2005
DOI: 10.1098/rstb.2005.1762
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Glucose-sensing mechanisms in pancreatic β-cells

Abstract: The appropriate secretion of insulin from pancreatic b-cells is critically important to the maintenance of energy homeostasis. The b-cells must sense and respond suitably to postprandial increases of blood glucose, and perturbation of glucose-sensing in these cells can lead to hypoglycaemia or hyperglycaemias and ultimately diabetes. Here, we review b-cell glucose-sensing with a particular focus on the regulation of cellular excitability and exocytosis. We examine in turn: (i) the generation of metabolic signa… Show more

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Cited by 297 publications
(278 citation statements)
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References 223 publications
(252 reference statements)
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“…However, insulin secretion at 16.7 mmol/l glucose, despite a blunted ATP production suggests alternative pathways of exocytotic triggering in male and female LP islets. The classical ATP elevation-induced insulin closure of K ϩ channels may not be the only player for triggering insulin secretion (14,29). Evidence that ROS might contribute to glucose-stimulated insulin secretion is emerging (25,42).…”
Section: Discussionmentioning
confidence: 99%
“…However, insulin secretion at 16.7 mmol/l glucose, despite a blunted ATP production suggests alternative pathways of exocytotic triggering in male and female LP islets. The classical ATP elevation-induced insulin closure of K ϩ channels may not be the only player for triggering insulin secretion (14,29). Evidence that ROS might contribute to glucose-stimulated insulin secretion is emerging (25,42).…”
Section: Discussionmentioning
confidence: 99%
“…ATP-sensitive potassium channels (K ATP channels) on the plasma membrane sense the increase in ATP and consequently close [1][2][3][4], triggering membrane depolarisation and opening of voltage-sensitive L-type Ca 2+ channels [4,5]. The secretory response is biphasic; within minutes a readily releasable pool (RRP) of granules docked at the plasma membrane is released [6][7][8].…”
Section: Introductionmentioning
confidence: 99%
“…The mitochondrial electron transport chain pumps protons across the mitochondrial inner membrane, restoring a high protonmotive force and ATP production, until ATP rises and oxidative phosphorylation, glycolysis and glucose utilization are once more shut down. In this way, a muscle cell maintains stable NADH/NAD and ATP/ADP ratios over a wide range of energy demands, regardless of the amount or nature of its fuel supply [1].Pancreatic β-cells [2], and a few other glucose-sensing cell types, such as some hypothalamic glucose-sensing neurons [3], run their bioenergetics quite differently. Instead of regulating glucose metabolism to maintain their ATP/ADP ratio, they respond to glucose by altering their ATP/ADP ratios.…”
mentioning
confidence: 99%