The ability of the cholinergic agonist carbachol to sensitize islets to the action of combined glucose, cholecystokinin and gastric inhibitory polypeptide was determined in isolated rat islets. In response to this combination, peak first phase insulin secretion from control islets averages 85 \ m=+-\5 pg \ m=. \ islet\m=-\ 1 \ m=. \ min\m=-\ 1 (mean \ m=+-\ sem) and the insulin secretory rates measured 35\p=n-\40 min after the onset of stimulation averages 127 \m=+-\ 34 pg \ m=. \ islet \ m= -\ 1\ m=. \min\m=-\1.A prior 20 min exposure to 1 mmol/l carbachol potentiates the modest insulin stimulatory response to this combination of stimulants: peak first phase release is 354 \m=+-\ 61 pg \ m=. \ i s l e t \ m= -\ 1 \ m=. \ mi n \ m= -\ 1 , and release measured 35\p=n-\40 min after the onset of stimulation is 179 \m=+-\34 pg \m=.\ islet\m=-\1 \ m=. \ min\m=-\1. This sensitizing effect of carbachol lasts for at least 40 min and can be duplicated by the natural in vivo agonist acetylcholine. These results demonstrate that cholinergic stimulation of isolated islets primes them to the subsequent stimulatory effect of a moderate increase in the circulating glucose level and to several postulated incretin factors. If operative in vivo, this communications network between cephalic and enteric factors represents a remarkable control system to ensure the release of insulin in amounts commensurate to meet the anticipated and actual insulin requirements for insulin-mediated fuel disposition.Thought to be mediated by vagally-derived acetylcholine, the existence of the cephalic phase of insulin secretion has long been recognized (LouisSylvestre 1976, 1978: Trimble et al. 1981Berthoud et al. 1984). We recently reported that the choliner¬ gic agonist carbachol, in addition to acutely stimu¬ lating insulin secretion in the presence of 5.5 or 7.0 mmol/1 glucose, sensitized the beta-cell to the weak insulin stimulatory effect of 7.5 mmol/1 glu¬ cose (unpublished observations). This sensitization process appears to be mediated by phosphoinositide-derived second messengers and lasts for at least 40 min after carbachof removal.In addition to acetylcholine, the release of vari¬ ous enteric factors, particularly gastric inhibitory polypeptide and cholecystokinin, is thought to participate in the regulation of insulin secretion from the beta-cell (Creutzfeldt 1979;Creutzfeldt & Ebert 1985;McCullough et al. 1985;Rushakoff et al. 1987). Termed the entero-insular axis (Unger & Eisentraut 1969), this network is thought to play an important role in insulin-mediated fuel homeostasis.In the present report we have examined the possible effect of prior choiinergic stimuiation of the beta-cell on the capacity of several gut factors to influence the refease of insulin from the betacell.
Materials and MethodsMale Sprague-Dawley rats purchased from Charles River (Kingston, NY) were used in all studies. The animals were fed ad libitum and weighed between 300-400 g. After Nembutal-induced (50 mg/kg) anesthesia, islets were iso¬ lated by collagenase dige...