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Updated: May 14, 2026

Homogeneous Time-resolved Förster Resonance Energy Transfer-based Assay for Detection of Insulin Secretion
Published on: May 10, 2018
Bupropion can close KATP channel and induce insulin secretion
Yifei Yang1, Kenju Shimomura, Kazuya Sakuma
1Department of Physiology, Jichi Medical University School of Medicine, Shimotsuke, Tochigi, Japan.
Bupropion, an antidepressant, may cause hyperinsulinism in newborns by affecting pancreatic beta-cells. This study reveals bupropion
Area of Science:
- Pharmacology
- Endocrinology
- Neonatal Medicine
Background:
- A recent case report linked maternal bupropion use during pregnancy to transient hyperinsulinism in a newborn.
- The underlying mechanism of bupropion-induced hyperinsulinism was previously unknown.
- No prior studies investigated the direct electrophysiological effects of bupropion on pancreatic beta-cells.
Purpose of the Study:
- To investigate the direct electrophysiological effects of bupropion on pancreatic beta-cells.
- To elucidate the pharmacological mechanism by which bupropion may induce hyperinsulinism.
- To assess the potential risks of maternal bupropion use during pregnancy.
Main Methods:
- Electrophysiological studies were conducted on pancreatic beta-cell membranes.
- The effect of bupropion on KATP channel activity was measured.
- Insulin secretion was assessed in response to bupropion exposure.
Main Results:
- Bupropion was found to inhibit KATP channel activity in pancreatic beta-cell membranes.
- Bupropion induced insulin secretion at relatively high concentrations.
- This study provides the first evidence of bupropion's direct electrophysiological action on pancreatic beta-cells.
Conclusions:
- Bupropion directly affects pancreatic beta-cells by inhibiting KATP channels and inducing insulin secretion.
- Maternal use of bupropion during pregnancy may pose a risk for developing hyperinsulinism in newborns.
- Further research is warranted to understand the clinical implications and management of bupropion-associated neonatal hyperinsulinism.
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