Metabolic regulation of insulin secretion in health and disease

Despite the current media focus, Covid-19 is not the only current pandemic. There is also a global pandemic of diabetes. It is caused by an insufficiency of the hormone insulin, which lowers blood glucose levels. Here we highlight recent work that addresses the question of how insulin is normally se...

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Main Authors: Haythorne, E, Ashcroft, FM
格式: Journal article
語言:English
出版: Portland Press 2021
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author Haythorne, E
Ashcroft, FM
author_facet Haythorne, E
Ashcroft, FM
author_sort Haythorne, E
collection OXFORD
description Despite the current media focus, Covid-19 is not the only current pandemic. There is also a global pandemic of diabetes. It is caused by an insufficiency of the hormone insulin, which lowers blood glucose levels. Here we highlight recent work that addresses the question of how insulin is normally secreted from the β-cells of the pancreas and what goes wrong with this process in diabetes. We focus on the metabolic regulation of the ATP-sensitive potassium channel, an ATP-gated membrane pore that regulates insulin secretion. We show that when this pore is shut, insulin is released, and when it is open, insulin release is prevented. As may be expected, genetic mutations that impair the ability of ATP to close the channel cause neonatal diabetes. We also consider if a failure of β-cell metabolism to generate enough ATP to close the channel may lead to the progressive decline in β-cell function in type 2 diabetes.
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spelling oxford-uuid:b3c9360c-6bb6-41e7-a377-5a48c201ac162025-02-20T16:14:53ZMetabolic regulation of insulin secretion in health and diseaseJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b3c9360c-6bb6-41e7-a377-5a48c201ac16EnglishSymplectic ElementsPortland Press2021Haythorne, EAshcroft, FMDespite the current media focus, Covid-19 is not the only current pandemic. There is also a global pandemic of diabetes. It is caused by an insufficiency of the hormone insulin, which lowers blood glucose levels. Here we highlight recent work that addresses the question of how insulin is normally secreted from the β-cells of the pancreas and what goes wrong with this process in diabetes. We focus on the metabolic regulation of the ATP-sensitive potassium channel, an ATP-gated membrane pore that regulates insulin secretion. We show that when this pore is shut, insulin is released, and when it is open, insulin release is prevented. As may be expected, genetic mutations that impair the ability of ATP to close the channel cause neonatal diabetes. We also consider if a failure of β-cell metabolism to generate enough ATP to close the channel may lead to the progressive decline in β-cell function in type 2 diabetes.
spellingShingle Haythorne, E
Ashcroft, FM
Metabolic regulation of insulin secretion in health and disease
title Metabolic regulation of insulin secretion in health and disease
title_full Metabolic regulation of insulin secretion in health and disease
title_fullStr Metabolic regulation of insulin secretion in health and disease
title_full_unstemmed Metabolic regulation of insulin secretion in health and disease
title_short Metabolic regulation of insulin secretion in health and disease
title_sort metabolic regulation of insulin secretion in health and disease
work_keys_str_mv AT haythornee metabolicregulationofinsulinsecretioninhealthanddisease
AT ashcroftfm metabolicregulationofinsulinsecretioninhealthanddisease