Fridlyand LE, Tamarina N, Philipson LH. Bursting and calcium oscillations in pancreatic -cells: specific pacemakers for specific mechanisms. Am J Physiol Endocrinol Metab 299: E517-E532, 2010. First published July 13, 2010; doi:10.1152/ajpendo.00177.2010.-Oscillatory phenomenon in electrical activity and cytoplasmic calcium concentration in response to glucose are intimately connected to multiple key aspects of pancreatic -cell physiology. However, there is no single model for oscillatory mechanisms in these cells. We set out to identify possible pacemaker candidates for burst activity and cytoplasmic Ca 2ϩ oscillations in these cells by analyzing published hypotheses, their corresponding mathematical models, and relevant experimental data. We found that although no single pacemaker can account for the variety of oscillatory phenomena in -cells, at least several separate mechanisms can underlie specific kinds of oscillations. According to our analysis, slowly activating Ca 2ϩ -sensitive K ϩ channels can be responsible for very fast Ca 2ϩ oscillations; changes in the ATP/ADP ratio and in the endoplasmic reticulum calcium concentration can be pacemakers for both fast bursts and cytoplasmic calcium oscillations, and cyclical cytoplasmic Na ϩ changes may underlie patterning of slow calcium oscillations. However, these mechanisms still lack direct confirmation, and their potential interactions raises new issues. Further studies supported by improved mathematical models are necessary to understand oscillatory phenomena in -cell physiology. endoplasmic reticulum; channels; diabetes; mathematical model; metabolism IN PANCREATIC -CELLS, glucose-stimulated insulin secretion is mediated by an elevated cytosolic free calcium concentration ([Ca 2ϩ ] c ). This results from calcium influx through voltagedependent Ca 2ϩ channels (VDCCs) located in the plasma membrane (PM), which open in response to secretagogues, primarily glucose. Stimulation-secretion coupling in -cells is different from most other cell types, because instead of being mediated by receptor binding, glucose must be transported into the cytoplasm and metabolized.Glucose initiates changes in the PM potential via an increase in the cytoplasmic [ATP]/[ADP] ratio derived from glycolysis and oxidative phosphorylation. This results in closure of ATPsensitive K ϩ (K ATP ) channels. Closure of these channels leads to PM depolarization up to a threshold potential, causing the cell to move from quiescence to initiate electrical activity and VDCC opening. Ca 2ϩ influx through VDCCs leads to increased [Ca 2ϩ ] c , which is a key signal in the initiation of insulin secretion from the pancreatic -cells. Consensus mechanisms of glucose-induced PM, cytosolic, and mitochondrial processes are summarized in Fig. 1 (for recent review, see Refs. 71,74,76,and 140).The -cell membrane is hyperpolarized to a resting potential of about Ϫ60 mV at low glucose levels (ϳ3-6 mM). Dean and Matthews (32,33) showed that when glucose rises the PM depolarizes and then generates an ...