Sulfonylurea-mediated stimulation of insulin exocytosis via an ATP-sensitive K+ channel-independent action.

Several reports indicate that hypoglycemic sulfonylureas augment Ca(2+)-dependent insulin secretion via mechanisms other than inhibition of the ATP-sensitive K(+) channel. The effect involves a 65-kd protein in the granule membrane and culminates in intragranular acidification. Lowering of granule p...

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Main Authors: Renström, E, Barg, S, Thévenod, F, Rorsman, P
Format: Conference item
Published: 2002
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author Renström, E
Barg, S
Thévenod, F
Rorsman, P
author_facet Renström, E
Barg, S
Thévenod, F
Rorsman, P
author_sort Renström, E
collection OXFORD
description Several reports indicate that hypoglycemic sulfonylureas augment Ca(2+)-dependent insulin secretion via mechanisms other than inhibition of the ATP-sensitive K(+) channel. The effect involves a 65-kd protein in the granule membrane and culminates in intragranular acidification. Lowering of granule pH is necessary for the insulin granule to gain release competence. Proton pumping into the granule is driven by a v-type H(+)-ATPase, but requires simultaneous Cl(-) uptake into the granule via metabolically regulated ClC-3 Cl(-) channels to maintain electroneutrality. Here we discuss the possibility that modulation of granule ClC-3 channels represents the mechanism whereby sulfonylureas directly potentiate the beta-cell exocytotic machinery.
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spelling oxford-uuid:002863ae-8970-43ea-ae90-1b0a6a3872f12022-03-26T08:28:03ZSulfonylurea-mediated stimulation of insulin exocytosis via an ATP-sensitive K+ channel-independent action.Conference itemhttp://purl.org/coar/resource_type/c_5794uuid:002863ae-8970-43ea-ae90-1b0a6a3872f1Symplectic Elements at Oxford2002Renström, EBarg, SThévenod, FRorsman, PSeveral reports indicate that hypoglycemic sulfonylureas augment Ca(2+)-dependent insulin secretion via mechanisms other than inhibition of the ATP-sensitive K(+) channel. The effect involves a 65-kd protein in the granule membrane and culminates in intragranular acidification. Lowering of granule pH is necessary for the insulin granule to gain release competence. Proton pumping into the granule is driven by a v-type H(+)-ATPase, but requires simultaneous Cl(-) uptake into the granule via metabolically regulated ClC-3 Cl(-) channels to maintain electroneutrality. Here we discuss the possibility that modulation of granule ClC-3 channels represents the mechanism whereby sulfonylureas directly potentiate the beta-cell exocytotic machinery.
spellingShingle Renström, E
Barg, S
Thévenod, F
Rorsman, P
Sulfonylurea-mediated stimulation of insulin exocytosis via an ATP-sensitive K+ channel-independent action.
title Sulfonylurea-mediated stimulation of insulin exocytosis via an ATP-sensitive K+ channel-independent action.
title_full Sulfonylurea-mediated stimulation of insulin exocytosis via an ATP-sensitive K+ channel-independent action.
title_fullStr Sulfonylurea-mediated stimulation of insulin exocytosis via an ATP-sensitive K+ channel-independent action.
title_full_unstemmed Sulfonylurea-mediated stimulation of insulin exocytosis via an ATP-sensitive K+ channel-independent action.
title_short Sulfonylurea-mediated stimulation of insulin exocytosis via an ATP-sensitive K+ channel-independent action.
title_sort sulfonylurea mediated stimulation of insulin exocytosis via an atp sensitive k channel independent action
work_keys_str_mv AT renstrome sulfonylureamediatedstimulationofinsulinexocytosisviaanatpsensitivekchannelindependentaction
AT bargs sulfonylureamediatedstimulationofinsulinexocytosisviaanatpsensitivekchannelindependentaction
AT thevenodf sulfonylureamediatedstimulationofinsulinexocytosisviaanatpsensitivekchannelindependentaction
AT rorsmanp sulfonylureamediatedstimulationofinsulinexocytosisviaanatpsensitivekchannelindependentaction