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Am J Physiol Endocrinol Metab 297: E717-E727, 2009. First published July 7, 2009; doi:10.1152/ajpendo.00282.2009
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A highly energetic process couples calcium influx through L-type calcium channels to insulin secretion in pancreatic β-cells

Seung-Ryoung Jung, Benjamin J. Reed, and Ian R. Sweet

Department of Medicine, Diabetes and Obesity Center of Excellence, University of Washington at South Lake Union, Seattle, Washington

Submitted 30 April 2009 ; accepted in final form 2 July 2009

Calcium (Ca2+) influx is required for the sustained secretion of insulin and is accompanied by a large rate of energy usage. We hypothesize that the energy usage reflects a process [Ca2+/metabolic coupling process (CMCP)] that couples Ca2+ to insulin secretion by pancreatic islets. The aim of the study was to test this hypothesis by testing the effect of inhibiting candidate Ca2+-sensitive proteins proposed to play a critical role in the CMCP. The effects of the inhibitors on oxygen consumption rate (OCR), a reflection of ATP usage, and insulin secretion rate (ISR) were compared with those seen when L-type Ca2+ channels were blocked with nimodipine. We reasoned that if a downstream Ca2+-regulated site was responsible for the OCR associated with the CMCP, then its inhibition should mimic the effect of nimodipine. Consistent with previous findings, nimodipine decreased glucose-stimulated OCR by 36% and cytosolic Ca2+ by 46% and completely suppressed ISR in rat pancreatic islets. Inhibitors of three calmodulin-sensitive proteins (myosin light-chain kinase, calcineurin, and Ca2+/calmodulin-dependent protein kinase II) did not meet the criteria. In contrast, KN-62 severed the connection between Ca2+ influx, OCR, and ISR without interfering with Ca2+ influx. In the presence of nimodipine or KN-62, potentiators of ISR, acetylcholine, GLP-1, and arginine had little effect on insulin secretion, suggesting that the CMCP is also essential for the amplification of ISR. In conclusion, a KN-62-sensitive process directly mediates the effects of Ca2+ influx via L-type Ca2+ channels on OCR and ISR, supporting the essential role of the CMCP in mediating ISR.

oxygen consumption; calmodulin; islet; KN-62



Address for reprint requests and other correspondence: I. R. Sweet, Dept. of Medicine, Diabetes and Obesity Center of Excellence, Univ. of Washington at South Lake Union, 815 Mercer St., Box 358055, Seattle, WA 98195-8055 (e-mail: isweet{at}u.washington.edu)







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