Glucose-stimulated insulin secretion (GSIS) is mediated in part by glucose metabolism-driven increases in ATP/ADP ratio, but by-products of mitochondrial glucose metabolism also play an important role. Here we investigate the role of the mitochondrial citrate/isocitrate carrier (CIC) in regulation of GSIS. Inhibition of CIC activity in INS-1-derived 832/13 cells or primary rat islets by the substrate analogue 1,2,3-benzenetricarboxylate (BTC) resulted in potent inhibition of GSIS, involving both first and second phase secretion. A recombinant adenovirus containing a CIC-specific siRNA (Ad-siCIC) dose-dependently reduced CIC expression in 832/13 cells and caused parallel inhibitory effects on citrate accumulation in the cytosol. Ad-siCIC treatment did not affect glucose utilization, glucose oxidation, or ATP/ADP ratio but did inhibit glucose incorporation into fatty acids and glucose-induced increases in NADPH/NADP ؉ ratio relative to cells treated with a control siRNA virus (Ad-siControl). Ad-siCIC also inhibited GSIS in 832/13 cells, whereas overexpression of CIC enhanced GSIS and raised cytosolic citrate levels. In normal rat islets, Ad-siCIC treatment also suppressed CIC mRNA levels and inhibited GSIS. We conclude that export of citrate and/or isocitrate from the mitochondria to the cytosol is an important step in control of GSIS.The mechanism of glucose-stimulated insulin secretion (GSIS) 2 from pancreatic islet -cells is not completely understood. One component of the signaling pathway involves glucose-induced increases in cytosolic ATP/ADP ratio, leading to closure of K ATP channels at the plasma membrane. K ATP channel closure results in membrane depolarization and activation of voltage-dependent Ca 2ϩ channels, increasing the concentration of cytosolic Ca 2ϩ (1-4). Elevation of cytosolic Ca 2ϩ promotes exocytosis of insulin-containing secretory granules (5). However, fluctuations in cytosolic Ca 2ϩ are not the only signal, because under conditions of clamped cytosolic Ca 2ϩ concentrations, glucose can still cause significant insulin secretion (6). This suggests that glucose generates signals/second messengers that are distinct from ATP and membrane depolarization for regulation of insulin secretion (7,8). Some of the suggested mitochondrial factors include glutamate, malonyl-CoA, longchain acyl-CoAs (LC-CoA), and/or NADPH (7-17).The production of malonyl-CoA, LC-CoA, and NADPH in the cytosol depends on the export of mitochondrial metabolites. NADPH can be produced via one of three pyruvate cycling pathways, the pyruvate/malate pathway, the pyruvate/citrate pathway, or the pyruvate/isocitrate pathway, via cytosolic NADP ϩ -dependent isoforms of malic enzyme (used in the pyruvate/malate and pyruvate/citrate pathways) or cytosolic, NADP ϩ -dependent isocitrate dehydrogenase (ICDc) (used in the pyruvate/isocitrate cycle) (18,19). Citrate emanating from mitochondrial metabolism can also be cleaved by ATP-citrate lyase to produce malonyl-CoA and LC-CoA (19). We and others have previously established that anap...