Abstract. The transient receptor potential melastatin 2 (TRPM2) channel, a Ca 2+ permeable channel activated by cAMP, is expressed on pancreatic β-cells and is responsible for the regulation of insulin secretion. It is known that glucose-stimulated insulin secretion (GSIS) can be potentiated by glucagon like peptide-1 (GLP-1), and that the changes in the extracellular glucose concentration alter the levels of intracellular adenosine ATP and cAMP. The present study hypothesized that TRPM2 mediates the modulatory effect of GLP-1 on insulin secretion. The results demonstrated that silencing of TRPM2 eliminated GLP-1-enhanced insulin secretion, indicating the involvement of TRPM2 in this process. In addition, the results of current recordings of TRPM2 and measurement of the resulting insulin secretion in β-cells in the presence of GLP-1 and various concentrations of glucose suggest that GLP-1 regulates GSIS via the TRPM2 channel. Furthermore, inhibiting the activity or expression of TRPM2 attenuated GLP-1-induced GSIS. By using specific activators or inhibitors, the present study demonstrated that the two primary downstream effectors of the GLP-1 receptor, exchange protein directly activated by cAMP and protein kinase A, differentially influence GSIS and GLP-1-potentiated GSIS. In conclusion, the present study revealed the role of TRPM2 in GLP-1-regulated insulin secretion. The results of the present study provide a novel avenue for the prevention and treatment of diabetes and its complications.
IntroductionPancreatic β-cells secrete insulin via insulin-containing granules that translocate from the intracellular insulin reservoir to the cell surface membrane, fuse with the membrane and secrete insulin through exocytosis (1,2 , and mediates ER-regulated membrane potential and insulin secretion (4). TRP family channels are non-selective cation channels in general, however some members are selective with with differential permeability to Ca 2+ (5). There are ~30 types of TRP channels that have been reported to be expressed on β-cells, including TRP vanilloid, TRP ankyrin, TRP canonical and TRP melastatin (TRPM) (6). Among these channels, TRPM2, a Ca 2+ -permeable channel, was demonstrated to be associated with glucose metabolism and insulin secretion, yet little is known about the underlying mechanisms of these associations (7).In recent years, glucagon like peptide 1 (GLP-1) and its analogues, also known as incretins, have attracted much attention for their anti-diabetic properties. A previous study demonstrated that incretins are secreted following a meal and promote insulin secretion, thereby minimizing the fluctuation of postprandial blood glucose concentrations (8). However, the 'incretin effect' in patients with type 2 diabetes