“…However, it is unclear from the literature whether the apparent effects of elevated matrix Ca 2ϩ on insulin secretion can be ascribed purely to conventional bioenergetic effects, e.g., by enhancing ⌬ m , ⌬pH, or ⌬G p as a consequence of the activation of pyruvate, isocitrate, and 2-oxoglutarate dehydrogenases (510), whether mitochondrial Ca 2ϩ trans-port is required for the induction and maintenance of plasma membrane oscillations (13), or whether there are additional, less defined, effects relating to the generation of metabolic coupling factors (427, 537). (510,511,528).…”