Elliott AD, Ustione A, Piston DW. Somatostatin and insulin mediate glucose-inhibited glucagon secretion in the pancreatic ␣-cell by lowering cAMP. Am J Physiol Endocrinol Metab 308: E130 -E143, 2015. First published November 18, 2014 doi:10.1152/ajpendo.00344.2014.-The dysregulation of glucose-inhibited glucagon secretion from the pancreatic islet ␣-cell is a critical component of diabetes pathology and metabolic disease. We show a previously uncharacterized [Ca 2ϩ ]i-independent mechanism of glucagon suppression in human and murine pancreatic islets whereby cAMP and PKA signaling are decreased. This decrease is driven by the combination of somatostatin, which inhibits adenylyl cyclase production of cAMP via the G␣ i subunit of the SSTR2, and insulin, which acts via its receptor to activate phosphodiesterase 3B and degrade cytosolic cAMP. Our data indicate that both somatostatin and insulin signaling are required to suppress cAMP/PKA and glucagon secretion from both human and murine ␣-cells, and the combination of these two signaling mechanisms is sufficient to reduce glucagon secretion from isolated ␣-cells as well as islets. Thus, we conclude that somatostatin and insulin together are critical paracrine mediators of glucoseinhibited glucagon secretion and function by lowering cAMP/PKA signaling with increasing glucose. cyclic AMP; glucagon; pancreatic islets; insulin; somatostatin GLUCAGON PLAYS A CRITICAL ROLE in blood glucose homeostasis, and its secretion from pancreatic islet ␣-cells is inhibited with rising glucose. During diabetes, persistent glucagon secretion from ␣-cells leads to hyperglucagonemia, which overproduces glucose, exacerbating hyperglycemia. This makes the ␣-cell an important target for therapeutic intervention, but relatively little is known about how glucagon secretion is regulated under normal physiological conditions (18). There are many hypotheses about how glucagon is suppressed by glucose, including paracrine regulation by islet factors (28) and changes in ion channel activity (44), but they commonly depend on a decrease in intracellular Ca 2ϩ . However, published data show that glucagon inhibition is independent of intracellular Ca 2ϩ activity, and no hypothesis explains the loss of suppression from purified ␣-cells (30,31,38). Progress toward understanding ␣-cell regulation and function has been hampered by a lack of approaches to measure ␣-cell properties without first separating them from the rest of the islet, which we know critically changes their function.Multiple G protein-coupled somatostatin receptors (SSTRs) have been identified in islets. SSTR2 is the most abundantly expressed and functionally dominant isoform in both human and murine ␣-cells (12, 24). Upon SSTR2 activation by somatostatin, the G␣ i subunit inhibits adenylyl cyclase to reduce cAMP. Isolated islets from SSTR2 knockout mice show a twofold increase in glucagon secretion, suggesting a role for somatostatin in glucose-inhibited glucagon secretion (37). In contrast, global somatostatin deletion does not ...