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Yale University School of Nursing, 100 Church Street South, New Haven, Connecticut 06536-0740, USA
1 Yale University School of Medicine, Department of Internal Medicine, Fitkin 1, PO Box 208020, 333 Cedar Street, New Haven, Connecticut 06520-8020, USA
(Requests for offprints should be addressed to W S Zawalich; Email: Walter.Zawalich{at}Yale.Edu)
| Abstract |
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Additional studies documented that glucose and amino acid responses of both rat and mouse islets were amplified by carbachol or forskolin. However, wortmannin, a phosphatidylinositol 3-kinase inhibitor, amplified only the responses to glucose leaving the responses to the amino acid mixture unaltered. These observations support the concept that mitochondrial metabolism alone is minimally effective in stimulating insulin secretion from islets. The activation of the supplementary second messenger systems (PLC and/or cAMP) appears essential for the emergence of their full secretory potential. The mechanism regulating the potency and specificity of wortmannins impact on glucose-induced secretion remains to be identified; however a unique mechanism is supported by these findings.
| Introduction |
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In contrast to rat and human islets, the responses from mouse islets to glucose are notably different. Most dramatic is the smaller flat but sustained secretory response to glucose stimulation observed in studies using the perfused pancreas or isolated perifused mouse islets (Lenzen 1979, Berglund 1980, Ma et al. 1995, Zawalich et al. 1995, Shiota et al. 2002). We have attributed this species difference, at least in part, to the under expression of a nutrient-activated phospholipase C (PLC) isozyme in mouse islets when compared with rat islets (Zawalich et al. 1995, 2000). The failure of stimulatory glucose to provide suffcient phosphoinositide-derived second messenger molecules in mouse islets may account for their anomalous secretory behavior to high glucose when compared with rat islets. The observation that carbachol, a potent activator of PLC, markedly amplifies glucose-induced release from mouse islets supports this concept (Zawalich et al. 1995, Zawalich & Zawalich 1996a, Shiota et al. 2002).
Most recently, the combination of the amino acids leucine and glutamine has been employed to evoke biphasic insulin secretion from rat islets (Liu et al. 2003). Maximal sustained second-phase release rates comparable with those evoked by high glucose were reported. The present series of experiments were designed to: (1) establish whether the effcacy of these amino acids on the secretory process in rat islets also extends to mouse islets; (2) determine the effects of PLC activation and elevated cAMP on amino acid-induced secretion in both species; (3) determine whether the phosphatidylinositol 3-kinase (PI3K) inhibitor wortmannin, a compound that markedly amplifies glucose-induced secretion (Hagiwara et al. 1995, Nunoi et al. 2000, Zawalich & Zawalich 2000, Eto et al. 2002, Zawalich et al. 2002), exerts a similar effect on amino-acid-induced release in these species. Our findings emphasize the complexity and species differences in agonist-induced secretion from perifused rodent islets and the uniqueness of wortmannins potentiating effect on glucose-stimulated secretion.
| Experimental procedures |
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Perifusion studies
Islets were loaded onto nylon filters (Sefar America Inc., Kansas City, MO, USA) and perifused in a KRB buffer at a flow rate of 1 ml/min for 30 min in the presence of 3 mM glucose to establish basal and stable insulin secretory rates. After this 30 min stabilization period they were then perifused with the appropriate agonist or agonist combinations as indicated in the Figure legends and Results section. Perifusate solutions were gassed with 95% O2/5% CO2 and maintained at 37 °C. Insulin released into the medium was measured by radioimmunoassay (Albano et al. 1972).
Islet labeling for inositol phosphate (IP) studies
Groups of 1822 islets were loaded onto nylon filters and incubated for 3 h in a myo-2-3H-inositol-containing KRB solution made up as follows: 10 µCi myo-2-3H-inositol (specific activity 25 Ci/mmol) were placed in a 10 mmx75 mm culture tube. To this aliquot of tracer, 255 µl warmed (to 37 °C) and oxygenated KRB medium supplemented with 5.0 mM glucose were added. After mixing, 240 µl of this solution was gently added to the vial with islets. The vial was capped with a rubber stopper, gassed for 10 s with 95% O2/5% CO2 and placed in a metabolic shaker at 37 °C. After the labeling period, the islets were washed with 5 ml fresh KRB and used for IP measurements. After washing to remove free labeled inositol, the islets on nylon filters were placed in small glass vials. Added gently to the vial was 400 µl warmed (to 37 °C) KRB supplemented with 10 mM LiCl, to prevent IP degradation, and the appropriate agonists as indicated. The vials were capped and after 30 min the generation of IPs was stopped by adding 400 µl 20% perchloric acid. Total IPs were then measured using Dowex columns as described previously (Berridge et al. 1983, Zawalich et al. 1987).
Reagents
Hanks solution was used for the islet isolation. The perifusion medium consisted of 115 mM NaCl, 5 mM KCl, 2.2 mM CaCl2, 1 mM MgCl2, 24 mM NaHCO3, and 0.17 g/dl bovine serum albumin. The 125I-labeled insulin for the insulin assay and the myo-[2-3H]-inositol, were purchased from PerkinElmer Life Sciences (Boston, MA, USA). Bovine serum albumin (RIA grade), glucose, leucine, glutamine, wortmannin, carbachol and the salts used to make the Hanks solution and perifusion medium were purchased from Sigma. Forskolin was purchased from Calbiochem (LaJolla, CA, USA). Rat insulin standard (lot number A52-AWK-001) was the generous gift of Dr Gerald Gold, Eli Lilly Co. Collagenase (Type P) was obtained from Roche Diagnostics.
Statistics
Statistical significance was determined using Students t-test for unpaired data or analysis of variance in conjunction with NewmanKeuls test for unpaired data. A P value
0.05 was taken as significant. Values presented in the Figures and results are the mean ± S.E. of at least three observations.
| Results |
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In the first series of studies we confirmed (Liu et al. 2003) that in rat islets the combination of 20 mM leucine plus 10 mM glutamine in the simultaneous presence of 3 mM glucose evokes an insulin secretory response comparable with that observed to high glucose. Prior to the onset of stimulation and in the presence of 3 mM glucose, basal rates of insulin output averaged approximately 20 pg/islet per min from rat islets. The addition of leucine plus glutamine resulted in a secretory response that was most notable for a large sustained output of the hormone (Fig. 1a
). Release rates of 472±28 pg/islet per min (n=8) were measured 3540 min after the onset of stimulation, an increase of about 25-fold over prestimulatory secretion rates. The magnitude of sustained insulin release from rat islets to 15 mM glucose (Fig. 1b
) was similar to the amino acid combination.
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A similar dichotomy between these species was observed in response to 15 mM glucose stimulation (Fig. 1b
). Again, most dramatic was the failure of mouse islets, when compared with rat islets, to display a large rising second-phase response to 15 mM glucose. Release rates averaged only 47±8 pg/islet per min (n=5) during the final 5 min of the perifusion. In contrast, rat islet responses at this time averaged 513±113 pg/islet per min (n=3).
Induction of time-dependent sensitization (TDP)
A characteristic of rat islets is their capacity to become sensitized to subsequent stimulation by prior brief exposure to a variety of agonists including glucose. Referred to as TDP, priming or sensitization, it can be induced by a large number of agonists that have in common the capacity to activate PLC or protein kinase C (PKC) (Sorensen 1986, Zawalich & Diaz 1987, Niki et al. 1988, Zawalich et al. 1988a, 1989b, 1991, Zawalich & Zawalich 1996b, 1998). We next examined how prior short-term exposure to the amino acid combination of leucine and glutamine influenced the subsequent rat secretory responses to glucose. Comparative studies using 15 mM glucose to induce TDP were also conducted in rat islets. As shown in Fig. 2a
, prior short-term exposure of rat islets to either the amino acid combination or to 15 mM glucose resulted in an augmented secretory response to a subsequently applied 10 mM glucose stimulus. Most dramatic was the increase in peak first-phase release. While it averaged 34±7 pg/islet per min (n=5) in control, unprimed, naïve islets, it increased to 208±65 pg/islet per min (n=6) or 231±66 pg/islet per min (n=4) after a prior 15 min exposure to the amino acid mixture or 15 mM glucose respectively. Peak second-phase release rates were, however, comparable in all groups of islets (Fig. 2a
).
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Impact of leucine plus glutamine on PLC activation: IP accumulation in islets
In an attempt to explore the potential biochemical mechanism responsible for the species dichotomy to amino acid stimulation, additional studies were performed. Islet phos-phoinositide pools were prelabeled with 3H-inositol for 3 h. They were subsequently stimulated with the amino acid combination or 15 mM glucose. The results are given in Table 1
. Basal IP levels in the presence of 3 mM glucose alone averaged 4489±484 c.p.m./40 islets per 30 min (n=4) in rat islets. When stimulated with amino acids, IP levels increased to 16 724±1300 c.p.m./40 islets per 30 min (n=7). Stimulation of rat islets with 15 mM glucose also resulted in a comparable increment in IP levels.
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Impact of carbachol, forskolin or wortmannin on agonist-induced secretion
We next determined the impact of several established potentiators of insulin secretion on amino acid- or glucose-induced secretion. Three compounds were studied: carbachol, forskolin and wortmannin. Carbachol activates PLC, increases IP accumulation but has little, if any, sustained effect on release in the presence of substimulatory glucose (Best & Malaisse 1983, 1984, Henquin et al. 1988, Zawalich et al. 1989b, Gilon & Henquin 2001). Forskolin activates adenylate cyclase (Seamon & Daly 1981) and potentiates insulin secretion in response to a large number of compounds (Wiedenkeller & Sharp 1983, Henquin et al. 1987, Rasmussen et al. 1990, Zawalich et al. 1990). Like carbachol, however, it is impotent at low glucose concentrations (Wiedenkeller & Sharp 1983). Wortmannin inhibits the insulin signaling enzyme PI3K and markedly enhances glucose-induced secretion (Hagiwara et al. 1995, Nunoi et al. 2000, Zawalich & Zawalich 2000, Eto et al. 2002, Zawalich et al. 2002). Similar to both carbachol and forskolin, its impact on secretion is glucose dependent (Zawalich & Zawalich 2000).
First, in the presence of 3 mM glucose alone, carbachol (50 µM), forskolin (10 µM) or wortmannin (50 nM) have no sustained stimulatory effect on insulin secretion from mouse islets (results not shown). However, the inclusion of carbachol or forskolin, but not wortmannin, together with leucine plus glutamine converts their minimal impact on release into a robust secretory response. Most dramatic was the response to carbachol addition to the amino acid mixture (Fig. 3a
). Release was biphasic in nature and when measured 3540 min after the onset of stimulation, rates averaged 545±66 pg/islet per min (n=10). Forskolin addition to the amino acid mixture also significantly potentiated secretion (Fig. 3b
). Like the response to the mixture alone, however, release rates tended to fall as the perifusion progressed. During the final 5 min of stimulation, release rates averaged 233±24 pg/islet per min (n=5). In contrast to carbachol or forskolin, wortmannin had no potentiating effect on amino-acid-induced insulin secretion from mouse islets (Fig. 3b
). However, the PI3K inhibitor markedly potentiated the secretory response of mouse islets to 15 mM glucose (Fig. 4
).
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). Irrespective of the nutrient agonist employed, forskolin () significantly amplified their effectiveness on the secretory process. The addition of 50 nM wortmannin (
) also markedly amplified the response to 7 mM glucose from rat islets, particularly during the latter stages of the perifusion. For example, 5560 min after the onset of stimulation release rates in the presence of 7 mM glucose alone averaged 49±16 pg/islet per min (n=8). The inclusion of 50 nM wortmannin increased the response at this time to 206±37 pg/islet per min (n=6). In sharp contrast to its impact on glucose-induced release, wort-mannin had no significant potentiating effect on an approximately equipotent amino acid mixture (Fig. 5b
We considered the possibility that the level of the amino acid mixture used was too low and that a positive effect of wortmannin might be observed if we elevated the levels of amino acids to 5 mM each. Similar experiments were conducted with an approximately equipotent 8 mM glucose stimulus. The results are shown in Fig. 6
. Despite a greater impact on secretory rates, we corroborated what we observed with the lower levels of glucose or amino acid combination. Wortmannin (50 nM) significantly potentiated 8 mM glucose-induced secretion from rat islets (Fig. 6a
) but had no effect on an approximately equipotent 5 mM amino acid mixture (Fig. 6b
). Forskolin (1 µM), however, amplified secretion irrespective of the stimulant used.
| Discussion |
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In response to 15 mM glucose or to the combination of 20 mM leucine plus 10 mM glutamine our isolated perifused rat islet preparation responded with a brisk insulin secretory response. The onset of stimulated secretion was comparable under both stimulatory conditions and the functional integrity of our preparation was established by the approximately 25-fold increase in release rates that occurred during the peak second-phase response. These observations are consistent with those made previously by Liu et al. (2003). We also documented, in agreement with previous studies (Grill 1978, Grill et al. 1978, OConner et al. 1980, Zawalich 1988, Zawalich et al. 1988b, Bliss & Sharp 1992), that prior short-term exposure of rat islets to 15 mM glucose induced TDP of insulin secretion, a phenomenon most noticeable in our studies during the initial response to a subsequently administered 10 mM glucose stimulus. The combination of leucine plus glutamine proved as effective an inducer of TDP as 15 mM glucose alone. We have previously suggested that events associated with PLC/PKC signaling in islets are intimately involved in supporting both a large rising second-phase secretory response in rat islets and in the induction of TDP (Zawalich 1996, Zawalich & Zawalich 1996a). Consistent with this concept we observed in these studies that both high glucose and the amino acid mixture induced a significant activation of PLC, monitored by IP accumulation in 3H-inositol-prelabeled islets. These observations reinforce our contention that this biochemical pathway plays a major role in these rat islet response patterns.
In contrast to what was observed using rat islets, perifused mouse islet responses to 15 mM glucose alone or to the amino acid combination were most notably different from rat islets in their failure to mount a robust rising second-phase response to these compounds. During the first few minutes of stimulation, however, insulin release responses to the amino acid combination were significantly greater from mouse islets than from rat islets. Whether this reflects more rapid permeation of the amino acids into the islet, a difference in their initial rate of metabolism or the more rapid but transient generation of second messenger signals is not clear from this type of analysis. Despite this initial response, release rates fell rapidly as the perifusion progressed. While it might be argued that mouse islets are more vulnerable than rat islets to any potential deleterious effect of the collagenase isolation procedure, the secretory integrity of our islet preparation was confirmed by subsequent stimulation with 20 mM glucose plus the PLC activator carbachol. Under this condition robust and sustained insulin secretion was observed.
Two other deviant response patterns of mouse islets when compared with rat islets were also noted. First, while prior exposure to the amino acid combination was capable of sensitizing rat islets to subsequent stimulation with glucose, no such priming impact was observed with perifused mouse islets. For example, peak first-phase responses to restimulation with high glucose were increased about 600% from rat islets. In mouse islets peak first-phase release to glucose was insignificantly increased by about 20%. Second, the amino acid mixture also failed to activate PLC in mouse islets. For example, the accumulation of IPs in response to the amino acid mixture was increased 3- to 4-fold in rat islets. In mouse islets, no stimulatory effect was observed in response to the amino acid combination.
The next set of experiments focused on two known potentiators of insulin secretion that work by activating PLC or by increasing cAMP. Information flow in both systems is activated by glucose and they appear integral for the maintenance of islet responsiveness (Henquin et al. 1987, Zawalich et al. 1990). The studies with carbachol were based on our hypothesis that the activation of PLC provides those signals that play an important role in the regulation of several ß-cell response patterns, including a rising second phase of insulin release and the induction of TDP, in rat islets. We predicted that carbachol should have a major restorative impact on second-phase secretion from mouse islets on the basis of the following considerations. First, the deficient activation of PLC is responsible, at least in part, for the aberrant mouse islet secretory responses reported here and elsewhere (Berglund 1980, 1987, Ma et al. 1995, Zawalich et al. 1995) to both glucose and the amino acid mixture. Secondly, since there are no data to suggest the contrary, we assumed that comparable amounts of a mitochondrial signal are generated in both rat and mouse islets by the amino acid mixture. However, this signal alone, in the absence of significant PLC activation, is insuffcient to induce a large rising second-phase response from mouse islets. Thirdly, carbachol activates PLC and generates PI-derived second messenger molecules (Best & Malaisse 1984, Zawalich et al. 1989b, Gilon & Henquin 2001). However, it fails to augment secretion because it fails to generate the appropriate mitochondrial signal provided by fuel agonists (Zawalich et al. 1989b, Kelley et al. 1994). We reasoned that carbachol inclusion together with the amino acid mixture should, if our hypothesis is correct, now result in a large rising insulin secretory response. This prediction was confirmed. Moreover, the failure of the amino acid mixture to stimulate secretion from mouse islets cannot be ascribed to a reduction in the generation of the mitochondrial fuel signal. Suffcient amounts of this signal must be produced since the addition of carbachol, a compound without any significant effect on metabolism or insulin release in the absence of fuel, markedly potentiates secretion to the amino acid combination. If the lesion in mouse islets is at the level of fuel signal generation, carbachol addition should have little if any restorative or potentiating impact. This was clearly not the case.
Because both the PLC/PKC and the PKA/cAMP second messenger system serve to amplify nutrient-induced secretion (Henquin et al. 1987, Zawalich et al. 1990), we probed the effect of elevating cAMP levels using the diterpene forskolin. This pharmacological tool is a direct activator of adenylate cyclase that in the absence of added nutrient has little, if any, independent stimulatory effect (Wiedenkeller & Sharp 1983, Yamada et al. 2002). The addition of forskolin to the amino acid mixture significantly augmented insulin secretion from mouse islets. Since no stimulatory effect to forskolin alone was observed, these results also reinforce our contention that the amino acid mixture is generating the appropriate metabolic signals. The provision of the second messenger cAMP allows expression of their secretory effect.
The final set of experiments was conducted exclusively with rat islets and was designed to assess the impact of wortmannin on amino-acid-induced release from this species. Comparable studies were conducted using equipotent glucose levels as well. Wortmannin has been used in many studies to inhibit the enzyme PI3K, a major insulin signaling protein in a number of tissues (Acaro &Wymann 1993, Okada et al. 1994, Yeh et al. 1995). We reported previously that wortmannin potentiates glucose-induced secretion from lean but not obese rodent islets and have suggested further that impaired insulin signaling, mediated via defective PI3K activation, contributes to the islets hyperresponsiveness seen in obesity. The fact that wortmannin potentiates insulin secretion has been noted by at least four other groups (Hagiwara et al. 1995, Nunoi et al. 2000, Eto et al. 2002, Lee et al. 2003).
We confirmed that in the presence of 78 mM glucose, 50 nM wortmannin is a potentiator of hexose-induced insulin secretion. This effect on release was also duplicated by forskolin which elevates cAMP in islets (Wiedenkeller & Sharp 1983). Not surprisingly, forskolin also amplified amino-acid-induced release. However, secretion in response to the amino acid combination was immune to wortmannin. If, as has been suggested, wortmannin amplifies secretion by elevating cAMP (Nunoi et al. 2000), it should have mimicked the effect of forskolin on amino acid-induced secretion. This finding suggests that the impact of wortmannin on glucose-induced secretion is not mediated exclusively via cAMP and that other potential mechanisms should be considered.
While the specificity of wortmannins actions remains to be clarified, a reasonable suggestion is that metabolic events unique to glucose utilzation are involved. Since both classes of nutrients are metabolized within the mitochondrion, these studies suggest that PI3K interacts with glucose-derived glycolytic or pentose cycle signals, metabolic pathways unique to glucose but not amino acid metabolism. It is interesting to note that, more than 25 years ago, Ammon and coworkers (Akhtar et al. 1977) reported that insulin, presumably via PI3K, regulates the pentose cycle in rat islets. The impact of wortmannin on pentose cycle activation and NAD(P)H/NAD(P) ratios should be explored in future studies.
In attempting to provide a unifying working hypothesis to explain the failure of both high glucose concentrations and the amino acid mixture to evoke a rising and sustained second-phase insulin secretory response from mouse islets, and its restoration by carbachol and forskolin, one additional point should be taken into consideration. It might be reasonably argued that the anomalous behavior of mouse islets is the result of two separate but independent lesions: failure to activate the adenylate cyclase/cAMP and the PLC/PKC signaling systems. In rat islets, glucose is known to increase both the activation of PLC (Axen et al. 1983, Best & Malaisse 1983, Zawalich & Zawalich 1988b, Vadakekalam et al. 1996) and adenylate cyclase (Charles et al. 1973, Zawalich et al. 1975). Might the generation of one of these second messengers increase the generation of the other? This issue has been addressed in other studies using a number of tissues including islets. First, to the best of our knowledge there are no data suggesting that the activation of adenylate cyclase results in the activation of PLC. In fact, cAMP appears to restrain the activation of PLC, a type of negative feedback (Zawalich et al. 1988a, Rhee et al. 1989, Zawalich & Zawalich 1990, Rhee & Choi 1992). In contrast there are numerous reports demonstrating that the activation of PKC results in the activation of adenylate cyclase (Malaisse et al. 1980, Audinot et al. 1991, Böl et al. 1997, Tian & Laychock 2001). These findings suggest, perhaps, that the failure of nutrients to activate PLC may secondarily result in a failure to increase cAMP (Ma et al. 1995). In any case, the provision of either a PLC or adenylate cyclase activator should exert a significant restorative effect, which is indeed the case.
When taken in their entirety, these experiments emphasize the inherent complexity of stimulusresponse coupling in rodent islets. The factors that limit secretion may differ among different species. Converging or parallel signaling pathways may compensate for any anomalous biochemical response patterns as observed in the activation of PLC by nutrients in rat versus mouse islets. For example, the failure of the fuel molecule glucose to significantly activate PLC in mouse islets may be compensated for by receptor-mediated activation of the enzyme by cholinergic input to the islet. Moreover, other signaling molecules, such as cholecystokinin, which also activates PLC (Zawalich et al. 1987), and the incretins glucagon-like peptide or gastric inhibitory polypeptide that elevate cAMP, may augment the secretory response as well (Zawalich et al. 1989c, Zawalich & Zawalich 1996b). These findings suggest caution in the extrapolation of signal transduction biochemical data between species unless accompanied by supporting insulin secretory responses as well. These also serve to emphasize the potential significance of phosphoinositide-derived signals to the evocation of a robust rising second-phase secretory response and the induction of TDP. Even though important metabolic signals are generated in response to a variety of fuels, their transduction into an effective secretory response may depend, at least in part, on the provision of the appropriate phospholipid-derived signals. Finally, these experiments also serve to emphasize the potential involvement of PI3K in the regulation of glucose-induced secretion. Considering its possible clinical importance, the potential contribution of this enzyme to the ß-cell adaptation that occurs during obesity, diabetes and other insulin-resistant states should be rigorously investigated. In conclusion, establishing the identity of the biochemical pathways uniquely activated by glucose and that underlie the emergence of robust biphasic insulin secretion may allow us to identify the lesion that impairs this response in manifest diabetes. Species studies such as those presented here may facilitate achieving this objective.
| Acknowledgements |
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| Funding |
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These studies were supported by NIH grants 41230 (W S Z) and U24 DK59635 (G C).
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Received 27 May 2004
Accepted 11 August 2004
Made available online as an Accepted Preprint 23 August 2004
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