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Measuring Relative Insulin Secretion using a Co-Secreted Luciferase Surrogate
Published on: June 25, 2019
Hypertonicity during a rapid rise in D-glucose mediates first-phase insulin secretion
1University of Washington Medicine Diabetes Institute, University of Washington, Seattle, WA, United States.
Insights
Biphasic insulin secretion, crucial for glucose regulation, is driven by osmotic changes, not just metabolism. This finding redefines our understanding of first-phase insulin release in pancreatic islets.
Area of Science:
- Endocrinology
- Metabolic Research
- Cell Biology
Background:
- Biphasic insulin secretion is a key pancreatic islet function.
- Loss of first-phase insulin secretion is linked to Type 2 diabetes.
- First-phase insulin secretion is known to be triggered by rapid glucose changes.
Purpose of the Study:
- To test the hypothesis that islet response to glucose involves both metabolic and osmotic effects.
- To investigate the role of hypertonicity in driving first-phase insulin secretion.
Main Methods:
- Perifusion analysis of rat, mouse, and human islets.
- Measured insulin secretion rate (ISR) and regulatory parameters.
- Used D-glucose combined with membrane-impermeable carbohydrates (L-glucose or mannitol) to isolate osmotic effects.
Main Results:
- First-phase responses were dependent on tonicity changes, not solely glucose metabolism.
- Rapid increases in L-glucose (without D-glucose change) mimicked D-glucose-induced first-phase responses.
- H89 abolished first-phase insulin secretion but not the first-phase calcium response.
Conclusions:
- A new model suggests first-phase insulin secretion is driven by hypertonicity-induced kinase activation.
- This osmotic effect amplifies second-phase insulin secretion.
- The findings offer novel insights into glucose-stimulated insulin secretion mechanisms.
Introduction:
Biphasic insulin secretion is an intrinsic characteristic of the pancreatic islet and has clinical relevance due to the loss of first-phase in patients with Type 2 diabetes. As it has long been shown that first-phase insulin secretion only occurs in response to rapid changes in glucose, we tested the hypothesis that islet response to an increase in glucose is a combination of metabolism plus an osmotic effect where hypertonicity is driving first-phase insulin secretion.
Methods:
Experiments were performed using perifusion analysis of rat, mouse, and human islets. Insulin secretion rate (ISR) and other parameters associated with its regulation were measured in response to combinations of D-glucose and membrane-impermeable carbohydrates (L-glucose or mannitol) designed to dissect the effect of hypertonicity from that of glucose metabolism.
Results:
Remarkably, the appearance of first-phase responses was wholly dependent on changes in tonicity: no first-phase in NAD(P)H, cytosolic calcium, cAMP secretion rate (cAMP SR), or ISR was observed when increased D-glucose concentration was counterbalanced by decreases in membrane-impermeable carbohydrates. When D-glucose was greater than 8 mM, rapid increases in L-glucose without any change in D-glucose resulted in first-phase responses in all measured parameters that were kinetically similar to D-glucose. First-phase ISR was completely abolished by H89 (a non-specific inhibitor of protein kinases) without affecting first-phase calcium response. Defining first-phase ISR as the difference between glucose-stimulated ISR with and without a change in hypertonicity, the peak of first-phase ISR occurred after second-phase ISR had reached steady state, consistent with the well-established glucose-dependency of mechanisms that potentiate glucose-stimulated ISR.
Discussion:
The data collected in this study suggests a new model of glucose-stimulated biphasic ISR where first-phase ISR derives from (and after) a transitory amplification of second-phase ISR and driven by hypertonicity-induced rise in H89-inhibitable kinases likely driven by first-phase responses in cAMP, calcium, or a combination of both.
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