Summary. Biphasic insulin secretion from perifused rat islets of Langerhans was enhanced if islets had previously been stimulated with glucose 16.6 mmol/1. The priming effect of glucose was reduced if mannoheptulose (16.6 mmol/1), deuterium oxide (D20; 98% v/v) or adrenaline (10 ~tmol/l) was included in the medium during the initial stimulation period, or if Calcium was omitted. Glyceraldehyde (16.6 mmol/1) but not theophylline (5 mmol/1) could substitute for glucose during the initial stimulation and make islets more responsive to subsequent stimulation. The results suggest that the priming effect of glucose on insulin secretion may be related to 1) glucose metabolism and 2) Ca fluxes in the B cell and the consequent activation of the microtubular system. Neither the generation of intracellular cyclic AMP nor the release of insulin per se appears to be involved in the priming process.Key words: Biphasic insulin secretion, perifused islets, glucose priming, mannoheptulose, glyceraldehyde, calcium, deuterium oxide, cyclic AMP, adrenaline.Acute exposure of the rat pancreatic B cell to glucose leads to biphasic secretion which is characterised by a short-lived burst of insulin release (phase 1) followed by a slower progressive rise in the secretory rate known as phase 2 [1][2][3][4]. Studies in vivo in man [5] and in vitro with the perfused rat pancreas [6] and perifused islets of Langerhans [7] have shown that a short period of glucose stimulation may also potentiate the secretory response of the B cell to a second pulse of glucose given shortly afterwards. Although it has been suggested that this effect occurs only if the concentration of glucose present during the initial stimulation period is in excess of approximately 14 mmol/1 in man [5] or 11 mmol/1 in perifused rat islets [7], the biochemical mechanisms mediating this phenomenon are poorly understood. In the present study the possible roles of 1) glucose metabolism 2) calcium and the microtubular system, and 3) cyclic AMP have been examined. The experiments were carried out using perifused rat islets of Langerhans.
Materials and Methods
Isolation and Perifusion of Islets of LangerhansMale Wister albino rats weighing approximately 200 g were fed ad libitum on a standard laboratory diet containing 48% carbohydrate, 21.3% protein and 3.4% fat. Islets were isolated by collagenase digestion [8]. The medium used for extraction and subsequent experiments was a bicarbonate-buffered salt solution with the following ionic composition: Na + 141; K + 5.9; Ca 2+ 2.5; Mg 2+ 1.2; PO~-1.2; CI-101 and HCO-3 24.9mmol/1; pH 7.4. The medium was supplemented with the sodium salts of glutamic, lactic and fumaric acids at a concentration of 5 rnmol/l [9]. The gas phase was O2:CO2 (95:5). The calcium concentration of 'calcium-free' media was 0.03mmol/1 as determined by atomic absorption spectrophotometry. When islets were exposed to deuterium oxide (D20) the ionic composition of the medium was unchanged but D20 replaced H20 to give a final concentration of 98% (v/v). The pH was ad...