Although genistein, a soy isoflavone, has beneficial effects on various tissues, it is unclear whether it plays a role in physiological insulin secretion. Here, we present evidence that genistein increases rapid glucose-stimulated insulin secretion (GSIS) in both insulin-secreting cell lines (INS-1 and MIN6) and mouse pancreatic islets. Genistein elicited a significant effect at a concentration as low as 10 nmol/l with a maximal effect at 5 mol/l. The effect of genistein on GSIS was not dependent on estrogen receptor and also not related to an inhibition of protein tyrosine kinase (PTK). Consistent with its effect on GSIS, genistein increases intracellular cAMP and activates protein kinase A (PKA) in both cell lines and the islets by a mechanism that does not involve estrogen receptor or PTK. The induced cAMP by genistein, at physiological concentrations, may result primarily from enhanced adenylate cyclase activity. Pharmacological or molecular intervention of PKA activation indicated that the insulinotropic effect of genistein is primarily mediated through PKA. These findings demonstrated that genistein directly acts on pancreatic -cells, leading to activation of the cAMP/PKA signaling cascade to exert an insulinotropic effect, thereby providing a novel role of soy isoflavones in the regulation of insulin secretion. Diabetes 55:1043-1050, 2006 S oy isoflavones have received widespread attention over the past few years because of their potential for preventing some highly prevalent chronic diseases. Genistein, the primary soy-derived isoflavone, has various biological actions, including a weak estrogenic effect by binding to estrogen receptors (1) and inhibiting protein tyrosine kinases (PTKs) (2). Studies on whether genistein has an effect on diabetes are very limited. Recent studies performed in animals and humans have shown that ingestion of soy protein associated with isoflavones moderates hyperglycemia (3,4), suggesting a beneficial role for soy in diabetes. However, it is not clear whether the beneficial effect of soy protein is due to genistein or other components. Data from recent animal studies suggest an antidiabetic effect of genistein presumably by a hypolipidemic effect (5). However, recent reports demonstrated that soy isoflavone administration lowered plasma glucose, whereas triglyceride levels were unaffected in obese and diabetic animals (6) and postmenopausal women (7). Therefore, although these data suggest that genistein may have a protective role in diabetes, the mechanism underlying these beneficial effects is still largely unknown.Few data exist on whether genistein has a direct effect on pancreatic -cells. Several earlier studies demonstrated that genistein stimulates insulin secretion from a clonal pancreatic -cell line (8) and cultured islets (9,10), whereas other studies have found an inhibitory effect on insulin secretion (11,12). These discrepant data may be the result of variations in the experimental conditions and model used. Nevertheless, the doses used in most of these studi...