␣-Ketoisocaproate directly inhibits the ATP-sensitive K ϩ channel (K ATP channel) in pancreatic -cells, but it is unknown whether direct K ATP channel inhibition contributes to insulin release by ␣-ketoisocaproate and related ␣-keto acid anions, which are generally believed to act via -cell metabolism. In membranes from HIT-T15 -cells and COS-1 cells expressing sulfonylurea receptor 1, ␣-keto acid anions bound to the sulfonylurea receptor site of the K ATP channel with affinities increasing in the order ␣-ketoisovalerate Ͻ ␣-ketovalerate Ͻ ␣-ketoisocaproate Ͻ ␣-ketocaproate Ͻ -phenylpyruvate. Patch-clamp experiments revealed a similar order for the K ATP channel-inhibitory potencies of the compounds (applied at the cytoplasmic side of inside-out patches from mouse -cells). These findings were compared with the insulin secretion stimulated in isolated mouse islets by ␣-keto acid anions (10 mM). When all K ATP channels were closed by the sulfonylurea glipizide, ␣-keto acid anions amplified the insulin release in the order -phenylpyruvate Ͻ ␣-ketoisovalerate Ͻ ␣-ketovalerate Ϸ ␣-ketocaproate Ͻ ␣-ketoisocaproate. The differences in amplification apparently reflected special features of the metabolism of the individual ␣-keto acid anions. In islets with active K ATP channels, the first peak of insulin secretion triggered by ␣-keto acid anions was similar for ␣-ketoisocaproate, ␣-ketocaproate, and -phenylpyruvate but lower for ␣-ketovalerate and insignificant for ␣-ketoisovalerate. This difference from the above orders indicates that direct K ATP channel inhibition is not involved in the secretory responses to ␣-ketoisovalerate and ␣-ketovalerate, moderately contributes to initiation of insulin secretion by ␣-ketoisocaproate and ␣-ketocaproate, and is a major component of the insulin-releasing property of -phenylpyruvate.The metabolism of glucose and some other fuels in the pancreatic -cell provides signals for rapid stimulation of insulin secretion (Henquin, 2000;MacDonald et al., 2005). It is believed that major signals are an increase in cytosolic ATP and a decrease in cytosolic ADP caused by activation of the mitochondrial energy metabolism (Henquin, 2000). These changes in cytosolic nucleotides inhibit the ATP-sensitive K ϩ channel (K ATP channel) in the -cell plasma membrane (Aguilar-Bryan and Bryan, 1999). The channel inhibition depolarizes the membrane, voltage-dependent calcium channels are opened, and the resulting increase in the cytosolic free Ca 2ϩ concentration triggers the exocytosis of insulin. As soon as insulin release is initiated, the secretory response is enhanced by an amplifying pathway requiring the metabolism of the fuel secretagogue (Henquin, 2000). The ATP/ADP ratio in the -cell cytosol has been suggested to serve as amplification signal.␣-Ketoisocaproate (4-methyl-2-oxopentanoate), the transamination product of L-leucine, and some related ␣-keto acid anions (␣-ketocaproate, ␣-ketovalerate, and -phenylpyruvate) stimulate insulin secretion by pancreatic islets in the abse...