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Am J Physiol Endocrinol Metab (October 25, 2005). doi:10.1152/ajpendo.00032.2005
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Submitted on January 25, 2005
Accepted on October 17, 2005

Dual mechanism of the potentiation by glucose of insulin secretion induced by arginine and tolbutamide in mouse islets

Nobuyoshi Ishiyama1, Magalie A Ravier1, and Jean-Claude Henquin1*

1 University of Louvain Faculty of Medicine, Unite d'Endocrinologie et Metabolisme, Brussels, Belgium

* To whom correspondence should be addressed. E-mail: henquin{at}endo.ucl..ac.be.

Glucose induces insulin secretion and also potentiates the insulin-releasing action of secretagogues such as arginine and sulfonylureas. This potentiating effect is known to be impaired in type-2 diabetic patients, but its cellular mechanisms are unclear. Insulin secretion (IS) and cytosolic Ca2+ concentration ([Ca2+]i) were measured in mouse islets during perifusion with 3-15 mmol/l glucose (G), and pulse or stepwise stimulation with 1-10 mmol/l arginine or 5-250 µmol/l tolbutamide. In G3, arginine induced small increases in [Ca2+]i but no IS. G7 alone only slightly increased [Ca2+]i and IS, but markedly potentiated arginine effects on [Ca2+]i, which resulted in significant IS (already at 1 mmol/l). For each arginine concentration both responses further increased at G10 and G15, but the relative change was distinctly larger for IS than [Ca2+]i. At all glucose concentrations, tolbutamide dose-dependently increased [Ca2+]i and IS with thresholds of 25 µmol/l for [Ca2+]i and 100 µmol/l for IS at G3, and of 5 µmol/l for both at G7 and above. Between G7 and G15, the effect of tolbutamide on [Ca2+]i increased only slightly whereas that on IS was strongly potentiated. The linear relationship between IS and [Ca2+]i at increasing arginine or tolbutamide concentrations became steeper as the glucose concentration was raised. Thus, glucose augmented more the effect of each agent on IS than that on [Ca2+]i. In conclusion, glucose potentiation of arginine- or tolbutamide-induced IS involves increases in both the rise of [Ca2+]i and the action of Ca2+ on exocytosis. This dual mechanism must be borne in mind to interpret the alterations of the potentiating action of glucose in type-2 diabetic patients.




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