Abstract:Carbachol can stimulate insulin release in RINm5F cells by a mechanism that does not involve the elevation of cytosolic free Ca2+ concentrations or the activation of conventional protein kinase Cs (Mol Pharmacol 47:863-870, 1995). Thus, a novel signal transduction pathway links the muscarinic activation of the cells to increased insulin secretion. The question arises as to whether the pathway results from a novel receptor, different from the five established muscarinic receptors, or whether a "normal" receptor… Show more
“…However, while previous studies reported the expression of additional mAChR subtypes (e.g. M 4 or M 5 ) in islet preparations or in b-cell derived cell lines [19,20], we did not detect M 2 , M 4 or M 5 receptor mRNA in mouse pancreatic islets.…”
Section: The M 3 Machr Mediates Ach-induced Enhancement Of Gsiscontrasting
confidence: 99%
“…Receptor localization studies suggest that multiple mAChRs (M 1 , M 3 , M 4 and/or M 5 ) are expressed in pancreatic islets/b-cells or b-cell-derived tumour cell lines [18][19][20]. We initially carried out a series of RT-PCR studies to examine which mAChR subtypes are expressed by mouse pancreatic islets.…”
Section: The M 3 Machr Mediates Ach-induced Enhancement Of Gsismentioning
The release of insufficient amounts of insulin in the presence of elevated blood glucose levels is one of the key features of type 2 diabetes. Various lines of evidence indicate that acetylcholine (ACh), the major neurotransmitter of the parasympathetic nervous system, can enhance glucose-stimulated insulin secretion from pancreatic b-cells. Studies with isolated islets prepared from whole body M 3 muscarinic ACh receptor knockout mice showed that cholinergic amplification of glucose-dependent insulin secretion is exclusively mediated by the M 3 muscarinic receptor subtype. To investigate the physiological relevance of this muscarinic pathway, we used Cre/loxP technology to generate mutant mice that lack M 3 receptors only in pancreatic b-cells. These mutant mice displayed impaired glucose tolerance and significantly reduced insulin secretion. In contrast, transgenic mice overexpressing M 3 receptors in pancreatic b-cells showed a pronounced increase in glucose tolerance and insulin secretion and were resistant to diet-induced glucose intolerance and hyperglycaemia. These findings indicate that b-cell M 3 muscarinic receptors are essential for maintaining proper insulin secretion and glucose homeostasis. Moreover, our data suggest that enhancing signalling through b-cell M 3 muscarinic receptors may represent a new avenue in the treatment of glucose intolerance and type 2 diabetes.
“…However, while previous studies reported the expression of additional mAChR subtypes (e.g. M 4 or M 5 ) in islet preparations or in b-cell derived cell lines [19,20], we did not detect M 2 , M 4 or M 5 receptor mRNA in mouse pancreatic islets.…”
Section: The M 3 Machr Mediates Ach-induced Enhancement Of Gsiscontrasting
confidence: 99%
“…Receptor localization studies suggest that multiple mAChRs (M 1 , M 3 , M 4 and/or M 5 ) are expressed in pancreatic islets/b-cells or b-cell-derived tumour cell lines [18][19][20]. We initially carried out a series of RT-PCR studies to examine which mAChR subtypes are expressed by mouse pancreatic islets.…”
Section: The M 3 Machr Mediates Ach-induced Enhancement Of Gsismentioning
The release of insufficient amounts of insulin in the presence of elevated blood glucose levels is one of the key features of type 2 diabetes. Various lines of evidence indicate that acetylcholine (ACh), the major neurotransmitter of the parasympathetic nervous system, can enhance glucose-stimulated insulin secretion from pancreatic b-cells. Studies with isolated islets prepared from whole body M 3 muscarinic ACh receptor knockout mice showed that cholinergic amplification of glucose-dependent insulin secretion is exclusively mediated by the M 3 muscarinic receptor subtype. To investigate the physiological relevance of this muscarinic pathway, we used Cre/loxP technology to generate mutant mice that lack M 3 receptors only in pancreatic b-cells. These mutant mice displayed impaired glucose tolerance and significantly reduced insulin secretion. In contrast, transgenic mice overexpressing M 3 receptors in pancreatic b-cells showed a pronounced increase in glucose tolerance and insulin secretion and were resistant to diet-induced glucose intolerance and hyperglycaemia. These findings indicate that b-cell M 3 muscarinic receptors are essential for maintaining proper insulin secretion and glucose homeostasis. Moreover, our data suggest that enhancing signalling through b-cell M 3 muscarinic receptors may represent a new avenue in the treatment of glucose intolerance and type 2 diabetes.
“…Similar findings were obtained with rat pancreatic islets (23,25). Whereas previous studies (24,25) reported the expression of additional muscarinic receptor subtypes (M 4 or M 5 ) in islet preparations or in -cellderived cell lines, we did not detect M 2 , M 4 , or M 5 receptor mRNA in mouse pancreatic islets. Because the majority of the cells in rat or mouse islets represent -cells, it is highly likely that both M 1 and M 3 receptors are expressed by the insulin-secreting -cells.…”
Section: Discussioncontrasting
confidence: 30%
“…Molecular cloning studies have revealed the existence of five molecularly distinct muscarinic receptor subtypes (M 1 ϪM 5 ) (22). Receptor localization studies suggest that multiple muscarinic receptors (M 1 , M 3 , M 4 , and M 5 ) are expressed in pancreatic islets/-cells or -cellϪderived tumor cell lines (23)(24)(25). However, the M 3 muscarinic receptor appears to be the predominant subtype expressed by pancreatic -cells (4 -6,23-25).…”
Pancreatic muscarinic acetylcholine receptors play an important role in stimulating insulin and glucagon secretion from islet cells. To study the potential role of the M 3 muscarinic receptor subtype in cholinergic stimulation of insulin release, we initially examined the effect of the muscarinic agonist, oxotremorine-M (Oxo-M), on insulin secretion from isolated pancreatic islets prepared from wild-type (WT) and M 3 receptor؊deficient mice (M3 ؉/؊ and M3 ؊/؊ mice). At a stimulatory glucose level (16.7 mmol/l), Oxo-M strongly potentiated insulin output from islets of WT mice. Strikingly, this effect was completely abolished in islets from M3 ؊/؊ mice and significantly reduced in islets from M3 ؉/؊ mice. Additional in vitro studies showed that Oxo-M؊mediated glucagon release was also virtually abolished in islets from M3 ؊/؊ mice. Consistent with the in vitro data, in vivo studies showed that M3 ؊/؊ mice displayed reduced serum insulin and plasma glucagon levels and a significantly blunted increase in serum insulin after an oral glucose load. Despite the observed impairments in insulin release, M3؊/؊ mice showed significantly reduced blood glucose levels and even improved glucose tolerance, probably due to the reduction in plasma glucagon levels and the fact that M3 ؊/؊ mice are hypophagic and lean. These findings provide important new insights into the metabolic roles of the M 3 muscarinic receptor subtype. Diabetes 53
“…104 Additionally, the muscarinic receptor type 3 (M3) appears to be the predominant subtype expressed by pancreatic b-cells. [99][100][101][105][106][107] The role of muscarinic receptors in insulin release is well described in studies performed in M3 receptor-deficient mice (M3 -/-). Specifically, the infusion of the muscarinic agonist oxotremorine in islet cells either failed to stimulate insulin release in M3 receptor-deficient mice (M3 -/-) or was strongly inhibited in islets from M3 +/-mice.…”
Section: Muscarinic Receptors and Glucose Homeostasismentioning
Objective: Atypical antipsychotics (AAPs) promote obesity and insulin resistance. In this regard, the main objective of this study was to present potential mechanisms and evidence concerning side effects of atypical antipsychotics in humans and rodents. Method: A systematic review of the literature was performed using the MEDLINE database. We checked the references of selected articles, review articles, and books on the subject. Results: This review provides consistent results concerning the side effects of olanzapine (OL) and clozapine (CLZ), whereas we found conflicting results related to other AAPs. Most studies involving humans describe the effects on body weight, adiposity, lipid profile, and blood glucose levels. However, it seems difficult to identify an animal model replicating the wide range of changes observed in humans. Animal lineage, route of administration, dose, and duration of treatment should be carefully chosen for the replication of the findings in humans. Conclusions: Patients undergoing treatment with AAPs are at higher risk of developing adverse metabolic changes. This increased risk must be taken into account when making decisions about treatment. The influence of AAPs on multiple systems is certainly the cause of such effects. Specifically, muscarinic and histaminergic pathways seem to play important roles.
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