Unit of Endocrinology and Metabolism, University of Louvain Faculty of Medicine, UCL 55.30, Brussels, Belgium.
Diabetologia. 2010 Sep;53(9):1947-57. doi: 10.1007/s00125-010-1775-z. Epub 2010 May 13.
AIMS/HYPOTHESIS: Glucose-induced insulin secretion is attributed to a rise of beta cell cytosolic free [Ca(2+)] (Ca(2+)) (triggering pathway) and amplification of the action of Ca(2+). This concept of amplification rests on observations that glucose can increase Ca(2+)-induced insulin secretion without further elevating an imposed already high Ca(2+). However, it remains possible that this amplification results from an increase in [Ca(2+)] just under the plasma membrane (Ca(2+)), which escaped detection by previous measurements of global Ca(2+). This was the hypothesis that we tested here by measuring Ca(2+).
The genetically encoded Ca(2+) indicators D3-cpv (untargeted) and LynD3-cpv (targeted to plasma membrane) were expressed in clusters of mouse beta cells. LynD3-cpv was also expressed in beta cells within intact islets. Ca(2+) changes were monitored using total internal reflection fluorescence microscopy. Insulin secretion was measured in parallel.
Beta cells expressing D3cpv or LynD3cpv displayed normal [Ca(2+)] changes and insulin secretion in response to glucose. Distinct Ca(2+) fluctuations were detected during repetitive variations of KCl between 30 and 32-35 mmol/l, attesting to the adequate sensitivity of our system. When the amplifying pathway was evaluated (high KCl + diazoxide), increasing glucose from 3 to 15 mmol/l consistently lowered Ca(2+) while stimulating insulin secretion approximately two fold. Blocking Ca(2+) uptake by the endoplasmic reticulum largely attenuated the Ca(2+) decrease produced by high glucose but did not unmask localised Ca(2+) increases.
CONCLUSIONS/INTERPRETATION: Glucose can increase Ca(2+)-induced insulin secretion without causing further elevation of beta cell Ca(2+). The phenomenon is therefore a true amplification of the triggering action of Ca(2+).
目的/假设:葡萄糖诱导的胰岛素分泌归因于β细胞胞质游离 [Ca(2+)] (Ca(2+)) 的增加(触发途径)和 Ca(2+) 作用的放大。这种放大的概念基于这样的观察结果,即葡萄糖可以在不进一步升高已经很高的 Ca(2+) 的情况下增加 Ca(2+)-诱导的胰岛素分泌。然而,仍然有可能这种放大是由于质膜下 (Ca(2+)) 的 Ca(2+) 增加引起的,这是以前测量全细胞 Ca(2+) 时无法检测到的。这就是我们在这里通过测量 Ca(2+) 来检验的假设。
在小鼠β细胞簇中表达了遗传编码的 Ca(2+) 指示剂 D3-cpv(非靶向)和 LynD3-cpv(靶向质膜)。LynD3-cpv 也在完整胰岛内的β细胞中表达。使用全内反射荧光显微镜监测 Ca(2+) 变化。同时测量胰岛素分泌。
表达 D3cpv 或 LynD3cpv 的β细胞对葡萄糖表现出正常的 [Ca(2+)] 变化和胰岛素分泌。在 30 至 32-35mmol/l 之间反复变化 KCl 时,检测到明显的 Ca(2+) 波动,证明我们的系统具有足够的灵敏度。当评估放大途径(高 KCl + 二氮嗪)时,将葡萄糖从 3 增加到 15mmol/l 一致降低 Ca(2+),同时刺激胰岛素分泌约两倍。通过内质网阻断 Ca(2+) 摄取在很大程度上减弱了高葡萄糖引起的 Ca(2+) 降低,但没有揭示局部 Ca(2+) 增加。
结论/解释:葡萄糖可以增加 Ca(2+)-诱导的胰岛素分泌,而不会导致β细胞 Ca(2+) 的进一步升高。因此,这种现象是 Ca(2+) 触发作用的真正放大。