2010
DOI: 10.1007/978-90-481-3271-3_13
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Cyclic AMP Signaling in Pancreatic Islets

Abstract: Cyclic 3'5'AMP (cAMP) is an important physiological amplifier of glucose-induced insulin secretion by the pancreatic islet beta-cell, where it is formed by the activity of adenylyl cyclases, which are stimulated by glucose, through elevation in intracellular calcium concentrations, and by the incretin hormones (GLP-1 and GIP). cAMP is rapidly degraded in the pancreatic islet beta-cell by various cyclic nucleotide phosphodiesterase (PDE) enzymes. Many steps involved in glucose-induced insulin secretion are modu… Show more

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Cited by 91 publications
(71 citation statements)
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References 184 publications
(231 reference statements)
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“…Cyclic AMP in the ␤-cell is elevated by numerous agonists, as just described, and also by glucose (23). Its effects are to potentiate insulin secretion and to stimulate and modify gene expression controlling multiple functions.…”
Section: Samols Et Al (100) In 1965mentioning
confidence: 97%
See 1 more Smart Citation
“…Cyclic AMP in the ␤-cell is elevated by numerous agonists, as just described, and also by glucose (23). Its effects are to potentiate insulin secretion and to stimulate and modify gene expression controlling multiple functions.…”
Section: Samols Et Al (100) In 1965mentioning
confidence: 97%
“…Its effects are to potentiate insulin secretion and to stimulate and modify gene expression controlling multiple functions. Prominent among these are insulin biosynthesis, replication, and apoptosis (23). Mediators of these effects are protein kinase A (PKA), the exchange proteins activated by cyclic AMP (Epac), and cyclic AMP response elements and other proteins in the nucleus.…”
Section: Samols Et Al (100) In 1965mentioning
confidence: 99%
“…Thus, in response to food transit, glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP) (11) are released by enteroendocrine L and K cells, respectively, from where they augment GSIS to counteract the postprandial hyperglycemic spike (12)(13)(14)(15). This so-called "incretin effect" requires elevated glycemia, and GLP-1 and GIP receptor activation engages intracellular signaling mechanisms largely dependent on cyclic adenosine monophosphate (cAMP) generation (16)(17)(18) and activated Ca 2+ influx (19). Since incretins also stimulate antiapoptotic and prosurvival pathways in β cells (20), GLP-1 mimetics and dipeptidyl peptidase-4 (DPP-4) inhibitors have become first-line antihyperglycemic agents for the treatment of T2DM (21).…”
Section: Introductionmentioning
confidence: 99%
“…Increased b-cell cAMP potentiates glucosestimulated insulin secretion and protects b-cell mass. 23 However, both sulfonylureas and incretin therapies have raised concerns of whether the added demands they place upon the insulin secretory capacity leads to b-cell exhaustion. Sulfonylureas are thought to exhaust b-cells, most likely through their sustained depolarization of the plasma membrane, the alteration of calcium fluxes and the lack of coupling between insulin release and insulin synthesis.…”
Section: Introductionmentioning
confidence: 99%
“…26 Furthermore, the rise in cAMP is protective of b-cell mass through improved survival in response to factors associated with the metabolic syndrome. 23 Beyond effects at the b-cells, GLP-1 receptor agonists induce satiety, reduce gastric emptying, and lower inappropriately elevated glucagon levels that contribute to the hyperglycemia. 27,28 The effects of incretins to decrease gastric emptying and satiety have been shown to reduce body weight and they are currently approved for the management of obesity.…”
Section: Introductionmentioning
confidence: 99%