Oxford Centre for Diabetes, Endocrinology and Metabolism, Churchill Hospital, University of Oxford, Headington, U.K.
Institute of Neuroscience of Physiology, Department of Physiology, Metabolic Research Unit, University of Göteborg, Göteborg, Sweden.
Diabetes. 2018 Jun;67(6):1128-1139. doi: 10.2337/db17-1102. Epub 2018 Mar 21.
Adrenaline is a powerful stimulus of glucagon secretion. It acts by activation of β-adrenergic receptors, but the downstream mechanisms have only been partially elucidated. Here, we have examined the effects of adrenaline in mouse and human α-cells by a combination of electrophysiology, imaging of Ca and PKA activity, and hormone release measurements. We found that stimulation of glucagon secretion correlated with a PKA- and EPAC2-dependent (inhibited by PKI and ESI-05, respectively) elevation of [Ca] in α-cells, which occurred without stimulation of electrical activity and persisted in the absence of extracellular Ca but was sensitive to ryanodine, bafilomycin, and thapsigargin. Adrenaline also increased [Ca] in α-cells in human islets. Genetic or pharmacological inhibition of the Tpc2 channel (that mediates Ca release from acidic intracellular stores) abolished the stimulatory effect of adrenaline on glucagon secretion and reduced the elevation of [Ca] Furthermore, in Tpc2-deficient islets, ryanodine exerted no additive inhibitory effect. These data suggest that β-adrenergic stimulation of glucagon secretion is controlled by a hierarchy of [Ca] signaling in the α-cell that is initiated by cAMP-induced Tpc2-dependent Ca release from the acidic stores and further amplified by Ca-induced Ca release from the sarco/endoplasmic reticulum.
肾上腺素是胰高血糖素分泌的有力刺激物。它通过β肾上腺素能受体的激活起作用,但下游机制仅部分阐明。在这里,我们通过电生理学、Ca 和 PKA 活性成像以及激素释放测量的组合,检查了肾上腺素在小鼠和人类α细胞中的作用。我们发现,胰高血糖素分泌的刺激与 PKA 和 EPAC2 依赖性(分别被 PKI 和 ESI-05 抑制)[Ca]的升高有关,这种升高发生在没有电活动刺激的情况下,并在没有细胞外 Ca 的情况下持续存在,但对 Ryanodine、Bafilomycin 和 Thapsigargin 敏感。肾上腺素还增加了人胰岛中α细胞的[Ca]。Tpc2 通道(介导酸性细胞内储存的 Ca 释放)的遗传或药理学抑制消除了肾上腺素对胰高血糖素分泌的刺激作用,并降低了[Ca]的升高。此外,在 Tpc2 缺陷的胰岛中,Ryanodine 没有发挥附加的抑制作用。这些数据表明,β肾上腺素能刺激胰高血糖素分泌是由α细胞中 Ca 信号的层次控制的,该信号由 cAMP 诱导的 Tpc2 依赖性酸性储存 Ca 释放引发,并通过 Ca 诱导的肌浆/内质网 Ca 释放进一步放大。