and ²Chemistry, University of Wisconsin-Madison, Madison, Wisconsin

Submitted 6 December 2004 ; accepted in final form 28 February 2005

Most patients at risk for developing type 2 diabetes are hyperinsulinemic. Hyperinsulinemia may be a response to insulin resistance, but another possible abnormality is insulin hypersecretion. BTBR mice are insulin resistant and hyperinsulinemic. When the leptin^ob mutation is introgressed into BTBR mice, they develop severe diabetes. We compared the responsiveness of lean B6 and BTBR mouse islets to various insulin secretagogues. The transamination product of leucine, -ketoisocaproate (KIC), elicited a dramatic insulin secretory response in BTBR islets. The KIC response was blocked by methyl-leucine or aminooxyacetate, inhibitors of branched-chain amino transferase. When dimethylglutamate was combined with KIC, the fractional insulin secretion was identical in islets from both mouse strains, predicting that the amine donor is rate-limiting for KIC-induced insulin secretion. Consistent with this prediction, glutamate levels were higher in BTBR than in B6 islets. The transamination product of glutamate, -ketoglutarate, elicited insulin secretion equally from B6 and BTBR islets. Thus formation of -ketoglutarate is a requisite step in the response of mouse islets to KIC. -Ketoglutarate can be oxidized to succinate. However, succinate does not stimulate insulin secretion in mouse islets. Our data suggest that -ketoglutarate may directly stimulate insulin secretion and that increased formation of -ketoglutarate leads to hyperinsulinemia.

-cells; hyperinsulinemia; glutamate dehydrogenase; branched-chain aminotransferase

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