The signaling pathway by which insulin stimulates insulin secretion and increases in intracellular freeInsulin secreted by pancreatic -cells is the primary regulator of serum glucose concentrations in mammals. Although substantial progress has been made in elucidating the mechanisms responsible for normal regulation of insulin secretion from the -cell, many aspects of this process remain unclear. In particular, chemical and physiological interactions between cells within the islet exert an important level of control in the physiological regulation of insulin secretion that is not entirely understood. Both hormonal and neuronal influences within islets may modulate -cell activity and insulin secretion in vitro and in vivo (1-3). Although such influences have been demonstrated, the existence of significant autocrine effects of insulin on -cells remained controversial for many years because a variety of studies yielded conflicting evidence on the modulation of insulin secretion by insulin in whole islets or in vivo. Recently, however, a variety of new methods have been utilized that demonstrate potent and possibly clinically important autocrine actions of insulin.Several recent studies have indicated that -cells express components of insulin signaling systems including insulin receptors (4 -6), insulin receptor substrates (IRS-1 and IRS-2) 1 (7-9), phosphatidylinositol 3-kinase (PI3-K) (10, 11), and protein kinase B (12). Evidence has also been obtained indicating that insulin released by glucose can activate these components in addition to other proteins in the cells. Insulin binds to receptors on the surface of -cells (4, 13) and activates tyrosine phosphorylation of insulin receptors (6), insulin receptor substrates (8), and PHAS-I (an inhibitor of mRNA cap-binding protein) (14). Furthermore, maximal glucose-stimulated production of phosphatidylinositol 3,4,5-triphosphate (PIP 3 ), a major product of PI3-K activity, coincides with the early peak phase insulin secretion in islets and clonal -cells (10). Thus, autocrine activation of the -cell insulin receptors and several downstream proteins has been demonstrated.Some of the physiological consequences of insulin receptor activation at -cells have recently been revealed. Activation of the insulin signaling pathway in -cells leads to initiation of insulin synthesis at both transcriptional and translational levels, increasing the cellular content of releasable hormone in primary and clonal -cell cultures (14 -16). In TC6-F7 cells transfected to overexpress the insulin receptor, basal and glucose-stimulated insulin secretion was enhanced compared with kinase negative controls (15). In another report, clonal cells lacking the IRS-1 protein showed both decreased insulin content and glucose-stimulated secretion (17). These latter studies suggest that insulin can exert positive control over synthesis and/or secretion. Direct evidence for the effects of insulin on insulin secretion has been obtained by application of exogenous insulin to isolated -cells and d...