There is a growing appreciation for the complexity of the pathways involved in glucose-stimulated insulin secretion (GSIS) from pancreatic islet -cells. In our laboratory, this has stimulated the development of an interdisciplinary approach to the problem. In this study, we review recent studies combining the tools of recombinant adenovirus for gene delivery, the development of novel cell lines that exhibit either robust or weak GSIS, and nuclear magnetic resonance imaging for metabolic fingerprinting of glucose-stimulated cells. Using these tools, we demonstrate a potentially important role for pyruvate carboxylase؊mediated pyruvate cycling pathways in the control of GSIS, and discuss potential coupling factors produced by such pathways. Diabetes 51 (Suppl. 3):S389 -S393, 2002 A fundamental property of pancreatic islet -cells is their capacity to secrete insulin in response to changes in glucose concentrations. A complete understanding of the biochemical mechanism of glucose-stimulated insulin secretion (GSIS) would be extremely valuable for the development of new therapies for both major forms of diabetes. GSIS is perhaps the seminal example of metabolism as a signaling mechanism. However, unlike classic hormonal signaling pathways involving well-characterized receptors and transducing molecules (e.g., signaling by glucagon or -adrenergic agonists), the full picture of metabolismbased signaling is not yet available. This is true in part because we are just beginning to realize that GSIS is likely to involve more than one, and perhaps several, signaling events that converge to activate exocytosis of insulincontaining secretory granules. The picture becomes even more complex when one considers the myriad of permissive, potentiating, and inhibitory agents that modulate the effects of glucose on insulin secretion.In light of this growing appreciation of the complexity of the problem, we and others have realized that an interdisciplinary approach may be required to fully understand -cell function. The result is that a field that began with the application of tools of metabolic biochemistry, enzymology, and physiology, now welcomes investigators applying molecular biology, gene discovery, cell and developmental biology, and biophysical chemistry strategies. In this study, we present our version of a multidisciplinary approach to the understanding of GSIS, and summarize the insights that we have gained to date and hope to gain in the future.
DEVELOPMENT OF TOOLS FOR STUDYING -CELL FUNCTIONRecombinant adenovirus as a gene delivery tool. The use of a recombinant adenovirus for gene transfer into islet cells was first demonstrated in our laboratory in the early 1990s (1,2). Using this approach, genes can be delivered to isolated rat islets with a transfer efficiency of 70 -80%, and to insulinoma cell line models with an efficiency approaching 100% (1-3). This level of efficiency for gene transfer is required for testing the impact of specific genes on candidate signaling pathways, and has led to an approach in whic...