“…This provided a plausible alternative explanation for promotion of insulin release, as further supported by evidence that idazoxan is a less effective K ATP channel blocker than the insulinotropic imidazolines phentolamine and efaroxan (Chan and Morgan, 1990;Östenson et al, 1989;Rustenbeck et al, 1999;Shepherd et al, 1996). But again, the whole matter became complicated by evidence for another site of action distal to Ca 2 þ influx into the β-cell, which some regarded as the truly important mechanism of insulinotropic action Efendic et al, 2002;Meidute-Abaraviciene et al, 2009;Sharoyko et al, 2007;Zaitsev et al, 1996). More recently, evidence arose that variations in or near the gene encoding the α 2A -adrenoceptor (ADRA2A) may pre-dispose individuals to type 2 diabetes, which led to speculations that α 2A -antagonists could be a treatment tailored to those carrying the at-risk mutations (Gribble, 2010;Liggett, 2009;Rosengren et al, 2010;Wess, 2010).…”