[PDF][PDF] Intra-islet insulin suppresses glucagon release via GABA-GABAA receptor system

E Xu, M Kumar, Y Zhang, W Ju, T Obata, N Zhang… - Cell metabolism, 2006 - cell.com
E Xu, M Kumar, Y Zhang, W Ju, T Obata, N Zhang, S Liu, A Wendt, S Deng, Y Ebina…
Cell metabolism, 2006cell.com
Excessive secretion of glucagon is a major contributor to the development of diabetic
hyperglycemia. Secretion of glucagon is regulated by various nutrients, with glucose being a
primary determinant of the rate of α cell glucagon secretion. The intra-islet action of insulin is
essential to exert the effect of glucose on the α cells since, in the absence of insulin, glucose
is not able to suppress glucagon release in vivo. However, the precise mechanism by which
insulin suppresses glucagon secretion from α cells is unknown. In this study, we show that …
Summary
Excessive secretion of glucagon is a major contributor to the development of diabetic hyperglycemia. Secretion of glucagon is regulated by various nutrients, with glucose being a primary determinant of the rate of α cell glucagon secretion. The intra-islet action of insulin is essential to exert the effect of glucose on the α cells since, in the absence of insulin, glucose is not able to suppress glucagon release in vivo. However, the precise mechanism by which insulin suppresses glucagon secretion from α cells is unknown. In this study, we show that insulin induces activation of GABAA receptors in the α cells by receptor translocation via an Akt kinase-dependent pathway. This leads to membrane hyperpolarization in the α cells and, ultimately, suppression of glucagon secretion. We propose that defects in this pathway(s) contribute to diabetic hyperglycemia.
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