Straub SG, Sharp GW. Evolving insights regarding mechanisms for the inhibition of insulin release by norepinephrine and heterotrimeric G proteins. Am J Physiol Cell Physiol 302: C1687-C1698, 2012. First published April 4, 2012 doi:10.1152/ajpcell.00282.2011.-Norepinephrine has for many years been known to have three major effects on the pancreatic -cell which lead to the inhibition of insulin release. These are activation of K ϩ channels to hyperpolarize the cell and prevent the gating of voltage-dependent Ca 2ϩ channels that increase intracellular Ca 2ϩ concentration ([Ca 2ϩ ]i) and trigger release; inhibition of adenylyl cyclases, thus preventing the augmentation of stimulated insulin release by cyclic AMP; and a "distal" effect that occurs downstream of increased [Ca 2ϩ ]i to inhibit exocytosis. All three are mediated by the pertussis toxin (PTX)-sensitive heterotrimeric Gi and Go proteins. The distal inhibitory effect on exocytosis is now known to be due to the binding of G protein ␥ subunits to the synaptosomal-associated protein of 25 kDa (SNAP-25) on the soluble NSF attachment protein receptor (SNARE) complex. Recent studies have uncovered two more actions of norepinephrine on the -cell: 1) retardation of the refilling of the readily releasable granule pool after it has been discharged, an action that is mediated by G␣i 1 and/or G␣i2; and 2) inhibition of endocytosis that is mediated by Gz. Of importance also are new findings that G␣o regulates the number of docked granules in the -cell, and that G␣o 2 maintains a tonic inhibitory influence on secretion. The latter provides another explanation as to why PTX, which blocks the effect of G␣o2, was initially called "islet activating protein." Finally, there is clear evidence that overexpression of ␣ 2A-adrenergic receptors in -cells can cause type 2 diabetes. pancreatic -cell; K ϩ channels; adenylyl cyclases; exocytosis; granule pools; endocytosis NOREPINEPHRINE IS RESPONSIBLE for multiple effects in the body as it acts as a hormone after its release from the adrenal medulla along with epinephrine, and as a neurotransmitter when released by the central and sympathetic nervous systems. It has important functions on the cardiovascular system, on muscle, liver, and adipose tissue, and in the control of whole body metabolism. This review, however, focuses on the effects of norepinephrine on the pancreatic -cell and recent advances in our knowledge. Norepinephrine has three major effects on the -cell that lead to the inhibition of insulin release (65,74,102,104). It activates K ϩ channels to hyperpolarize the cell. This prevents or reverses depolarization and the consequent gating of voltage-dependent Ca 2ϩ channels that increase intracellular Ca 2ϩ concentration ([Ca 2ϩ ] i ) and trigger insulin release. It inhibits adenylyl cyclases, thus preventing the augmentation of stimulated insulin release, and it has a "distal" effect that occurs downstream of increased [Ca 2ϩ