“…β cells coupled by these gap junctions display varying levels of excitability and metabolic rates, aspects which themselves are thought to display a non-random spatial organization ( Hraha et al, 2014 ). This coupling of spatially organized heterogenous β cells populations creates an electrical syncytium that responds homogenously to glucose such that, at low glucose levels, insulin secretion is inhibited through repression of [Ca 2+ ] i oscillations across the islet, but at high glucose levels, pulsatile insulin secretion occurs through synchronous [Ca 2+ ] i oscillations that spread in fast waves across the islet from distinct initiation sites ( Benninger et al, 2008 ; Farnsworth et al, 2014 ; Hraha et al, 2014 ; Skelin Klemen et al, 2017 ; Benninger and Piston, 2014 ; Westacott et al, 2017a ; Benninger et al, 2014 ; Kravets, 2020 ; Ravier et al, 2005 ; Speier et al, 2007 ; Head et al, 2012 ). Indeed, in silico modeling experiments showed that decreasing the ratio of homotypic β cell-β cell nearest neighbors is predicted to result in perturbation to synchronous [Ca 2+ ] i oscillations ( Hoang et al, 2014 ; Head et al, 2012 ; Nittala et al, 2007 ; Hoang et al, 2016 ).…”