Summary. A series of recent experimental findings are reviewed to indicate that glucokinase does not represent the pancreatic B-cell glucoreceptor.(1) Whether in liver, pancreatic islet or insulin-producing tumoral cell homogenates, glucokinase fails to yield a higher reaction velocity with a-than r-D-glucose. (2) At a high glucose concentration (40 mmol/1), when the phosphorylation of glucose by glucokinase is indeed higher with r-than a-D-glucose, no preference for r-D-glucose is observed in intact islets, as judged from the utilization of D-[5-3H]glucose, production of lactic acid, oxidation of D-[u-laC]glucose, net uptake of 45Ca or release of insulin. (3) The glucose 6-phosphate content of intact islets is higher in the presence oft-than a-D-glucose. (4) At a low glucose concentration (3.3 mmol/1), when the participation of glucokinase to hexose phosphorylation is minimal, a-D-glucose is still better metabolized and stimulates both 45Ca net uptake and insulin release more efficiently than r-D-glucose, despite the fact that hexokinase yields a higher reaction velocity with r-than a-Dglucose. (5) (6) In islets removed from fasted rats, the rate of glycolysis is more severely decreased than expected from the repression of glucokinase. (7) The metabolism of glucose in tumoral insulin-producing cells differs, in several respects, from that in normal pancreatic islets, although the pattern of hexokinase and glucokinase activities is similar in these two types of cells. All these observations point to the participation of regulatory sites distal to glucose phosphorylation in the control of glucose metabolism in islet cells.
Key words:Pancreatic islets, insulin-producing tumoral cells, glucose anomers, glucokinase, hexokinase.In the 1972 Minkowski Lecture [1], a model was presented for the stimulation of insulin release by nutrient secretagogues and its modulation by polypeptide and adrenergic hormones. The model aimed at illustrating how changes in either the fluxes and intracellular distribution of calcium or generation of cyclic AMP may provide a multifactorial regulation for a single process of release, as mediated by the microtubular-microfilamentous effector system. In addition, it was briefly proposed, at variance with a current view at that time [2,3], "that glucose has to be transported and metabolized in the B cell in order to stimulate insulin secretion". In further work, my colleagues and I concentrated mainly on the validity of the latter proposal. We eventually reached the conclusion that the insulinotropic action of nutrient secretagogues indeed reflects their capacity to augment oxidative fluxes in the islet cells, this being defined as the fuel hypothesis [4] or fuel concept [5] for insulin release.One of the essential arguments in support of this fuel concept consisted of the finding that the higher insulinotropic capacity of the a-than fl-anomer of either Dglucose or D-mannose coincides with a higher rate of glycolysis in pancreatic islets exposed to the a-as distinct from fl-anomer of these two ...