Abstract. The present study assessed the effects of γ-aminobutyric acid (GABA) from β-cells on glucose levels and glucagon secretion, and identified channels via which glucagon secretion is initiated. An in vivo experiment was performed containing three groups: Intrapancreatic artery infusion of GABA alone, GABA plus insulin or insulin alone in rats with diabetes. Rats infused with GABA and insulin were also subdivided in groups receiving additional infusion of K + -channel activator diazoxide (DIA), K + -channel blocker tolbutamide (TLB) and calcium channel blocker nifedipine (NIF). In the hypoglycemic state, termination of infusion of insulin and insulin plus GABA resulted in signaling to the α-cells to secrete glycogen, while that of GABA alone did not. However, intrapancreatic artery infusion of K + -channel activator DIA, K + -channel blocker TLB or calcium channel blocker NIF in addition to GABA and insulin had no effect on glucagon secretion. In conclusion, if the delivery of insulin or GABA plus insulin in rats with hypoglycemia is terminated, β-cells are stimulated and signal the α-cells to secrete glucagon. Thus, the detection of a sudden decrease in zinc levels by β-cells as well as a decrease in GABA in the periportal circulation induces signaling to α-cells to stimulate them to secrete glucagon.
IntroductionTreatment for patients with type 1 or advanced type 2 diabetes by use of exogenous insulin places them at high risk for hypoglycemia. The physiological response to hypoglycemia involves multiple intrinsic defense mechanisms, which consists of input signals sent by the central nervous system and release of epinephrine, glucagon, cortisol and growth hormone. A chief mechanism among these is the increase in glucagon secretion. In patients with diabetes, the counter-regulatory glucagon response is severely compromised. Numerous in vitro and in vivo studies have proposed that insulin, Zn 2+ , γ-aminobutyric acid (GABA) and somatostatin exerts a paracrine control on glucagon secretion under certain conditions (1,2).Within the islets, the regulation of glucagon secretion by glucose and paracrine factors (i.e., β-cell secretory products) is mediated by electrical machinery comprising a variety of ion channels that determine the depolarization or hyperpolarization of α-cells (3). The intra-islet insulin hypothesis holds that upon decreasing insulin secretion by β-cells, they may send a signal to α-cells that contributes to the release of glucagon. Another hypothesis infers that glucagon secretion is inhibited by zinc ions due to their effects on adenosine triphosphate (ATP)-sensitive K + -channels of α-cells (4). In vivo studies have demonstrated that if insulin or zinc ion infusion into the pancreatic artery is performed, while animals are made hypoglycemic by an insulin infusion through the jugular vein, following the end of the infusion glucagon secretion is stimulated in animals with diabetes, but not in animals without diabetes (4-6).GABA serves as an inhibitor in the central nervous system and at hi...